The potential of misdiagnosis of high IQ youth by practicing mental health professionals: A mixed methods study
The potential of misdiagnosis of high IQ youth by practicing mental health professionals: A mixed methods study
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DOI：
10.1080/13598139.2019.1661223
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发表时间：
2019-09-07
影响因子：
1.8
通讯作者：
Rinn, Anne N.
中科院分区：
文献类型：
--
作者：
Bishop, James C.;Rinn, Anne N.
区分真正的障碍和可以归因于高智商的特征的困难增加了心理健康从业者诊断错误的可能性。本研究探讨了高智商青少年被心理健康专家误诊的可能性。参与者是私人执业的心理健康专业人员（n = 330），他们被展示了案例研究插图，说明高智商青年表现出与其人群相关的特征。然后，参与者完成了一份问卷，并对假设的客户进行了评估。分类和回归树（CART）分析用于开发决策树，以预测高智商青少年经历与他们的智力相关的行为或情感问题的诊断障碍的可能性。我们还检查了参与者在得出临床判断时陈述的基本原理，以确定出现了哪些主题和共性。研究发现，无论高智商是否被认为是高智商青年所呈现问题的可能解释，心理健康临床医生仍然倾向于某种类型的障碍诊断（82.9%的人没有暗示高智商，78.4%的人有暗示，差异4.5%）。本研究结果为高智商青少年的误诊问题提供了必要的实证探索，并为临床实践和教育提供了参考。
The difficulty of distinguishing between genuine disorder and characteristics that can be attributed to high IQ increases the likelihood of diagnostic error by mental health practitioners. This mixed methods study explores the possibility of misdiagnosis of high IQ youth by mental health professionals. Participants were private practice mental health professionals (n = 330) who were presented with case study vignettes illustrating high IQ youth exhibiting characteristics associated with their population. Participants then completed a questionnaire and provided an assessment of the hypothetical client. Classification and Regression Tree (CART) analysis was utilized to develop a decision tree to predict the likelihood of a diagnosis of disorder being rendered for high IQ youth experiencing behavioral or emotional issues related to their intelligence. We also examined the stated rationale of the participants in arriving at their clinical judgments to determine what themes and commonalities emerged. The study found that, regardless of whether high IQ is suggested as a possible explanation of the presenting issues of a high IQ youth, mental health clinicians still leaned toward some type of diagnosis of disorder (82.9% without suggestion of high IQ vs. 78.4% with suggestion, difference 4.5%). The results of this study provide much-needed empirical exploration of the concern for misdiagnosis of high IQ youth and inform clinical practice and education.