首页 > 资讯 > 家长和医疗服务提供者对神经系统紊乱儿童心理健康和神经发育问题的评分差异

家长和医疗服务提供者对神经系统紊乱儿童心理健康和神经发育问题的评分差异

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2025-09-25 23:51

家长和医疗服务提供者对神经系统紊乱儿童心理健康和神经发育问题的评分差异。

IF 1.9 3区心理学 Q3 PSYCHOLOGY, CLINICAL

引用次数: 0

摘要

患有神经系统疾病的儿童面临着更高的心理健康和神经发育问题风险，而这些信息往往仅限于家长的报告。为了更好地了解这一人群的心理健康和神经发育需求，本研究对转诊接受神经心理评估的神经系统疾病儿童样本进行了回顾性病历审查，以探讨医疗团队成员（转诊医生、家长、儿科神经心理学家）之间的互评一致性。本研究从2019年完成评估的129名患有神经系统疾病（即38.0%脑外伤、27.1%癫痫、14.7%早产、7.8%小儿癌症、3.9%产前药物暴露和14.7%其他）的青少年（9:0-17:11岁；女性占51.2%）的评估报告中收集了定性和定量数据。超过一半的青少年被标记为神经发育和心理健康问题未得到满足，分析显示，心理健康问题的评分者间一致性较低（κ = .324），神经发育问题的评分者间一致性较好（κ = .511），转介提供者（Se = .326）和家长（Se = .366）的敏感性较低。单向方差分析发现了可能导致漏诊的重要因素（如症状严重程度、适应能力）。研究结果为加强了解神经系统疾病儿童的心理健康和/或神经发育问题的方法提供了指导性建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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来源期刊

Journal of Clinical Psychology in Medical Settings

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： 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.