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Originalia

Übereinstimmung von Mutter-Kind-Aussagen und deren Einflussfaktoren am Beispiel des Kinder-DIPS in der Diagnostik psychischer Störungen im Jugendalter

Published Online:July 07, 2014https://doi.org/10.1026/1616-3443/a000258

Abstract

Theoretischer Hintergrund: In der Diagnostik psychischer Störungen im Jugendalter wird der Einbezug unterschiedlicher Urteilerperspektiven empfohlen. Die Aussagen unterschiedlicher Urteiler korrelieren jedoch nur gering. Fragestellung: Die Ziele dieser Arbeit bestehen in der Darstellung der Prävalenzen, der Übereinstimmung von Mutter-Kind-Aussagen sowie der Identifikation potentieller Prädiktoren von Nichtübereinstimmung hinsichtlich psychischer Störungen im Jugendalter. Methode: Die Stichprobe stammt aus dem DFG-Projekt „Zukunft Familie III” der Technischen Universität Braunschweig. Es wurden 234 Mütter (Alter: M = 46.4 Jahre, SD = 4.7) und deren Kinder im Alter zwischen 11 und 17 Jahren mit Hilfe des Diagnostischen Interviews bei psychischen Störungen im Kindes- und Jugendalter (Kinder-DIPS) und weiteren Verfahren befragt. Ergebnisse: Insgesamt liegen geringe Prävalenzen psychischer Störungen vor. Die Aussagen von Müttern und Jugendlichen weisen eine geringe bis mäßige Übereinstimmung auf (durchschnittliches κ = .26). Die Mütter berichten mehr externalisierende Störungen. Für internalisierende Störungen wurde kein signifikanter Unterschied zwischen Müttern und Jugendlichen gefunden. Die Jugendlichen berichten mehr Essstörungen und tendenziell mehr Schlafstörungen. Die psychische Belastung der Mutter, Konflikte innerhalb der Mutter-Kind-Beziehung und das Alter des Jugendlichen sind signifikante Prädiktoren für die Nichtübereinstimmung der Mutter-Kind-Aussagen. Schlussfolgerungen: Die Ergebnisse verdeutlichen die Notwendigkeit, sowohl das Urteil der Mutter als auch das Urteil des Kindes in der Diagnostik psychischer Störungen im Jugendalter zu beachten. Praktische Implikationen werden abgeleitet.


Mother-child agreement on emotional and behavioral problems in the assessment of mental disorders in adolescence

Background: In the assessment of adolescent emotional and behavioral problems a multi-informant approach is recommended. However, correlations between reports by multiple informants are low to moderate. Objective: The aims of this study are (1) to examine the prevalence of emotional and behavioral problems, (2) to examine mother-child agreement on emotional and behavioral problems, and (3) to identify predictors for mother-child disagreement. Methods: The sample was derived from the DFG-study “Zukunft Familie III” (“Future Families III”), which consists of 234 Mother-adolescent-dyads (mother′s age: M = 46.4 years, SD = 4.7; adolescent′s age: M = 14.4 years, SD = 1.2), which were surveyed with the Structured Diagnostic Interview for Mental Disorders in Children (Kinder-DIPS) and other questionnaires. Results: Prevalence of emotional and behavioral problems was low, whereas mother-child agreement was low to moderate (average κ = .26). Mothers reported more externalizing disorders. No significant difference was found for internalizing disorders. Adolescents reported more eating disorders and by tendency more sleeping disorders. Maternal distress, conflicts in mother-child relationship and child’s age were associated with increased mother-child disagreement. Conclusions: These findings emphasize the need for a multi-informant approach in the assessment of child and adolescent emotional and behavioral problems. Practical implications are discussed.

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