Keck Medicine of USC (JT Tang), Los Angeles, Calif.
Department of Neurology (A Saadi), Massachusetts General Hospital, Harvard Medical School, Boston, Mass.
Acad Pediatr. 2023 May-Jun;23(4):747-754. doi: 10.1016/j.acap.2022.09.018. Epub 2022 Sep 28.
To investigate child-parent concordance in reporting social victimization experiences and whether concordance was associated with child behavioral symptoms.
This was an observational study with data from the Adolescent Brain Cognitive Development study. The analytic sample was 11,235 9- or 10-year-old children from the United States. Exposure variables were demographic and protective factors (child perceptions of parental relationships, school protective factors, neighborhood safety). The outcome was parent-child concordance on 6 domains of child social victimization: conventional crime, peer victimization, witnessing violence, internet victimization, school victimization, and gun violence. Child behavior symptoms were measured using the Child Behavior Checklist.
Exposure to social victimization was low (9% of the sample). Concordance ranged from 18% to 50%. The highest levels of concordance were observed for conventional crime (k = 0.48, P < .001) and witnessing violence (k = 0.48, P < .001). Parents' perceptions of greater neighborhood safety was associated with lower odds of concordant conventional crime (odds ratio [OR] = 0.92, 95% confidence interval [CI] 0.86-0.99) and witnessing violence (OR = 0.92, 95% CI0.84-0.99). Concordance was associated with more internalizing/externalizing behaviors.
Parents under-report social victimization in relation to children. Concordance in reporting social victimization may be an indicator of the severity of experiences, underscoring the need to consider child reports when screening for adversity.
调查儿童与父母在报告社会受害经历方面的一致性,以及一致性是否与儿童行为症状有关。
这是一项观察性研究,数据来自青少年大脑认知发展研究。分析样本为来自美国的 11235 名 9 或 10 岁儿童。暴露变量为人口统计学和保护因素(儿童对父母关系的看法、学校保护因素、邻里安全)。结果是父母与子女在儿童社会受害的 6 个领域的一致性:常规犯罪、同伴受害、目睹暴力、网络受害、学校受害和枪支暴力。儿童行为症状采用儿童行为检查表进行测量。
社会受害的暴露程度较低(样本的 9%)。一致性范围为 18%至 50%。常规犯罪(k=0.48,P<.001)和目睹暴力(k=0.48,P<.001)的一致性最高。父母对邻里安全的感知程度较高,与常规犯罪(比值比[OR]为 0.92,95%置信区间[CI]为 0.86-0.99)和目睹暴力(OR 为 0.92,95%CI 为 0.84-0.99)的一致性较低有关。一致性与更多的内化/外化行为有关。
父母在报告社会受害方面低于儿童。报告社会受害的一致性可能是经历严重程度的指标,这强调了在筛查逆境时需要考虑儿童报告。