Department of Child and Adolescent Psychiatry, University Medical Center Groningen, University of Groningen, Hanzeplein 1 A10, 9700 GZ, Groningen, The Netherlands.
Department of Cognitive Neuroscience, Donders Institute for Brain Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Eur Child Adolesc Psychiatry. 2020 Jul;29(7):947-958. doi: 10.1007/s00787-019-01391-9. Epub 2019 Sep 24.
The aim of this study was to investigate the relation between a variety of child, parent, family and environmental factors and pre-treatment motivation of parents of children and adolescents newly referred to a mental health care clinic in The Netherlands. Data were collected of 521 parents most involved in the upbringing of the child (443 mothers and 78 fathers; Dutch origin 97.1%) of 207 girls and 314 boys (age M = 10.2, range 1-18 years). Treatment motivation was measured by the Parent Motivation Inventory. Least absolute shrinkage and selection operator (LASSO) regression was used to investigate the prediction strength of 33 factors in 5 domains: (1) source of referral and prior use of healthcare services, (2) child characteristics, (3) characteristics of the primary parent, (4) parenting characteristics of the primary parent, and (5) family characteristics. Twenty-one factors were statistically relevant, explaining 21.3% of the deviance in pre-treatment motivation. Child characteristics, mainly type and severity of problems, contributed most to the model. Notably, internalising problems contributed more than externalising problems. Furthermore, we found relations between parental pre-treatment motivation and parents' perceived self-efficacy, parents' perceived parenting competence, financial problems and source of referral. Our findings provide insight into the multifacetedness of parental motivation prior to starting treatment and inform health professionals of specific contextual factors of interest in parents' readiness to change their behaviour and participate in treatment.
本研究旨在探讨各种儿童、父母、家庭和环境因素与荷兰精神卫生保健诊所新转诊儿童和青少年父母的治疗前动机之间的关系。研究共收集了 521 名最主要参与孩子养育的父母的数据（443 名母亲和 78 名父亲；荷兰血统 97.1%），他们的孩子包括 207 名女孩和 314 名男孩（年龄 M=10.2，范围 1-18 岁）。治疗动机通过父母动机量表进行评估。最小绝对收缩和选择算子（LASSO）回归用于调查 5 个领域的 33 个因素对治疗前动机的预测强度：（1）转诊来源和之前使用医疗保健服务，（2）儿童特征，（3）主要父母特征，（4）主要父母的育儿特征，以及（5）家庭特征。21 个因素具有统计学意义，解释了治疗前动机差异的 21.3%。儿童特征，主要是问题的类型和严重程度，对模型的贡献最大。值得注意的是，内部问题比外部问题的贡献更大。此外，我们发现父母治疗前动机与父母感知的自我效能、父母感知的育儿能力、财务问题和转诊来源之间存在关系。我们的研究结果深入了解了治疗前父母动机的多面性，并为卫生专业人员提供了具体的背景因素，这些因素与父母改变行为和参与治疗的意愿有关。
