Department of Psychology, University of Oslo.
Domain for Mental and Physical Health, Norwegian Institute of Public Health.
J Fam Psychol. 2017 Oct;31(7):939-944. doi: 10.1037/fam0000322. Epub 2017 May 1.
Clinical assessment of anxiety in adolescents often involves multiple informants, and parental internalizing symptoms have been found to influence parent ratings of adolescents' anxiety symptoms. We investigated how parental internalizing symptoms (anxiety and depression) were related to adolescent and parent reports of adolescents' anxiety symptoms in a population-based cross-sectional survey. The sample comprised 337 adolescent-mother-father triads (N = 1,011) drawn from the Tracking Opportunities and Problems in Childhood and Adolescence (TOPP) study. Adolescents (43.9% boys) were 14- and 15-years old. Adolescent and parent ratings of adolescent anxiety symptoms (The Coolidge Personality and Neuropsychological Inventory for Children) were moderately and significantly correlated (mother-adolescent r = .30; father-adolescent r = .25). Parents also self-rated internalizing symptoms (Hopkins Symptom Checklist-25). Regression models showed higher maternal and paternal depression symptoms, but not anxiety symptoms, were associated with higher parent-rated adolescent anxiety symptoms. Higher maternal anxiety and depression symptoms, as well as paternal depression symptoms, but not paternal anxiety symptoms, were associated with lower parent-adolescent agreement on adolescent anxiety symptoms (i.e., parent-rating higher relative to adolescent-rating). When adolescents rate considerably lower anxiety compared with how their parents rate them, considering parental depression as a possible reason may be key to understanding adolescents' treatment needs. (PsycINFO Database Record
青少年焦虑的临床评估通常涉及多个信息提供者,并且已经发现父母的内化症状会影响父母对青少年焦虑症状的评估。我们在一项基于人群的横断面调查中研究了父母的内化症状(焦虑和抑郁)与青少年和父母对青少年焦虑症状的报告之间的关系。该样本包括来自追踪儿童和青少年机会和问题(TOPP)研究的 337 个青少年-母亲-父亲三人组(N = 1,011)。青少年(43.9%为男孩)为 14 至 15 岁。青少年和父母对青少年焦虑症状的评估(Coolidge 人格和神经心理学儿童量表)呈中度且显著相关(母亲-青少年 r =.30;父亲-青少年 r =.25)。父母还自我评估了内化症状(霍普金斯症状检查表-25)。回归模型显示,较高的母亲和父亲抑郁症状,而不是焦虑症状,与父母对青少年焦虑症状的较高评估有关。较高的母亲焦虑和抑郁症状以及父亲的抑郁症状,但不是父亲的焦虑症状,与父母对青少年焦虑症状的一致性较低有关(即,父母的评估比青少年的评估高)。当青少年的焦虑自评明显低于父母的评估时,考虑父母的抑郁可能是了解青少年治疗需求的关键。