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弥合差距:青少年及其父母/照顾者在症状存在、协变量影响和临床意义方面的报告差异。

Minding the Gap: Adolescent and Parent/Caregiver Reporter Discrepancies on Symptom Presence, Impact of Covariates, and Clinical Implications.

出版信息

J Pediatr Health Care. 2022 May-Jun;36(3):225-230. doi: 10.1016/j.pedhc.2021.09.010. Epub 2021 Nov 19.

Abstract

INTRODUCTION

Primary care practitioners (PCPs) provide care to adolescents in the context of their families. Supporting parent/caregiver knowledge of symptoms can create opportunities for better recognition of symptoms that can then lead to early identification, intervention, and prevention of poor outcomes.

METHOD

Cross-sectional comparative study of parent/caregiver reported versus adolescent reported symptom presence of anhedonia and depressed mood in the participants of ABCD Study.

RESULTS

Large discrepancies exist between adolescent and parent-reported presence of symptoms.

DISCUSSION

Improving understanding of the etiology, covariates, and patterns of discrepancies may improve primary care assessment, adolescent access to care, and intervention for adolescents and their families. Furthermore, providing education to families about symptom features, working to improve adolescent-caregiver communication, promoting adolescent advocacy, and connecting families to community resources are important attributes of primary care and areas of adolescent and family functioning that primary care providers can strengthen.

摘要

简介

初级保健医生(PCP)在家庭背景下为青少年提供护理。支持父母/照顾者了解症状,可以为更好地识别症状创造机会,从而实现早期发现、干预和预防不良后果。

方法

对 ABCD 研究参与者的父母/照顾者报告的与青少年报告的快感缺失和抑郁情绪症状存在情况进行横断面比较研究。

结果

青少年和父母报告的症状存在很大差异。

讨论

改善对病因、协变量和差异模式的理解,可以改善初级保健评估、青少年获得护理的机会,并为青少年及其家庭提供干预措施。此外,为家庭提供有关症状特征的教育,努力改善青少年与照顾者的沟通,促进青少年的倡导,并将家庭与社区资源联系起来,这些都是初级保健的重要属性,也是初级保健提供者可以加强的青少年和家庭功能领域。

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