青少年大脑认知发展(ABCD)研究中儿童与家长对社会伤害经历报告的一致性。

IF 3 3区 医学 Q1 PEDIATRICS Academic Pediatrics Pub Date : 2025-01-01 DOI:10.1016/j.acap.2024.02.001
Judy T. Tang MSN, RN , Altaf Saadi MD, MS , Erin C. Dunn ScD, MPH , Kristen Choi PhD, RN, FAAN
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引用次数: 0

摘要

目的调查儿童与家长在报告社会受害经历方面的一致性,以及家长与儿童受害经历报告的一致性是否与儿童行为症状有关: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。分析样本是来自美国的 2415 名青春期前儿童。我们评估了父母与子女在六个儿童社会受害领域的一致性: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。儿童行为症状采用家长报告的儿童行为核对表进行测量。对父母与儿童受害情况报告之间的一致性及其与行为症状之间的关系进行了分析,并进行了多元线性和逻辑回归分析:亲子间的社会伤害报告一致性较低,Cohen's Kappa 值从 0.10 到 0.23 不等。与双方均未报告受害情况的亲子二人组相比,在社会受害的多个领域,父母与子女受害情况报告的一致性与更多的内化/外化行为有关,而父母与未显示受害情况的子女报告的不一致性也与更多的内化/外化行为有关。在报告受害情况的儿童中,父母认为邻里更安全与父母报告传统犯罪(OR = 0.94,95% CI = 0.90-0.98)和目睹暴力(OR = 0.94,95% CI-0.89-0.98)一致的几率较低有关:结论:家长和儿童在报告社会受害经历时并不一定意见一致。家长对儿童社会受害经历的报告,无论是与儿童的正面报告一致,还是与儿童的负面报告不一致,都与家长报告的行为症状相关,因此可能是儿童社会受害经历严重程度的一个指标,这强调了在筛查逆境时需要考虑多个信息提供者。
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Concordance in Child-Parent Reporting of Social Victimization Experiences in the Adolescent Brain Cognitive Development (ABCD) Study

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.
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来源期刊
Academic Pediatrics
Academic Pediatrics PEDIATRICS-
CiteScore
4.60
自引率
12.90%
发文量
300
审稿时长
60 days
期刊介绍: Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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