Accords et désaccords entre les enfants et leurs parents dans les évaluations liées à la santé

Aperçu: G.M.

Les divergences entre les rapports entre les enfants et les parents semblent refléter leurs différents points de vue et non seulement une inexactitude ou un biais.

En général, les parents considèrent que leurs enfants ont plus de difficultés que les enfants eux-mêmes pensent avoir. Les perspectives de l'enfant et de ses parents devraient être recherchées chaque fois que cela est possible, car les deux constituent des informations importantes concernant la santé et le bien-être de l'enfant.  

Disabil Rehabil. 2017 Jun;39(11):1059-1072. doi: 10.1080/09638288.2016.1189603. Epub 2016 Jun 13.

Agreements and disagreements between children and their parents in health-related assessments

Hemmingsson H¹, Ólafsdóttir LB², Egilson ST².

Author information

1

a Department of Social and Welfare Studies , Linköping University , Linköping , Sweden.

2

b Faculty of Social and Human Sciences , University of Iceland , Reykjavik , Iceland.

Abstract

PURPOSE:

To systematically review research concerning parent-child agreement in health-related assessments to reveal overall agreement, directions of agreement, and the factors that affect agreement in ratings.

METHOD:

The Uni-Search and five additional databases were searched. Children's health issues were grouped into psychosocial issues including autism and ADHD, and physical and performance issues including pain. Measures used for comparison were those addressing (a) psychosocial functioning, (b) physical and performance functioning, and (c) health-related quality of life.

RESULTS:

Totally, 39 studies met the inclusion criteria, comprising 44 analyses in all since four studies contained more than one analyses. Moderate child-parent agreement was demonstrated in 23 analyses and poor agreement in 20 analyses. Several analyses found more agreement on observable/external than on non-observable/internal domains. Overall, parents considered their children had more difficulties than did the children themselves, although there were indications that for children with physical performance issues, parents may underreport their children's difficulties in emotional functioning and pain. There were no consistencies in differences between children's and parent's ratings on levels of agreement with respect to the children's health issue, age or gender.

CONCLUSIONS:

Discrepancies between child and parent reports seem to reflect their different perspectives and not merely inaccuracy or bias. Implications for Rehabilitation In general, parents consider their children to have more difficulties - or more extensive difficulties - than the children themselves think they have. The perspectives of the child and his or her parents should be sought whenever possible since both constitute important information concerning the child´s health and well-being. Children with physical and performance issues reported more difficulties than their parents concerning the children's emotional functioning and pain. Clinicians should prioritize obtaining children's views on subjective aspects such as emotional issues as well as on pain.

PMID: 27291406

DOI: 10.1080/09638288.2016.1189603