Screening for Spiritual Struggle in an Adolescent Transgender Clinic: Feasibility and Acceptability.
Screening for Spiritual Struggle in an Adolescent Transgender Clinic: Feasibility and Acceptability.
复制标题
在青春期跨性别诊所进行精神斗争的筛查：可行性和可接受性。
DOI：
10.1080/08854726.2015.1123004
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发表时间：
2016
影响因子：
1.9
通讯作者：
Conard LA
中科院分区：
文献类型：
--
作者：
Grossoehme DH;Teeters A;Jelinek S;Dimitriou SM;Conard LA
精神上的挣扎与较差的健康状况有关，包括抑郁症，跨性别者的抑郁症患病率高于一般人群。本研究的目的是通过筛选患者和护理人员的精神斗争和未来干预来提高门诊跨性别诊所的护理质量。关于质量改进的问题是：精神斗争的筛查是否可行和可接受；拉什方案的敏感性和特异性是否可以接受。对筛查的修订是基于对115名接受筛查的青少年和照顾者的认知访谈。精神斗争的患病率为38-47%。与阴性R-COPE相比，Rush方案筛选器的敏感性为44-80%，特异性为60-74%。拉什方案被跨性别诊所的青少年、护理人员和诊所工作人员所接受；是可行的，在门诊访问期间交付，并提供了一种直接的方法来识别跨性别者和正在经历精神斗争的护理人员。
Spiritual struggles are associated with poorer health outcomes, including depression, which has higher prevalence among transgender individuals than the general population. This study’s objective was to improve the quality of care in an outpatient transgender clinic by screening patients and caregivers for spiritual struggle and future intervention. The quality improvement questions addressed were whether screening for spiritual struggle was feasible and acceptable; and whether the sensitivity and specificity of the Rush Protocol were acceptable. Revision of the screening was based on cognitive interviews with the 115 adolescents and caregivers who were screened. Prevalence of spiritual struggle was 38–47%. Compared to the Negative R-COPE, the Rush Protocol screener had sensitivities of 44–80% and specificities of 60–74%. The Rush Protocol was acceptable to adolescents seen in a transgender clinic, caregivers, and clinic staff; was feasible to deliver during outpatient clinic visits, and offers a straightforward means of identifying transgender persons and caregivers experiencing spiritual struggle.