背景:在低收入和中等收入国家,关于青少年情绪和行为问题(EBPs)的交叉信息协议的研究很少。这项研究旨在评估尼泊尔父母-青少年和教师-青少年关于EBP和相关因素的协议。
方法:这项横断面调查包括1904名11-18岁的上学青少年,他们就读于尼泊尔16个地区的政府和私立学校。尼泊尔版本的青年自我报告,儿童行为清单,和教师的报告表被用来评估青少年报告的EBP,他们的父母,和老师们,分别。进行重复测量方差分析(ANOVA)以评估问题得分的平均差异。Pearson的相关性用于评估交叉信息协议。线性回归分析用于探索与EBPs交叉信息差异相关的因素。
结果:青少年报告的问题明显多于他们的父母和老师。青少年自我报告中90个常见项目的平均总问题得分,父报告,教师报告为34.5(标准偏差[SD]:21.4),24.1(标准差=19.2),和20.2(SD=17.5)。家长和青少年在总问题上的协议是适度的,而教师与青少年的一致性较低。对于两个宽带量表和所有综合征量表,父母与青少年的协议是中等到低的,而教师与青少年的一致性在所有尺度上都很低。女性性别和少数民族地位影响了父母-青少年和教师-青少年的差异。家庭压力/冲突影响父母-青少年差异,而学习成绩影响教师与青少年的差异。
结论:尼泊尔青少年报告的EBP比他们的父母和老师多。青少年的自我报告与父母和老师的报告之间的协议是中等到低的。性别,种姓/种族,家庭压力/冲突,学业成绩与交叉信息差异有关。从不同来源收集信息至关重要,考虑特定环境的需求,并辨别影响交叉信息差异的因素,以准确评估青少年的EBP,并制定个性化的治疗计划方法。
BACKGROUND: Studies on cross-informant agreement on adolescents\' emotional and behavioral problems (EBPs) are sparse in low- and middle-income countries. This study aimed to assess parent-adolescent and teacher-adolescent agreement on EBPs and associated factors in Nepal.
METHODS: This cross-sectional survey included 1904 school-going adolescents aged 11-18, enrolled in government and private schools located in sixteen districts of Nepal. The Nepali versions of the Youth Self Report, Child Behavior Checklist, and Teacher\'s Report Form were administered to assess EBPs reported by adolescents, their parents, and teachers, respectively. Repeated measures analysis of variance (ANOVA) was done to assess mean differences in problem scores. Pearson\'s correlation was used to assess cross-informant agreement. Linear regression analysis was used to explore factors associated with cross-informant discrepancies in EBPs.
RESULTS: Adolescents reported significantly more problems than their parents and teachers. Mean Total Problem scores for the 90 common items in the adolescents\' self-
reports, parent
reports, and teacher
reports were 34.5 (standard deviation [SD]: 21.4), 24.1 (SD = 19.2), and 20.2 (SD = 17.5) respectively. Parent-adolescent agreement on Total Problems was moderate, whereas teacher-adolescent agreement was low. The parent-adolescent agreement was moderate to low for the two broadband scales and all syndrome scales, whereas the teacher-adolescent agreement was low for all scales. Female gender and ethnic minority status impacted both parent-adolescent and teacher-adolescent discrepancies. Family stress/conflicts impacted parent-adolescent discrepancies, while academic performance impacted teacher-adolescent discrepancies.
CONCLUSIONS: Nepali adolescents reported more EBPs than their parents and teachers. The agreement between adolescents\' self-
reports and
reports by their parents and teachers was moderate to low. Gender, caste/ethnicity, family stress/conflicts, and academic performance were associated with cross-informant discrepancies. It is crucial to collect information from different sources, consider context-specific needs, and discern factors influencing cross-informant discrepancies to accurately assess adolescents\' EBPs and develop personalized approaches to treatment planning.