Yeh M, Weisz J R
Department of Psychology, University of California, Los Angeles, USA.
J Consult Clin Psychol. 2001 Dec;69(6):1018-25. doi: 10.1037//0022-006x.69.6.1018.
Do clinic-referred children and their parents agree on the problems for which treatment is undertaken? The authors asked 381 outpatient-clinic-referred children and their parents to list, independently, the child's target problems. Of the parent-child pairs, 63% failed to agree on even a single problem. When problems were grouped into broad categories (e.g., delinquent, withdrawn), more than a third of the pairs still failed to agree on a single broad problem area. Parent-child agreement was higher for externalizing than for internalizing problem categories (though poor for both). Low parent-child agreement may help explain the poor outcomes often reported for clinic-based child therapy.
临床转介的儿童及其父母是否就接受治疗的问题达成一致?作者让381名临床门诊转介的儿童及其父母分别列出孩子的目标问题。在这些亲子对中,63%甚至在一个问题上都未能达成一致。当问题被归为宽泛的类别(如违法、孤僻)时,超过三分之一的亲子对在一个宽泛的问题领域上仍未达成一致。外化问题类别的亲子一致性高于内化问题类别(尽管两者都很低)。低亲子一致性可能有助于解释基于诊所的儿童治疗中经常报告的不良结果。