Goodman S H, Lahey B B, Fielding B, Dulcan M, Narrow W, Regier D
Department of Psychology, Emory University, Atlanta, Georgia 30322, USA.
J Abnorm Psychol. 1997 Feb;106(1):3-14. doi: 10.1037//0021-843x.106.1.3.
In a household community sample of 1,285, 9-17 years-olds with mental disorders who had received outpatient specialty mental health services in the past year were compared with youths with mental disorders who had not received those services to determine if samples drawn from clinical settings are representative of youths with mental disorders in the general population. Those who had used services were more impaired, less competent, more likely to have comorbid disorders, more likely to belong to non-Hispanic White relative to other ethnic groups, and less likely to be prepubertal girls. Their parents were more educated, but less satisfied with family life, engaged in less monitoring of their children, and more likely to have used mental health services themselves. These findings suggest the hypothesis that samples of youths with mental disorders drawn from outpatient clinical settings are not representative of all youths with mental disorders. If confirmed, this would indicate the importance of population-based samples for the study of psychopathology in youths.
在一个有1285名9至17岁患有精神障碍儿童的家庭社区样本中，将过去一年接受过门诊专科心理健康服务的儿童与未接受过此类服务的患有精神障碍的青少年进行比较，以确定从临床环境中抽取的样本是否能代表普通人群中患有精神障碍的青少年。使用过服务的儿童功能损害更严重、能力更弱、更易患共病、相对于其他种族群体更可能是非西班牙裔白人，且更不可能是青春期前女孩。他们的父母受教育程度更高，但对家庭生活满意度更低，对孩子的监督更少，且自己更有可能使用过心理健康服务。这些发现提示了这样一个假设，即从门诊临床环境中抽取的患有精神障碍青少年样本不能代表所有患有精神障碍的青少年。如果得到证实，这将表明基于人群的样本对于青少年精神病理学研究的重要性。
