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照顾者生活满意度:与青少年症状严重程度的治疗关系。

Caregiver life satisfaction: relationship to youth symptom severity through treatment.

机构信息

Center for Evaluation and Program Improvement, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203, USA.

出版信息

J Clin Child Adolesc Psychol. 2012;41(4):433-44. doi: 10.1080/15374416.2012.684273. Epub 2012 May 9.

Abstract

This study utilized the Satisfaction with Life Scale to investigate the life satisfaction of caregivers for youth receiving mental health services (N = 383). Specifically, this study assessed how caregiver life satisfaction relates to youth symptom severity throughout treatment. Hierarchical linear modeling with a time-varying covariate was used to estimate the linear trajectory of caregiver life satisfaction and how it relates to youth symptom severity as rated by caregivers, youth, and clinicians. Results found initial caregiver life satisfaction was inversely related to caregiver and clinician rated youth symptom severity. In addition, subsequent caregiver life satisfaction demonstrated a small but significant relationship to changes in youth symptom severity during treatment where a decrease in youth symptoms corresponded to an increase in caregiver life satisfaction, and vice versa. Caregiver background characteristics related to higher life satisfaction included being (a) married, a birth parent, and younger than 40 years old, and (b) having the absence of previous diagnoses of an emotional, behavioral, or substance use disorder. Despite significant change over time, caregivers of clinically referred youth demonstrated low levels of life satisfaction throughout youth treatment. Given the bidirectional influences on one another, tending to the well-being of caregivers may positively influence both caregivers and youths.

摘要

本研究采用生活满意度量表来调查接受心理健康服务的青少年的照顾者的生活满意度(N=383)。具体来说,本研究评估了照顾者生活满意度与青少年在治疗过程中的症状严重程度之间的关系。使用具有时变协变量的分层线性模型来估计照顾者生活满意度的线性轨迹,以及它如何与照顾者、青少年和临床医生对青少年症状严重程度的评估相关。结果发现,初始照顾者生活满意度与照顾者和临床医生评定的青少年症状严重程度呈负相关。此外,随后的照顾者生活满意度与治疗期间青少年症状严重程度的变化呈小但显著的关系,即青少年症状的减少对应于照顾者生活满意度的增加,反之亦然。与更高的生活满意度相关的照顾者背景特征包括(a)已婚、是孩子的亲生父母,且年龄小于 40 岁,以及(b)没有先前的情感、行为或物质使用障碍诊断。尽管随着时间的推移发生了显著变化,但在青少年治疗期间,临床转介的青少年的照顾者表现出低水平的生活满意度。鉴于彼此之间的双向影响,关注照顾者的福祉可能会对照顾者和青少年都产生积极影响。

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