Looney J, Oldham D, Blotcky M
South Med J. 1978 Oct;71(10):1197-202. doi: 10.1097/00007611-197810000-00005.
Assessing the meaning of psychologic symptoms in adolescents can be a difficult task. Pediatricians, internists, and family practitioners are often the first professionals consulted by families worried that their teen-agers may be in psychologic distress. The practitioner is faced with the difficult decision of meeting the adolescent's need himself or referring the patient to an adolescent psychiatrist for further evaluation and possible treatment. In making this decision the practitioner must carry out a complex assessment task which requires the simultaneous evaluation of multiple clinical variables. This paper presents a conceptual scheme for evaluating the psychologic status of an adolescent patient.
评估青少年心理症状的意义可能是一项艰巨的任务。儿科医生、内科医生和家庭医生常常是那些担心自己十几岁孩子可能处于心理困扰中的家庭首先咨询的专业人士。从业者面临着一个艰难的决定:是自己满足青少年的需求,还是将患者转介给青少年精神科医生进行进一步评估和可能的治疗。在做出这个决定时,从业者必须执行一项复杂的评估任务,这需要同时评估多个临床变量。本文提出了一个评估青少年患者心理状况的概念框架。