title: Parent-adolescent agreement on psychosocial symptoms and somatic complaints among adolescents with inflammatory bowel disease.
abstract: OBJECTIVE
  To investigate parent-adolescent agreement on psychosocial and somatic symptoms in adolescents with inflammatory bowel disease (IBD).
  
  
  METHODS
  A questionnaire-based postal survey comprising Finnish adolescents aged 10-18 years with IBD (n = 156) and their parents. Emotional, behavioural and somatic symptoms were measured using the Child Behaviour Checklist (parent report) and the Youth Self-Report.
  
  
  RESULTS
  In paediatric IBD, adolescents and parents agreed on the presence of a psychosocial problem (in subclinical/clinical range) in 5% of the cases but disagreed in 21%. In 74% of the dyads, respondents agreed that no problems existed. Agreement in reporting psychosocial or somatic symptoms was poor to low (κ = 0.00-0.38). The lowest agreement was on anxious/depressed mood (κ = 0.02) and thought problems (κ = 0.00) and the highest on social problems. The parents reported more somatic symptoms in their adolescents than the adolescents themselves (p < 0.001).
  
  
  CONCLUSIONS
  Young IBD patients and their parents disagree in reporting psychosocial and somatic symptoms of the patients. The adolescents as well as their parents need to be involved; otherwise, many symptoms of clinical significance would go unnoticed.
authors: Hospital for Children and Adolescents, Helsinki University Central Hospital, and Helsinki University, Helsinki, Finland. teija.pirinen@helsinki.fi
authors: T
authors: T
authors: Pirinen
authors: K-L
authors: KL
authors: Kolho
authors: P
authors: P
authors: Simola
authors: M
authors: M
authors: Ashorn
authors: E T
authors: ET
authors: Aronen
mesh_terms: D000293:Adolescent; D002648:Child; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000523:psychology*; D008297:Male; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D015203:Reproducibility of Results; D012920:Social Behavior Disorders; D013001:Somatoform Disorders / Q000523:psychology; D011795:Surveys and Questionnaires