Evidence That School-Age Children Can Self-Report on Their Health
Abstract
The value of obtaining children's reports about their health from questionnaires is a topic of considerable debate in clinical pediatrics and child health research. Evidence from the following areas can inform the debate: 1) studies of parent-child agreement or concordance about the child's health state, 2) basic research on the development of children's cognitive abilities, 3) cognitive interviewing studies of children's abilities to respond to questionnaires and of influences on their responses, 4) psychometric studies of child-report questionnaires, and 5) longitudinal research on the value of children's reports. This review makes a case for the utility of child rather than parent-proxy reports for many, though not all, applications. The review summarizes evidence in terms of the value and limitations of child questionnaire reports. Research demonstrates adequate understanding and reliability and validity of child reports of their health even at age 6, which increases after age 7 in general populations. The reliability of reports by children 8-11 years old is quite good on health questionnaires developed especially for this age group. Children's personal reports provide a viable means of monitoring internal experiences of health and distress during childhood and adolescence, which can enhance understanding about trajectories of health and development of illnesses.
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Adolescents are capable of accurately self-reporting on a range of outcomes including depression.
“adolescents are capable of accurately self-reporting on a range of outcomes including depression”
From Sleep Problems Across Development: A Pathway to Adolescent Risk Taking Through Working Memory (2015) · cites this paper as Riley 2004
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- Authors
- Riley, A. W.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Riley, Anne W.
- Venue
- Ambulatory Pediatrics
- Publisher
- Elsevier BV
- Published
- 2004-07
- Volume
- 4
- Issue
- 4
- Pages
- 371-376
- ISSN
- 1530-1567 (ISSN-L)
- OpenAlex
- W2155761042
- Cited by
- 595
- References
- 67
- Citations by year
- 2026: 33 · 2025: 27 · 2024: 56 · 2023: 42 · 2022: 39 · 2021: 37 · 2020: 33 · 2019: 24 · 2018: 29 · 2017: 18 · 2016: 29 · 2015: 24 · 2014: 30 · 2013: 36 · 2012: 25
- FWCI
- 9.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Ambulatory Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Social Sciences › Sociology and Political Science › Children's Rights and Participation
- Keywords
- child self-report, Child Health Questionnaire, parent-child agreement, cognitive interviewing, child cognitive development, psychometric validity, child distress, proxy reporting
- MeSH terms
- Adolescent, Child, Health Status, Humans, Surveys and Questionnaires, Schools, Self Care, Reproducibility of Results, Self-Examination
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