5.3 a Global Standard Set of Outcomes for Routine Use With Children and Young People With Anxiety, Depression, Ocd, or PTSD

Krause, Karolin

doi:10.1016/j.jaac.2020.07.574

Cited by 1 publication

(1 citation statement)

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“…A COS for clinical trials relating to adolescent depression is currently under development at the Hospital for Sick Children in Toronto, Canada [ 83 ]. A COS for children and young people treated for anxiety and depression in routine care settings has recently been devised under the lead of the International Consortium for Health Outcomes Measurement (ICHOM) [ 84 ]. Our findings can inform such efforts by identifying candidate outcomes for inclusion in a COS.…”

Section: Discussionmentioning

confidence: 99%

A comprehensive mapping of outcomes following psychotherapy for adolescent depression: The perspectives of young people, their parents and therapists

Krause

Midgley

Edbrooke‐Childs

et al. 2020

Eur Child Adolesc Psychiatry

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As mental health systems move towards person-centred care, outcome measurement in clinical research and practice should track changes that matter to young people and their families. This study mapped the types of change described by three key stakeholder groups following psychotherapy for depression, and compared the salience of these outcomes with the frequency of their measurement in recent quantitative treatment effectiveness studies for adolescent depression. Using qualitative content analysis, this study identified and categorized outcomes across 102 semi-structured interviews that were conducted with depressed adolescents, their parents, and therapists, as part of a randomized superiority trial. Adolescents had been allocated to Cognitive-Behavioral Therapy, Short-Term Psychoanalytic Psychotherapy, or a Brief Psychosocial Intervention. The study mapped seven high-level outcome domains and 29 outcome categories. On average, participants discussed change in four domains and six outcome categories. The most frequently discussed outcome was an improvement in mood and affect (i.e., core depressive symptoms), but close to half of the participants also described changes in family functioning, coping and resilience, academic functioning, or social functioning. Coping had specific importance for adolescents, while parents and therapists showed particular interest in academic functioning. There was some variation in the outcomes discussed beyond these core themes, across stakeholder groups and treatment arms. Of the outcomes that were frequently discussed in stakeholder narratives, only symptomatic change has been commonly reported in recent treatment studies for adolescent depression. A shift towards considering multiple outcome domains and perspectives is needed to reflect stakeholder priorities and enable more nuanced insights into change processes.

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Section: Discussionmentioning

confidence: 99%