Ferdinand Robert F, Hoogerheide Kirsten N, van der Ende Jan, Visser Jeroen Heijmens, Koot Hans M, Kasius Marianne C, Verhulst Frank C
Department of Child and Adolescent Psychiatry, Academic Hospital Rotterdam-Sophia/Erasmus University Rotterdam, The Netherlands.
J Child Psychol Psychiatry. 2003 Sep;44(6):867-76. doi: 10.1111/1469-7610.00171.
The present study investigated the differential predictive value of parents', teachers', and clinicians' reports of psychopathology for poor outcome in children referred to a child psychiatric outpatient clinic.
A referred sample (N = 96), aged 6 to 12 years at initial assessment, was followed up after a mean interval of 3.2 years. Data on parent- and teacher-reported problem behavior (Child Behavior Checklist and Teacher's Report Form), and clinician-reported observations and self-reports during a semi-structured clinical interview (SCICA), were linked to outcome measures assessed with a parent questionnaire, including outpatient and inpatient treatment at Time 2, parent's wish for professional help for the child, school problems, and police/judicial contacts.
Information from all three informants (clinicians, parents, and teachers) predicted measures of poor outcome after three years. Clinicians' ratings on the SCICA predicted all five outcome measures. Independent of CBCL and TRF scores, SCICA scores predicted parental wish for help and inpatient treatment.
The present study was the first to report that clinician's ratings of self-reported and observed behaviors in a semi-structured interview (SCICA) make an important unique contribution to the multiaxial assessment of problem behaviors.
本研究调查了在儿童精神科门诊就诊的儿童中，父母、教师和临床医生关于精神病理学的报告对不良预后的差异预测价值。
选取了一个转诊样本（N = 96），初始评估时年龄在6至12岁之间，平均间隔3.2年后进行随访。将父母和教师报告的问题行为数据（儿童行为检查表和教师报告表），以及临床医生在半结构化临床访谈（SCICA）期间报告的观察结果和自我报告，与通过家长问卷评估的预后指标相关联，包括第二次就诊时的门诊和住院治疗、家长希望为孩子寻求专业帮助的情况、学校问题以及与警方/司法部门的接触。
来自所有三位信息提供者（临床医生、父母和教师）的信息都能预测三年后的不良预后指标。临床医生在SCICA上的评分能够预测所有五项预后指标。独立于CBCL和TRF分数，SCICA分数能够预测家长寻求帮助的意愿和住院治疗情况。
本研究首次报告，临床医生在半结构化访谈（SCICA）中对自我报告和观察到的行为的评分，对问题行为的多轴评估做出了重要的独特贡献。
