Welcome to Psychiatryai.com: Latest Evidence - RAISR4D

Estimated reading time for CME/CPD: 2 mins

Parent-Adolescent Informant Discrepancies and Adolescent Adjustment Outcomes: A Directional Comparison and Associations with Family Functioning

AI Summary
  • Direction of parent-adolescent informant discrepancies predicts adolescent adjustment in community samples; parent-overreporting relates to more favourable outcomes compared with adolescent-overreporting.
  • Discrepancy domain matters: parent-overreporting on internalizing associates mainly with fewer mental health problems; on externalizing associates with fewer problems and lower substance use.
  • Family functioning mediates associations: communication and emotional closeness link to mental health outcomes, while parental knowledge links selectively to lower adolescent substance use.
Summarise with AI (MRCPsych/FRANZCP)

Child Psychiatry Hum Dev. 2026 Jul 25. doi: 10.1007/s10578-026-02066-8. Online ahead of print.

ABSTRACT

Informant discrepancies between parents and adolescents have been increasingly recognized as a meaningful construct with demonstrated implications for treatment outcomes in clinical populations. However, less is known about their relevance to adolescent adjustment in community samples, their domain-specific associations across internalizing and externalizing problems, and the role of family functioning in these associations. This exploratory study examined whether parent-overreporting versus adolescent-overreporting of adolescents’ internalizing and externalizing problems was associated with adolescent adjustment, and whether family functioning indicators were involved in these associations. Using dyadic data from 1,696 parent-adolescent dyads in the UK Millennium Cohort Study, Wave 7, structural equation modeling was conducted to examine direct and indirect associations between discrepancy direction and adolescents’ mental health problems and substance use behaviors, including smoking, binge drinking, and drug use. Four family functioning indicators were examined: parent-adolescent communication, emotional closeness, parental knowledge, and parental control. Results showed that parent-overreporting, relative to adolescent-overreporting, was associated with more favorable adolescent adjustment, but the pattern differed by discrepancy domain. Internalizing-based parent-overreporting was mainly associated with fewer mental health problems, whereas externalizing-based parent-overreporting was associated with both fewer mental health problems and lower likelihoods of smoking, binge drinking, and drug use. Communication and closeness were more consistently involved in indirect associations with mental health problems across both discrepancy domains, whereas parental knowledge was more clearly involved in indirect associations with substance use outcomes in the externalizing discrepancy model. These findings suggest that discrepancy direction provides adjustment-relevant information in community samples and that its implications depend on the problem domain assessed and the family functioning indicators considered. The study contributes to multi-informant assessment by supporting a domain-specific and relational interpretation of parent-adolescent discrepancies in adolescent psychological difficulties.

PMID:42501164 | DOI:10.1007/s10578-026-02066-8

Document this CPD

Share Evidence Blueprint

QR Code

Save to Google Notes

Search Google Scholar

Save as PDF

⭐ My Revision List

close chatgpt icon
ChatGPT

Enter your request.

Psychiatry AI: Real-Time AI Scoping Review
← →
RAISR4D CME/CPD Evidence Nodes
Swipe to navigate RAISR4D CME/CPD evidence nodes.
CME/CPD