Youth Top Problems: Using Idiographic, Consumer-Guided Assessment to Identify Treatment Needs and to Track Change during Psychotherapy

Autor/inn/en	Weisz, John R.; Chorpita, Bruce F.; Frye, Alice; Ng, Mei Yi; Lau, Nancy; Bearman, Sarah Kate; Ugueto, Ana M.; Langer, David A.; Hoagwood, Kimberly E.
Titel	Youth Top Problems: Using Idiographic, Consumer-Guided Assessment to Identify Treatment Needs and to Track Change during Psychotherapy
Quelle	In: Journal of Consulting and Clinical Psychology, 79 (2011) 3, S.369-380 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0023307
Schlagwörter	Mental Disorders; Check Lists; Caregivers; Test Validity; Child Behavior; Psychometrics; Psychotherapy; Symptoms (Individual Disorders); Counseling Techniques; Evaluation Methods; Test Construction; Counseling Effectiveness; Children; Early Adolescents; Parents; Severity (of Disability); Test Reliability; Behavior Problems; Brief Symptom Inventory; Child Behavior Checklist + Suchen Sie Ihr Suchwort? Mental illness; Geisteskrankheit; Checkliste; Caregiver; Carer; Betreuungsperson; Pfleger; Testvalidität; Psychometry; Psychometrie; Psychotherapie; Psychiatrische Symptomatik; Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode; Testaufbau; Child; Kind; Kinder; Eltern; Schweregrad; Testreliabilität
Abstract	Objective: To complement standardized measurement of symptoms, we developed and tested an efficient strategy for identifying (before treatment) and repeatedly assessing (during treatment) the problems identified as most important by caregivers and youths in psychotherapy. Method: A total of 178 outpatient-referred youths, 7-13 years of age, and their caregivers separately identified the 3 problems of greatest concern to them at pretreatment and then rated the severity of those problems weekly during treatment. The Top Problems measure thus formed was evaluated for (a) whether it added to the information obtained through empirically derived standardized measures (e.g., the Child Behavior Checklist [CBCL; Achenbach & Rescorla, 2001] and the Youth Self-Report [YSR; Achenbach & Rescorla, 2001]) and (b) whether it met conventional psychometric standards. Results: The problems identified were significant and clinically relevant; most matched CBCL/YSR items while adding specificity. The top problems also complemented the information yield of the CBCL/YSR; for example, for 41% of caregivers and 79% of youths, the identified top problems did not correspond to any items of any narrowband scales in the clinical range. Evidence on test-retest reliability, convergent and discriminant validity, sensitivity to change, slope reliability, and the association of Top Problems slopes with standardized measure slopes supported the psychometric strength of the measure. Conclusions: The Top Problems measure appears to be a psychometrically sound, client-guided approach that complements empirically derived standardized assessment; the approach can help focus attention and treatment planning on the problems that youths and caregivers consider most important and can generate evidence on trajectories of change in those problems during treatment. (Contains 4 footnotes, 3 tables, and 2 figures.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10