When adolescents disagree with their mothers: CBCL-YSR discrepancies related to maternal depression and adolescent self-esteem

When adolescents disagree with their mothers: CBCL-YSR discrepancies related to maternal depression and adolescent self-esteem
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DOI:
10.1046/j.1365-2214.2003.00332.x
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发表时间:
2003-05-01
影响因子:
1.9
通讯作者:
Dahl, AA
Dahl, AA
中科院分区:
医学3区
文献类型:
--
作者:
Berg-Nielsen, TS;Vika, A;Dahl, AA

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目的探讨母亲与青少年在青少年心理症状报告中的差异,探讨母亲抑郁症状与青少年自尊的关系。68对母亲和青少年参与了研究。所有的青少年(11-17岁)都被转介到挪威的儿童和青少年精神病门诊治疗情绪或行为障碍。方法采用青少年自我报告问卷(YSR),母亲填写相应的儿童行为检查表(CBCL)。用医院焦虑抑郁量表测量产妇抑郁,用青少年自我知觉量表测量青少年自尊。结果母亲抑郁水平是预测CBCL-YSR内化障碍差异的显著变量(P < 0.001),解释了41%的方差。与青少年相比,随着抑郁程度的增加,母亲倾向于报告更多的内在问题。在外化问题的母亲-青少年差异中,青少年年龄是最显著的变量。随着年龄的增长,青少年在报告外化问题时与母亲的意见更为一致。但是,与外表有关的自尊问题也使青少年倾向于承认更多的外在问题,从而更同意他们的母亲。结论在解释青少年心理问题的信息差异时,母亲抑郁水平和青少年自尊水平等主观心理变量可能是有用的考虑因素。
Objective To facilitate understanding of disagreement between mothers and adolescents when they report on adolescents' mental symptoms, discrepancy of reports were studied in relation to depressive symptoms of mothers and self-esteem of adolescents.Participants Sixty-eight mother-adolescent pairs participated. All the adolescents (11-17 years) were referred to child and adolescent psychiatric outpatient clinics in Norway for emotional or behavioural disorders.Methods The adolescents completed the questionnaire Youth Self Report (YSR), and mothers completed the corresponding Child Behaviour Checklist (CBCL). Maternal depression was measured with the Hospital Anxiety and Depression Scales and adolescent self-esteem was measured with Self-Perception Profile for Adolescents.Results Mothers' level of depression emerged as a significant variable (P < 0.001) predicting CBCL-YSR discrepancy on internalizing disorders, explaining 41% of the variance. With increased levels of depression mothers tended to report more internalizing problems compared to the adolescents. For mother-adolescent discrepancy on externalizing problems, adolescents' age was the most significant variable. With increasing age the adolescents were more in agreement with their mothers when reporting their externalizing problems. But also self-esteem problems concerning their looks made adolescents inclined to admit more externalizing problems, thus being more in agreement with their mothers.Conclusions Subjective, psychological variables such as mothers' level of depression and self-esteem of adolescents may be useful to consider when interpreting informant discrepancy concerning the mental problems of adolescents.