HIV Mental Health Services, Children's National Medical Center, Washington, DC 20010, USA.
Adm Policy Ment Health. 2012 Mar;39(1-2):60-70. doi: 10.1007/s10488-012-0411-2.
The present study examined the relationship between initial youth hope, measured within the first 4 weeks of mental health treatment, and treatment progress over time (self-, caregiver-, and clinician-report of symptom severity) in a clinical sample of youth ages 11-18 years (N = 356). The psychometric properties of the CHS-PTPB, a revised version of the Children's Hope Scale, are also presented. Results indicate the CHS-PTPB is a psychometrically sound measure for use in this population. Additionally, results found that while higher levels of hope were associated with lower levels of symptom severity at baseline, initial level of hope was not significantly related to symptom improvement over time as reported by the youth and caregiver. Surprisingly, higher initial hope predicted slower treatment progress as rated by clinicians. According to clinician-rated symptom severity, youth with high initial hope and high baseline symptom severity show the poorest predicted clinical outcome. Implications, future directions, and limitations of the study are discussed.
本研究考察了青少年心理健康治疗最初的 4 周内的初始希望水平与随时间推移的治疗进展（自我报告、照料者报告和临床医生报告的症状严重程度）之间的关系，研究对象为 11-18 岁的青少年（n=356）。同时还呈现了 CHS-PTPB 的心理测量学特性，CHS-PTPB 是儿童希望量表的修订版。研究结果表明，CHS-PTPB 是一种适合该人群使用的具有良好心理测量学特性的测量工具。此外，研究结果发现，虽然更高的希望水平与基线时更低的症状严重程度相关，但初始希望水平与青少年和照料者报告的随时间推移的症状改善之间没有显著相关。令人惊讶的是，较高的初始希望预示着临床医生评定的治疗进展较慢。根据临床医生评定的症状严重程度，初始希望水平高且基线症状严重程度高的青少年显示出最差的预测临床结局。本研究讨论了其意义、未来方向和局限性。
