有未满足治疗需求的城市青少年的诊断概况：共病与感知到的治疗需求
Diagnostic Profiles among Urban Adolescents with Unmet Treatment Needs: Comorbidity and Perceived Need for Treatment.
作者信息
Hogue Aaron, Dauber Sarah
机构信息
The National Center on Addiction and Substance Abuse at Columbia University.
出版信息
J Emot Behav Disord. 2013 Mar 1;21(1):18-32. doi: 10.1177/1063426611407500.
Abstract
The goal of this study was to document comorbidity profiles of psychiatric disorder and perceived need for treatment among urban adolescents with unmet behavioral health needs. Participants were 303 community-referred adolescents and their primary caregivers. Adolescents included both boys (54%) and girls and were primarily Hispanic (58%), African American (23%), and multiracial (13%). Home-based interviews with both adolescents and caregivers were used to assess DSM-IV diagnoses and perceived treatment needs. Most adolescents (80%) were diagnosed with multiple disorders and most families (66%) reported a need to treat more than one disorder. Latent class analysis of endorsed DSM-IV disorders identified five distinct diagnostic profiles: Parental Concern, Adolescent Distress, Basic Externalizers, Severely Distressed, and Comorbid Externalizers. Diagnostic profiles were compared on perceived treatment need and related psychosocial risk characteristics. Implications for behavioral health care policy and practice for youth with unmet treatment needs are discussed.
摘要
本研究的目的是记录有未满足行为健康需求的城市青少年中精神障碍的共病情况及感知到的治疗需求。研究对象为303名社区转介的青少年及其主要照顾者。青少年包括男孩（54%）和女孩，主要为西班牙裔（58%）、非裔美国人（23%）和多种族（13%）。对青少年及其照顾者进行的居家访谈用于评估《精神疾病诊断与统计手册》第四版（DSM-IV）的诊断及感知到的治疗需求。大多数青少年（80%）被诊断患有多种障碍，大多数家庭（66%）报告需要治疗不止一种障碍。对认可的DSM-IV障碍进行潜在类别分析，确定了五种不同的诊断类型：父母关注型、青少年苦恼型、基本外化型、严重苦恼型和共病外化型。比较了不同诊断类型在感知到的治疗需求及相关心理社会风险特征方面的差异。讨论了对有未满足治疗需求的青少年的行为健康护理政策及实践的启示。
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