Parent-adolescent agreement on psychosis risk symptoms
Parent-adolescent agreement on psychosis risk symptoms
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DOI：
10.1016/j.schres.2013.03.007
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发表时间：
2013-06-01
影响因子：
4.5
通讯作者：
Schiffman, Jason
中科院分区：
文献类型：
--
作者：
Kline, Emily;Thompson, Elizabeth;Schiffman, Jason
尽管实践指南建议将照顾者纳入评估青少年的心理健康问题，但针对减轻的精神病症状的临床高危(CHR)评估工具仅依赖于自我报告。由于许多处于临床高危阶段的人预计都是青少年，而且CHR研究项目通常招募年仅12岁的参与者，父母对青少年症状和功能的投入可能有助于为临床概念化提供信息。没有针对慢性阻塞性肺疾病症状的评估工具为此目的而开发。我们创建了照顾者-12项Prime屏幕的报告版本-修订并对52名12-19岁青年的照顾者进行了修订和管理，这些照顾者由精神健康提供者推荐参加CHR研究。青年完成了Prime Screen-修订版以及精神病风险综合征(SIPS)的结构化面试。照顾者的反应与Prime Screen上修订的青年评分显示出较差的一致性(r=.09)，但与临床医生的评分中等一致(r=.41)。将照顾者筛查数据添加到青年自我报告评分中，显著改善了预测临床医生评级的线性回归。使用四个或更多背书的阈值，结合使用父母和青少年的回应，可以准确地将75%的受访者根据sips确定的CHR状态进行分类。研究结果表明，让照顾者参与可能有助于提高慢性阻塞性肺疾病筛查和评估程序的特异性。(C)2013爱思唯尔B.V.保留所有权利。
Despite practice guidelines recommending caregiver inclusion for assessment of mental health problems in adolescents, clinical high-risk (CHR) assessment tools that target attenuated psychosis symptoms rely solely on self-report. As many individuals in the clinical high-risk phase are expected to be adolescents, and programs of CHR research routinely recruit participants as young as twelve, parent input regarding adolescents' symptoms and functioning may help to inform clinical conceptualizations. No assessment tool targeting CHR symptoms has been developed for this purpose. We created a caregiver-report version of the 12-item Prime Screen-Revised and administered the measure to caregivers of 52 youth ages 12-19 referred by mental health providers for CHR study participation. Youth completed the Prime Screen-Revised as well as the Structured Interview for Psychosis Risk Syndromes (SIPS). Caregiver responses demonstrated poor agreement with youth ratings on Prime Screen-Revised (r = .09), but moderate agreement with clinician ratings (r = .41). The addition of caregiver screening data to youth self-report scores significantly improved a linear regression predicting clinician ratings. Using a threshold of four or more endorsements, the combined use of parent and adolescent responses accurately classified 75% of respondents with regard to SIPS-determined CHR status. Findings suggest that involving caregivers may help to improve the specificity of CHR screening and assessment procedures. (C) 2013 Elsevier B. V. All rights reserved.