Informant discrepancies in adolescent anxiety assessment: The roles of adolescent depression and school avoidance.

IF 3.1 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Blair D Batky, Hanna M Smith, Stephanie N Rohrig, Angela W Chiu, Shannon M Bennett
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引用次数: 0

Abstract

When assessing adolescent psychopathology, discrepancies in adolescent self-report versus caregiver informant-report scores on symptom measures are typical. As anxiety is the most common mental health concern among adolescents, understanding variables associated with adolescent-caregiver informant discrepancies on anxiety measures is valuable for assessment and treatment planning. However, although anxiety often co-occurs with other problems, no existing work has examined how other common emotional/behavioral problems (i.e., depression, school avoidance) among adolescents moderate the magnitude of adolescent-caregiver score discrepancies on anxiety measures. The present study used latent difference score modeling within a sample of adolescent-caregiver dyads recruited from an adolescent partial hospitalization program (N = 328, 47.81% female, 46.06% White; N = 145-204 for primary analyses) to examine whether adolescent depression, school avoidance, and adolescent-caregiver (dis)agreement on top problems for treatment moderate adolescent-caregiver score discrepancies on anxiety scales. Results suggest adolescents and caregivers provide similar scores for adolescents' anxiety symptoms. However, adolescents who self-report higher levels of depression and school avoidance behavior may self-report higher panic/somatic symptom levels and generalized anxiety levels than their caregivers attribute to them. Adolescent-caregiver agreement on top problems for treatment was not associated with adolescent-caregiver agreement on anxiety scale scores. Carefully assessing experiences of somatic and worry-related symptoms may be beneficial for adolescents presenting with depression and/or school avoidance. Moreover, identifying reasons why adolescents and caregivers provide similar anxiety scale scores but vary in endorsing anxiety as a top problem for treatment or vice versa would aid in further understanding adolescent-caregiver informant discrepancies. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

青少年焦虑评估中的被调查者差异:青少年抑郁与学校回避的作用。
在评估青少年精神病理学时,青少年自我报告与照顾者信息报告在症状测量上的差异是典型的。由于焦虑是青少年中最常见的心理健康问题,了解与青少年照顾者在焦虑测量上的信息差异相关的变量对评估和治疗计划是有价值的。然而,尽管焦虑经常与其他问题同时发生,但目前还没有研究过青少年中其他常见的情绪/行为问题(如抑郁、逃避学校)是如何调节青少年照顾者在焦虑测量中得分差异的。本研究采用潜在差异评分模型,从青少年部分住院治疗项目中招募青少年照顾者二人组样本(N = 328, 47.81%女性,46.06%白人;N = 145-204为主要分析),以检验青少年抑郁、逃避学校和青少年照顾者(不)同意治疗的首要问题是否存在中度青少年照顾者焦虑量表得分差异。结果表明,青少年和照顾者对青少年焦虑症状的评分相似。然而,自我报告抑郁和逃避学校行为水平较高的青少年可能自我报告的恐慌/躯体症状水平和广泛性焦虑水平比他们的照顾者所认为的要高。青少年照顾者对治疗的主要问题的一致意见与青少年照顾者在焦虑量表得分上的一致意见无关。仔细评估身体和焦虑相关症状的经历可能对表现为抑郁和/或逃避学校的青少年有益。此外,确定青少年和照顾者提供相似的焦虑量表得分,但在支持焦虑作为治疗的首要问题或反之亦然方面存在差异的原因,将有助于进一步理解青少年和照顾者信息差异。(PsycInfo数据库记录(c) 2026 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psychological Assessment
Psychological Assessment PSYCHOLOGY, CLINICAL-
CiteScore
5.70
自引率
5.60%
发文量
167
期刊介绍: Psychological Assessment is concerned mainly with empirical research on measurement and evaluation relevant to the broad field of clinical psychology. Submissions are welcome in the areas of assessment processes and methods. Included are - clinical judgment and the application of decision-making models - paradigms derived from basic psychological research in cognition, personality–social psychology, and biological psychology - development, validation, and application of assessment instruments, observational methods, and interviews
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