@article{ref1,
title="Parent-child agreement regarding children's acute stress: the role of parent acute stress reactions",
journal="Journal of the American Academy of Child and Adolescent Psychiatry",
year="2006",
author="Kassam-Adams, Nancy and Garcia-Espana, J. Felipe and Miller, Victoria A. and Winston, Flaura Koplin",
volume="45",
number="12",
pages="1485-1493",
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.<p /><p>Language: en</p>",
language="en",
issn="0890-8567",
doi="10.1097/01.chi.0000237703.97518.12",
url="http://dx.doi.org/10.1097/01.chi.0000237703.97518.12"
}