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预测社区青少年心理治疗的就诊频率

Predicting Frequency of Treatment Visits in Community-Based Youth Psychotherapy.

作者信息

Brookman-Frazee Lauren, Haine Rachel A, Gabayan Elaine N, Garland Ann F

机构信息

Child & Adolescent Services Research Center.

出版信息

Psychol Serv. 2008 May 1;5(2):126-138. doi: 10.1037/1541-1559.5.2.126.

Abstract

The current study examines factors associated with the number of treatment visits attended by a youth and/or family, including sociodemographic variables, youth clinical characteristics and parent/family characteristics at intake, therapist characteristics, and treatment entry characteristics. A total of 57 therapists in two publicly-funded youth mental health clinics and 169 youths and parents from the therapists' combined caseloads were included in the study. Negative binomial regression was used to examine whether factors within these domains predict the number of treatment visits in this community-based sample. Both therapist and treatment entry characteristics significantly predicted the frequency of treatment visits. Specifically, youth self report of higher symptom severity and stronger parent-youth treatment goal agreement were associated with a higher number of treatment visits. Implications for research and practice are discussed.

摘要

本研究考察了与青少年和/或家庭接受治疗的次数相关的因素,包括社会人口统计学变量、青少年临床特征、初次就诊时的父母/家庭特征、治疗师特征以及治疗开始特征。来自两家公立青少年心理健康诊所的57名治疗师以及这些治疗师综合病例中的169名青少年及其父母参与了本研究。采用负二项回归分析来检验这些领域中的因素是否能预测这个社区样本中的治疗就诊次数。治疗师特征和治疗开始特征均能显著预测治疗就诊频率。具体而言,青少年自我报告的症状严重程度较高以及父母与青少年在治疗目标上的一致性较强与更多的治疗就诊次数相关。文中还讨论了本研究对研究和实践的启示。

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