Ringoot Ank P, van der Ende Jan, Jansen Pauline W, Measelle Jeffrey R, Basten Maartje, So Pety, Jaddoe Vincent W V, Hofman Albert, Verhulst Frank C, Tiemeier Henning
The Generation R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands.
Department of Child and Adolescent Psychiatry/Psychology, Erasmus University Medical Center, PO-BOX 2060, 3000 CB, Rotterdam, The Netherlands.
Child Psychiatry Hum Dev. 2015 Dec;46(6):913-27. doi: 10.1007/s10578-014-0531-x.
This study examined multiple determinants of discrepancies between mother and child reports of problem behavior. In 5,414 6-year-olds, child problem behavior was assessed by self-report using the Berkeley Puppet Interview and by maternal report using the Child Behavior Checklist. Patterns in mother-child reports were modeled using latent profile analysis. Four profiles, differing in problem level, and the direction and magnitude of mother-child discrepancies, were identified: one profile representing agreement (46%), another representing slight discrepancies (30%), and two representing higher problem levels and more discrepancies. In the latter two profiles either children (11%) or mothers (13%) reported more problems. Compared to the first profile, the second was predominantly characterized by a positive family environment, the third by child cognitive difficulties, and the fourth by harsh discipline and poor family functioning. Knowledge about specific child/family characteristics that contribute to mother-child discrepancies can help to interpret informants' reports and to make diagnostic decisions.
本研究考察了儿童问题行为的母子报告差异的多个决定因素。在5414名6岁儿童中,使用伯克利木偶访谈通过自我报告评估儿童问题行为,并使用儿童行为清单通过母亲报告进行评估。使用潜在剖面分析对母子报告模式进行建模。确定了四个剖面,在问题水平、母子差异的方向和程度上有所不同:一个剖面表示一致(46%),另一个表示轻微差异(30%),还有两个表示更高的问题水平和更多差异。在后两个剖面中,要么儿童(11%)要么母亲(13%)报告了更多问题。与第一个剖面相比,第二个剖面的主要特征是积极的家庭环境,第三个剖面是儿童认知困难,第四个剖面是严厉的管教和不良的家庭功能。了解导致母子差异的特定儿童/家庭特征有助于解释信息提供者的报告并做出诊断决策。