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[患有精神疾病的儿童和青少年的生活质量。第一项多中心研究的结果,该研究采用了一份评估儿童和青少年生活质量的量表]

[Quality of life of children and adolescents with psychiatric disorders. Results of the 1st multicenter study with an inventory to assess the quality of life in children and adolescents].

作者信息

Mattejat F, Simon B, König U, Quaschner K, Barchewitz C, Felbel D, Herpertz-Dahlmann B, Höhne D, Janthur B, Jungmann J, Katzenski B, Naumann A, Nölkel P, Schaff C, Schulz E, Warnke A, Wienand F, Remschmidt H

机构信息

Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie des Kindes- und Jugendalters der Philipps-Universität Marburg Hans-Sachs-Strasse 4-6 D-35033 Marburg.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2003 Nov;31(4):293-303. doi: 10.1024/1422-4917.31.4.293.

Abstract

OBJECTIVE

A newly developed, disorder-nonspecific instrument to measure the quality of life in children and adolescents (ILK, Mattejat et al., 1998) was tested with regard to its ability to differentiate between psychiatric in- and outpatient samples.

METHODS

626 children and adolescents from regionally different in- and outpatient clinics completed the ILK questionnaire. The data obtained were first described and then analyzed by means of logistic regression analysis.

RESULTS

Whereas the descriptive analysis revealed that inpatients evaluated all areas of life more unfavorably than outpatients did, the logistic regression analysis modified these results. It became evident that some of the findings obtained were due to the effects of age and/or gender. However, given age and gender as covariates, there still remained some important life domains in which inpatients were more impaired than outpatients.

CONCLUSIONS

The ILK turned out to be an efficient and economic instrument to measure the quality of life in children and adolescents depending on the severity of their disorder. Moreover, it is sensitive to effects of age and gender. As the ILK is able to reliably identify areas with a reduced quality of life, it offers valuable starting points for indications, therapy planning and initial therapeutic interventions.

摘要

目的

对一种新开发的、用于测量儿童和青少年生活质量的非特异性疾病量表(ILK,Mattejat等人,1998年)进行测试,以评估其区分精神科门诊和住院样本的能力。

方法

来自不同地区门诊和住院诊所的626名儿童和青少年完成了ILK问卷。首先对获得的数据进行描述,然后通过逻辑回归分析进行分析。

结果

描述性分析显示,住院患者对生活各个方面的评价比门诊患者更负面,但逻辑回归分析修正了这些结果。很明显,一些所得结果是由于年龄和/或性别的影响。然而,将年龄和性别作为协变量考虑后,仍有一些重要的生活领域,住院患者比门诊患者受损更严重。

结论

根据疾病严重程度,ILK被证明是一种测量儿童和青少年生活质量的有效且经济的工具。此外,它对年龄和性别的影响敏感。由于ILK能够可靠地识别生活质量降低的领域,它为诊断、治疗计划和初始治疗干预提供了有价值的起点。

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