基于焦虑的学校拒学青少年及其父母的精神科护理体验：一项定性研究。
The Experience of Psychiatric Care of Adolescents with Anxiety-based School Refusal and of their Parents: A Qualitative Study.
作者信息
Sibeoni Jordan, Orri Massimiliano, Podlipski Marc-Antoine, Labey Mathilde, Campredon Sophie, Gerardin Priscille, Revah-Levy Anne
机构信息
Service Universitaire de Psychiatrie de l'Adolescent. Argenteuil Hospital Centre, Argenteuil, France.
ECSTRA Team, UMR-1153, Inserm, Paris Diderot University, Sorbonne Paris Cité.
出版信息
J Can Acad Child Adolesc Psychiatry. 2018 Jan;27(1):39-49. Epub 2018 Jan 1.
OBJECTIVE
Anxiety-based school refusal in adolescence is a complex, sometimes difficult to treat disorder that can have serious academic and psychiatric consequences. The objective of this qualitative study was to explore how teens with this problem and their parents experience the psychiatric care received.
METHODS
This qualitative multicenter study took place in France, where we conducted semi-structured interviews with adolescents receiving psychiatric care for anxiety-based school refusal and with their parents. Data collection by continued until we reached theoretical sufficiency. Data analysis was thematic.
RESULTS
This study included 20 adolescents aged 12 to 18 years and 21 parents. Two themes emerged from the analysis: (1) the goals of psychiatric care with two sub-themes, "" and ; and, (2) the therapeutic levers identified as effective with two sub-themes: and .
CONCLUSION
Our results show a divergence between parents and teens in their representations of care and especially of its goals. Therapeutic and research implications about the terms of return to school within psychiatric care and also the temporality of care are discussed.
目的
青少年基于焦虑的学校拒学是一种复杂的、有时难以治疗的疾病，可能会产生严重的学业和精神后果。这项定性研究的目的是探讨有此问题的青少年及其父母如何体验所接受的精神科护理。
方法
这项定性多中心研究在法国进行，我们对因基于焦虑的学校拒学而接受精神科护理的青少年及其父母进行了半结构化访谈。数据收集持续进行，直至达到理论饱和。数据分析采用主题分析法。
结果
本研究纳入了20名12至18岁的青少年和21名父母。分析得出两个主题：（1）精神科护理的目标，有两个子主题，即“”和“”；以及，（2）被认为有效的治疗手段，有两个子主题：“”和“”。
结论
我们的结果显示，父母和青少年对护理的认知，尤其是对护理目标的认知存在差异。讨论了精神科护理中关于返校条件以及护理时间性的治疗和研究意义。
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