Kirsty A Clark1, Rebekah J Mennies2, Thomas M Olino2, Lea R Dougherty3, John E Pachankis4. 1. Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT. Electronic address: kirsty.clark@yale.edu. 2. Department of Psychology, Temple University, Philadelphia, PA. 3. Department of Psychology, University of Maryland, College Park, College Park, MD. 4. Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT.
Abstract
PURPOSE: We sought to document the association between parent's report and their child's report of the child's sexual orientation and associations between this agreement/disagreement and the child's psychiatric morbidity. METHODS: Data were drawn from 11,565 parent-child dyads who completed the baseline assessment of the Adolescent Brain Cognitive Development study (2016-2018; children ages 9-10 years). Whether the child was "gay or bisexual" was asked separately of parent and child. We created four categories: (1) Concordant No; (2) Discordant: Parent Yes/Maybe, Child No/Unclear; (3) Discordant: Parent No, Child Yes/Maybe; (4) Concordant Yes/Maybe. Parents reported their child's lifetime psychiatric morbidity (i.e., depression, anxiety, ADHD, ODD, OCD, PTSD, eating disorder, and conduct disorder). RESULTS: Of parent-child dyads, 960 (7.9%) disagreed about the child's sexual orientation; the Concordant No dyads reported the lowest psychiatric morbidity compared with the other three dyad groups. Child psychiatric morbidity among the Discordant: Parent Yes/Maybe dyads compared with the Concordant No dyads was elevated across all disorders except PTSD (e.g., depression [adjusted odds ratio (aOR) = 2.20, 95% confidence interval (95% CI): 1.51-3.21], anxiety [aOR = 1.63, 95% CI: 1.38-1.92], and eating disorder [aOR = 2.63, 95% CI: 1.39-4.68]). CONCLUSIONS: The sexual orientation disparity in psychiatric morbidity begins in childhood. Parent-child agreement/disagreement of children's sexual orientation represents a potential marker of this early vulnerability.
PURPOSE: We sought to document the association between parent's report and their child's report of the child's sexual orientation and associations between this agreement/disagreement and the child's psychiatric morbidity. METHODS: Data were drawn from 11,565 parent-child dyads who completed the baseline assessment of the Adolescent Brain Cognitive Development study (2016-2018; children ages 9-10 years). Whether the child was "gay or bisexual" was asked separately of parent and child. We created four categories: (1) Concordant No; (2) Discordant: Parent Yes/Maybe, Child No/Unclear; (3) Discordant: Parent No, Child Yes/Maybe; (4) Concordant Yes/Maybe. Parents reported their child's lifetime psychiatric morbidity (i.e., depression, anxiety, ADHD, ODD, OCD, PTSD, eating disorder, and conduct disorder). RESULTS: Of parent-child dyads, 960 (7.9%) disagreed about the child's sexual orientation; the Concordant No dyads reported the lowest psychiatric morbidity compared with the other three dyad groups. Childpsychiatric morbidity among the Discordant: Parent Yes/Maybe dyads compared with the Concordant No dyads was elevated across all disorders except PTSD (e.g., depression [adjusted odds ratio (aOR) = 2.20, 95% confidence interval (95% CI): 1.51-3.21], anxiety [aOR = 1.63, 95% CI: 1.38-1.92], and eating disorder [aOR = 2.63, 95% CI: 1.39-4.68]). CONCLUSIONS: The sexual orientation disparity in psychiatric morbidity begins in childhood. Parent-child agreement/disagreement of children's sexual orientation represents a potential marker of this early vulnerability.
Authors: Andrea L Roberts; Margaret Rosario; Natalie Slopen; Jerel P Calzo; S Bryn Austin Journal: J Am Acad Child Adolesc Psychiatry Date: 2012-12-28 Impact factor: 8.829
Authors: Hilary Goldhammer; Chris Grasso; Sabra L Katz-Wise; Katharine Thomson; Allegra R Gordon; Alex S Keuroghlian Journal: J Am Med Inform Assoc Date: 2022-06-14 Impact factor: 7.942