Self-administered questionnaire for structured psychosocial screening in pediatrics.
Self-administered questionnaire for structured psychosocial screening in pediatrics.
复制标题
用于儿科结构化心理社会筛查的自填问卷。
DOI：
10.1542/peds.89.3.433
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发表时间：
1992
期刊：
影响因子：
8
通讯作者：
K. Kemper
中科院分区：
文献类型：
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作者：
K. Kemper
由于缺乏结构化的方法，心理社会风险因素的筛查受到限制。本研究的目的是评估自我管理的问卷调查的效用相比，常规的历史记录在医疗记录中的风险因素筛查功能失调的父母在城市儿科诊所。在候诊室里，会说英语的父母会收到问卷。除了常规的人口统计学和医学问题外，问卷还包含药物滥用、抑郁、自尊和社会支持的标准筛选工具，以及有关家庭暴力、无家可归和父母童年虐待史的问题。单独审查病历。在114位母亲中，对收入等敏感问题的回答率大于或等于85%。与医疗记录相比，调查问卷发现更多的母亲可能有药物滥用，抑郁，低自尊和/或儿童虐待史（P <0.01）。与通常记录在病历中的内容相比，自我管理的问卷调查产生了大量关于功能失调的父母的心理社会风险因素的额外信息。在为高危人群提供服务的诊所中，应考虑将此类问卷作为常规心理社会筛查。
Screening for psychosocial risk factors has been limited by lack of a structured approach. The purpose of this study was to assess the utility of a self-administered questionnaire compared with routine history as recorded in the medical record in screening for risk factors for dysfunctional parenting in an urban pediatric clinic. English-speaking parents were offered questionnaires in the waiting room. In addition to routine demographic and medical questions, the questionnaires contained standard screening instruments for substance abuse, depression, self-esteem, and social support, as well as questions about domestic violence, homelessness, and parental history of abuse as a child. Medical records were reviewed separately. Of the 114 mothers who returned questionnaires, the response rate for sensitive questions such as income was greater than or equal to 85%. Compared with the medical record, the questionnaire identified significantly more mothers with possible substance abuse, depression, low self-esteem, and/or history of abuse as a child (P less than .01 for each). Compared with what is usually recorded in the medical record, self-administered questionnaires yield substantial additional information regarding psychosocial risk factors for dysfunctional parenting. Such questionnaires should be considered for routine psychosocial screening in clinics serving high-risk populations.