ERIC Number: EJ932053
Record Type: Journal
Publication Date: 2011-Aug
Abstractor: As Provided
Assessing Psychosocial Impairment in the Pediatric Emergency Department: Child/Caregiver Concordance
Montano, Zorash; Mahrer, Nicole E.; Nager, Alan L.; Claudius, Ilene; Gold, Jeffrey I.
Journal of Child and Family Studies, v20 n4 p473-477 Aug 2011
The objective of this study was to examine the level of agreement between child- and caregiver-reports of the child's psychosocial problems presenting to a Pediatric Emergency Department (PED) using a validated screening tool. This was an anonymous, prospective, cross-sectional, multi-informant (child and caregiver) study assessing cognitive, emotional, and behavioral problems and physical complaints in children and adolescents presenting to a PED. Three-hundred and fifty-eight children and adolescents (8-18 years old) and their caregivers participated. Children completed the Youth-Pediatric Symptom Checklist (PSC-Y), while their caregivers completed the Pediatric Symptom Checklist-35 (PSC-35) to measure psychosocial impairment. The child's physical complaints (e.g., chief complaint, chronicity, other medical problems, medications) and demographic information were assessed using an investigator-developed patient background questionnaire completed by the caregivers. Physical complaints (e.g., chief complaint, chronicity, other medical problems, medications) were assessed using an investigator-developed patient background questionnaire. Agreement between child- and caregiver- reports was analyzed using Cohen's kappa coefficient. Differences between child and caregiver-reported scores were determined by "t"-tests. Poor to moderate agreement was found between child- and caregiver-reports of attention problems ([kappa] = 0.355), externalizing problems ([kappa] = 0.340), internalizing problems ([kappa] = 0.065), and total PSC score ([kappa] = 0.410). Both children and caregivers should complete the psychosocial screener to maximize the accuracy of assessment and the identification of impairment.
Descriptors: Check Lists, Caregivers, Adolescents, Measures (Individuals), Pediatrics, Screening Tests, Case Studies, Behavior Problems, Emotional Disturbances, Children, Medical Evaluation, Cognitive Ability, Questionnaires, Drug Therapy, Symptoms (Individual Disorders), Patients, Scores, Attention Control, Identification
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A