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<p>To examine the inter-rater agreement between parent- and child-reported measures of somatic distress, gastrointestinal symptoms, mental health, and general health in girls aged 9–13&#xa0;years with functional abdominal pain disorders (FAPDs). This secondary analysis used data from the Just in TIME randomized controlled trial, including girls aged 9–13&#xa0;years with FAPDs. Both girls and their parents completed the Children’s Somatic Symptoms Inventory (gastrointestinal distress (CSSI-GI) and somatic distress (CSSI-nonGI) subscales) and answered questions about general health and mental health symptoms, measures at baseline and after 8&#xa0;months. Agreement was assessed using intra-class correlation (ICC) and linear-weighted Cohen’s kappa. Data from 121 girls (mean age 10.6&#xa0;years) and their parents were analysed. For CSSI-GI, mean scores were similar at baseline (girls 6.98, parents 7.27; ICC 0.84, <i>p</i> &lt; .001) and follow-up (girls 4.25, parents 4.16; ICC 0.91, <i>p</i> &lt; .001). For CSSI-nonGI, girls reported higher mean scores than parents at baseline (8.75 vs. 6.79; ICC 0.75, <i>p</i> &lt; .001) and follow-up (7.14 vs. 5.43; ICC 0.78, <i>p</i> &lt; .001). Agreement for general health was fair (kappa 0.31 at baseline, 0.41 at follow-up, both <i>p</i> &lt; .001). For mental health symptoms, agreement ranged from slight to moderate (kappa 0.20–0.52 at baseline; 0.11–0.46 at follow-up, all significant).</p><p><i>Conclusion</i>:&#xa0;Findings indicated good parent– and child agreement for gastrointestinal and general somatic symptoms, but lower agreement for mental health and general health.</p><p><i>Clinical trial registration:</i> ClinicalTrials.gov, ID: NCT02920268, Name: Just in TIME–Intervention with Dance and Yoga for Girls with Recurrent Abdominal Pain, registered 29 September 2016.</p><p><Table Float="No" ID="Taba"> <tgroup cols="1"> <colspec align="left" colname="c1" colnum="1" /> <tbody> <row> <entry align="left" colname="c1"> <p><b>What is Known:</b></p> <p>• <i>Parent reports are commonly used in paediatric assessment, but it is recommended that children’s perspectives should be integrated in clinical practice and research.</i></p> <p>• <i>Discrepancies between child and parent reports are frequent and may influence assessment accuracy and treatment planning.</i></p> </entry> </row> <row> <entry align="left" colname="c1"> <p><b>What is New:</b></p> <p>• <i>Parent–child agreement was higher for observable somatic symptoms, particularly gastrointestinal complaints, but lower for subjective experiences such as emotional states and perceived well-being.</i></p> <p>• <i>Agreement for some items was higher at follow-up, suggesting potential gains in parental awareness or child–parent communication over time.</i></p> </entry> </row> </tbody> </tgroup> </Table></p>

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Parent–child agreement in reporting somatic distress, gastrointestinal symptoms, mental health, and general health in girls with functional abdominal pain

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  • 发表日期：

    2025年11月22日

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  • Anna Duberg,
  • Mats Eriksson,
  • Anna Philipson

摘要

To examine the inter-rater agreement between parent- and child-reported measures of somatic distress, gastrointestinal symptoms, mental health, and general health in girls aged 9–13 years with functional abdominal pain disorders (FAPDs). This secondary analysis used data from the Just in TIME randomized controlled trial, including girls aged 9–13 years with FAPDs. Both girls and their parents completed the Children’s Somatic Symptoms Inventory (gastrointestinal distress (CSSI-GI) and somatic distress (CSSI-nonGI) subscales) and answered questions about general health and mental health symptoms, measures at baseline and after 8 months. Agreement was assessed using intra-class correlation (ICC) and linear-weighted Cohen’s kappa. Data from 121 girls (mean age 10.6 years) and their parents were analysed. For CSSI-GI, mean scores were similar at baseline (girls 6.98, parents 7.27; ICC 0.84, p < .001) and follow-up (girls 4.25, parents 4.16; ICC 0.91, p < .001). For CSSI-nonGI, girls reported higher mean scores than parents at baseline (8.75 vs. 6.79; ICC 0.75, p < .001) and follow-up (7.14 vs. 5.43; ICC 0.78, p < .001). Agreement for general health was fair (kappa 0.31 at baseline, 0.41 at follow-up, both p < .001). For mental health symptoms, agreement ranged from slight to moderate (kappa 0.20–0.52 at baseline; 0.11–0.46 at follow-up, all significant).

Conclusion: Findings indicated good parent– and child agreement for gastrointestinal and general somatic symptoms, but lower agreement for mental health and general health.

Clinical trial registration: ClinicalTrials.gov, ID: NCT02920268, Name: Just in TIME–Intervention with Dance and Yoga for Girls with Recurrent Abdominal Pain, registered 29 September 2016.

What is Known:

• Parent reports are commonly used in paediatric assessment, but it is recommended that children’s perspectives should be integrated in clinical practice and research.

• Discrepancies between child and parent reports are frequent and may influence assessment accuracy and treatment planning.

What is New:

• Parent–child agreement was higher for observable somatic symptoms, particularly gastrointestinal complaints, but lower for subjective experiences such as emotional states and perceived well-being.

• Agreement for some items was higher at follow-up, suggesting potential gains in parental awareness or child–parent communication over time.