Ronan George F, Dreer Laura E, Gerhart Jim I
Department of Psychology, Central Michigan University, Mount Pleasant, MI 48859, USA.
Int J Adolesc Med Health. 2008 Oct-Dec;20(4):405-18. doi: 10.1515/ijamh.2008.20.4.405.
The study compared the psychiatric symptoms, coping skills, and family functioning of adolescent psychiatric inpatients and their primary caretakers with a non-clinical comparison group of adolescents and their primary caretakers. Participants completed measures of psychiatric symptoms, life experiences, problem-solving ability, family functioning, and anger. MANOVAs compared the adolescents and caretakers across the normative and clinical samples. A discriminate function analysis predicted membership in the clinical and non-clinical sample. Primary caretakers for the hospitalized adolescents reported significant differences in self-reported family functioning, life stress, psychiatric symptoms, and ratings of adolescent problem behaviors. These variables successfully classified 78% of the sample as inpatient or non-clinical comparison subjects. Adolescents hospitalized for psychiatric reasons did not differ from their non-clinical counterparts on self-report measures of psychiatric symptoms, distress, problem behaviors, problem solving, or trait anger. Independent of psychiatric status, adolescent self-reported family functioning and adolescent problem solving skills predicted the number of problems adolescents endorsed, the number of symptoms adolescents endorsed, and adolescent levels of trait anger. Although a brief psychiatric hospitalization seemed effective in treating adolescent mental health patients, the primary caretakers remained more symptomatic than a non-clinical cohort. Continuing to focus on the development of health care policies that are sensitive to needs of the primary caretakers will likely enhance long-term outcomes.
该研究将青少年精神科住院患者及其主要照顾者的精神症状、应对技巧和家庭功能，与一个由青少年及其主要照顾者组成的非临床对照组进行了比较。参与者完成了精神症状、生活经历、解决问题能力、家庭功能和愤怒方面的测量。多变量方差分析比较了正常样本和临床样本中的青少年及照顾者。判别函数分析预测了临床样本和非临床样本的归属。住院青少年的主要照顾者在自我报告的家庭功能、生活压力、精神症状以及青少年问题行为评分方面存在显著差异。这些变量成功地将78%的样本分类为住院患者或非临床对照对象。因精神问题住院的青少年在精神症状、痛苦、问题行为、解决问题能力或特质愤怒的自我报告测量方面，与非临床对照组的青少年没有差异。不考虑精神状态，青少年自我报告的家庭功能和青少年解决问题的技巧可以预测青少年认可的问题数量、青少年认可的症状数量以及青少年的特质愤怒水平。尽管短暂的精神科住院治疗似乎对治疗青少年心理健康患者有效，但主要照顾者的症状仍比非临床队列更严重。继续关注制定对主要照顾者需求敏感的医疗保健政策，可能会提高长期治疗效果。
