对具有相似症状的青少年进行分组：一种以个体为中心的跨诊断亚组方法。
Grouping Youth With Similar Symptoms: A Person-Centered Approach to Transdiagnostic Subgroups.
作者信息
Bonadio F Tony, Dynes Morgan, Lackey Jennifer, Tompsett Carolyn, Amrhein Kelly
机构信息
Bowling Green State University.
出版信息
J Clin Psychol. 2016 Jul;72(7):676-88. doi: 10.1002/jclp.22274. Epub 2016 Feb 25.
OBJECTIVES
The present study extracted symptom profiles based on parent and youth report on a broad symptom checklist. Profiles based on parent-reported symptoms were compared to those based on adolescent self-report to clarify discrepancies.
METHOD
The current study used archival data from 1,269 youth and parent dyads whose youth received services at a community mental health center. The mean age of the sample was 14.31 years (standard deviation = 1.98), and the youth sample was half male (50.1%) and primarily Caucasian (86.8%). Latent profile analysis was used to extract models based on parent and self-reported emotional and behavioral problems.
RESULTS
Results indicated that a 5-class solution was the best fitting model for youth-reported symptoms and an adequate fit for parent-reported symptoms. For 46.5% of the sample, class membership matched for both parent and youth.
CONCLUSION
Latent profile analysis provides an alternative method for exploring transdiagnostic subgroups within clinic-referred samples.
目的
本研究基于家长和青少年对一份广泛症状清单的报告提取症状概况。将基于家长报告症状的概况与基于青少年自我报告的概况进行比较，以阐明差异。
方法
本研究使用了来自1269对青少年与家长的数据档案，这些青少年在社区心理健康中心接受服务。样本的平均年龄为14.31岁（标准差=1.98），青少年样本中男性占一半（50.1%），主要为白种人（86.8%）。潜在概况分析用于根据家长和自我报告的情绪及行为问题提取模型。
结果
结果表明，五类解决方案是青少年报告症状的最佳拟合模型，对家长报告症状而言拟合度也足够。对于46.5%的样本，家长和青少年的类别归属相匹配。
结论
潜在概况分析为探索临床转诊样本中的跨诊断亚组提供了一种替代方法。
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