Yale School of Medicine, Yale Child Study Center.
Department of Psychiatry, Penn State Hershey Medical Center and College of Medicine.
J Clin Child Adolesc Psychol. 2023 Jan-Feb;52(1):119-133. doi: 10.1080/15374416.2022.2151452. Epub 2022 Dec 6.
Modest agreement between mothers', fathers', and teachers' reports of child psychopathology can cause diagnostic ambiguity. Despite this, there is little research on informant perspectives of youth's limited prosocial emotions (LPEs). We examined the relationship between mother-, father-, and teacher-reported LPE in a clinical sample of elementary school-aged children.
The sample included 207 primarily Caucasian ( = 175, 84.5%) children (136 boys; 65.7%) aged 6-13 years ( = 8.35, = 2.04) referred to an outpatient child diagnostic clinic focused on externalizing problems. We report the percentage of youth meeting LPE criteria as a function of informant perspective(s). Utilizing standard scores, we report distributions of informant dyads in agreement/disagreement regarding child LPE, followed up by polynomial regressions to further interrogate the relationship between mother-, father-, and teacher-reported LPE as it relates to conduct problems (CPs).
The prevalence of child LPE was approximately twice as large when compared to those reported in community samples; mothers and fathers generally agreed on their child's LPE symptoms (55% agreement). Higher-order nonlinear interactions between mothers and fathers, as well as parents and teachers, emerged; discrepancies between informants, characterized by low levels of LPE reported by the child's mother, were predictive of youth at the highest risk for CPs.
Our findings emphasize the clinical utility of gathering multiple reports of LPE when serious CPs are suspected. It may be beneficial for clinicians to give significant consideration to teacher reported LPE when interpreting multiple-informant reports of LPE.
母亲、父亲和教师对儿童心理病理学的报告之间存在适度的一致性,这可能导致诊断上的模糊。尽管如此,关于青少年有限亲社会情绪(LPE)的信息提供者观点的研究甚少。我们研究了临床样本中小学生的母亲、父亲和教师报告的 LPE 之间的关系。
该样本包括 207 名主要为白种人( = 175,84.5%)的儿童(136 名男孩;65.7%),年龄在 6-13 岁( = 8.35, = 2.04),他们被转介到一家专注于外化问题的门诊儿童诊断诊所。我们根据信息提供者的观点报告符合 LPE 标准的青年人数。利用标准分数,我们报告了在儿童 LPE 方面意见一致/不一致的信息提供者对的分布情况,然后进行多项式回归,以进一步探讨母亲、父亲和教师报告的 LPE 与行为问题(CPs)之间的关系。
与社区样本相比,儿童 LPE 的患病率大约高出一倍;母亲和父亲通常对其子女的 LPE 症状表示一致(55%的一致性)。母亲和父亲之间以及父母和教师之间出现了更高阶的非线性相互作用;信息提供者之间的差异,即孩子的母亲报告的 LPE 水平较低,是青少年 CP 风险最高的预测因素。
我们的研究结果强调了在怀疑有严重 CP 时收集多个 LPE 报告的临床意义。当解释多个信息提供者报告的 LPE 时,临床医生可能会受益于充分考虑教师报告的 LPE。