EHESP School of Public Health, Avenue du Prof Leon Bernard, Rennes, France.
BMC Pediatr. 2014 Jan 8;14:2. doi: 10.1186/1471-2431-14-2.
Identify children at-risk of having mental health problems is of value to prevent injury. But the limited agreement between informants might jeopardize prevention initiatives. The aims of the present study were 1) to test the concordance between parents and children reports, and 2) to investigate their relationships with parental reports of children' unintentional injuries.
In a population-based sample of 1258 children aged 6 to 11, the associations between child psychopathology (using the Dominic Interactive and the Strengths and Difficulties Questionnaire) and unintentional injuries in the past 12 months were examined in univariate and multivariate models.
As compared to children, parents tended to overestimate behavior problems and hyperactivity/inattention, and underestimate emotional symptoms. Unintentional injury in the last 12-month period was reported in 184 out of 1258 children (14.6%) and multivariate analyses showed that the risk of injury was twice as high in children self-reporting hyperactivity/inattention as compared to others. However this association was not retrieved with the parent-reported instrument.
Our findings support evidence that child-reported measures of psychopathology might provide relevant information for screening and injury prevention purposes, even at a young age. It could be used routinely in combination with others validated tools.
识别有心理健康问题风险的儿童对于预防伤害具有重要意义。但报告者之间的有限一致性可能会危及预防计划。本研究的目的是：1）检验父母和儿童报告之间的一致性；2）调查它们与儿童意外伤害报告之间的关系。
在一项基于人群的 1258 名 6 至 11 岁儿童的样本中，使用 Dominic 互动和长处与困难问卷，在单变量和多变量模型中，检验儿童心理病理学（使用 Dominic 互动和长处与困难问卷）与过去 12 个月内意外伤害之间的关系。
与儿童相比，父母倾向于过高估计行为问题和多动/注意力不集中，并过低估计情绪症状。在过去的 12 个月中，有 184 名儿童（14.6%）报告发生了非故意伤害，多变量分析显示，与其他儿童相比，报告多动/注意力不集中的儿童受伤风险高两倍。然而，这种关联在父母报告的工具中没有被发现。
我们的研究结果支持了这样的证据，即儿童报告的心理病理学测量可能为筛查和伤害预防目的提供相关信息，即使在年龄较小的时候也是如此。它可以与其他经过验证的工具一起常规使用。
