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Examining the role of neuropsychology in community-based pediatric mental health care
Applied Neuropsychology: Child ( IF 1.7 ) Pub Date : 2022-02-19 , DOI: 10.1080/21622965.2022.2038169
Caitlyn Gallant 1 , Dawn Good 1, 2
Affiliation  

Abstract

Numerous investigations have demonstrated a link between neuropsychological functioning and mental health. Children with a history of neurological compromise are more vulnerable to mental illness and there is a growing literature indicating that neurocognitive functioning predicts psychosocial outcomes in adulthood. However, not much is known about how neuropsychological information is utilized in community-based mental health care. Thus, we examined what neuropsychological information is available to pediatric centers and how neuropsychological functioning relates to treatment outcomes in these settings. Two content analyses were conducted to identify mental health indicators across different intake sources and these results were compared to a structured intake. Further, a series of standardized neurocognitive and neuroemotional measures were completed and these indices were correlated with treatment outcomes. Qualitative results confirmed that neuropsychological factors are often overlooked when utilizing current approaches and that observable symptoms are a primary focus of treatment. Additionally, neurocognitive deficits were associated with self-reported interpersonal difficulties and caregivers’ reports of externalizing; however, only caregiver-reported externalizing challenges correlated with treatment outcomes. Importantly, neurocognitive challenges were associated with long-term treatment responses, suggesting that these factors may be an important therapeutic target. Collectively, these findings indicate a need to incorporate neuropsychological factors in pediatric mental health treatment.



中文翻译:

检查神经心理学在以社区为基础的儿科心理保健中的作用

摘要

大量研究表明神经心理功能与心理健康之间存在联系。有神经系统损害病史的儿童更容易患精神疾病,越来越多的文献表明神经认知功能可以预测成年后的社会心理结果。然而,关于如何在基于社区的精神卫生保健中利用神经心理学信息知之甚少。因此,我们检查了儿科中心可以获得哪些神经心理学信息,以及神经心理学功能如何与这些环境中的治疗结果相关。进行了两项内容分析以确定不同摄入来源的心理健康指标,并将这些结果与结构化摄入进行比较。更远,完成了一系列标准化的神经认知和神经情绪测量,这些指标与治疗结果相关。定性结果证实,在使用当前方法时,神经心理因素经常被忽视,可观察到的症状是治疗的主要重点。此外,神经认知缺陷与自我报告的人际关系困难和照顾者的外化报告有关;然而,只有护理人员报告的外化挑战与治疗结果相关。重要的是,神经认知挑战与长期治疗反应相关,表明这些因素可能是一个重要的治疗目标。总的来说,这些发现表明需要将神经心理因素纳入儿科心理健康治疗。

更新日期:2022-02-19
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