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KMID : 0897520080130020087
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Journal of Korean Association of Social Psychiatry
2008 Volume.13 No. 2 p.87 ~ p.93
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Adolescents’ Psychopathology as Related to Discrepancy between Adolescents’ Self-Report and Parents’ Report of Adolescents’ Problem Behavior
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Lee So-Jin
Sohn Jin-Wook
Hahn Kyu-Hee
Park Chul-Soo
Kim Bong-Jo
Kim Bo-Kyung
Lee Cheol-Soon
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Abstract
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The necessity of having multiple informants for the diagnostic evaluation of children and adolescents has been repeatedly stressed in child psychiatric clinical work and research. When the discrepancies are considerable between the parents’ and adolescents’ reports on the externalizing and internalizing symptoms of adolescents, it is important to consider how to interpret these discrepancies.
Objective：This study was conducted to facilitate understanding the disagreement between parents’ and adolescents’ reports on mental symptoms of adolescents. The purpose of this study was to examine how adolescents’ psychopathology influence their parents’ account of the mental problems of their adolescents, as compared to what the adolescents themselves report.
Method： 876 high school students in OO city participated in the adolescent mental health and problem behavior screening test(AMPQ). Among the students who were tested, we selected eighty five adolescents (whose scores were above the cut-point) and their parents completed the Korean-youth self report questionnaire(K-YSR), the Korean-child/adolescent behavior check list(K-CBCL) and the symptom check list-1990-revised(SCL-1990-R).
Results：Depression and somatization in adolescence emerged as the significant variables that predicted K-YSR-K-CBCL discrepancy on internalizing symptoms, and these variables explained 36% of the variance. With increased levels of depression and decreased levels of somatization, adolescents tended to report more internalizing problems compared to their parents reports. For the discrepancy of externalizing problems, obsessive compulsive symptoms were the most significant variable. When obsessive compulsive symptoms in the adolescents were increased, there were more disagreement between the reports of the parents and adolescents.
Conclusion：The psychopathologies in adolescents such as depression, somatization and obsessive compulsive symptom may be useful to consider when interpreting the informant discrepancies concerning the mental problems of adolescents.
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KEYWORD
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Informant discrepancy, Adolescents’ problem behavior, CBCL, YSR, AMPQ, SCL-90
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