Dose response in child and adolescent mental health services.
Dose response in child and adolescent mental health services.
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DOI：
10.1023/a:1015210332175
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发表时间：
2002-06-01
期刊：
影响因子：
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通讯作者：
Lambert, E Warren
中科院分区：
文献类型：
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作者：
Bickman, Leonard;Andrade, Ana Regina;Lambert, E Warren
这项研究考察了剂量-反应关系，即儿童在社区环境中接受的心理健康治疗量(剂量)和结果(反应)之间的关系。参与者是在斯塔克县儿童和青少年心理健康系统接受治疗的125名儿童。研究方法包括多结果、多剂量定义、重复测量的纵向分层分析以及控制结果和治疗剂量之间可能混淆的工具变量估计。结果显示无统计学意义的剂量反应。这些结果不支持儿童和青少年存在足够一致的剂量反应来指导临床医生、管理者或政策制定者。
This study examines the dose-response relationship, the correlation between the amount of mental health treatment a child receives (dose) and the outcome (response) in a community setting. Participants were 125 children treated in the Stark County Child and Adolescent Mental Health System. Study methods include multiple outcomes, multiple-dose definitions, longitudinal hierarchical analysis of repeated measures, and instrumental variable estimation to control for possible confounding between outcome and treatment dose. Results show no statistically significant dose response. The results do not support the existence of a dose response for children and adolescents consistent enough to guide clinicians, administrators, or policymakers.