Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan.
Department of Psychology, Asia University, Taichung 41354, Taiwan.
Int J Environ Res Public Health. 2020 May 30;17(11):3888. doi: 10.3390/ijerph17113888.
This study examined the levels of agreement between the reports of 207 adolescents with attention-deficit/hyperactivity disorder (ADHD) and their parents regarding the adolescents' callous-unemotional (CU) traits and investigated the factors influencing adolescent-parent agreement. Adolescent-parent agreement about CU traits in three dimensions according to the Chinese version of the Inventory of Callous and Unemotional Traits was examined. The influence of demographic characteristics, comorbid conduct disorder (CD), oppositional defiant disorder (ODD), and ADHD symptoms on adolescent-parent agreement was also examined. The results indicated that adolescent-parent agreement on the CU trait of uncaringness was moderate, whereas agreement on the CU traits of callousness and unemotionality was poor. Adolescent-parent agreement on the three dimensions of CU traits varied depending on the adolescents' sex and comorbid CD and ODD symptoms as well as parental age. Therefore, multiple sources of information are required when assessing the severity of CU traits in adolescents with ADHD. The factors influencing the levels of the agreement should also be considered.
本研究考察了 207 名患有注意缺陷多动障碍(ADHD)的青少年及其父母对青少年冷酷无情(CU)特征的报告之间的一致性水平,并调查了影响青少年-父母一致性的因素。根据《冷酷无情特征量表》的中文版,检查了 CU 特征三个维度上青少年-父母的一致性。还检查了人口统计学特征、共患品行障碍(CD)、对立违抗性障碍(ODD)和 ADHD 症状对青少年-父母一致性的影响。结果表明,青少年对无关怀 CU 特征的一致性中等,而对冷酷无情和无情感 CU 特征的一致性较差。CU 特征的三个维度上的青少年-父母一致性因青少年的性别以及共患 CD 和 ODD 症状和父母的年龄而异。因此,在评估 ADHD 青少年 CU 特征的严重程度时,需要多个来源的信息。还应考虑影响一致性水平的因素。