Ferdinand R F, van der Ende J, Verhulst F C
Department of Child and Adolescent Psychiatry, Erasmus Medical Center Rotterdam/Sophia Children's Hospital, The Netherlands.
Acta Psychiatr Scand. 2007 Jan;115(1):48-55. doi: 10.1111/j.1600-0447.2006.00843.x.
To investigate if parent-teacher discrepancies in reports of behavioral/emotional problems in children predict poor outcome.
A total of 1154 4- to 12-year-old children from the general population were followed up. At the first assessment, parent and teacher ratings were obtained with the Child Behavior Checklist (CBCL) and Teacher's Report Form (TRF). Fourteen years later, DSM-IV diagnoses were assessed, and ratings of self-reported and parent-rated behavioral and emotional problems were obtained.
CBCL and TRF scores predicted most of the outcomes, but in general, discrepancies between CBCL and TRF scores did not. There were some exceptions. For instance, higher parental vs. teacher ratings of aggressive behaviors increased the risk of suicide attempts/self-mutilation.
Risk factors for self-mutilating behaviors may be supplemented with parent-reported aggressive behaviors that are not observed by the teachers. In general, whereas CBCL and TRF scale scores were useful predictors of outcome, parent-teacher discrepancies were not.
探讨家长与教师在儿童行为/情绪问题报告上的差异是否预示着不良后果。
对来自普通人群的1154名4至12岁儿童进行随访。在首次评估时，使用儿童行为检查表（CBCL）和教师报告表（TRF）获取家长和教师的评分。14年后，评估DSM-IV诊断，并获取自我报告和家长评定的行为及情绪问题评分。
CBCL和TRF分数可预测大部分结果，但总体而言，CBCL和TRF分数之间的差异并无此作用。存在一些例外情况。例如，家长对攻击性行为的评分高于教师，会增加自杀未遂/自残的风险。
自我伤害行为的风险因素可能需补充家长报告的教师未观察到的攻击性行为。总体而言，虽然CBCL和TRF量表分数是结果的有用预测指标，但家长与教师的差异并非如此。
