Ferdinand Robert F, van der Ende Jan, Verhulst Frank C
Dep. of Child and Adolescent Psychiatry, Erasmus Medical Centre Rotterdam/ Sophia Children's Hospital, Dr. Molewaterplein 60, 3015 GJ Rotterdam, The Netherlands.
Eur Child Adolesc Psychiatry. 2006 Mar;15(3):156-62. doi: 10.1007/s00787-005-0518-z. Epub 2006 Jan 19.
To investigate whether parent-adolescent disagreement regarding reports on adolescents' psychopathology indicates a poor prognosis.
A total of 151 11- to 18-year-olds who had been assessed with the Child Behavior Checklist (CBCL) and Youth Self-Report (YSR) at referral to an outpatient psychiatry clinic were followed up. At follow-up, 4.3 years later, signs of poor outcome were assessed.
Discrepancies between CBCL and YSR scores predicted future disciplinary problems at school, police/judicial contacts, and drug use.
To determine the prognosis of psychopathology in adolescents who are referred to mental health services, discrepancies between parents and adolescents may be useful. Given the relatively large number of statistical comparisons (n = 16) that was needed to obtain these results, future studies are needed to test if the results are robust across different settings.
探讨父母与青少年在青少年心理病理学报告上的分歧是否预示着不良预后。
对151名年龄在11至18岁之间的青少年进行随访，这些青少年在转诊至门诊精神病诊所时接受了儿童行为清单（CBCL）和青少年自我报告（YSR）评估。4.3年后进行随访，评估不良结局的迹象。
CBCL和YSR分数之间的差异预示着未来在学校的纪律问题、与警方/司法部门的接触以及药物使用情况。
为了确定转介至心理健康服务机构的青少年心理病理学的预后，父母与青少年之间的差异可能会有所帮助。鉴于获得这些结果需要进行相对大量的统计比较（n = 16），未来需要开展研究以检验这些结果在不同环境中是否具有稳健性。
