Global assessment of psychosocial functioning in child and adolescent psychiatry

Schorre, Bjørg Elisabeth Haugen; Vandvik, Inger Helene

doi:10.1007/s00787-004-0390-2

Cited by 147 publications

(110 citation statements)

References 108 publications

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“…, (Scahill et al, 1997), (E. A. Storch et al, 2004) (Lisa Calvocoressi et al, 1999), , Children's Global Assessment Scale (CGAS) , , , (Schorre & Vandvik, 2004) …”

Section: Competing Interestsmentioning

confidence: 99%

Quality of life in children with OCD before and after treatment

Weidle

Ivarsson

Thomsen

et al. 2014

Eur Child Adolesc Psychiatry

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Barn og ungdom med tvangslidelse (OCD): Komorbiditet og livskvalitet.OCD er kjennetegnet av ubehagelige tvangstanker og tidskrevende tvangshandlinger og forekommer hos 0,5 -3 % av barnebefolkningen. Ubehandlet får lidelsen et kronisk forløp hos 40 -75 %. Hovedmålsettingen for avhandlingen var å belyse to viktige aspekter av OCD: Samtidig forkommende andre tilstander (komorbiditet) og livskvalitet. Komorbiditet i form av autistiske trekk ble undersøkt hos barn og unge med OCD og sammenliknet med en kontrollgruppe fra den generelle befolkningen. Utvalget er hentet fra en svensk OCD klinikk (Göteborg), kontrollgruppen ble rekruttert i en middels stor by fra samme geografiske området. Autistiske symptomer forekom hos omtrent en femtedel av barn og unge med OCD og var dermed mye hyppigere enn i den generelle befolkningen. Allikevel hadde flertallet ikke slike symptomer som tyder på at kombinasjonen av autistiske symptomer og OCD forekommer i en undergruppe, men er ikke et generelt trekk ved OCD. l den internasjonalt pågående debatten om det er empirisk grunnlag for å betrakte tilstander som OCD, Tourettes syndrom, spiseforstyrrelser og autismespekterforstyrrelser som deler av et såkalt Obsessive-Compulsive Spectrum (OCSD) støtter våre resultater ikke klassifikasjon av autismespekterforstyrrelser som del av dette spektrum. At en undergruppe av barn med OCD har autistiske trekk må dog tas i betraktning når man skal skreddersy individuell tilpasset behandling for barn med OCD.Å utforske livskvalitet hos barn og unge med OCD er relevant, fordi det finnes et stort antall studier av livskvalitet hos voksne med OCD, men veldig få undersøkelser hos barn. Livskvalitet ble undersøkt hos barn og unge med OCD som deltok i NordLOTS studien (Nordic Longterm OCD treatment study) og sammenliknet med livskvalitet av skoleelever i Sør-Trøndelag. NordLOTS-studien er en nordisk multisenterstudie hvor enheter som behandler OCD hos barn og ungdom har anvendt samme prosedyre for utredning, behandling og evaluering. Studien har inkludert 135 barn og ungdom i alder 7-17 år med OCD. Pasientene ble behandlet med kognitiv atferdsterapi (KAT) med eksponering i en "standartdose" på 14 timer og ble deretter evaluert. Livskvalitet og sosial kompetanse var betydelig redusert hos barn og ungdom med OCD sammenlignet med den generelle befolkningen. Hos barn med komorbide lidelser beskrev foreldrene lavere livskvalitet enn hos de med bare OCD. Etter behandlingen rapporterte de som hadde effekt av behandlingen en livskvalitet i samme nivå som i den generelle befolkningen, mens de som ikke hadde effekt beskrev ingen forbedring av livskvaliteten. Basert på våre funn anbefales å anvende livskvalitets evaluering i klinikk og forskning for å få med et mål for barns og foreldrenes subjektive opplevelse i vurderingen og dermed en mer helhetlig forståelse av OCD hos barn og unge. Ovennevnte avhandling er funnet verdig til å forsvares offentlig for graden philosophiae doctor (ph.d.). Disputas finner sted i Auditoriet, Medisinsk Teknisk Forskningssenter, fredag 9...

