Short term effects of inpatient cognitive behavioral treatment of adolescents with anxious-depressed school absenteeism: an observational study

Abstract

This large observational study in adolescents with school absenteeism and a mixture of emotional and disruptive symptoms is the first to show the benefits of inpatient therapy that included cognitivebehavioral therapy and access to a special school with expertise on teaching children and adolescents with psychiatric disorders. The results must be interpreted conservatively because of the lack of a control condition.

School refusal and anxiety in adolescence: Non-randomized trial of a developmentally sensitive cognitive behavioral therapy

“…Approximately two-thirds of anxiety-disordered young people receiving CBT for school refusal are free of their primary anxiety disorder following treatment or free of any anxiety disorder at follow-up . A recent observational study of inpatient therapy for adolescents with attendance problems and concurrent anxiety or depression (Walter et al, 2010) also hinted at the potential benefit of CBT. However, definitive conclusions about the effectiveness of Walter and colleagues' CBT are limited by the variable combination of cognitive behavioral interventions, psychopharmacological interventions, and other inpatient and outpatient interventions.…”

Langzeitstabilität nach stationärer Verhaltenstherapie bei Jugendlichen mit ängstlich-depressivem Schulabsentismus

“…In den letzten Jahren wurden zunehmend kognitiv-behaviorale Verfahren zur Behandlung entwickelt und erprobt. Insgesamt liegen 18 Wirksamkeitsstudien zu Schulabsentismus vor (davon 7 Studien mit Kontrollbedingung), die mehrheitlich kognitiv-behaviorale Therapie (KVT) von Kindern mit ängstlich bedingtem Schulabsentismus untersuchen, während Probanden mit expansiven Störungen und starker Chronifizierung in der Regel ausgeschlossen wurden (Pina et al, 2009;Walter, Hautmann, Lehmkuhl, Döpfner, 2011 (Walter, Hautmann, Rizk et al, 2010;Walter, Hautmann, Ziegert et al, 2010;Walter et al, 2011 (Berg u. Fielding, 1978;Blagg u. Yule, 1984;), King und Mitarbeiter (2001) berichten sogar über eine 5-Jahres-Katamnese.…”

“…Die unter kognitiv-behavioraler ambulanter Therapie erzielten Effekte konnten in allen drei Studien über den Katamnesezeitraum stabil gehalten werden. Walter und Mitarbeiter konnten zeigen, dass auch die im stationären Setting mit kognitiv-behavioraler Ausrichtung erzielten Veränderungen über einen kurzen Katamnesezeitraum von zwei Monaten weitgehend stabil gehalten werden konnten (Walter, Hautmann, Rizk et al, 2010;Walter, Hautmann, Ziegert et al, 2010).…”

Short- and Long-Term Effects of Inpatient Cognitive-Behavioral Treatment of Adolescents With Anxious-Depressed School Absenteeism: A Within-Subject Comparison of Changes

“…In recent years, cognitive-behavior therapy (CBT) has emerged as a possible effective intervention for school absenteeism. So far, four clinical trials of sufficient methodological quality have examined manualized CBT (Blagg & Yule, 1984;King et al, 1998;Last, Hansen, & Franco, 1998;Walter, Hautmann, Rizk, et al, 2010). Three of these studies concentrated on outpatient treatment of anxiety-based school absenteeism, did not focus solely on adolescents, were only partially focused on clinically referred adolescents, excluded subjects with disruptive behavior, and=or included only a small proportion of youth with chronic school absenteeism (Blagg & Yule, 1984;King et al, 1998;Last et al, 1998).…”