Concordance of Reports of Mental Health Functioning by Adolescents and Their Caregivers: A Comparison of European, African and Latino Americans

Roberts, Robert E.; Alegria, Margarita; Roberts, Catherine Ramsay; Chen, Irene Ger

doi:10.1097/01.nmd.0000172597.15314.cb

Cited by 58Child and Adolescent Psychosocial and Emotional DevelopmentMental Health Treatment and AccessPsychology and Mental Health

Concordance of Reports of Mental Health Functioning by Adolescents and Their Caregivers: A Comparison of European, African and Latino Americans

Roberts, Robert E., Alegria, Margarita, Roberts, Catherine Ramsay, Chen, Irene Ger·2005·Journal of Nervous & Mental Disease

DOI 10.1097/01.nmd.0000172597.15314.cb

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Abstract

The purpose of this study was to examine the concordance of parental and adolescent reports of adolescents having emotional and behavioral problems. Data were collected from youths (age 11-17) and adult caregivers from a community-based sample of households. The sample consisted of 4175 youths and their caregivers (37.8% European, 35.0% African, 25.4% Latino, and 1.8% other American). Indicators of emotional and/or behavioral problems were global indicators: perceived mental health, life satisfaction, happiness, interpersonal problems at home, and problems at school. Overall, parent-child concordance on the indicators of mental health was low, with a mean kappa value of 0.12. In multivariate analyses, European American parent-youth dyads were significantly more likely to be concordant on reports of perceived mental health, problems at home, and problems at school than African American and Latino dyads. Our data suggest that ethnicity is a significant factor in parental labeling and awareness of adolescent mental health problems. Future research should examine whether the extent to which greater lack of concordance on the indicators of mental health by minority parent-child dyads plays a role in entry into and retention in mental health care.

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Cultural differences in perceptual thresholds determining whether youth problems are of sufficient severity to warrant formal intervention may also contribute to the underutilization of preferred youth psychological counseling services among Latinx caregivers.
“Cultural differences in perceptual thresholds determining whether youth problems are of sufficient severity to warrant formal intervention may also contribute to the underutilization of preferred youth psychological counseling services among Latinx caregivers [11,12].”
From Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs (2024) · cites this paper as [12]

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Youth Life Satisfaction: A Review of the Literature
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Self-citation
Urban Latinx parents’ attitudes towards mental health: Mental health literacy and service use
Dixon De Silva, L. E., Ponting, C., Ramos, G., Cornejo Guevara, M. V., & Chavira, D. A. (2020) · Children and Youth Services Review · doi:10.1016/j.childyouth.2019.104719 · Cited by 53 · see citing works
Dimensions of caregiver strain may partially mediate the relationship between youth symptomology and counseling utilization among Latinxs
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“Cultural differences in perceptual thresholds determining whether youth problems are of sufficient severity to warrant formal intervention may also contribute to the underutilization of preferred youth psychological counseling services among Latinx caregivers [11,12].”
Background

Authors: Roberts, R. E., Alegria, M., Roberts, C. R., & Chen, I. G.
Affiliations: Cambridge Health Alliance (US)
The University of Texas Health Science Center at Houston (US)
Children's Hospital of Philadelphia (US)
Corresponding author: Roberts, Robert E.
ORCID: Alegria, Margarita
Venue: Journal of Nervous & Mental Disease
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2005-08
Volume: 193
Issue: 8
Pages: 528-534
ISSN: 0022-3018 (ISSN-L)
DOI: 10.1097/01.nmd.0000172597.15314.cb
OpenAlex: W1966091061
Cited by: 58
References: 58
Citations by year: 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 6 · 2014: 2 · 2013: 3 · 2012: 5
FWCI: 5.01
Type: journal article
Language: en
Open access: closed
Locations: The Journal of Nervous and Mental Disease (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Keywords: adolescent mental health, emotional and behavioral problems, perceived mental health, life satisfaction, happiness, school problems, ethnicity, access to mental health care
MeSH terms: Adolescent, Psychology, Adolescent, Affective Symptoms, Attitude to Health, Awareness, Mental Disorders, Black or African American, Cross-Cultural Comparison, Ethnicity, Female, Health Surveys, Hispanic or Latino, Humans, Male, Mental Health, Minority Groups, Parents, Texas, Caregivers, White People

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Concordance of Reports of Mental Health Functioning by Adolescents and Their Caregivers: A Comparison of European, African and Latino Americans

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