Measurement-Based Care in the Treatment of Anxiety

被引:5
|
作者
Romba, Courtney [1 ]
Lavigne, John [1 ]
Walkup, John [1 ]
Ballard, Rachel [1 ]
机构
[1] Ann & Robert H Lurie Childrens Hosp Chicago, Pritzker Dept Psychiat & Behav Hlth, 225 East Chicago Ave,Box 10, Chicago, IL 60611 USA
关键词
Measurement-based care; Child and adolescent psychiatry; Pediatric anxiety; Patient-reported outcome measures; Reliable change; ALGORITHM-GUIDED TREATMENT; EMOTIONAL DISORDERS; PSYCHOMETRIC PROPERTIES; CHILDHOOD ANXIETY; SCREEN; SCALE; PARENT; RELIABILITY; SYMPTOMS; CHILDREN;
D O I
10.1016/j.chc.2020.06.004
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Treatment of pediatric anxiety disorders is complicated by their number, comorbidity, and the differential impact of a child's anxiety on the child and parents. Measurement-based care, using patient-level rating scales, can guide clinical decisions, track symptom improvement, and monitor treatment response. We review instruments for measurement-based care in pediatric anxiety. Measures used to track pediatric anxiety should be brief, accessible, sensitive to change, and reliable. Because parent–child agreement about a child's anxiety tends to be low, measures from both should be obtained. Measurements can also track functional improvement, expectancy related to treatment, and readiness to change. © 2020 Elsevier Inc.
引用
收藏
页码:645 / 661
页数:17
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