Prediction of adolescent psychotherapy outcomes using youth- and caregiver-reported symptoms data.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-08-30 DOI:10.1080/10503307.2024.2394187

Craig E Henderson, Grace S Woodard, Melanie Simmonds-Buckley, Maxwell Christensen, Amanda Jensen-Doss, Susan Douglas, Jaime Delgadillo

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引用次数: 0

Abstract

Objective: We used longitudinal youth- and caregiver-reports of adolescent psychological symptoms from three samples of youth receiving mental health services in routine treatment settings to derive expected change trajectories and identify cases at risk for treatment failure.

Method: Participants were 1906 youth (1053 caregivers) receiving treatment in community mental health settings, merged across three samples. The Symptoms and Functioning Severity Scale (SFSS) was used as an indicator of weekly clinical change. Multilevel modeling methods were used to develop expected change trajectories and identify cases at risk for treatment failure (not on track; NOT). Logistic regression was used to predict client improvement as a function of NOT status.

Results: The SFSS was a reliable indicator of therapeutic change according to youth-reported symptoms. Caregiver reports were not as robust. Whereas predictive accuracy of NOT status yielded moderately high sensitivity in detecting improvement according to youth report, caregiver reports were not as predictive.

Conclusions: The youth-reported version of the SFSS-based algorithm seems appropriate for implementation in clinical care. Future studies should search for similarly predictive measures for caregivers.

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利用青少年和照顾者报告的症状数据预测青少年心理治疗效果。

目标：我们从三个在常规治疗机构接受心理健康服务的青少年样本中，利用青少年和照顾者对青少年心理症状的纵向报告，得出预期的变化轨迹，并识别有治疗失败风险的病例：研究对象为在社区心理健康机构接受治疗的1906名青少年（1053名护理人员），三个样本合并。采用症状和功能严重程度量表（SFSS）作为每周临床变化的指标。采用多层次建模方法来制定预期变化轨迹，并识别有治疗失败风险的病例（未步入正轨；NOT）。采用逻辑回归法预测客户的改善情况与NOT状态的函数关系：根据青少年报告的症状，SFSS 是治疗变化的可靠指标。护理人员的报告则不那么可靠。根据青少年的报告，NOT 状态的预测准确性在检测病情改善方面具有中等程度的灵敏度，而护理人员的报告则不具预测性：结论：基于青少年报告的 SFSS 算法似乎适合在临床护理中使用。未来的研究应寻找针对护理人员的类似预测措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.