Willard Victoria W, Conklin Heather M, Huang Lu, Zhang Hui, Kahalley Lisa S
Department of Psychology, St. Jude Children's Research Hospital.
Department of Biostatistics, St. Jude Children's Research Hospital.
Psychol Assess. 2016 Sep;28(9):1110-8. doi: 10.1037/pas0000265.
Survivors of childhood cancer are at risk for attention problems. The objectives of this study were to assess concordance between parent-, teacher-, and self-report ratings on a measure of attention (Conners Rating Scales, 3rd ed.; Conners, 2008) in adolescent survivors of childhood cancer and to examine associations with a performance-based task. The was completed by 80 survivors of pediatric cancer (39 brain tumor, 41 acute lymphoblastic leukemia; ages 12–17; at least 1 year posttreatment; 51.3% male) as well as their parents and 1 teacher. In addition, survivors completed a continuous performance test. Parents and teachers demonstrated moderate agreement on most subscales; however, agreement was weaker than would be expected based on the normative sample. Agreement between self- and proxy ratings was more variable. The strongest associations for all raters were observed on the Learning Problems subscale. There were significant mean differences between parent and teacher ratings, with parents reporting more problems across subscales. Only self-ratings of Inattention were significantly associated with the continuous performance test (omission errors). Agreement across raters in assessment of attentional functioning in adolescent survivors of childhood cancer is modest. Findings support the need to obtain multiple ratings of behavior, including both proxy- and self-report, when assessing youth with cancer, particularly adolescents.
儿童癌症幸存者存在注意力问题的风险。本研究的目的是评估儿童癌症青少年幸存者在注意力测量工具（《康纳斯评定量表》第3版；康纳斯，2008年）上家长、教师和自我报告评分之间的一致性，并检验与一项基于表现的任务之间的关联。80名儿科癌症幸存者（39例脑肿瘤、41例急性淋巴细胞白血病；年龄12 - 17岁；治疗后至少1年；51.3%为男性）以及他们的家长和1名教师完成了该研究。此外，幸存者还完成了一项连续操作测试。家长和教师在大多数子量表上表现出中等程度的一致性；然而，与基于常模样本预期的一致性相比，这种一致性较弱。自我评分与代理评分之间的一致性变化更大。在学习问题子量表上，所有评分者之间的关联最为显著。家长和教师评分之间存在显著的平均差异，家长报告各子量表上的问题更多。只有注意力不集中的自我评分与连续操作测试（遗漏错误）显著相关。儿童癌症青少年幸存者注意力功能评估中评分者之间的一致性一般。研究结果支持在评估癌症患儿，尤其是青少年时，需要获取包括代理报告和自我报告在内的多种行为评分。
