Bidaut-Russell M, Reich W, Cottler L B, Robins L N, Compton W M, Mattison R E
Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
J Abnorm Child Psychol. 1995 Oct;23(5):641-59. doi: 10.1007/BF01447667.
To identify reasons for discrepancies between parent and child reports of child/adolescents's psychiatric symptoms, parents and adolescents (51 pairs) were asked to guess what the other would answer to questions from the PC-DISC about the adolescent's psychiatric symptoms, and to explain why they expected disagreement when the answer they provided for the other was different from their own. Adolescents' explanations for expecting (1) parental denial of symptoms the adolescent reported were: the parent was unaware of, forgot about, assumed the adolescent could not have, or trivialized the symptom; and (2) parental report of symptoms the adolescent denied were: the parent misread or exaggerated the adolescent's symptom, had too high expectations for the adolescent's behavior, put a negative label on or did not trust the adolescent. Parents' reasons for expecting their children to (1) deny symptoms the parents reported were: the adolescent did not remember how s/he felt, lied, did not recognize or minimized the importance or frequency of the symptom; and (2) report symptoms the parents denied were: the adolescent lied, exaggerated the importance of or interpreted the symptom differently.
为了找出儿童/青少年精神症状的家长报告与孩子报告之间存在差异的原因，我们让家长和青少年（51对）猜测对方会如何回答PC-DISC中关于青少年精神症状的问题，并解释当他们为对方提供的答案与自己的不同时，为什么预期会出现分歧。青少年对于预期（1）家长否认自己报告的症状的解释是：家长没有意识到、忘记了、认为青少年不可能有该症状，或者将该症状视为小事；以及（2）家长报告自己否认的症状的解释是：家长误读或夸大了青少年的症状，对青少年的行为期望过高，给青少年贴上负面标签或不信任青少年。家长预期孩子（1）否认自己报告的症状的原因是：青少年不记得自己的感受、撒谎、没有认识到或低估了症状的重要性或频率；以及（2）报告自己否认的症状的原因是：青少年撒谎、夸大了症状的重要性或对症状有不同的解读。
