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Examined several self-report items traditionally used to identify children of alcoholics for their utility in identifying mental health risk status. The meaning of children's responses to these items was also examined. Collectively, these items reflected children's concern about their parents' drinking. Across multiple studies, children who reported concern about parental drinking reported higher levels of psychological and behavioral problems. This pattern existed whether or not children had a problem-drinking parent. Discriminant analyses with data from child and mother reports showed that children who reported concern were from homes with greater stress, lower income, and less supportive mother-child relationships.