Roberts Robert E, Alegria Margarita, Roberts Catherine Ramsay, Chen Irene Ger
School of Public Health, University of Texas, Houston, Texas, USA.
J Nerv Ment Dis. 2005 Aug;193(8):528-34. doi: 10.1097/01.nmd.0000172597.15314.cb.
The purpose of this study was to examine the concordance of parental and adolescent reports of adolescents having emotional and behavioral problems. Data were collected from youths (age 11-17) and adult caregivers from a community-based sample of households. The sample consisted of 4175 youths and their caregivers (37.8% European, 35.0% African, 25.4% Latino, and 1.8% other American). Indicators of emotional and/or behavioral problems were global indicators: perceived mental health, life satisfaction, happiness, interpersonal problems at home, and problems at school. Overall, parent-child concordance on the indicators of mental health was low, with a mean kappa value of 0.12. In multivariate analyses, European American parent-youth dyads were significantly more likely to be concordant on reports of perceived mental health, problems at home, and problems at school than African American and Latino dyads. Our data suggest that ethnicity is a significant factor in parental labeling and awareness of adolescent mental health problems. Future research should examine whether the extent to which greater lack of concordance on the indicators of mental health by minority parent-child dyads plays a role in entry into and retention in mental health care.
本研究的目的是检验父母与青少年关于青少年情绪和行为问题报告的一致性。数据收集自来自社区家庭样本中的青少年（11 - 17岁）及其成年照顾者。样本包括4175名青少年及其照顾者（37.8%为欧洲裔，35.0%为非洲裔，25.4%为拉丁裔，1.8%为其他美洲裔）。情绪和/或行为问题的指标为综合指标：感知到的心理健康、生活满意度、幸福感、家庭人际关系问题以及学校问题。总体而言，亲子在心理健康指标上的一致性较低，平均卡帕值为0.12。在多变量分析中，与非裔美国人和拉丁裔二元组相比，欧美裔亲子二元组在感知到的心理健康、家庭问题和学校问题报告上显著更可能达成一致。我们的数据表明，种族是父母对青少年心理健康问题的标签化和认知的一个重要因素。未来的研究应考察少数族裔亲子二元组在心理健康指标上更大程度的不一致是否在进入和留在心理健康护理中起作用。
