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首页> 外文期刊>Journal of Abnormal Child Psychology >Parent and Child Agreement for Acute Stress Disorder, Post-Traumatic Stress Disorder and other Psychopathology in a Prospective Study of Children and Adolescents Exposed to Single-Event Trauma
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Parent and Child Agreement for Acute Stress Disorder, Post-Traumatic Stress Disorder and other Psychopathology in a Prospective Study of Children and Adolescents Exposed to Single-Event Trauma

机译：急性应激障碍，创伤后应激障碍及其他心理病理学的父母协议，对单事件创伤的儿童和青少年的前瞻性研究

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摘要

Examining parent-child agreement for Acute Stress Disorder (ASD) and Post-Traumatic Stress Disorder (PTSD) in children and adolescents is essential for informing the assessment of trauma-exposed children, yet no studies have examined this relationship using appropriate statistical techniques. Parent-child agreement for these disorders was examined by structured interview in a prospective study of assault and motor vehicle accident (MVA) child survivors, assessed at 2–4 weeks and 6 months post-trauma. Children were significantly more likely to meet criteria for ASD, as well as other ASD and PTSD symptom clusters, based on their own report than on their parent’s report. Parent-child agreement for ASD was poor (Cohen’s κ = ?.04), but fair for PTSD (Cohen’s κ = .21). Agreement ranged widely for other emotional disorders (Cohen’s κ = ?.07–.64), with generalised anxiety disorder found to have superior parent-child agreement (when assessed by phi coefficients) relative to ASD and PTSD. The findings support the need to directly interview children and adolescents, particularly for the early screening of posttraumatic stress, and suggest that other anxiety disorders may have a clearer presentation post-trauma.
机译：检查儿童和青少年的急性应激障碍（ASD）和创伤后应激障碍（PTSD）的亲子协议对于为遭受创伤的儿童提供评估至关重要，但是尚无研究使用适当的统计技术来检验这种关系。对这些疾病的亲子协议进行了结构性访谈，以对创伤和机动车辆事故（MVA）儿童幸存者进行前瞻性研究，该研究在创伤后2-4周和6个月进行评估。与自己父母的报告相比，基于他们自己的报告，儿童更有可能符合ASD以及其他ASD和PTSD症状群的标准。 ASD的亲子协议不佳（Cohenκ=？.04），但对于PTSD则较为公平（Cohenκ= .21）。其他情绪障碍的同意范围广泛（Cohenκ= .07–.64），与ASD和PTSD相比，广泛性焦虑障碍的父母子女同意率更高（通过phi系数评估）。这些发现支持直接采访儿童和青少年的必要性，特别是对于创伤后应激的早期筛查，并建议其他焦虑症在创伤后的表现可能更清晰。

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