Choi Chris, Ferro Mark A
Offord Centre for Child Studies, McMaster University, Hamilton, Ontario.
School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario.
J Can Acad Child Adolesc Psychiatry. 2018 Jan;27(1):57-62. Epub 2018 Jan 1.
This study compared levels of self-concept among youth who were currently receiving inpatient versus outpatient mental health services.
Forty-seven youth were recruited from the Child & Youth Mental Health Program at McMaster Children's Hospital. Self-concept was measured using the Self-Perception Profile for Children and Adolescents.
The mean age was 14.5 years and most participants were female (70.2%). ANOVAs comparing self-concept with population norms showed large significant effects (d = 0.77 to 1.93) indicating compromised self-concept among youth receiving mental health services. Regression analyses controlling for patient age, sex, family income, and diagnoses of major depressive disorder, generalized social phobia, and generalized anxiety showed that the inpatient setting was a significant predictor of lower global self-worth (β=-.26; p=.035).
Compared to outpatients, inpatients generally reported lower self-concept, but differences were significant only for global self-worth. Future research replicating this finding and assessing its clinical significance is encouraged.
本研究比较了目前正在接受住院与门诊心理健康服务的青少年的自我概念水平。
从麦克马斯特儿童医院的儿童与青少年心理健康项目中招募了47名青少年。使用儿童和青少年自我认知量表来测量自我概念。
平均年龄为14.5岁，大多数参与者为女性（70.2%）。将自我概念与总体标准进行比较的方差分析显示出巨大的显著效应（d = 0.77至1.93），表明接受心理健康服务的青少年的自我概念受到损害。对患者年龄、性别、家庭收入以及重度抑郁症、广泛性社交恐惧症和广泛性焦虑症的诊断进行控制的回归分析表明，住院环境是全球自我价值较低的一个显著预测因素（β = -0.26；p = 0.035）。
与门诊患者相比，住院患者普遍报告自我概念较低，但差异仅在全球自我价值方面显著。鼓励未来进行重复此发现并评估其临床意义的研究。