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“…, (Scahill et al, 1997), (E. A. Storch et al, 2004) (Lisa Calvocoressi et al, 1999), , Children's Global Assessment Scale (CGAS) , , , (Schorre & Vandvik, 2004) …”

Section: Competing Interestsmentioning

confidence: 99%

Quality of life in children with OCD before and after treatment

Weidle

Ivarsson

Thomsen

et al. 2014

Eur Child Adolesc Psychiatry

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“…Studies on the inter-rater reliability on the CGAS showed fair to substantial intraclass correlations of 0.59-0.90. 42,43 children and adolescents. 44 The CDRS-R helps clinicians to rate 17 symptom areas: impaired schoolwork, difficulty having fun, social withdrawal, appetite disturbance, sleep disturbance, excessive fatigue, physical complaints, irritability, excessive guilt, low self-esteem, depressed feelings, morbid ideas, suicidal ideas, excessive weeping, depressed facial affect, listless speech and hypoactivity.…”

Section: Children's Global Assessment Scale (Cgas)mentioning

confidence: 99%

A randomised controlled trial of cognitive behaviour therapy in adolescents with major depression treated by selective serotonin reuptake inhibitors. The ADAPT trial

Goodyer¹,

Dubicka²,

Wilkinson³

et al. 2008

Health Technol Assess

101

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“…Participants’ overall psychosocial functioning was measured with the German version [33] of the Children’s Global Assessment Scale (C-GAS) [34]. The C-GAS has been extensively used in order to assess psychosocial functioning [35] and the German version of the C-GAS has shown a very good interrater reliability of 0.93 [36]. …”

Section: Methodsmentioning

confidence: 99%

Axis I and II Comorbidity and Psychosocial Functioning in Female Adolescents with Borderline Personality Disorder

Kaess

Ceumern-Lindenstjerna

Parzer

et al. 2012

Psychopathology

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Background: Borderline personality disorder (BPD) is known to be associated with high rates of comorbidity and severe impairment of psychosocial functioning in adults. The aim of this study was to investigate Axis I and Axis II disorders, as well as psychosocial functioning, in a clinical sample of adolescents with BPD and to compare these with participants with mixed psychiatric diagnoses. Methods: Female adolescent patients were consecutively recruited from the child and adolescent psychiatry department of a university hospital. Axis I and Axis II diagnoses were assessed by experienced clinicians using well-established semistructured interviews, along with psychosocial functioning. Results: The final sample (87 participants) comprised 31 participants with a diagnosis of BPD and 56 participants with mixed psychiatric diagnoses. The most common comorbid disorders in the adolescent BPD sample were mood, eating, dissociative, and substance use disorders in Axis I, and cluster C personality disorders in Axis II. The BPD group showed a significantly higher average number of comorbid Axis I and Axis II diagnoses and significantly lower psychosocial functioning compared with the clinical control group. Regression analyses revealed that psychosocial functioning was predicted by socioeconomic status and comorbid disorders, as well as the unique influence of BPD itself. Conclusion: Adolescent BPD in females is accompanied by high rates of psychiatric comorbidity and poor psychosocial functioning. This underscores the need for diagnosis of BPD at its early stages, in order to facilitate appropriate interventions.

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Global assessment of psychosocial functioning in child and adolescent psychiatry

Cited by 147 publications

References 108 publications

Quality of life in children with OCD before and after treatment

Quality of life in children with OCD before and after treatment

A randomised controlled trial of cognitive behaviour therapy in adolescents with major depression treated by selective serotonin reuptake inhibitors. The ADAPT trial

Axis I and II Comorbidity and Psychosocial Functioning in Female Adolescents with Borderline Personality Disorder

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