The effectiveness of child and adolescent psychiatric treatments in a naturalistic outpatient setting

Bachmann, Mareile; Bachmann, Christian; John, Katja; Heinzel‐Gutenbrunner, Monika; Remschmidt, Helmut; Mattejat, Fritz

doi:10.1002/j.2051-5545.2010.tb00288.x

Cited by 20 publications

(17 citation statements)

References 39 publications

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“…More extensive and detailed analyses of the effectiveness of the psychiatric treatments for children and adolescents that are considered here can be found in Bachmann et al (2010).…”

Section: Direct Assessment Of the Success Of Treatment And Of The Chamentioning

confidence: 99%

The quality of life of children and adolescents with ADHD undergoing outpatient psychiatric treatment: simple disorders of activity and attention and hyperkinetic conduct disorders in comparison with each other and with other diagnostic groups

Remschmidt

Mattejat

2010

ADHD Atten Def Hyp Disord

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(1) How does the quality of life of patients with ADHD treated in an ambulatory care setting compare to that of other patient groups in child and adolescent psychiatry? (2) Can differences in the quality of life be demonstrated between patients with simple disorders of activity and attention and those with hyperkinetic conduct disorders? (3) How does the quality of life in these patient groups change over one year of treatment? The Inventory for the Assessment of Life Quality in Children and Adolescents (Inventar zur Untersuchung der Lebensqualität von Kindern und Jugendlichen, ILK) was applied to a sample of 726 patients derived from nine different outpatient practices for child and adolescent psychiatry. Among them were 196 patients with a simple disorder of activity and attention and 64 with a hyperkinetic conduct disorder. A comparison between these two groups was the main aim of the study. The mean age of the patients in the sample (all diagnoses) was 8.7 ± 3 years. The two groups of hyperkinetic patients made up 35% of the overall sample, and both of them showed a marked male predominance. The hyperkinetic patients tended to have lower quality-of-life scores than patients in the other diagnostic groups. Longitudinal observation revealed improvements in the quality of life across all patient groups, but the patients with hyperkinetic disorders (both groups) improved the least. The parents of the hyperkinetic patients, too, reported suffering greater stress because of their children's condition than the parents of children with other types of disorders. The ILK instrument has test-metrical qualities that render it usable and capable of holding its own among other, comparable instruments. It can be used to assess the quality of life of children with various diagnoses. Children with ADHD tend to have the least favorable quality-of-life scores, yet they do show some degree of improvement in their quality of life after a year of treatment.

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“…More extensive and detailed analyses of the effectiveness of the psychiatric treatments for children and adolescents that are considered here can be found in Bachmann et al (2010).…”

Section: Direct Assessment Of the Success Of Treatment And Of The Chamentioning

confidence: 99%

The quality of life of children and adolescents with ADHD undergoing outpatient psychiatric treatment: simple disorders of activity and attention and hyperkinetic conduct disorders in comparison with each other and with other diagnostic groups

Remschmidt

Mattejat

2010

ADHD Atten Def Hyp Disord

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“…On the other hand, it needs to be pointed out in this context that traditional individual psychotherapy is usually not indicated in conduct disorders and that there are no indications of its efficacy in this setting (2). The current UK guidelines are methodologically of a high quality and recommend, depending on age group, primarily parent training programs or multimodal interventions (for example, multisystemic therapy) (3).…”

Section: In Replymentioning

confidence: 99%

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Hoffmann¹

2014

Deutsches Ärzteblatt International

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Conflict of interest statementProf. Bachmann has received lecture fees from Actelion, Novartis, and Ferring as well as payment from BARMER GEK for writing a chapter in a book. He has served as a study physician in clinical trials for Shire and Novartis. PD Dr. Hoffmann is active on behalf of a number of statutory health-insurance companies (BARMER GEK, DAK, TK, and various corporate health-insurance funds]) in the setting of contracts for third-party payment.

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“…Dieser Effekt verbesserte sich in einer Katamneseuntersuchung nach 2 Jahren nur geringfügig [Weiss et al, 2000]. Bachmann et al [2010] untersuchten die Alltagswirksamkeit im naturalistischen ambulanten Setting in 9 Kinder-und Jugendpsychiatrischen Praxen. Kleine bis moderate Therapieeffekte wurden für die Angststörungen und ADHS berichtet, keine signifikanten Effekte für depressive Störungen und die Störung des Sozialverhaltens.…”

Section: Die Versorgungslageunclassified

Aktueller Stand Internalisierender Störungen im Kindes- und Jugendalter: Sind sie aus den Kinderschuhen ausgewachsen?

In‐Albon¹

2012

Verhaltenstherapie

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Internalisierende Störungen sind die häufigsten psychischen Störungen im Kindes- und Jugendalter. Es kann heute als erwiesen angesehen werden, dass Angst- und depressive Störungen nicht auswachsen, sondern im Gegenteil stabil sind und einen beträchtlichen Risikofaktor für die Entwicklung weiterer psychischer Störungen im Erwachsenenalter darstellen. Daher sollte diesen Störungen in der Früherkennung, Prävention und Versorgung vermehrt Beachtung geschenkt werden, da diese Kinder häufig zu lange im Stillen leiden, bevor sie adäquate Hilfe erhalten. Für eine Verbesserung der Versorgungslage sollte eine Reihe von Fachpersonen mit einbezogen werden, die mit Kindern und Jugendlichen in regelmäßigem Kontakt stehen. Zudem sollten auch Kinder und Jugendliche selbst über psychische Probleme aufgeklärt werden. Sind Angst- und depressive Störungen erkannt, liegen gut überprüfte Therapien vor, die auch nachhaltig wirksam sind. Nebst der Verbesserung der Früherkennung und Steigerung der Wirksamkeit von Interventionsprogrammen sollten Präventionsprogramme zur Verbesserung der allgemeinen psychischen Gesundheit gefördert und durchgeführt werden.

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The effectiveness of child and adolescent psychiatric treatments in a naturalistic outpatient setting

Abstract: Data concerning the effectiveness of naturalistic treatments (treatment-as-usual)

Cited by 20 publications

References 39 publications

The quality of life of children and adolescents with ADHD undergoing outpatient psychiatric treatment: simple disorders of activity and attention and hyperkinetic conduct disorders in comparison with each other and with other diagnostic groups

The quality of life of children and adolescents with ADHD undergoing outpatient psychiatric treatment: simple disorders of activity and attention and hyperkinetic conduct disorders in comparison with each other and with other diagnostic groups

In Reply

Aktueller Stand Internalisierender Störungen im Kindes- und Jugendalter: Sind sie aus den Kinderschuhen ausgewachsen?

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