Maastricht University Medical Centre, The Netherlands.
Maastricht University, The Netherlands.
J Atten Disord. 2020 Jan;24(1):104-112. doi: 10.1177/1087054718756194. Epub 2018 Feb 22.
A new Dutch Child and Youth Act should reduce specialized mental health care for children with symptoms of ADHD. Characteristics of children referred to a specialized ADHD clinic are explored to give direction to this intention. Data of 261 children who underwent a multidisciplinary best practice evaluation (including rating scales, and demographic, psychological, and somatic findings) were analyzed. Univariable and multivariable logistic regression models were used to find predictive variables for the need of specialized mental health care. Collected data were heterogeneous. (Sub)clinical total scores on the Teacher Report Form (TRF) and Child Behavior Checklist (CBCL) were predictive variables for specialized mental health care. Also children with divorced parents were more often referred to specialized care. (Sub)clinical scores on the CBCL and TRF increased the need for specialized care, but comprehensive assessment of every child with ADHD symptoms was necessary to differentiate between levels of care.
新的荷兰儿童和青少年法案应该减少针对 ADHD 症状儿童的专业心理健康护理。本研究旨在通过探索被转介至专门 ADHD 诊所的儿童的特征，为这一意图提供指导。分析了 261 名接受多学科最佳实践评估（包括评定量表以及人口统计学、心理学和躯体学发现）的儿童的数据。使用单变量和多变量逻辑回归模型来寻找需要专业心理健康护理的预测变量。所收集的数据具有异质性。教师报告表 (TRF) 和儿童行为检查表 (CBCL) 的 (亚)临床总分是专业心理健康护理的预测变量。此外，父母离异的儿童更常被转介至专业护理。CBCL 和 TRF 的 (亚)临床评分增加了对专业护理的需求，但对每个有 ADHD 症状的儿童进行全面评估是区分护理水平所必需的。
