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<p>Discrepancies in the perception of emotional and behavioral problems between adolescents and their caregivers can lead to ineffective interventions and misunderstandings in mental health care. Understanding these discrepancies and their underlying factors is crucial for improving adolescent mental health. This cross-sectional study aimed to identify distinct patterns (latent profiles) of caregiver- adolescent discrepancies in assessing emotional and behavioral problems using the Strengths and Difficulties Questionnaire (SDQ), and to examine the associations of these profiles with key demographic factors, mental health problems (including depression, self-harm, and suicidal behavior), and family environment factors.​ This study included 8839 caregiver-adolescent pairs from the School-based Evaluation Advancing Response for Child Health (SEARCH) study in China. Latent profile analysis (LPA) was applied to the SDQ scores reported by both adolescents and caregivers. Three latent profiles were identified: caregiver moderate-estimation adolescent healthy (5598 pairs), caregiver over-estimation adolescent problem (823 pairs), and caregiver under-estimation adolescent problem (2418 pairs). The caregiver moderate-estimation adolescent healthy profile demonstrated the lowest incidence of mental health problems and the smallest perceptual discrepancy. Multinomial logistic regression analysis revealed that male gender, history of drinking, and presence of mental health problems were associated with the caregiver over-estimation profile. Conversely, older age, male gender, residence in middle or high economic regions, mental health problems, and high family conflict were associated with the caregiver under-estimation profile. This study underscores the importance of integrating demographic, mental health problems, and family contextual factors into the assessment and intervention strategies for adolescent mental health to address caregiver-adolescent perceptual discrepancies effectively.</p>

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Discrepancies in perceptions of emotional and behavioral problems between adolescents and caregivers: a latent profile analysis from the SEARCH study

  • 期刊论文

  • 发表日期：

    2026年4月24日

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  • Yang Wang,
  • Fay Y. Womer,
  • Nicole R. Karcher,
  • Yuxin Wang,
  • Keyin Zhou,
  • Ran Zhang,
  • Xin Wang,
  • Wenyi Yang,
  • Xiyan Zhang,
  • Yuan Lin,
  • Meichen Liu,
  • Zhuang Liu,
  • Jie Yang,
  • Fei Wang

摘要

Discrepancies in the perception of emotional and behavioral problems between adolescents and their caregivers can lead to ineffective interventions and misunderstandings in mental health care. Understanding these discrepancies and their underlying factors is crucial for improving adolescent mental health. This cross-sectional study aimed to identify distinct patterns (latent profiles) of caregiver- adolescent discrepancies in assessing emotional and behavioral problems using the Strengths and Difficulties Questionnaire (SDQ), and to examine the associations of these profiles with key demographic factors, mental health problems (including depression, self-harm, and suicidal behavior), and family environment factors.​ This study included 8839 caregiver-adolescent pairs from the School-based Evaluation Advancing Response for Child Health (SEARCH) study in China. Latent profile analysis (LPA) was applied to the SDQ scores reported by both adolescents and caregivers. Three latent profiles were identified: caregiver moderate-estimation adolescent healthy (5598 pairs), caregiver over-estimation adolescent problem (823 pairs), and caregiver under-estimation adolescent problem (2418 pairs). The caregiver moderate-estimation adolescent healthy profile demonstrated the lowest incidence of mental health problems and the smallest perceptual discrepancy. Multinomial logistic regression analysis revealed that male gender, history of drinking, and presence of mental health problems were associated with the caregiver over-estimation profile. Conversely, older age, male gender, residence in middle or high economic regions, mental health problems, and high family conflict were associated with the caregiver under-estimation profile. This study underscores the importance of integrating demographic, mental health problems, and family contextual factors into the assessment and intervention strategies for adolescent mental health to address caregiver-adolescent perceptual discrepancies effectively.