Salbach-Andrae Harriet, Klinkowski Nora, Lenz Klaus, Pfeiffer Ernst, Lehmkuhl Ulrike, Ehrlich Stefan
Department of Child and Adolescent Psychiatry, Psychosomatic and Psychotherapy, Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum, Berlin, Germany.
Psychopathology. 2008;41(5):307-12. doi: 10.1159/000146068. Epub 2008 Jul 19.
This study examined parent/youth self-report agreement on emotional and behavioral symptoms among adolescents with eating disorders (ED).
Eighty-three parent-adolescent pairs participated. All adolescents (age 11-18 years) were females and met diagnostic criteria according to the DSM-IV for anorexia nervosa restricting type (n = 53) or bulimia nervosa (n = 30). Diagnoses were confirmed using the Structured Inventory for Anorectic and Bulimic Syndromes. Parents completed the Child Behaviour Checklist, and the adolescents completed the corresponding Youth Self-Report.
Results of the interclass correlation provide very poor coefficients between parents and adolescents, especially for the internalizing subscale. Analyses of variance of repeated measures revealed significant differences in the total problem score and the internalizing subscore between parents and adolescents. Parents reported significantly more internalizing problems than adolescents.
Agreement between parents and adolescents regarding the presence and severity of psychiatric symptoms in adolescents with ED is low. In contrast to previous studies in non-ED samples, adolescents with ED reported lower levels of internalizing problems than their parents. Denial and minimization may be underlying reasons for our findings and represent obstacles in the psychological assessment of adolescents with ED.
本研究调查了患有饮食失调（ED）的青少年中父母/青少年关于情绪和行为症状的自我报告一致性。
83对父母-青少年参与了研究。所有青少年（年龄11 - 18岁）均为女性，且根据《精神疾病诊断与统计手册》第四版（DSM-IV）符合神经性厌食症限制型（n = 53）或神经性贪食症（n = 30）的诊断标准。诊断通过厌食和贪食综合征结构化问卷得以确认。父母完成儿童行为量表，青少年完成相应的青少年自我报告。
组内相关结果显示父母与青少年之间的系数非常低，尤其是在内化性子量表方面。重复测量方差分析显示父母与青少年在总问题得分和内化性子得分上存在显著差异。父母报告的内化问题显著多于青少年。
患有ED的青少年中，父母与青少年在精神症状的存在和严重程度方面的一致性较低。与先前针对非ED样本的研究不同，患有ED的青少年报告的内化问题水平低于其父母。否认和淡化可能是我们研究结果的潜在原因，并且是对患有ED的青少年进行心理评估的障碍。
