"Influence of at-risk family interactions on the course of psychiatric care in adolescence"Data and code of analysis included in the paper.Database and code of the At-Risk Family Interaction Scale (ARFI) validation.ARFI is a comprehensive and transtheoretical 30-item clinical scale, and database and code used to explore the assess the impact of at-risk family interactions on the care of adolescents hospitalized in psychiatry (number and duration of hospitalization).

ABSTRACT : Dysparenting, referring to inappropriate parental attitudes,is a vulnerability factor for mental disorders during adolescence and a therapeutic leverage, yet clinicians lack reliable tools to assess it in daily clinical practice. Moreover, the effect of this dysparenting on the amount of psychiatric care remains unclear.The Family & Care study aims to develop the At-Risk Family Interaction Scale (ARFI), a comprehensive 30-item clinical scale, and to assess in a cross-sectional design, the impact of these at-risk family interactions on the care of adolescents(n=425)hospitalized in psychiatry and aged 13 to 19 years old.Factorial analysis shows that the ARFI scale consists of three main dimensions associated with Cohesion/Conflicts, Love/Hostility and Autonomy/Control with good psychometric properties.Multivariate regressions show that the ARFI Intensity score predicts the duration of hospital care, regardless of age, gender, medical severity on admission -assessed by the Global Assessment of Functioning scale-, the presence of maltreatment and psychiatric diagnoses. Moreover, the ARFI Diversity score(number of items present regardless of their severity) predicts both the number and duration of hospitalizations. At-risk family interactions are a determining dimension of psychiatric adolescent care, and the ARFI scale could constitute a valuable tool, not only for their holistic evaluation and treatment, but also for their prevention.

摘要：不良养育（Dysparenting）指不当的父母养育态度，是青少年期精神障碍的易感因素，同时也是治疗干预的潜在靶点，但临床医师在日常临床实践中缺乏可靠的评估工具。此外，此类不良养育行为对精神科诊疗服务量的影响仍不明确。“家庭与照护”（Family & Care）研究旨在开发风险家庭互动量表（At-Risk Family Interaction Scale，ARFI）——一款包含30个条目、具备全面评估能力的临床量表，并采用横断面研究设计，评估此类风险家庭互动对13至19岁、共计425名精神科住院青少年的诊疗产生的影响。因子分析结果显示，ARFI量表包含三大核心维度，分别为亲密/冲突、关爱/敌意与自主/控制，且具备良好的心理测量学性能。多元回归分析表明，ARFI强度得分可独立预测住院治疗时长，不受年龄、性别、入院时基于整体功能评定量表（Global Assessment of Functioning scale，GAF）评估的病情严重程度、虐待史及精神疾病诊断的影响。此外，ARFI多样性得分（即无论严重程度高低的达标条目总数）可同时预测住院次数与住院时长。风险家庭互动是影响青少年精神科诊疗的关键维度，而ARFI量表不仅可用于此类互动的整体性评估与干预，还可应用于相关预防工作，具备重要的临床应用价值。