Child factors associated with parent involvement in usual clinical care of children and adolescents: A national register study
Child factors associated with parent involvement in usual clinical care of children and adolescents: A national register study
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DOI：
10.1080/08039480701352363
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发表时间：
2007-01-01
影响因子：
1.8
通讯作者：
Stormark, Kjell M.
中科院分区：
文献类型：
--
作者：
Israel, Pravin;Thomsen, Per H.;Stormark, Kjell M.
本研究考察了年龄、性别、障碍和家庭破裂经历等儿童水平特征对父母参与儿童和青少年治疗的作用。对2002年在挪威精神病医院和诊所接受治疗的20,856名儿童和青少年的全国登记数据，采用三级分层模型进行了分析。儿童、母亲和父亲参加的咨询被构建为第1级，儿童特征被构建为第2级，诊所被构建为第3级。结果表明，42%的差异是由家庭内部咨询差异解释的，56%是由儿童特征解释的。只有2%的差异可以用临床差异来解释。在总模型中，性别、障碍和家庭破裂等儿童因素（但不包括年龄）是与儿童和父母咨询的显著预测因素。治疗师应考虑性别、障碍和家庭破裂在促进父母参与和阻止过早终止妊娠方面的作用。
The study examined the role of child level characteristics of age, gender, disorder and experience of family breakdown on parent involvement in the treatment of children and adolescents in a usual clinical care setting. Data from the national register of 20,856 children and adolescents treated in psychiatric hospitals and clinics in Norway in 2002 were analyzed using a three-level hierarchical model. Consultations attended by the child, mother and father were constructed as level 1, child characteristics as level 2 and clinics as level 3. Results indicated that 42% of the variance was explained by within-family differences of consultations and 56% by child characteristics. Only 2% of the variance was explained by clinic-to-clinic differences. In the total model, child factors of gender, disorder and family breakdown ( but not age) were significant predictors of consultation with children and parents. Therapists should take into account the role of the gender, disorder and family breakdown in promoting parent involvement and hindering premature termination.