The validity of the multi-informant approach to assessing child and adolescent mental health.
The validity of the multi-informant approach to assessing child and adolescent mental health.
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DOI：
10.1037/a0038498
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发表时间：
2015-07
影响因子：
22.4
通讯作者：
Rabinowitz, Jill
中科院分区：
文献类型：
--
作者：
De Los Reyes, Andres;Augenstein, Tara M.;Wang, Mo;Thomas, Sarah A.;Drabick, Deborah A. G.;Burgers, Darcy E.;Rabinowitz, Jill
关键词：
儿童和青少年患者可能在某些情况下表现出精神健康问题，而在其他情况下则不然（例如，家庭对学校）。因此，了解患者表现出担忧的具体背景可能有助于心理健康专业人员根据患者的需求定制治疗。因此，临床评估通常包括来自多个知情者的报告，这些知情者在他们观察患者行为的背景下有所不同（例如，患者、家长、教师）。先前的元分析表明，线人的报告在低到中等程度的相关性。然而，将报告之间的低对应性解释为表明患者在某些情况下而不是其他情况下表现出担忧是否有效？我们荟萃分析了1989年至2014年期间发表的341项研究，这些研究报告了交叉信息对应估计，并观察到低至中度对应（平均内化：r = .25;平均外化：r = .30;总体平均：r = .28）。告密者对，心理健康领域，和测量方法调节幅度的对应关系。这些强有力的发现为解释多信息人评估的概念的发展提供了信息，使研究人员能够对这些评估的增量和结构效度进行具体预测。反过来，我们批判性地评估研究的增量和结构效度的多信息的方法，临床儿童和青少年的评估。通过这样做，我们确定了未来研究的关键知识差距，并为临床工作和研究中使用和解释多信息评估的“最佳实践”提供了建议。本文具有重要的意义，制定个性化的临床评估方法，其目标是为定制治疗提供信息，以针对患者表现出担忧的特定背景。
Child and adolescent patients may display mental health concerns within some contexts and not others (e.g., home vs. school). Thus, understanding the specific contexts in which patients display concerns may assist mental health professionals in tailoring treatments to patients' needs. Consequently, clinical assessments often include reports from multiple informants who vary in the contexts in which they observe patients' behavior (e.g., patients, parents, teachers). Previous meta-analyses indicate that informants' reports correlate at low-to-moderate magnitudes. However, is it valid to interpret low correspondence among reports as indicating that patients display concerns in some contexts and not others? We meta-analyzed 341 studies published between 1989 and 2014 that reported cross-informant correspondence estimates, and observed low-to-moderate correspondence (mean internalizing: r = .25; mean externalizing: r = .30; mean overall: r = .28). Informant pair, mental health domain, and measurement method moderated magnitudes of correspondence. These robust findings have informed the development of concepts for interpreting multi-informant assessments, allowing researchers to draw specific predictions about the incremental and construct validity of these assessments. In turn, we critically evaluated research on the incremental and construct validity of the multi-informant approach to clinical child and adolescent assessment. In so doing, we identify crucial gaps in knowledge for future research, and provide recommendations for “best practices” in using and interpreting multi-informant assessments in clinical work and research. This paper has important implications for developing personalized approaches to clinical assessment, with the goal of informing techniques for tailoring treatments to target the specific contexts where patients display concerns.
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DOI：
10.1046/j.1365-2788.2003.00484.x
发表时间：
2003-05-01
影响因子：
3.6
作者：
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通讯作者：
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影响因子：
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影响因子：
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作者：
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DOI：
10.1097/01.chi.0000246065.93200.a1
发表时间：
2007-02-01
影响因子：
13.3
作者：
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