Does psychiatric history bias mothers' reports? An application of a new analytic approach
Does psychiatric history bias mothers' reports? An application of a new analytic approach
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DOI：
10.1097/00004583-199707000-00020
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发表时间：
1997-07-01
影响因子：
13.3
通讯作者：
Breslau, N
中科院分区：
文献类型：
--
作者：
Chilcoat, HD;Breslau, N
目的：为了评估母亲的精神病史是否会影响其子女行为问题的报告，使用最近开发的统计方法比较了母亲和教师对儿童行为问题的报告。方法：对801名6岁儿童分别由母亲和教师填写儿童行为量表和教师报告表。母亲的抑郁症，焦虑症和物质使用障碍的历史进行了评估，使用国家精神卫生研究所诊断访谈时间表。采用广义估计方程进行数据分析。结果如下：根据教师和母亲，母亲的抑郁症病史与更多的内化问题，该协会是显着更强的母亲的线人。有任何精神疾病史的母亲报告的孩子的外化问题比预期的多，而教师的外化行为报告与母亲的精神病史无关。这些发现不能用儿童在不同环境中的行为变化来解释。结论：广义估计方程模型，使同时检查是否抑郁症母亲的孩子有过多的行为问题，是否抑郁症母亲过度报告的行为问题，在他们的孩子。结果表明，抑郁母亲的孩子有更多的内化问题。此外，抑郁的母亲夸大和过度概括他们后代的行为问题。这项研究扩大了对报告偏见的关注，超越了母亲抑郁症，包括其他精神问题。结果强调了依赖于线人的家族史研究中存在偏见的可能性。
Objective: To evaluate whether mothers' psychiatric history biases reports of their children's behavior problems, mothers' and teachers' reports of children's behavior problems were compared using a recently developed statistical approach. Method: Child Behavior Checklists and Teacher's Report Forms were completed by mothers and teachers, respectively, about 801 six-year-old children. Mother's history of major depression, anxiety disorders, and substance use disorder was assessed by using the National Institute of Mental Health Diagnostic Interview Schedule. Generalized estimating equations were used for data analysis. Results: According to both teachers and mothers, maternal history of major depression was associated with more internalizing problems; the association was significantly stronger when mothers were the informants. Mothers with history of any psychiatric disorder reported more externalizing problems in their children than expected, whereas teachers' reports of externalizing behaviors were unrelated to maternal psychiatric history. These findings could not be explained by variations in children's behaviors across settings. Conclusion: The generalized estimating equation models enabled simultaneous examination of whether children of depressed mothers have excess behavior problems and whether depressed mothers overreport behavior problems in their children. The results indicate that children of depressed mothers have more internalizing problems. In addition, depressed mothers overstate and overgeneralize their offspring's behavior problems. This study broadens the concerns with reporting bias beyond maternal depression to include other psychiatric problems. The results emphasize the potential for bias in family history studies that rely on informants.