European Child & Adolescent Psychiatry

, Volume 4, Issue 1, pp 14–20 | Cite as

Behavioral problems of adolescents with chronic physical illness: A comparison of parent-report and self-report measures

  • Mike Stawski
  • Judith G. Auerbach
  • Miriam Barasch
  • Yaacov Lerner
  • Robert Zimin
  • Mervin S. Miller


This study reports on the extent of behavior problems in Israeli adolescents suffering from chronic illness. A comparison was made between parent-reported and self-reported behavioral symptomatology using the Child Behavior Checklist (CBCL) and the Youth Self-Report (YSR). 103 outpatients, aged 11–16 years, suffering from cystic fibrosis (CF), asthma, or hematological/oncological conditions were assessed. Healthy adolescents and adolescents referred for psychiatric assessment comprised the comparison groups. Parent- and self-reports were significantly positively correlated in each group (all chronically ill children r=.22; Healthy group r=.27; psychiatric group r=.50), but the correlations were particularly low (and non-significant) in younger adolescents with hematological/oncological conditions or HCF., pointing to the need for physicians to include parents' and adolescents' viewpoints in their assessments of these adolescents' psychosocial state. The mean number of parent-reported and self-reported behavior problems in the illness groups was no different from that of the Healthy group but significantly lower than that of the psychiatric group.


Chronic Illness Adolescence Behavioral Problems CBCL 


Cette étude rapporte les problèmes de comportement d'adolescents israéliens souffrant de maladie chronique. Une comparaison fut faite entre les rapports établis par les parents et la Symptomatologie comportementale auto-évaluée au moyen de la Child Behavior Checklist (CBCL) et la Youth Self-Report (YSR). 103 patients de la consultation âgés de 11 à 16 ans souffrant de mucovicidose (CF) d'asthme ou de pathologie hématologique ou oncologique furent évaluée. Des adolescents sains et des adolescents adressés pour une évaluation psychiatrique fournissaient les groupes de comparaison. Les rapports des parents et les rapports des adolescents étaient positivement corrélés dans chaque groupe (tous les enfants ayant une maladie chronique r=.22; group sain r=.27; groupe psychiatrique r=.50), mais les corrélations étaient particulièrement basses (et non significatives) chez les adolescents plus jeunes avec les pathologies hématologique ou oncologique ou la mucovicidose (CF), pointant le besoin pour les médecins d'inclure les points de vue des parents et des adolescents tant leurs évaluations de l'état psychosocial de ces adolescents. Le nombre moyen de problèmes comportementaux rapportés par les parents et par les adolescents dans le groupe malade, n'était pas différent de celui du groupe sain, mais significativement plus bas que celui du groupe psychiatrique.


Diese Studie beleuchtet das Ausmaß von Verhaltensauffälligkeiten bei Jugendlichen aus Israel, die an einer chronischen Erkrankung leiden. Die Symptomatologie auf der Verhaltensebene wurde einerseits von den Eltern mit Hilfe der Child Behavior Checklist (CBCL), andererseits von den Jugendlichen selbst mit Hilfe des Youth Self-Report (YSR) erhoben und miteinander verglichen. Es wurden 103 ambulante Patienten im Alter von 11–16 Jahren untersucht, die an zystischer Fibrose, Asthma oder hämatologischen/ onkologischen Erkrankungen litten. Gesunde Jugendliche und Jugendliche, die zur psychiatrischen Untersuchung überwiesen worden waren, bildeten die Kontrollgruppen. Die Eltern- und Selbsteinschätzungen zeigten eine signifikante positive Korrelation in allen Gruppen (alle chronisch kranken Kinder r=.22; gesunde Gruppe r=.27; psychiatrische Gruppe r=.50). Aber die Korrelationen waren besonders niedrig (und nicht signifikant) bei den jüngeren Jugendlichen mit hämatologischen/onkologischen Erkrankungen oder zystischer Fibrose, woraus gefolgert werden kann, daß Ärzte sowohl die Eltern- als auch die Selbsteinschätzungen für eine adäquate Beurteilung des psychosozialen Zustandes dieser Jugendlichen einbeziehen müssen. Die durchschnittliche Anzahl der von den Eltern und den Jugendlichen selbst berichteten Verhaltensauffälligkeiten in den Erkrankungsgruppen wichen nicht signifikant von der gesunden Kontrollgruppe ab, waren jedoch signifikant niedriger als in der psychiatrischen Kontrollgruppe.


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Copyright information

© Hogrefe & Huber Publishers 1995

Authors and Affiliations

  • Mike Stawski
    • 1
  • Judith G. Auerbach
    • 2
    • 3
  • Miriam Barasch
    • 2
  • Yaacov Lerner
    • 2
  • Robert Zimin
    • 4
  • Mervin S. Miller
    • 4
  1. 1.Abarbanel HospitalBat YamIsrael
  2. 2.Falk Institute for Mental Health and Behavioral StudiesJerusalemIsrael
  3. 3.Department of Behavioral SciencesBen Gurion UniversityIsrael
  4. 4.Sheba HospitalTel HashomerIsrael

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