Department of Child and Adolescent Psychiatry, Faculty of Medicine, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Department of Child and Adolescent Mental Health, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), University Hospital Erlangen, Erlangen, Germany.
Eur Child Adolesc Psychiatry. 2023 Feb;32(2):331-342. doi: 10.1007/s00787-021-01865-9. Epub 2021 Sep 4.
Both internalizing and externalizing psychopathologies interfere with the treatment of substance use disorders (SUD) in adolescents. Self-reports of psychopathologies are likely biased and may be validated with parental reports. We compared N = 70 standardized self-reports of adolescents entering outpatient SUD treatment (13.2-18.6 years old, 43% female) to parental reports on the same psychopathologies, and explored biases due to gender, age, SUD diagnoses and SUD severity. Bivariate bootstrapped Pearson correlation coefficients revealed several small to moderate correlations between both reporting sources (r = 0.29-0.49, all p ≤ 0.039). A repeated measures MANOVA revealed moderately stronger parental reports of adolescent psychopathologies compared to adolescent self-reports for most externalizing problems (dissocial and aggressive behaviors, p ≤ 0.016, η = 0.09-0.12) and social/attention problems (p ≤ 0.012, η = 0.10), but no differences for most internalizing problems (p ≥ 0.073, η = 0.02-0.05). Differences were not associated with other patient or parental characteristics including age, gender, number of co-occurring diagnoses or presence/absence of a certain SUD (all p ≥ 0.088). We concluded that treatment-seeking German adolescents with SUD present with a multitude of extensive psychopathologies. The relevant deviation between self- and parental reports indicate that the combination of both reports might help to counteract dissimulation and other reporting biases. The generalizability of results to inpatients, psychiatry patients in general, or adolescents without SUD, as well as the validity of self- and parental reports in comparison to clinical judgements remain unknown.
内化和外化精神病理学都会干扰青少年物质使用障碍（SUD）的治疗。精神病理学的自我报告可能存在偏差，可以通过父母报告进行验证。我们比较了 N = 70 名进入门诊 SUD 治疗的青少年（13.2-18.6 岁，43%为女性）的标准化自我报告和父母对同一精神病理学的报告，并探讨了性别、年龄、SUD 诊断和 SUD 严重程度引起的偏差。双变量 bootstrap Pearson 相关系数显示两个报告来源之间存在几个小到中度的相关性（r = 0.29-0.49，所有 p ≤ 0.039）。重复测量 MANOVA 显示，与青少年自我报告相比，父母对青少年精神病理学的报告在大多数外化问题（反社会和攻击行为，p ≤ 0.016，η = 0.09-0.12）和社会/注意力问题（p ≤ 0.012，η = 0.10）方面要强一些，但在大多数内化问题方面没有差异（p ≥ 0.073，η = 0.02-0.05）。差异与其他患者或父母特征无关，包括年龄、性别、共病诊断数量或是否存在某种 SUD（所有 p ≥ 0.088）。我们得出结论，寻求治疗的德国 SUD 青少年表现出多种广泛的精神病理学。自我报告和父母报告之间的差异表明，结合两者的报告可能有助于克服掩饰和其他报告偏差。结果对住院患者、一般精神病患者或没有 SUD 的青少年的普遍性，以及自我报告和父母报告与临床判断相比的有效性尚不清楚。
