The study compares parent and child reports of child mental health to determine the relationship between parent–child disa- greement and parental psychological and attitudinal factors, and to determine how parent–child disagreement is associated with the use of specialized services. A cross-sectional study was conducted with 1268 children aged 6–11 years using the Dominic Interactive and the Strengths and Difficulties Questionnaire. Psychological distress and negative parental attitudes were associated with greater reporting of mental health problems, leading to greater parent-child agreement on symptom presence, and to parental over-reporting of symptoms. Parent/child agreement was associated with 43.83% of contact with a mental health provider for externalizing and 33.73% for internalizing problems. The contribution of key parental psycho- logical and attitudinal factors in parent–child disagreement on child mental health status may prove helpful in improving the identification of children in need of specialized services. Keywords Child mental health · Parent–child report discrepancy · Informant discrepancy · Dominic interactive · Strengths and difficulties questionnaire (SDQ) Introduction [1–4]. Several factors have been related to service utiliza- tion including children’s age, region of residence, ethnic- Despite the frequency and serious consequences of mental ity, global impairment, comorbidities, suicide attempts, disorders in youth, access to care for treatment of mental parental
Child Psychiatry and Human Development – Springer Journals
Published: Jun 5, 2018
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