Thabrew Hiran, McDowell Heather, Given Katherine, Murrell Kathryn
University of Auckland, Auckland, New Zealand.
Auckland District Health Board, Auckland, New Zealand.
Glob Pediatr Health. 2017 Feb 10;4:2333794X17690314. doi: 10.1177/2333794X17690314. eCollection 2017.
Children and adolescents with long-term physical conditions (LTPCs) are at greater risk of developing psychosocial problems. Screening for such problems may be undertaken using validated psychometric instruments to facilitate early intervention. A systematic review was undertaken to identify clinically utilized and psychometrically validated instruments for identifying depression, anxiety, behavior problems, substance use problems, family problems, and multiple problems in children and adolescents with LTPCs. Comprehensive searches of articles published in English between 1994 and 2014 were completed via Medline, Embase, PsycINFO, CINAHL, and Cochrane CENTRAL databases, and by examining reference lists of identified articles and previous related reviews. Forty-four potential screening instruments were identified, described, and evaluated against predetermined clinical and psychometric criteria. Despite limitations in the evidence regarding their clinical and psychometric validity in this population, a handful of instruments, available at varying cost, in multiple languages and formats, were identified to support targeted, but not universal, screening for psychosocial problems in children and adolescents with LTPCs.
患有长期身体疾病（LTPCs）的儿童和青少年出现心理社会问题的风险更高。可使用经过验证的心理测量工具进行此类问题的筛查，以便于早期干预。进行了一项系统综述，以确定临床上使用的、经过心理测量验证的工具，用于识别患有LTPCs的儿童和青少年的抑郁、焦虑、行为问题、物质使用问题、家庭问题和多种问题。通过Medline、Embase、PsycINFO、CINAHL和Cochrane CENTRAL数据库，以及检查已识别文章的参考文献列表和先前相关综述，对1994年至2014年间以英文发表的文章进行了全面检索。确定了44种潜在的筛查工具，并根据预先确定的临床和心理测量标准进行了描述和评估。尽管在该人群中关于其临床和心理测量有效性的证据存在局限性，但还是确定了一些工具，这些工具价格各异，有多种语言和格式，可支持对患有LTPCs的儿童和青少年进行有针对性而非普遍性的心理社会问题筛查。
