Teagle Sarah E
Center for Risk Behavior and Mental Health Research, Division of Health, Social and Economic Research, Research Triangle Institute, 3040 Cornwallis Road (Cox 2 Bldg, Room 361), Research Triangle Park, North Carolina 27709, USA.
Ment Health Serv Res. 2002 Dec;4(4):257-66. doi: 10.1023/a:1020981019342.
This study estimates the prevalence and correlates of two components of problem recognition among parents and assesses their relative effects on child mental health service use in several settings. Analyses were based on data from a population-based sample of 1,420 youth-parent pairs. Child psychopathology and impairment were assessed using the Child and Adolescent Psychiatric Assessment. Problem perception was defined as reporting one or more problems or needs; family impact as reporting one or more impacts. Recent use of 30+ types of mental health services was examined. The frequency of problem perception was 13.3% and family impacts 11.2% across all observations. Among parents of children with 1+ DSM-IV psychiatric diagnosis, 39.0% perceived problems and 31.7% perceived impacts. The strongest predictor of problem perception was impact and vice versa. Problem perception (and not impact) was predictive of specialty services after controlling for child illness. Neither problem recognition component predicted general medical or school use. Findings suggest the need for parent education to help them identify serious problems and for universal screening to ensure that access to specialty services is not dependent solely on parents. Problem recognition should be expanded to include perceptions of other adults in models of access mental health care.
本研究估计了父母中问题识别两个组成部分的患病率及其相关因素，并在多种环境中评估了它们对儿童心理健康服务使用的相对影响。分析基于来自1420对青少年-父母对的基于人群的样本数据。使用儿童和青少年精神病学评估来评估儿童精神病理学和功能损害。问题认知被定义为报告一个或多个问题或需求；家庭影响被定义为报告一个或多个影响。研究了最近使用的30多种心理健康服务。在所有观察中，问题认知的频率为13.3%，家庭影响的频率为11.2%。在患有1种及以上DSM-IV精神疾病诊断的儿童的父母中，39.0%察觉到问题，31.7%察觉到影响。问题认知的最强预测因素是影响，反之亦然。在控制儿童疾病后，问题认知（而非影响）可预测专科服务的使用。问题识别的两个组成部分均不能预测一般医疗或学校服务的使用。研究结果表明，需要开展家长教育以帮助他们识别严重问题，并进行普遍筛查以确保获得专科服务不 solely 依赖于父母。在心理健康护理获取模式中，问题识别应扩大到包括其他成年人的认知。
