筛查儿童偏头痛和紧张型头痛的家族和心理社会风险：心理社会评估工具（PAT）的验证。
Screening Family and Psychosocial Risk in Pediatric Migraine and Tension-Type Headache: Validation of the Psychosocial Assessment Tool (PAT).
机构信息
Department of Anesthesiology & Pain Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Center for Child Health, Behavior & Development, Seattle Children's Research Institute, Seattle, WA, USA.
出版信息
Headache. 2019 Oct;59(9):1516-1529. doi: 10.1111/head.13599. Epub 2019 Jul 18.
OBJECTIVE
To present data on psychometric properties of the Psychosocial Assessment Tool 2.0_General (PAT), a brief screener for psychosocial risk in families of youth with medical conditions, in youth with headache.
BACKGROUND
Emotional and behavioral disturbances, parent distress, and poor family functioning are common among youth with recurrent migraine and tension-type headache; however, tools to comprehensively screen family and psychosocial risk in youth with headache are not currently available. The PAT could address an important gap by facilitating identification of psychosocial treatment needs among youth with headache.
DESIGN AND METHODS
Youth with recurrent migraine (with and without aura; chronic migraine) or tension-type headache (episodic and chronic) completed the PAT and validated measures of adolescent emotional and behavioral functioning, parent emotional functioning, and family functioning at baseline (n = 239; 157 from neurology clinic, 82 from the community) and 6-month follow-up (n = 221; 146 from neurology clinic, 75 from the community).
RESULTS
Internal consistency for the PAT Total score was strong (α = .88). At baseline, the PAT Total score was significantly associated in the expected direction with established measures of child emotional and behavioral functioning (r = .62), parent anxiety and depressive symptoms (r = .49; r = .53, respectively), and family functioning (r = .21). Predictive validity was demonstrated by a significant association between PAT Total scores at baseline with child emotional and behavioral functioning (r = .64), parent anxiety (r = .37), parent depression (r = .42), and family functioning (r = .26) at 6-month follow-up.
CONCLUSIONS
The PAT is a promising tool for screening psychosocial risk that could facilitate identification of psychosocial treatment needs among youth with recurrent headache at risk for poor outcomes.
目的
介绍青少年医学状况家庭心理社会风险简要筛查工具 2.0 版（PAT）的心理测量学特性数据，该工具用于筛查青少年偏头痛和紧张型头痛患者的心理社会风险。
背景
在青少年偏头痛（伴或不伴先兆；慢性偏头痛）和紧张型头痛（发作性和慢性）患者中，情绪和行为障碍、父母痛苦和家庭功能不良很常见；然而，目前尚无用于全面筛查头痛青少年家庭和心理社会风险的工具。PAT 可以通过确定有头痛的青少年的心理治疗需求来填补这一重要空白。
设计和方法
青少年偏头痛（伴或不伴先兆；慢性偏头痛）或紧张型头痛（发作性和慢性）患者在基线（n=239；157 例来自神经科诊所，82 例来自社区）和 6 个月随访（n=221；146 例来自神经科诊所，75 例来自社区）时完成 PAT 和青少年情绪和行为功能、父母情绪功能和家庭功能的有效测量。
结果
PAT 总分的内部一致性很强（α=0.88）。在基线时，PAT 总分与已建立的儿童情绪和行为功能测量值呈显著正相关（r=0.62），与父母焦虑和抑郁症状呈显著正相关（r=0.49；r=0.53，分别），与家庭功能呈显著正相关（r=0.21）。在基线时 PAT 总分与儿童情绪和行为功能（r=0.64）、父母焦虑（r=0.37）、父母抑郁（r=0.42）和家庭功能（r=0.26）在 6 个月随访时的显著相关性证明了预测效度。
结论
PAT 是一种有前途的心理社会风险筛查工具，可帮助识别有不良预后风险的复发性头痛青少年的心理治疗需求。
Zotero 插件