Applicability Of The Proxy Perspective In Children And Adolescent Psychotherapy: Development And Validation Of The YP-CORE-Proxy - Info and Reading Options

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The planned study consists of three modules: 1. The Young Person – Clinical Outcomes in Routine Evaluation (YP-CORE; Twigg et al. 2009) was originally designed as a self-report instrument. It consists of 10 items and can be used quickly and easily to evaluate and assess distress in children and adolescents aged 12–18 years. Despite the long-standing use of the YP-CORE in clinical practice and research, there is currently no proxy assessment version that covers the external perception of children's and adolescents' mental health. The German version of the YP-CORE self-report questionnaire is currently undergoing psychometric validation by the research group at the University of Trier, and will be officially released upon publication of the first validation study. The first study module will therefore deal with development and psychometric investigation of two questionnaires based on this self-report version. These versions are to be completed by the parents of patients. One version will adopt the "proxy-proxy" approach, examining the parents' perspective on their children's distress. Another version will adopt the "proxy-child" approach, evaluating the parents' perception of their children's perspective on their distress (Pickard & Knight, 2005). During the development process, experts (e.g., psychologists and psychotherapists specialising in children and adolescents' mental health) and lay people (e.g., parents of children in this age group) will be consulted in focus groups to discuss the form and necessity of these two versions. The questionnaires will then be critically evaluated and, if necessary, revised before undergoing an initial psychometric test to assess reliability and validity. 2. The second module is a cross-sectional single-centre study aiming to investigate the extent to which parents' perceptions of their child (proxy-proxy view) and their evaluation of the child's perceptions (proxy-child view) align with the child's actual state of mind. These results can be seen as an important addition to psychotherapeutic work, providing valuable insights for discussions with parents and for working with children. 3. The third module is a longitudinal, single-centre observational study of the psychological distress experienced by children and adolescents, and an assessment of their progress in therapy from their own perspective and that of their parents. To this end, patients and their parents/legal guardians complete questionnaires at four different points in time. The study's results provide further insight into the applicability of the YP-CORE-Proxy in therapy, its ability to detect changes, and its potential to inform discussions with parents during treatment.

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