青少年如何解释自我报告问题 查精神病? 从认知面试中获得的洞察力
Kristen A Woodberry1,2, Kelsey A Johnson3, Alex E Keller4
1Center for Clinical Translational Science, MaineHealth Institute for Research, Scarborough, Maine, USA.
Early intervention in psychiatry
|October 2, 2025
概括
年轻人经常误解精神病查问题,导致错误的阳性结果. 认知面试揭示了与其他心理健康问题或正常经历相关的误解,突出了需要更清晰的项目措辞和临床后续的需要.
科学领域:
- 精神病学是一个精神病学.
- 青少年医学 青少年医学
- 心理健康查 心理健康查
背景情况:
- 早期发现精神病对于及时干预和改善结果至关重要.
- 自我报告精神病查可以产生高假阳性率,可能是由于对项目的误解.
- 认知采访被用来探索完成精神病查的年轻人的物品理解.
研究的目的:
- 调查项目误解是青少年精神病查中错误阳性结果的原因.
- 在自我报告精神病查项目中识别特定类型的理解错误.
主要方法:
- 进行了认知访谈,对13名种族和种族不同患者 (14-21岁) 进行了认知访谈.
- 参与者评价了他们对查项目的理解,并用自己的话解释了项目的含义.
- 独立评级人员使用演和归纳编码分析了参与者的理解.
主要成果:
- 参与者表示对理解项目的信心很高 (平均8.1/10),但实际理解与预期含义一致的时间只有42%.
- 出现了两种主要的误解类别:将项目解释为非精神病精神健康体验或作为规范性发展/上下文体验.
- 这些误解有助于错误地认可查项目.
结论:
- 年轻人对查项目的误解可能会导致精神病风险的错误阳性结果.
- 临床随访对于将阳性查置于相关环境中至关重要,考虑到个体的医疗,发育和社会因素.
- 未来的研究应该专注于提高项目清晰度和制定策略,以尽量减少精神病查中的错误阳性.
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