Parent-child agreement regarding children's acute stress: the role of parent acute stress reactions.

TitleParent-child agreement regarding children's acute stress: the role of parent acute stress reactions.
Publication TypeJournal Article
Year of Publication2006
AuthorsKassam-Adams N, García-España FJ, Miller VA, Winston FK
JournalJ Am Acad Child Adolesc Psychiatry
Volume45
Issue12
Pagination1485-93
Date Published2006 Dec
ISSN0890-8567
KeywordsAdolescent, Adult, Attitude to Health, Child, Female, Hospitalization, Humans, Male, Observer Variation, Parent-Child Relations, Prevalence, Questionnaires, Severity of Illness Index, Stress Disorders, Traumatic, Acute, Wounds and Injuries
Abstract

OBJECTIVE: We examined parent-child agreement regarding child acute stress disorder (ASD) and the relationship between parent ASD symptoms and parent ratings of child ASD.

METHOD: Parent-child dyads (N = 219; child age 8-17 years) were assessed within 1 month of child injury. Parent-child agreement was examined regarding child ASD presence, severity, and specific symptoms. Relationships among parent ASD and parent- and child-reported child ASD were examined using regression analysis and generalized estimating equations (GEE).

RESULTS: Parent-child agreement was low for presence of child ASD (kappa = 0.22) and for individual symptoms. Parent and child ratings of child ASD severity were moderately correlated (r = 0.35). Parent ASD was independently associated with parent-rated child ASD, after accounting for child self-rating (beta =.65). Generalized estimating equations indicated that parents with ASD overestimated child ASD and parents without ASD underestimated child ASD, compared to the child's self-rating.

CONCLUSIONS: Parents' own responses to a potentially traumatic event appear to influence their assessment of child symptoms. Clinicians should obtain child self-report of ASD whenever possible and take parent symptoms into account when interpreting parent reports. Helping parents to assess a child's needs following a potentially traumatic event may be a relevant target for clinical attention.

DOI10.1097/01.chi.0000237703.97518.12
Alternate JournalJ Am Acad Child Adolesc Psychiatry
PubMed ID17135994