Ko Susan J, Wasserman Gail A, McReynolds Larkin S, Katz Laura M
National Center for Child Traumatic Stress, UCLA, Los Angeles, CA 90064, USA.
J Am Acad Child Adolesc Psychiatry. 2004 Jul;43(7):868-77. doi: 10.1097/01.chi.0000128788.03192.fa.
To examine the contribution of parent report to youth report in defining psychiatric "caseness" among incarcerated youths. The authors compared reports with each other and examined the influence of varying case definitions.
A total of 569 youths in New Jersey, Illinois, and South Carolina admitted into secure placement from 1999 to 2002 were self-administered the Diagnostic Interview Schedule for Children Version 4 (DISC-IV). Parents of assessed youths were asked to complete a parent version of the DISC-IV by telephone. This paper reports on 122 youth-parent dyads.
There were four major findings: (1) youths report higher rates of disorder than parents, with rates decreasing when agreement between parents AND youths is required and increasing when parent OR youth report is required; (2) parents and youths showed significant agreement on reports of lifetime suicide attempt; (3) parents were more likely than youths to report that disorders were impairing; and (4) only 30% of parents added substantial new information to the youth report.
Parent report potentially adds new information for youths who do not endorse any impairment or deny disorder. However, the value of including parent report for youths in justice and other under-resourced, settings should be balanced with the real challenges involved in obtaining information from parents.
探讨在界定被监禁青少年的精神疾病“病例”时，家长报告对青少年报告的贡献。作者将两者的报告进行比较，并研究不同病例定义的影响。
1999年至2002年期间，新泽西州、伊利诺伊州和南卡罗来纳州共有569名被送入安全安置机构的青少年自行填写了儿童诊断访谈量表第4版（DISC-IV）。评估对象的家长通过电话完成了DISC-IV的家长版。本文报告了122对青少年-家长组合的情况。
有四项主要发现：（1）青少年报告精神障碍的发生率高于家长，当要求家长和青少年达成一致时发生率下降，当要求家长或青少年一方报告时发生率上升；（2）家长和青少年在终身自杀未遂报告方面有显著一致性；（3）家长比青少年更有可能报告精神障碍造成了损害；（4）只有30%的家长为青少年报告补充了大量新信息。
家长报告可能为那些未认可任何损害或否认精神障碍的青少年提供新信息。然而，在司法及其他资源不足的环境中，纳入家长报告对青少年的价值应与从家长处获取信息所涉及的实际挑战相权衡。
