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首页> 外文期刊>Administration and Policy in Mental Health and Mental Health Services Research >Validation and use of the Children’s Hope Scale-Revised PTPB Edition (CHS-PTPB): High Initial Youth Hope and Elevated Baseline Symptomatology Predict Poor Treatment Outcomes
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Validation and use of the Children’s Hope Scale-Revised PTPB Edition (CHS-PTPB): High Initial Youth Hope and Elevated Baseline Symptomatology Predict Poor Treatment Outcomes

机译：儿童希望量表修订版PTPB版（CHS-PTPB）的验证和使用：较高的初始青年希望和基线症状升高可预测治疗效果差

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摘要

The present study examined the relationship between initial youth hope, measured within the first 4 weeks of mental health treatment, and treatment progress over time (self-, caregiver-, and clinician-report of symptom severity) in a clinical sample of youth ages 11–18 years (N = 356). The psychometric properties of the CHS-PTPB, a revised version of the Children’s Hope Scale, are also presented. Results indicate the CHS-PTPB is a psychometrically sound measure for use in this population. Additionally, results found that while higher levels of hope were associated with lower levels of symptom severity at baseline, initial level of hope was not significantly related to symptom improvement over time as reported by the youth and caregiver. Surprisingly, higher initial hope predicted slower treatment progress as rated by clinicians. According to clinician-rated symptom severity, youth with high initial hope and high baseline symptom severity show the poorest predicted clinical outcome. Implications, future directions, and limitations of the study are discussed.
机译：本研究检查了在11岁青年临床样本中，在心理健康治疗的前4周内测量的初始青年希望与随着时间推移的治疗进展（自我，照料者和临床医生报告的症状严重程度）之间的关系。 –18年（N = 356）。还介绍了CHS-PTPB（儿童希望量表的修订版）的心理测量特性。结果表明，CHS-PTPB是从心理上合理的衡量标准，适用于该人群。此外，结果发现，虽然较高的希望水平与基线时症状严重程度较低相关，但青年和护理人员报告说，最初的希望水平与症状随时间的改善没有显着相关。出乎意料的是，更高的最初希望预示了临床医生认为较慢的治疗进展。根据临床医师评定的症状严重程度，具有较高初始希望和较高基线症状严重程度的年轻人显示出最差的预测临床结果。讨论了研究的意义，未来方向和局限性。

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