Child- compared with parent-report ratings on psychosocial measures following a mild traumatic brain injury among youth with persistent post-concussion symptoms.
Ashleigh M Johnson, Carolyn A McCarty, Lyscha A Marcynyszyn and 3 others
PMID 33733955WHAT IT FOUND
Youth with persistent concussion symptoms reported more symptoms and better functioning than their parents did.
Ratings often differed, especially by age and gender, so ask both for their views before planning care.
Key findings
01In 200 parent-child dyads, children reported more symptoms than parents on the HBI, RCADS, and PHQ-9 and better functioning than parents on the PedsQL.
02Agreement between child and parent ratings was poor to good for symptom measures and poor to excellent for functioning measures, and it varied by age and gender.
03Mean differences between child and parent ratings were larger for females and for the 16 to 18 age group on the HBI, RCADS, and PHQ-9.
STILL TO COME
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What it does not show
The sample was mostly White, non-Hispanic, and high income, so the results may not apply to other groups. All participants had persistent symptoms one to nine months after injury, so the findings may not apply to children seen earlier in recovery. The ages 8 to 12 PedsQL group had only 27 children, so conclusions for younger children are weak. The paper analysed baseline reports before randomization, so it does not show whether using both child and parent reports improves treatment.
Declared interests
The supplied text does not include a conflict-of-interest or funding declaration. The publication types list NIH extramural research support.
The easy way to misread this
Do not conclude that the parent report is enough to capture a child's symptoms. Children reported more symptoms than parents, and the two reports often differed.