Distler Sonja
Heilpädagogisches Zentrum Carina, St. Antoniusstr. 7, A-6800 Feldkirch.
Prax Kinderpsychol Kinderpsychiatr. 2002 Nov;51(9):711-20.
This study tried to figure out if parents initial treatment motivation influenced their final assessment of the treatment process and its outcome in child psychiatry. We evaluated parents therapy motivation by developing a questionnaire based on solution focussed therapy's conception of motivation of clients (Berg 1992). The change during the treatment in parents satisfaction with their life situations and their experience of pressure ("life quality")--independent from their pronounced assessment of the quality of therapy--was taken as one indication of treatment quality. In addition to this parents' assessment of treatment was investigated by a questionnaire for therapy evaluation which included process and outcome quality factors. There could be shown that significant relations existed. Therefore we are convinced that the discussion of quality assurance in child psychiatry should be enlarged with a methodical conception of therapy motivation and the assessment of life quality of parents in addition to the evaluation of their specific therapy satisfaction.
本研究试图弄清楚父母最初的治疗动机是否会影响他们对儿童精神病治疗过程及其结果的最终评估。我们通过基于聚焦解决疗法中来访者动机概念(伯格,1992年)编制问卷来评估父母的治疗动机。治疗期间父母对生活状况的满意度及其压力体验(“生活质量”)的变化——独立于他们对治疗质量的明确评估——被视为治疗质量的一个指标。除此之外,还通过一份治疗评估问卷来调查父母对治疗的评估,该问卷包括过程和结果质量因素。结果表明存在显著关系。因此,我们确信,儿童精神病学中的质量保证讨论,除了评估父母对特定治疗的满意度之外,还应扩大到治疗动机的方法概念以及对父母生活质量的评估。