Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, US.
Department of Pediatrics, University of Washington, Seattle, US.
Brain Inj. 2021 Apr 16;35(5):574-586. doi: 10.1080/02699052.2021.1889663. Epub 2021 Mar 18.
: To compare child- and parent-report ratings on the Health Behavior Inventory, Revised Child Anxiety and Depression Scale-Short Version (anxiety subscale), Patient Health Questionnaire-9, and Pediatric Quality of Life Inventory among children with persistent post-concussive symptoms following a sports- or recreation-related concussion, overall and by child age and gender.: Cross-sectional study examining baseline data from a randomized, comparative effectiveness trial.: Inter-rater reliability was assessed using two-way random effects model (absolute agreement) intraclass correlations, correlations were examined using Spearman's rho, mean differences were determined using paired t-tests, and agreement was examined using Bland-Altman plots.: The final analytic sample was 200 parent-child dyads [child M = 14.7 (95% CI: 14.5, 15.0)]. Reliability and correlations were modest overall. When considering child age and gender, reliability ranged from poor to excellent (-1.01-0.95) and correlations ranged from weak to strong (-0.64-0.94). Overall, children reported more symptoms but better functioning than parents, and mean differences in scores were greater among females (versus males) and ages 16-18 (versus younger groups).: Findings should inform the use and interpretation of psychosocial measures when developing appropriate youth concussion treatment plans.
: 比较儿童和家长报告的健康行为量表修订版、儿童焦虑和抑郁量表-短版(焦虑分量表)、患者健康问卷-9 和儿科生活质量问卷在运动或娱乐相关脑震荡后持续性脑震荡后症状儿童中的评分,按儿童年龄和性别进行总体和分类比较。: 这是一项横断面研究,对一项随机、对照效果试验的基线数据进行了检查。: 使用双向随机效应模型(绝对一致性)计算了组内相关系数来评估评分者间可靠性,使用斯皮尔曼 rho 检验了相关性,使用配对 t 检验确定了平均差异,使用 Bland-Altman 图检查了一致性。: 最终分析样本为 200 对父母-子女对[儿童 M = 14.7(95% CI:14.5,15.0)]。总体而言,可靠性和相关性均为中等。考虑到儿童年龄和性别,可靠性范围从差到优(-1.01 到 0.95),相关性范围从弱到强(-0.64 到 0.94)。总体而言,与父母相比,儿童报告的症状更多,但功能更好,且评分的平均差异在女性(与男性相比)和 16-18 岁年龄组(与较年轻组相比)中更大。: 这些发现应该为制定适当的青少年脑震荡治疗计划时心理社会措施的使用和解释提供信息。