Children's National Medical Center, HIV Mental Health Services, Washington, DC 20010, USA.
Adm Policy Ment Health. 2012 Mar;39(1-2):90-103. doi: 10.1007/s10488-012-0406-z.
This study introduces the youth and caregiver versions of the Treatment Outcome Expectations Scale (TOES) and presents the results of comprehensive psychometric analyses in a large sample of clinically-referred youth (N = 291) ages 11-18 and their caregivers (N = 268). This study also examines whether expectations are predictive of early or overall treatment change as measured by changes in youth symptom severity rated by multiple respondents (youth, caregiver, and clinician). Additionally, the relationship between treatment outcome expectations and several background, pretreatment, and clinical variables is explored. Finally, this study investigates the correspondence in outcome expectations between dyads of youth and caregivers. Results demonstrate the TOES is a psychometrically sound measure for use in this population. Findings also indicate that while higher youth outcome expectations significantly relate to higher youth-rated internalizing symptom severity at baseline, they also relate to a faster rate of reduction in internalizing symptom severity. Additionally, caregiver age and youth gender were significant predictors of youth-rated outcome expectations. Results also demonstrate a small, positive correlation between youth and caregiver ratings of outcome expectations. Implications, future directions, and limitations of the study are discussed.
本研究介绍了青少年和照顾者版本的治疗结果期望量表（TOES），并在一个大样本的临床转介青少年（N=291）及其照顾者（N=268）中进行了全面的心理测量学分析。本研究还考察了期望是否可以预测早期或整体治疗变化，方法是通过多位受访者（青少年、照顾者和临床医生）对青少年症状严重程度的变化来衡量。此外，还探讨了治疗结果期望与几个背景、治疗前和临床变量之间的关系。最后，本研究调查了青少年和照顾者之间的期望结果是否一致。研究结果表明，TOES 是一种在该人群中使用的具有良好心理测量学特性的测量工具。研究结果还表明，虽然较高的青少年结果期望与较高的青少年自评内在症状严重程度相关，但也与内在症状严重程度的较快降低相关。此外，照顾者年龄和青少年性别是青少年自评结果期望的重要预测因素。研究结果还表明，青少年和照顾者对结果期望的评价之间存在小的正相关。讨论了研究的意义、未来方向和局限性。
