家長(zhǎng)和醫(yī)療服務(wù)提供者對(duì)神經(jīng)系統(tǒng)紊亂兒童心理健康和神經(jīng)發(fā)育問(wèn)題的評(píng)分差異。

IF 1.9 3區(qū) 心理學(xué) Q3 PSYCHOLOGY, CLINICAL

引用次數(shù): 0

摘要

患有神經(jīng)系統(tǒng)疾病的兒童面臨著更高的心理健康和神經(jīng)發(fā)育問(wèn)題風(fēng)險(xiǎn)，而這些信息往往僅限于家長(zhǎng)的報(bào)告。為了更好地了解這一人群的心理健康和神經(jīng)發(fā)育需求，本研究對(duì)轉(zhuǎn)診接受神經(jīng)心理評(píng)估的神經(jīng)系統(tǒng)疾病兒童樣本進(jìn)行了回顧性病歷審查，以探討醫(yī)療團(tuán)隊(duì)成員（轉(zhuǎn)診醫(yī)生、家長(zhǎng)、兒科神經(jīng)心理學(xué)家）之間的互評(píng)一致性。本研究從2019年完成評(píng)估的129名患有神經(jīng)系統(tǒng)疾?。?8.0%腦外傷、27.1%癲癇、14.7%早產(chǎn)、7.8%小兒癌癥、3.9%產(chǎn)前藥物暴露和14.7%其他）的青少年（9:0-17:11歲；女性占51.2%）的評(píng)估報(bào)告中收集了定性和定量數(shù)據(jù)。超過(guò)一半的青少年被標(biāo)記為神經(jīng)發(fā)育和心理健康問(wèn)題未得到滿(mǎn)足，分析顯示，心理健康問(wèn)題的評(píng)分者間一致性較低（κ = .324），神經(jīng)發(fā)育問(wèn)題的評(píng)分者間一致性較好（κ = .511），轉(zhuǎn)介提供者（Se = .326）和家長(zhǎng)（Se = .366）的敏感性較低。單向方差分析發(fā)現(xiàn)了可能導(dǎo)致漏診的重要因素（如癥狀嚴(yán)重程度、適應(yīng)能力）。研究結(jié)果為加強(qiáng)了解神經(jīng)系統(tǒng)疾病兒童的心理健康和/或神經(jīng)發(fā)育問(wèn)題的方法提供了指導(dǎo)性建議。

本文章由計(jì)算機(jī)程序翻譯，如有差異，請(qǐng)以英文原文為準(zhǔn)。

Parent and Provider Differences in Ratings of Mental Health and Neurodevelopmental Concerns in Children with Neurologic Disorders.

Children with neurologic disorders face increased risks for mental health and neurodevelopmental conditions, with information often limited to parent report. To better understand mental health and neurodevelopmental needs in this population, a retrospective chart review of a convenience sample of children with neurologic disorders referred for a neuropsychological evaluation was conducted in the present study to explore interrater agreement between care team members (referring providers, parents, pediatric neuropsychologist). Qualitative and quantitative data were collected from the evaluation reports of 129 youth (9:0-17:11 years old; 51.2% of female sex) with neurologic disorders (i.e., 38.0% traumatic brain injury, 27.1% epilepsy, 14.7% premature birth, 7.8% pediatric cancer, 3.9% prenatal substance exposure, and 14.7% other) who completed an evaluation in 2019. Over half the youth were flagged for unmet neurodevelopmental and mental health concerns and analyses revealed low interrater agreement for mental health concerns (κ?=?.324), better agreement for neurodevelopmental concerns (κ?=?.511), and low sensitivity of referring providers (Se?=?.326) and parents (Se?=?.366). One-way analyses of variance uncovered important factors (e.g., symptom severity, adaptive skills) that may account for missed concerns. Findings guide recommendations to strengthen methods for understanding mental health and/or neurodevelopmental concerns in children with neurologic disorders.

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來(lái)源期刊

CiteScore

4.00

自引率

4.50%

發(fā)文量

93

期刊介紹： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.

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