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Comparing adolescent and parent reports of externalizing problems: A longitudinal population-based study.

Monique Robinson1, Dorota A Doherty2,3, Jeffrey Cannon3

  • 1Telethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia.

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Discrepancies in adolescent and parent mental health reports are linked to adolescent substance use and depression, or parental stress and family dysfunction. Understanding these factors improves clinical management of behavioral disorders.

Keywords:
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Area of Science:

  • Developmental Psychology
  • Child and Adolescent Psychiatry
  • Behavioral Science

Background:

  • Adolescent and parent reports of mental health problems frequently show poor correlation.
  • Contextual factors influencing these discrepancies are not well understood.
  • Understanding disagreement is crucial for accurate diagnosis and intervention in adolescent behavioral disorders.

Purpose of the Study:

  • To examine maternal, family, adolescent, and parent factors predicting discrepancies between adolescent and parent mental health reports.
  • To investigate the clinical relevance of these discrepancies in a large cohort study.

Main Methods:

  • Utilized data from 1,596 parent-child dyads in the Western Australian Pregnancy Cohort (Raine) Study.
  • Administered parent-reported Child Behaviour Checklist (CBCL) and adolescent-rated Youth Self-Report (YSR) at 14 and 17 years.
  • Analyzed psychosocial factors as predictors of score discrepancies.

Main Results:

  • Adolescent reports of clinical issues (substance use, depression, low school motivation) were associated with discrepancies when parent reports were not clinical.
  • Parental reports of clinical externalizing behaviors were linked to discrepancies when adolescent reports were not clinical.
  • Predictors for parental-reported externalizing behavior discrepancies included younger maternal age, social security benefit receipt, parenting stress, parental depression, and poor family functioning.

Conclusions:

  • Adolescent substance use, depression, and school motivation influence report discrepancies.
  • Parental depression, stress, low income, and family dysfunction contribute to score disagreements.
  • Findings inform clinical management and research for adolescents with behavioral disorders.