Kim Chanhee, Choi Heeseung, Ko Heesung, Park Chang Gi
University of Illinois at Chicago, Chicago, IL, USA.
Seoul National University, Seoul, South Korea.
J Sch Nurs. 2020 Apr;36(2):104-111. doi: 10.1177/1059840518792073. Epub 2018 Aug 5.
Parents' recognition of adolescents' emotional distress is a significant determinant of early detection and treatment of mental disorders. However, there is dearth of research exploring parent-adolescent agreement regarding adolescents' emotional distress. This cross-sectional, school-based study compared parents' proxy reports and self-reports of adolescent's emotional distress among 289 parent-adolescent dyads in Korea. Findings revealed low agreement between adolescents' and parents' reports of depression, anxiety, and anger, with an average polychoric of .25 to .27. The agreement was particularly low for high school students, boys, and father-adolescent dyads. Additionally, parents tended to underestimate adolescents' emotional distress symptoms; a significant percentage of adolescents experiencing symptoms were rated in the normal range by parents, particularly high school students experiencing anger. Interventions are needed to help adolescents learn to manage and express their negative emotions. Moreover, parent education programs that improve parents' recognition of emotional distress and appropriate help-seeking behaviors are needed.
父母对青少年情绪困扰的认知是精神障碍早期发现和治疗的一个重要决定因素。然而，目前缺乏关于父母与青少年在青少年情绪困扰方面达成共识的研究。这项基于学校的横断面研究比较了韩国289对父母-青少年二元组中父母对青少年情绪困扰的代理报告和青少年的自我报告。研究结果显示，青少年与父母在抑郁、焦虑和愤怒报告方面的一致性较低，平均多列相关系数为0.25至0.27。高中生、男孩以及父亲-青少年二元组的一致性尤其低。此外，父母往往低估青少年的情绪困扰症状；很大一部分有症状的青少年被父母评定为正常范围，尤其是那些经历愤怒情绪的高中生。需要采取干预措施来帮助青少年学会管理和表达他们的负面情绪。此外，还需要开展家长教育项目，提高家长对情绪困扰的认知以及适当的求助行为。
