Treatment satisfaction following routine outpatient cognitive-behavioral therapy of adolescents with mental disorders: a triple perspective of patients, parents and therapists

Abstract

The present study investigates treatment satisfaction (TS) rated by multiple informants (patient, parent, therapist) following routine outpatient cognitive-behavioral therapy (CBT) within a large sample (n = 965) of clinically referred adolescents aged 11-20 years. Moreover, potential predictors of TS were analyzed (patient-related variables, mental disorder characteristics, socio-demographic factors and treatment variables). Overall, our results show a high treatment satisfaction in patient, parent and therapist ratings, with the therapists being the most critical raters (completely/predominantly satisfied: 87.8% in patient, 92.0% in parent, and 64.0% in therapist ratings). Correlations between the three raters were only small to moderate, but statistically significant. Regression analysis examining differential effects found that mental disorder characteristics (parent- and patient-reported symptoms at post) and treatment variables (especially cooperation of patients and parents as rated by therapists) explained most of the variance in TS, whereas patient-related or socio-demographic variables did not emerge as relevant predictors of TS. The amounts of explained variance were R = 0.594 in therapist rating, R = 0.322 in patient rating and R = 0.203 in parent rating.

Art Therapy for Children Diagnosed with Autism Spectrum Disorders: Development and First Evaluation of a Treatment Programme

“…Therapists often score lower than others on satisfaction (cf. Viefhaus et al, 2019). Involving the therapist perspective as a particularly critical rater seems to be very important -in practice and research -and may help therapists to reflect on and, therefore, enhance the quality of their therapies Teacher ratings in our study were higher if there was a good relationship between the child and the teacher.…”

“…Teachers' and art therapists' ratings were 7,2 and 7,1, respectively. Such a rating gives a general impression about more than 50 possible variables that may be influencing the satisfaction of parents, teachers and clients about a treatment (Viefhaus et al, 2019). It is plausible to associate satisfaction with the quality of the treatment (Edlund, Young, Kung, Sherbourne, & Wells, 2003).…”

Are parents’ geographical origin associated with their evaluation of child and adolescent mental health services? Results from a national survey in Norway

“…Patient centredness is an important quality component in itself [1], and positive patient experiences are associated with better adherence to treatment recommendations, better patient safety, better effectiveness, and less health care utilization [2,3]. Patient satisfaction has been used as an outcome indicator in child and adolescent mental health services (CAMHS) for a long time [4], but the patient voice is often represented or supplemented by parent satisfaction [5][6][7][8][9][10], and even the clinician perspective [11]. While such perspectives are crucial in quality measurement, health system performance also involves assessment of equity or the fairness of the distribution of health care and quality across populations [1].…”

Parent- and therapist-rated treatment satisfaction following routine child cognitive-behavioral therapy

“…Only a small number of studies have included a therapist rating [e.g. [14][15][16][17][18][19], and generally found that the therapist-rated TS was lower than that of the parents. Studies investigating both perspectives [15][16][17]19] predominantly found small to medium correlations between parent and therapist TS, again indicating the need to integrate different rating perspectives [i.e.…”