家长和青少年在青少年抑郁症治疗中的偏好。
Parent and Youth Preferences in the Treatment of Youth Depression.
机构信息
Department of Psychology, Suffolk University, Boston, MA, 02108, USA.
Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA.
出版信息
Child Psychiatry Hum Dev. 2021 Apr;52(2):236-247. doi: 10.1007/s10578-020-01006-4.
Patient-centered care requires providing care that is responsive to patient preferences, needs, and values, yet data on parent and youth treatment preferences remains sparse. The present study (1) identifies variations in parent and youth preferences for depression treatment, and (2) explores relationships between parent and youth demographics and psychosocial functioning, and the preferences that parents and youth endorse. Participants were 64 youth and 63 parents awaiting randomization in a clinical trial evaluating psychosocial youth depression treatments. Parents preferred treatments that emphasize learning skills and strategies (82.5%) and include the parent in treatment at least some of the time (96.8%). Youth preferred that the therapist meet mostly with the youth alone (67.2%) but share at least some information with parents (78.1%). Youth (43.8%) tended to respond "don't know" to questions about their preferred therapeutic approach. Understanding parent and youth preferences, especially psychosocial treatment preferences, is needed to provide high-quality, patient-centered care.
以患者为中心的护理需要提供能够满足患者偏好、需求和价值观的护理，但有关父母和青少年治疗偏好的数据仍然很少。本研究（1）确定了父母和青少年对抑郁症治疗的偏好的差异，（2）探讨了父母和青少年的人口统计学和心理社会功能与父母和青少年所支持的偏好之间的关系。参与者为 64 名青少年和 63 名父母，他们正在等待参加一项评估心理社会青少年抑郁症治疗的临床试验的随机分组。父母更喜欢强调学习技能和策略的治疗方法（82.5%），并希望父母至少在某些时候参与治疗（96.8%）。青少年更喜欢治疗师主要与青少年单独会面（67.2%），但至少与父母分享一些信息（78.1%）。青少年（43.8%）对他们偏好的治疗方法的问题往往回答“不知道”。了解父母和青少年的偏好，特别是心理社会治疗的偏好，对于提供高质量、以患者为中心的护理是必要的。
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