Randazzo Katherine Van Dusen, Landsverk John, Ganger William
Child and Adolescent Services Research Group and Fielding Graduate Institute, 1375 Surfwood Lane, San Diego, CA 92154, USA.
J Am Acad Child Adolesc Psychiatry. 2003 Nov;42(11):1343-50. doi: 10.1097/01.chi.0000085753.71002.da.
To evaluate whether disagreements in reporting child behavior problems between biological parents and foster parents and teachers are related to depressive symptoms in the biological parent.
Child Behavior Checklists and Teacher's Report Forms were completed by parents, foster parents, and teachers on 95 foster children between ages 5 and 16 during 1990-1991. Depressive symptoms in biological parents were assessed using the Center for Epidemiologic Studies Depression Scale. Structural equation modeling was used to estimate the relation between parental depressive symptoms and the discrepancies between their reports and those of two other informants.
In both the internalizing and externalizing behavior models, a significant relation was found between parents' depressive symptoms and their discrepancies in reporting, but not with child behavior. This relation was stronger for internalizing than externalizing models.
Using foster parents (and teachers) as informants offered a unique opportunity to view the reports of biological parents in comparison to two independent reports. Foster parents have a similar observational situation as biological parents but bring a less emotionally invested perspective to behavior observation, even when they are relatives. It is likely that depressive symptoms in parents distort their reports of their children's behavior. Clinicians would be wise to supplement parental with other informant reports.
评估亲生父母与养父母及教师在报告儿童行为问题上的分歧是否与亲生父母的抑郁症状有关。
1990 - 1991年期间,父母、养父母和教师对95名5至16岁的寄养儿童填写了儿童行为清单和教师报告表。使用流行病学研究中心抑郁量表评估亲生父母的抑郁症状。采用结构方程模型来估计父母抑郁症状与其报告与另外两名报告者报告之间差异的关系。
在内化和外化行为模型中,均发现父母的抑郁症状与其报告差异之间存在显著关系,但与儿童行为无关。这种关系在内化模型中比外化模型中更强。
将养父母(和教师)作为报告者提供了一个独特的机会,可将亲生父母的报告与两份独立报告进行比较。养父母与亲生父母有相似的观察情境,但在行为观察方面情感投入较少,即使他们是亲属。父母的抑郁症状很可能会扭曲他们对孩子行为的报告。临床医生明智的做法是用其他报告者的报告来补充父母的报告。