Discrepancies between parent and self-reports of adolescent psychosocial symptoms: Associations with family conflict and asthma outcomes.

Abstract

Discrepancies often exist between self-reported and parent-reported symptoms when assessing youth psychosocial functioning. Parent-child discrepancies in ratings may be important for understanding psychopathology and patterns of family functioning, particularly during adolescence and for youth with chronic illness. This study examined patterns of multirater reporting discrepancies in a pediatric asthma population. Adolescents ( = 707; 11-17 years old) and their primary caregivers completed ratings of adolescents' psychological symptoms. Latent profile analysis identified five profiles of parent-adolescent discrepancies, including one group with highly discordant ratings, two groups in agreement, and two groups with slightly discordant ratings. Adolescents who agreed with their parents on the presence of elevated symptoms and those who had significant discrepancies in ratings, such that parents reported elevated symptoms compared to youth self-report, had poor pulmonary functioning and elevated reports of parent-rated family conflict. Results suggest the need to assess internalizing and externalizing symptoms in adolescents with asthma using a multirater approach while also highlighting the complexity in interpreting patterns of discrepancies. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Understanding the challenges faced by adolescents and young adults with allergic conditions: A systematic review

“…Being outdoors and experiencing disagreements with parents, or teasing and arguing were associated with more severe self‐reported asthma symptoms in the following few hours. With regard to the impact of stress and conflict in peer and family interactions, peer conflict has been strongly associated with self‐reported asthma symptoms . Furthermore, daily reports of negative caregiver‐youth interactions uniquely predicted asthma symptoms.…”

“…The published HRQL studies were often suboptimal regarding small sample size or lacking objective condition definitions and/or outcomes . More data are required for HRQL with allergic conditions other than asthma and particularly in those with more than one condition.…”

Informant Discrepancies in Internalizing and Externalizing Symptoms in an At-Risk Sample: The Role of Parenting and School Engagement

“…Available work indicates that greater parent-reported stress and lower family cohesion predicted greater parent-child discrepancies for internalizing symptoms (Kolko & Kazdin, 1993). Further, parents who report greater acceptance of their child demonstrate higher parent-child agreement on externalizing symptoms (Al Ghriwati et al, 2018). Specific parent behaviors of interest that may relate to informant discrepancies are parental monitoring and positive parenting, given their known associations with youth's internalizing and externalizing symptoms (Eisenberg et al, 2005;Racz & McMahon, 2011).…”

Latent Congruence Model to Investigate Similarity and Accuracy in Family Members' Perception: The Challenge of Cross-National and Cross-Informant Measurement (Non)Invariance

“…Considering similarity and accuracy in the different family dyads allows to adopt a family research approach (Lanz et al, 2015 ). However, in order to understand the meaning of similarity and accuracy referred to a specific construct, it would be important to also consider other constructs as validity criterion (for some examples see Al Ghriwati et al, 2018 ; Makol et al, 2019 ).…”