Starting from Scratch: The Development of the Adolescent Quality of Life-Mental Health Scale (AQOL-MHS)

Starting from Scratch: The Development of the Adolescent Quality of Life-Mental Health Scale (AQOL-MHS)
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DOI:
10.1007/s11013-012-9264-0
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发表时间:
2012-09-01
影响因子:
1.7
通讯作者:
Canino, Glorisa
Canino, Glorisa
中科院分区:
医学3区
文献类型:
--
作者:
Chavez, Ligia;Mir, Karen;Canino, Glorisa

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本文记录了西班牙心理健康生活质量(QOL)工具的基础上,青少年自己的重要领域,他们的QOL评估的初步发展。使用扎根理论的方法,我们针对五种心理健康障碍:注意缺陷多动障碍,行为障碍,对立违抗性障碍,广泛性焦虑症和重度抑郁症。深度访谈(n = 40)和三个焦点小组(n = 20)进行了分析,采用定性方法来指导项目的开发。一个方便的样本岛屿波多黎各12 - 18岁的青少年从门诊心理健康诊所招募。定性分析共发现87个主题。他们分布的基础上核心QOL领域,如(1)自我,(2)同伴,(3)家庭,(4)学校,(5)环境。项目写的基础上流行的主题,并尽可能密切地使用,用词和短语的青少年来描述他们的意见和看法的生活质量。AQOL-MHS的目标是为每个精神病诊断组确定与健康相关的QOL的特定领域,这些领域将提供有价值的信息,以帮助患者和提供者设定,定义和评估适当的心理健康治疗目标。
This article documents the initial development of a Spanish mental health quality of life (QOL) instrument based on the adolescents' own assessment of important domains to their QOL. Using a grounded theory approach, we targeted five mental health disorders: attention deficit hyperactivity disorder, conduct disorder, oppositional defiant disorder, generalized anxiety disorder, and major depressive disorder. In-depth interviews (n = 40) and three focus groups (n = 20) were conducted and analyzed using qualitative methods to guide the development of items. A convenient sample of island Puerto Rican adolescents aged 12-18 was recruited from outpatient mental health clinics. Qualitative analysis revealed a total of 87 themes. They were distributed based on core QOL domains such as (1) Self, (2) Peers, (3) Family, (4) School, and (5) Environment. Items were written based on prevailing themes and using as closely as possible, words and phrases used by the adolescents to describe their views and perceptions of QOL. The goal for the AQOL-MHS is to pinpoint specific areas of health-related QOL for each psychiatric diagnostic group that will provide valuable information to assist both patients and providers set, define and evaluate adequate mental health treatment goals.