Stéphanie Bourion-Bédès, Michael Bisch, Cedric Baumann
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Logistic regression models were used to identify the sociodemographic, clinical and family characteristics of these incarcerated adolescents that could predict family involvement in their care.</p><p><strong>Findings: </strong>Among 44 adolescents with conduct disorder, the probability of family involvement during the adolescent's detention was 9.6 times greater (95% CI 1.2-14.4, <i>p</i> = 0.03) for adolescents with no than for those with cannabis substance use disorder, and family involvement decreased with the age of the adolescent (OR = 0.22, 95% CI 0.1-0.9, <i>p</i> = 0.04).</p><p><strong>Research limitations/implications: </strong>Increased knowledge of the characteristics of these adolescents and their families is needed to develop programs that will increase family interventions by specialty treatment services during detention.</p><p><strong>Originality/value: </strong>No study has yet been published on French incarcerated adolescents with conduct disorder. 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引用次数: 0
摘要
目的:本研究旨在确定在拘留期间可能影响家人参与以家庭为中心的护理计划的患者特征:人们对被监禁青少年及其家人的需求知之甚少。这项探索性研究采用横断面设计,收集了法国一家精神科门诊部随访的患有行为障碍的被监禁青少年的数据。研究采用逻辑回归模型来确定这些被监禁青少年的社会人口学、临床和家庭特征,以预测家庭是否参与了他们的治疗:在 44 名品行障碍青少年中,与大麻药物使用障碍青少年相比,没有品行障碍的青少年在被拘留期间的家庭参与概率是后者的 9.6 倍(95% CI 1.2-14.4,p = 0.03),而且家庭参与程度随着青少年年龄的增长而降低(OR = 0.22,95% CI 0.1-0.9,p = 0.04):需要进一步了解这些青少年及其家庭的特点,以制定相关计划,增加拘留期间专业治疗服务机构对家庭的干预:目前还没有关于法国被监禁的品行障碍青少年的研究报告。由于行为障碍是青少年犯罪中最重要的精神疾病之一,这项研究提供了有关这些青少年的知识,并说明有必要让他们的父母参与到他们的护理工作中来,以防止问题行为进一步升级。
Factors associated with family involvement in a family-centered care program among incarcerated French adolescents with conduct disorder.
Purpose: This study aims to identify the patient characteristics that may influence family involvement in a family-centered care program during detention.
Design/methodology/approach: Little is known about the needs of incarcerated adolescents and their families. This exploratory study used a cross-sectional design to collect data from incarcerated adolescents with conduct disorder followed in a French outpatient psychiatric department. Logistic regression models were used to identify the sociodemographic, clinical and family characteristics of these incarcerated adolescents that could predict family involvement in their care.
Findings: Among 44 adolescents with conduct disorder, the probability of family involvement during the adolescent's detention was 9.6 times greater (95% CI 1.2-14.4, p = 0.03) for adolescents with no than for those with cannabis substance use disorder, and family involvement decreased with the age of the adolescent (OR = 0.22, 95% CI 0.1-0.9, p = 0.04).
Research limitations/implications: Increased knowledge of the characteristics of these adolescents and their families is needed to develop programs that will increase family interventions by specialty treatment services during detention.
Originality/value: No study has yet been published on French incarcerated adolescents with conduct disorder. As conduct disorder is one of the most important mental health disorders among delinquent adolescents, this study provides knowledge about these adolescents and the need to involve their parents in their care to prevent the further escalation of problem behaviors.