Parent and child reporting of negative life events: discrepancy and agreement across pediatric samples

Craig A Johnston1, Ric G Steele, Eve A Herrera

  • 1University of Kansas, Lawrence, Kansas 66045-7555, USA.

Insights

Children and parents often disagree on negative life events. Communication may improve during illness, but discrepancies highlight the need for multiple reporters in pediatric health assessments.

Area of Science:

  • Pediatric Psychology
  • Child Health Reporting
  • Family Communication Studies

Background:

  • Accurate assessment of negative life events in children is crucial for understanding their well-being.
  • Discrepancies between child and parent reports can impact clinical evaluations and interventions.

Purpose of the Study:

  • To investigate the consistency of child and parent reports regarding the child's negative life events.
  • To compare reporting consistency across healthy children, children with cancer, and children with chronic illnesses.

Main Methods:

  • 613 child-parent dyads provided independent reports of negative life events.
  • Participants included healthy children (n=362), children with cancer (n=130), and children with chronic illnesses (n=121).

Main Results:

  • Children reported more negative life events than their parents.
  • Children with chronic illnesses reported fewer events, while parents of children with cancer reported more.
  • Healthy children and their parents showed the greatest reporting discrepancies.

Conclusions:

  • Child-parent communication regarding negative life events may improve during serious illness.
  • Significant discrepancies persist, underscoring the importance of using multiple reporters for comprehensive assessment.
  • Clinicians should acknowledge the strengths and limitations of both child and parent reports in pediatric samples.
Abstract

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