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首页> 外文期刊>Child psychiatry and human development >Individualized Assessments in Treatment Research: An Examination of Parent-Nominated Target Problems in the Treatment of Disruptive Behaviors in Youth with Tourette Syndrome
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Individualized Assessments in Treatment Research: An Examination of Parent-Nominated Target Problems in the Treatment of Disruptive Behaviors in Youth with Tourette Syndrome

机译:治疗研究中的个体化评估:对父母提名的目标问题的治疗,以治疗抽动秽语综合征的年轻人的破坏性行为

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摘要

Youth with Tourette syndrome (TS) often exhibit disruptive behaviors. Although improvement data on rating scales support the efficacy of structured psychotherapeutic interventions, there is growing interest in personalized outcome assessments. This report examined parent-nominated target problems (PTPs) as an individualized outcome measure in 48 youth with TS and disruptive behaviors, who participated in one of two randomized psychotherapy trials. At baseline, parents described two primary problems to an independent evaluator who generated a structured narrative for each problem. These narratives were reviewed and updated at endpoint. When rated by five treatment-blind judges, the PTP rating demonstrated excellent reliability and good convergent validity with the Disruptive Behavior Rating Scale (DBRS). The PTP rating exhibited comparable treatment effects to the DBRS, and accounted for additional variance in global treatment outcome. The PTP rating serves a reliable, valid, and sensitive personalized assessment in research trials that provides complementary information to standardized rating scales.
机译:图雷特综合症(TS)的青年经常表现出破坏性行为。尽管等级量表上的改进数据支持结构化心理治疗干预的有效性,但对个性化结果评估的兴趣日益浓厚。本报告检查了48位有TS和颠覆性行为的年轻人的父母提名的目标问题(PTP),作为一项个性化的结局指标,他们参加了两项随机心理治疗试验之一。基线时,父母向独立评估者描述了两个主要问题,评估者为每个问题生成了结构化的叙述。这些叙述在端点处进行了审查和更新。当由五位治疗盲人评判者进行评定时,PTP评定具有颠覆性行为评定量表(DBRS),具有出色的可靠性和良好的收敛效度。 PTP评分显示出与DBRS相当的治疗效果,并解释了总体治疗结果的其他差异。 PTP等级在研究试验中提供可靠,有效和敏感的个性化评估,可为标准化等级量表提供补充信息。

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