Prochaska John D, Le Vi Donna, Baillargeon Jacques, Temple Jeff R
Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX, 77555-1153, USA.
Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, USA.
Community Ment Health J. 2016 Aug;52(6):691-700. doi: 10.1007/s10597-015-9968-z. Epub 2016 Jan 5.
This study examines results from three mental health screening measures in a cohort of adolescent public school students in seven public schools in Southeast Texas affiliated with the Dating it Safe study. We estimated the odds of receiving professional mental health treatment in the previous year given results from different mental health screening batteries: the CES-D 10 battery for depression screening, the Screen for Child Anxiety Related Disorders, and the Primary Care Posttraumatic Stress Disorder screen. Overall, students with higher scores on screening instruments for depression, posttraumatic stress disorder, and combinations of screening instruments were more likely to have sought past-year professional mental health treatment than non-symptomatic youth. However, the proportion of students screening positive and receiving professional treatment was low, ranging from 11 to 16 %. This study emphasizes the need for broader evaluation of population-based mental health screening among adolescents.
本研究考察了德克萨斯州东南部七所公立学校中参与“安全约会”研究的一群青少年公立学校学生的三项心理健康筛查措施的结果。我们根据不同心理健康筛查组合的结果估计了上一年接受专业心理健康治疗的几率：用于抑郁症筛查的CES-D 10组合、儿童焦虑相关障碍筛查以及初级保健创伤后应激障碍筛查。总体而言，在抑郁症、创伤后应激障碍筛查工具以及筛查工具组合中得分较高的学生，比无症状的青少年更有可能在过去一年寻求专业心理健康治疗。然而，筛查呈阳性并接受专业治疗的学生比例较低，在11%至16%之间。本研究强调了对青少年基于人群的心理健康筛查进行更广泛评估的必要性。
