Universität zu Köln

Walter, Daniel ORCID: 0000-0002-2430-7117, Hautmann, Christopher, Rizk, Saada, Petermann, Maike, Minkus, Johannes, Sinzig, Judith ORCID: 0000-0002-3693-3318, Lehmkuhl, Gerd and Doepfner, Manfred (2010). Short term effects of inpatient cognitive behavioral treatment of adolescents with anxious-depressed school absenteeism: an observational study. Eur. Child Adolesc. Psych., 19 (11). S. 835 - 845. NEW YORK: SPRINGER. ISSN 1018-8827

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Abstract

This observational study examined the changes during inpatient cognitive-behavioral treatment (CBT) of adolescents with chronic anxious-depressive school absenteeism with or without comorbid disruptive symptoms. 147 adolescents (aged 12-18 years) with a specific phobia or other anxiety disorder or a depressive episode or a mixed disorder of conduct and emotions and who had completely ceased to attend school or showed irregular school attendance underwent an inpatient cognitive-behavioral treatment. A further 16 patients aborted the treatment during the first day and were not included in the analyses. The treatment was manual guided and also included parents. Assessments were made pre-inpatient treatment, immediately post-inpatient treatment and at 2-month follow-up. School attendance was the primary outcome variable and secondary outcomes were composite scores of a range of adolescent- and parent-rated mental health problems. Overall, results show a considerable decline of school absenteeism and mental health problems during treatment and subsequent follow-up. Continuous school attendance was achieved by 87.1% of the sample at the end of inpatient treatment and by 82.3% at 2-month follow-up. Comorbid symptoms of anxiety, depression, disruptive and insufficient learning behavior were significantly reduced from pre to follow-up, with effect sizes for the composite scores ranging from 0.44 to 1.15 (p < 0.001). 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 cognitive-behavioral 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Walter, Daniel UNSPECIFIED orcid.org/0000-0002-2430-7117 UNSPECIFIED Hautmann, Christopher UNSPECIFIED UNSPECIFIED UNSPECIFIED Rizk, Saada UNSPECIFIED UNSPECIFIED UNSPECIFIED Petermann, Maike UNSPECIFIED UNSPECIFIED UNSPECIFIED Minkus, Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Sinzig, Judith UNSPECIFIED orcid.org/0000-0002-3693-3318 UNSPECIFIED Lehmkuhl, Gerd UNSPECIFIED UNSPECIFIED UNSPECIFIED Doepfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-493238
DOI:	10.1007/s00787-010-0133-5
Journal or Publication Title:	Eur. Child Adolesc. Psych.
Volume:	19
Number:	11
Page Range:	S. 835 - 845
Date:	2010
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1018-8827
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language REFUSAL BEHAVIOR; CHILDREN; RECOMMENDATIONS; PHOBIA Multiple languages Psychology, Developmental; Pediatrics; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/49323