Garland Ann F, Aarons Gregory A, Hawley Kristin M, Hough Richard L
Child and Adolescent Services Research Center, Children's Hospital and Health Center, 3020 Children's Way, MC 3033, San Diego, CA 92123, USA.
Psychiatr Serv. 2003 Nov;54(11):1544-6. doi: 10.1176/appi.ps.54.11.1544.
This study examined how youth-reported satisfaction with specialty mental health services was associated with youths' symptom and functioning change. Change in clinical functioning was assessed prospectively on the basis of parent, youth, and interviewer report for 369 youths (aged nine to 18 years at study entry) receiving mental health services. Satisfaction was assessed at two-year follow-up. The results indicated that satisfaction was only minimally associated with clinical change, and only in the case of youth-reported clinical change. Parent- and interviewer-reported change were not associated with consumer satisfaction. These results suggest that consumer satisfaction is not a good indicator of effectiveness of treatment in changing clinical functioning.
本研究探讨了青少年报告的对专科心理健康服务的满意度如何与青少年的症状及功能变化相关联。基于接受心理健康服务的369名青少年（研究开始时年龄在9至18岁）的父母、青少年及访谈者报告，对临床功能变化进行了前瞻性评估。在两年随访时评估满意度。结果表明，满意度仅与临床变化存在极小关联，且仅在青少年报告的临床变化方面如此。父母和访谈者报告的变化与消费者满意度无关。这些结果表明，消费者满意度并非治疗改变临床功能有效性的良好指标。
