Concordance between mothers' reports and children's self-reports of depressive symptoms: a longitudinal study.
Concordance between mothers' reports and children's self-reports of depressive symptoms: a longitudinal study.
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母亲报告与儿童自我报告抑郁症状的一致性：一项纵向研究。
DOI：
10.1097/00004583-199402000-00008
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发表时间：
1994
影响因子：
13.3
通讯作者：
Kovacs,M
中科院分区：
文献类型：
--
作者：
Renouf,AG;Kovacs,M
目的 研究发育因素和母亲抑郁对母子和临床医生-儿童在儿童内在抑郁症状方面的一致性的影响。方法数据来源于临床转介的、种族混合的学龄男孩和女孩样本 (n = 113)，研究进入时诊断为抑郁症。一致性的衡量标准是基于自评儿童抑郁量表、母亲评估的儿童行为检查表以及临床医生评估的对孩子和母亲的半结构化精神病学访谈中的平行项目。根据年龄、社会认知发展和母亲抑郁情况，对最长 7 年的重复一致性测量进行纵向建模。其他协变量包括母亲的精神病理学（不包括抑郁症）、社会经济地位以及孩子的性别和语言能力。结果在随访期间，母子和临床医生-孩子的一致性随着孩子年龄的变化而增加，并且随着母亲抑郁症的增加而不断减弱。与儿童的自我报告相比，抑郁母亲高估了孩子的症状。结论临床医生在权衡儿童抑郁症状的自我报告和父母报告的相对优点时，应考虑年轻患者的年龄和母亲抑郁程度。需要进行更多的研究来了解亲子一致性的变化机制。
ObjectiveDevelopmental factors and maternal depression were examined for their impact on mother-child and clinician-child agreement concerning children's internal depressive symptoms.MethodData were derived from a clinically referred, racially mixed sample of school-age boys and girls (n= 113), with a study entry diagnosis of depression. Measures of agreement were based on parallel items from the self-rated Children's Depression Inventory, mother-rated Child Behavior Checklist, and clinician-rated, semistructured psychiatric interview with both the child and mother. Repeated measures of agreement were modeled longitudinally over a maximum of 7 years as a function of age, social-cognitive development, and maternal depression. Additional covariates were maternal psychopathology (excluding depression), socioeconomic status, and child's gender and verbal ability.ResultsMother-child and clinician-child agreement increased as a function of the child's age during the follow-up and was consistently attenuated by maternal depression. Depressed mothers overrated their children's symptomatology as compared with the children's self-reports.ConclusionsClinicians should consider the young patient's age and level of maternal depression when weighing the relative merits of self-report and parental report of the child's depressive symptoms. Additional research is necessary to understand the mechanisms of change in parent-child agreement.