John Mary, Jeffries Fiona W, Acuna-Rivera Marcela, Warren Fiona, Simonds Laura M
Child and Family Mental Health Services, Sussex Partnership NHS Foundation Trust, Chichester, UK.
School of Psychology, University of Surrey, Guildford, UK.
Clin Psychol Psychother. 2015 Nov-Dec;22(6):513-24. doi: 10.1002/cpp.1905. Epub 2014 Jun 10.
Recovery has become a central concept in mental health service delivery, and several recovery-focused measures exist for adults. The concept's applicability to young people's mental health experience has been neglected, and no measures yet exist. Aim The aim of this work is to develop measures of recovery for use in specialist child and adolescent mental health services.
On the basis of 21 semi-structured interviews, three recovery measures were devised, one for completion by the young person and two for completion by the parent/carer. Two parent/carer measures were devised in order to assess both their perspective on their child's recovery and their own recovery process. The questionnaires were administered to a UK sample of 47 young people (10-18 years old) with anxiety and depression and their parents, along with a measure used to routinely assess treatment progress and outcome and a measure of self-esteem.
All three measures had high internal consistency (alpha ≥ 0.89). Young people's recovery scores were correlated negatively with scores on a measure used to routinely assess treatment progress and outcome (r = -0.75) and positively with self-esteem (r = 0.84). Parent and young persons' reports of the young person's recovery were positively correlated (r = 0.61). Parent report of the young person's recovery and of their own recovery process were positively correlated (r = 0.75).
The three measures have the potential to be used in mental health services to assess recovery processes in young people with mental health difficulties and correspondence with symptomatic improvement. The measures provide a novel way of capturing the parental/caregiver perspective on recovery and caregivers' own wellbeing.
No tools exist to evaluate recovery-relevant processes in young people treated in specialist mental health services. This study reports on the development and psychometric evaluation of three self-report recovery-relevant assessments for young people and their caregivers. Findings indicate a high degree of correspondence between young person and caregiver reports of recovery in the former. The recovery assessments correlate inversely with a standardized symptom-focused measure and positively with self-esteem.
康复已成为心理健康服务提供中的核心概念，针对成年人有多种以康复为重点的测量方法。该概念在青少年心理健康体验中的适用性一直被忽视，目前尚无相关测量方法。目的 本研究旨在开发适用于儿童和青少年专科心理健康服务的康复测量方法。
基于21次半结构化访谈，设计了三项康复测量方法，一项由青少年完成，两项由父母/照顾者完成。设计两项父母/照顾者测量方法是为了评估他们对孩子康复的看法以及他们自己的康复过程。这些问卷被发放给英国47名患有焦虑和抑郁的青少年（10 - 18岁）及其父母，同时还发放了用于常规评估治疗进展和结果的测量方法以及自尊测量方法。
所有三项测量方法都具有很高的内部一致性（α≥0.89）。青少年的康复得分与用于常规评估治疗进展和结果的测量方法得分呈负相关（r = -0.75），与自尊得分呈正相关（r = 0.84）。父母和青少年对青少年康复的报告呈正相关（r = 0.61）。父母对青少年康复及其自身康复过程的报告呈正相关（r = 0.75）。
这三项测量方法有可能用于心理健康服务，以评估有心理健康问题的青少年的康复过程以及与症状改善的对应情况。这些测量方法提供了一种新颖的方式来获取父母/照顾者对康复的看法以及照顾者自身的幸福感。
在专科心理健康服务中接受治疗的青少年，目前没有工具来评估与康复相关的过程。本研究报告了针对青少年及其照顾者的三项与康复相关的自我报告评估工具的开发和心理测量评估。结果表明，在前者中，青少年和照顾者对康复的报告具有高度一致性。康复评估与以症状为重点的标准化测量方法呈负相关，与自尊呈正相关。
