Rubio-Stipec M, Canino G J, Shrout P, Dulcan M, Freeman D, Bravo M
Behaviorial Sciences Research Institute, University of Puerto Rico, San Juan 00936.
J Abnorm Child Psychol. 1994 Dec;22(6):703-20. doi: 10.1007/BF02171997.
Parent and child reports were examined to study how epidemiological researchers can best use the information provided to describe childhood psychopathology. As part of a multisite methodologic study of mental disorders in children, a probability sample (N = 248) of children aged 9 to 17 years from the San Juan metropolitan area was selected. This sample was enriched with 74 clinic cases. Both parents and children were administered the DISC.2. Results showed that prevalence estimates were influenced by the informant. The clinicians' diagnosis is more concordant with children's reports of depression and with parents' reports of disruptive disorders. Parents and children provided unique information when interviewed with a structured psychiatric interview about child psychopathology. Their unique perspectives contributed to the observed discordance that emerged when DISC parent and DISC child results are compared. Combining the two perspectives with a simple "OR" rule at the symptom level did not seem to capture the unique perspectives.
对家长和孩子的报告进行了检查，以研究流行病学研究人员如何能够最好地利用所提供的信息来描述儿童精神病理学。作为一项关于儿童精神障碍的多地点方法学研究的一部分，从圣胡安都会区选取了一个9至17岁儿童的概率样本（N = 248）。该样本增加了74个临床病例。家长和孩子都接受了DISC.2测试。结果表明，患病率估计受报告者的影响。临床医生的诊断与孩子关于抑郁症的报告以及家长关于破坏性行为障碍的报告更为一致。当通过结构化的精神病学访谈就儿童精神病理学对家长和孩子进行询问时，他们提供了独特的信息。当比较DISC家长版和DISC儿童版的结果时，他们独特的观点导致了观察到的不一致。在症状层面用简单的“或”规则将两种观点结合起来似乎无法捕捉到独特的观点。
