Parent–Child Agreement of Child Health-Related Quality-of-Life in Maltreated Children

Paul Lanier (), Shenyang Guo, Wendy Auslander, Kathleen Gillespie, Allison Dunnigan and Patricia L. Kohl
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Paul Lanier: UNC-Chapel Hill
Shenyang Guo: Washington University in St. Louis
Wendy Auslander: Washington University in St. Louis
Kathleen Gillespie: Saint Louis University
Allison Dunnigan: Washington University in St. Louis
Patricia L. Kohl: Washington University in St. Louis

Child Indicators Research, 2017, vol. 10, issue 3, No 10, 795 pages

Abstract: Abstract This article examines the differences between self-reports and parent-proxy reports of pediatric health-related quality of life among families receiving child welfare services for child physical abuse and neglect. This study assesses child well-being using a pediatric health-related quality of life measure (Pediatric Quality of Life Inventory; PedsQL 4.0) with parent-child dyads (N = 129). Child and parent reports are compared for total and domain score on the PedsQL. Child-reported scores are lower than parent-proxy reports on total and all domain scores. For the total score, 57 % of child reports are below the clinical cutoff for poor well-being compared with 19 % of parent proxy reports. Analyses indicate poor agreement between parent and child reports, with this disagreement associated with high parent anger and parental self-report of poor mental health. Fully assessing child health and well-being requires multiple perspectives of child well-being. Gaining information from both the child and the parent provides different but equally useful information.

Keywords: Quality of life; Child maltreatment; Child welfare; Child well-being (search for similar items in EconPapers)
Date: 2017
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DOI: 10.1007/s12187-016-9413-z

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