|Title||Parent-child agreement regarding children's acute stress: the role of parent acute stress reactions.|
|Publication Type||Journal Article|
|Year of Publication||2006|
|Authors||Kassam-Adams N, García-España FJ, Miller VA, Winston FK|
|Journal||J Am Acad Child Adolesc Psychiatry|
|Date Published||2006 Dec|
|Keywords||Adolescent, 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|
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.
|Alternate Journal||J Am Acad Child Adolesc Psychiatry|