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Outcomes of child psychiatric treatment.

Artikel i vetenskaplig tidskrift
Författare Anna Lundh
M Forsman
E Serlachius
P Lichtenstein
Mikael Landén
Publicerad i Acta psychiatrica Scandinavica
Volym 128
Nummer/häfte 1
Sidor 34-44
ISSN 1600-0447
Publiceringsår 2013
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi
Sidor 34-44
Språk en
Länkar dx.doi.org/10.1111/acps.12043
Ämnesord adolescent; child; mental disorders/therapy; outcome assessment; psychiatric status rating scales
Ämneskategorier Klinisk medicin, Psykiatri

Sammanfattning

Objective The aim of this study was to investigate outcomes of child psychiatric outpatient treatment as usual and to identify outcome predictors, with special regard to attention-deficit/hyperactivity disorder (ADHD), mood disorder, obsessive-compulsive disorder and conduct disorder. Method Routinely collected data from 12613 outpatients between July 2006 and January 2010 in Stockholm, Sweden were analysed. The outcome measure was change in Children's Global Assessment Scale (CGAS) ratings between first visit and case closure (CGAS). Results CGAS improved during the course of treatment across all diagnostic groups, ranging from a mean change of 4 (mental retardation) to 16 (suicide attempts). CGAS was two times higher in the mood disorder group compared with the ADHD group. In the mood disorder group, several psychotherapies were associated with better outcome but not medication. In the ADHD group, psychotherapeutic interventions were also associated with better outcome, but those who received treatment with central stimulants received less non-medical interventions. Conclusion Whereas the functional impairment and the level of improvement in mood disorder corresponded to previous efficacy studies, the ADHD patients were more impaired and improved less after treatment. This should prompt a critical discussion as to whether ADHD patients receive the best available treatment in CAMHS in Stockholm and elsewhere.

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