Inpatient psychiatric treatment is not always effective in adolescent sample

Remberk, Barbara; Bażyńska, Anna Katarzyna; Brągoszewska, Joanna; Niwiński, Piotr; Piróg-Balcerzak, Agnieszka; Rybakowski, Filip

doi:10.1080/13651501.2017.1364771

Cited by 2 publications

(2 citation statements)

References 38 publications

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“…Similarly, there was considerable variability in LOS across studies. Three had a LOS of less than 10 days with statistically significant improvement demonstrated in two of those (Hanssen‐Bauer et al, 2011; Remberk et al, 2018) while the third reported that the majority of participants (55%) improved (Moola et al, 2017), although they did not report statistical significance. While it is encouraging that improvements may be achieved with minimal LOS it remains difficult to make direct comparisons with improvements across longer LOS as intuitively, LOS will be influenced by other factors including models of care and severity and complexities of patients.…”

Section: Discussionmentioning

confidence: 99%

Evaluating outcomes following adolescent and youth mental health inpatient admissions: A systematic review

Hsu,

Ayres,

Payne

2024

Early Intervention Psych

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AimIncreasing rates of mental illness among young people, exacerbated by the negative impacts of COVID‐19, has resulted in growing pressure on available psychiatric resources to meet increasing demand. Inpatient units provide specialist care for young people with the most severe and complex mental disorders but are one of the most expensive models of psychiatric care. The aim of this review is to provide an update on the effectiveness of adolescent and youth mental health inpatient units in improving outcomes to inform the most efficacious use of psychiatric resources.MethodsSystematic searches of PubMed, The Cochrane Library, PsycINFO, EMBASE, and Web of Science were conducted for studies published in English between January 2011 to May 2022. Criteria for selection included participants aged 12–25 years who had been admitted to amental health inpatient unit. Studies were excluded if set in substance abuse or disability specific units, outpatient or forensic settings, or assessed novel interventions.Results23 studies were identified as meeting inclusion criteria, with most (n = 19) utilizing a pre‐post observational design and reporting improvement across various domains following inpatient treatment. A total of 24 different outcome measures or methods were used meaning a meta‐analysis of results was not possible. There was also a lack of consistency across models of care, lengths of stay, admission policies, and interventions provided.ConclusionInpatient units provide positive outcomes for consumers however a clear understanding of clinical significance and comparison to other treatment settings is lacking.

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Section: Discussionmentioning

confidence: 99%

Evaluating outcomes following adolescent and youth mental health inpatient admissions: A systematic review

Hsu,

Ayres,

Payne

2024

Early Intervention Psych

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“…The English version of the scale was used. Psychopathological symptoms were also assessed as described in another study (Remberk et al., 2018 )…”

Section: Methodsmentioning

confidence: 99%

Ectodermal disturbance in development shared by anorexia and schizophrenia may reflect neurodevelopmental abnormalities

Remberk

Niwiński²,

Brzóska-Konkol

et al. 2021

Brain and Behavior

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Minor physical abnormalities (MPA) are subtle dysmorphic features of bodily structures that have little or no impact on function. Most MPA develop during the first gestational trimester and are considered as important indicators of neuroectodermal deficiencies emerging during early brain development. A higher frequency of MPA was confirmed in schizophrenia patients and their relatives, when compared to controls.These findings are consistent with the neurodevelopmental model of schizophrenia.A neurodevelopmental component amongst other risk factors has also been recently proposed for anorexia nervosa (AN). The current study aimed to assess MPA frequency in adolescent inpatients with either schizophrenia spectrum disorders (SSD) or AN as compared to healthy controls (HC). The Waldrop Scale was used for assessing MPA.The mean MPA total score and mean head subscore was significantly higher in both test groups than in HC. There were no statistically significant differences between SSD and AN groups. The MPA profile (not frequency) was similar in all three groups. This finding is consistent both with widely acknowledged neurodevelopmental schizophrenia hypothesis as well as with more recent neurodevelopmental model of AN. Nevertheless, the findings should not be overgeneralized and further studies are warranted.

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Inpatient psychiatric treatment is not always effective in adolescent sample

Abstract: The inpatient treatment seems to be most effective in severe mental states and in anxiety-related disorders and least effective in personality disorders. Due to limited inpatient treatment efficacy we believe outpatients services are crucial in adolescent psychiatry.

Cited by 2 publications

References 38 publications

Evaluating outcomes following adolescent and youth mental health inpatient admissions: A systematic review

Evaluating outcomes following adolescent and youth mental health inpatient admissions: A systematic review

Ectodermal disturbance in development shared by anorexia and schizophrenia may reflect neurodevelopmental abnormalities

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