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青少年大脑认知发展(ABCD)研究中儿童与父母关于社会受害经历报告的一致性。

Concordance in Child-Parent Reporting of Social Victimization Experiences in the Adolescent Brain Cognitive Development (ABCD) Study.

作者信息

Tang Judy T, Saadi Altaf, Dunn Erin C, Choi Kristen

机构信息

Keck Medicine of USC (JT Tang), Los Angeles, Calif.

Department of Neurology (A Saadi), Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

出版信息

Acad Pediatr. 2025 Jan-Feb;25(1):102458. doi: 10.1016/j.acap.2024.02.001. Epub 2024 Mar 19.

Abstract

OBJECTIVE

To investigate child-parent concordance in reporting social victimization experiences and whether parent concordance with child report of victimization was associated with child behavioral symptoms.

METHODS

This was an observational study with data from the Adolescent Brain Cognitive Development Social Development (ABCD-SD) substudy. The analytic sample was 2415 pre-adolescent children from the United States. We assessed parent-child concordance on six 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 parent-report Child Behavior Checklist. Interrater agreement and multiple linear and logistic regression analyses were conducted to assess parent concordance with child report of victimization and its relationship to behavioral symptoms.

RESULTS

Interrater agreement in parent-child social victimizations reports was low, with Cohen's Kappa values ranging from 0.10 to 0.23. Compared to parent-child dyads in which neither reported victimization, parent concordance with child report of victimization across multiple domains of social victimization was associated with more internalizing/externalizing behaviors, as was parent discordance with child reports that did not indicate victimization. Among children who reported victimization, parents' perceptions of greater neighborhood safety were associated with lower odds of concordant parent report of conventional crime (OR = 0.94, 95% CI = 0.90-0.98) and witnessing violence (OR = 0.94, 95% CI-0.89-0.98).

CONCLUSIONS

Parents and children do not necessarily agree in reporting social victimization experiences. Parent reports of child social victimization, whether they were concordant with positive child reports or discordant with negative child reports, were associated with parent reports of behavioral symptoms and thus may be an indicator of the severity of experiences, underscoring the need to consider multiple informants when screening for adversity.

摘要

目的

调查儿童与父母在报告社会受害经历方面的一致性,以及父母对儿童受害报告的一致性是否与儿童行为症状相关。

方法

这是一项观察性研究,数据来自青少年大脑认知发展社会发展(ABCD-SD)子研究。分析样本为来自美国的2415名青春期前儿童。我们评估了亲子在儿童社会受害的六个领域的一致性:传统犯罪、同伴受害、目睹暴力、网络受害、学校受害和枪支暴力。儿童行为症状通过父母报告的儿童行为清单进行测量。进行了评分者间一致性以及多元线性和逻辑回归分析,以评估父母与儿童受害报告的一致性及其与行为症状的关系。

结果

亲子社会受害报告的评分者间一致性较低,科恩kappa值范围为0.10至0.23。与双方均未报告受害的亲子二元组相比,在社会受害的多个领域中,父母与儿童受害报告的一致性与更多的内化/外化行为相关,父母与未表明受害的儿童报告不一致时也是如此。在报告受害的儿童中,父母对邻里安全性更高感知与父母对传统犯罪(OR = 0.94, 95% CI = 0.90 - 0.98)和目睹暴力(OR = 0.94, 95% CI - 0.89 - 0.98)一致报告的较低几率相关。

结论

父母和孩子在报告社会受害经历方面不一定一致。父母对儿童社会受害的报告,无论与儿童的肯定报告一致还是与否定报告不一致,都与父母报告的行为症状相关,因此可能是经历严重程度的一个指标,强调在筛查逆境时需要考虑多个信息提供者。

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