慢性身体疾病儿童的父母报告的精神病理学的反应转变
Tolulope T Sajobi1,2, Olawale F Ayilara3, Gurkiran K Dhuga4
1Department of Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, Calgary, AB, T2N 4Z6, Canada. ttsajobi@ucalgary.ca.
概括
父母可能会随着时间的推移调整他们对儿童精神病理学的看法,这种现象被称为反应转移 (RS). 这项研究在患有慢性身体疾病的儿童中发现了RS在行为障碍症状中,尽管它对整体障碍评估的影响很小.
科学领域:
- 儿童心理学 儿童心理学
- 心理病理学研究研究精神病理学研究.
- 纵向研究是指长度研究.
背景情况:
- 身体和精神健康并发症在儿童中很常见.
- 随着时间的推移,评估儿童的精神病理需要了解父母报告中的潜在偏见.
- 响应转移 (RS) 可能发生在个人随着时间的推移改变其内部标准或健康定义时.
研究的目的:
- 调查响应转移 (RS) 在父母报告的儿童精神病理学的存在和影响.
- 使用安大略省儿童健康研究情绪行为尺度 (OCHS-EBS) 对患有慢性身体疾病的儿童进行RS检查.
- 在24个月的时间内,评估家长对儿童精神病理学的看法变化.
主要方法:
- 加拿大263名身体疾病儿童 (2-16岁) 的前性研究 (MY LIFE).
- 父母在基线和24个月完成了OCHS-EBS.
- 使用结构方程建模来检测不同形式的RS.
主要成果:
- 分析包括215名儿童 (81.7%);平均年龄9.4岁,女性48.8%.
- 一个双因素测量模型显示与数据相适应.
- 在行为障碍子尺度上检测到非均的重新校准RS,对外化/内化障碍的纵向变化影响微不足道.
结论:
- 在父母报告的身体疾病儿童行为障碍症状中检测到反应转移.
- 父母可以在24个月内重新校准他们对儿童精神病理学的反应.
- 对RS的认识对于研究人员和临床医生使用OCHS-EBS进行纵向儿童精神病理学评估至关重要.
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