College of Education, Psychology and Social Work, Flinders University; Adelaide, South Australia, Australia.
College of Education, Psychology and Social Work, Flinders University; Adelaide, South Australia, Australia; Flinders University Institute for Mental Health and Wellbeing, Flinders University; Adelaide, South Australia, Australia.
Burns. 2023 Nov;49(7):1632-1642. doi: 10.1016/j.burns.2023.05.002. Epub 2023 May 6.
The Psychosocial Assessment Tool 2.0 (PAT-B) is an adaptation of an existing screening tool with the aim of the present study to examine its effectiveness and suitability to identify children and families at risk of emotional, behavioral, and social maladjustment following paediatric burns.
Sixty-eight children aged between 6 months - 16 years (M = 4.40) admitted into hospital following paediatric burns, and their primary caregivers, were recruited. The PAT-B comprises several dimensions including family structure and resources, social support, as well as caregiver and child psychological difficulties. Caregivers completed the PAT-B and several standardized measures for validation purposes (e.g., caregiver reports of family functioning, child emotional and behavioural problems, caregiver distress). Children old enough to complete measures reported on their psychological functioning (e.g., posttraumatic stress and depression). Measures were completed within 3 weeks of child admission and then again at 3 months after burn.
The PAT-B demonstrated good construct validity, evidenced by moderate to strong correlations between the PAT-B Total and subscale scores and several criteria measures (family functioning, child behaviour and caregiver distress, child depressive symptoms, rs ranging from 0.33 -0.74). Preliminary support for criterion validity of the measure was observed when examined against the three tiers of the Paediatric Psychosocial Preventative Health Model. The proportion of families falling within these tiers of risk (Universal [low risk], 58.2%; Targeted, 31.3%; or Clinical range, 10.4%) was consistent with prior research. Sensitivity of the PAT-B to identify children and caregivers at high risk of psychological distress was 71% and 83%, respectively.
The PAT-B appears to be a reliable and valid instrument for indexing psychosocial risk across families who have sustained a paediatric burn. However, further testing and replication using a larger sample size is recommended before the tool is integrated into routine clinical care.
心理社会评估工具 2.0（PAT-B）是对现有筛查工具的改编，旨在研究其有效性和适宜性，以识别儿科烧伤后情绪、行为和社会适应不良的儿童和家庭。
招募了 68 名年龄在 6 个月至 16 岁（M=4.40）之间的儿科烧伤住院儿童及其主要照顾者。PAT-B 包括几个维度，包括家庭结构和资源、社会支持以及照顾者和儿童的心理困难。照顾者完成了 PAT-B 和几个标准化的验证测量（例如，家庭功能的照顾者报告、儿童情绪和行为问题、照顾者困扰）。年龄足够大的儿童完成了心理功能的测量（例如，创伤后应激和抑郁）。测量在儿童入院后 3 周内完成，然后在烧伤后 3 个月再次完成。
PAT-B 显示出良好的结构有效性，证据是 PAT-B 总分和子量表得分与几个标准测量（家庭功能、儿童行为和照顾者困扰、儿童抑郁症状，rs 范围为 0.33-0.74）之间存在中度至高度相关性。当根据儿科心理社会预防保健模型的三个层次检查时，该测量的标准有效性得到了初步支持。处于风险层次（普遍[低风险]、58.2%；目标、31.3%；或临床范围、10.4%）的家庭比例与先前的研究一致。PAT-B 识别高心理困扰风险的儿童和照顾者的敏感性分别为 71%和 83%。
PAT-B 似乎是一种可靠有效的工具，可以评估遭受儿科烧伤的家庭的心理社会风险。然而，在将该工具纳入常规临床护理之前，建议使用更大的样本量进一步测试和复制。
