Universität zu Köln

Walter, Daniel ORCID: 0000-0002-2430-7117, Dachs, Lydia, Faber, Martin, Goletz, Hildegard, Goertz-Dorten, Anja, Hautmann, Christopher, Kinnen, Claudia, Rademacher, Christiane, Schuermann, Stephanie, Metternich-Kaizman, Tanja Wolff and Doepfner, Manfred (2018). Effectiveness of outpatient cognitive-behavioral therapy for adolescents under routine care conditions on behavioral and emotional problems rated by parents and patients: an observational study. Eur. Child Adolesc. Psych., 27 (1). S. 65 - 78. NEW YORK: SPRINGER. ISSN 1435-165X

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Abstract

Few studies have examined the effectiveness of outpatient cognitive-behavioral therapy (CBT) delivered in routine care settings for children and adolescents with mental disorders. This observational study examined changes in behavioral and emotional problems of adolescents with mental disorders during routine outpatient CBT delivered at a university outpatient clinic and compared them with a historical control group of youths who received academic tutoring of comparable length and intensity. Assessments were made at the start and end of treatment (pre- and post-assessment) using parent ratings of the German versions of the Child Behavior Checklist (CBCL) and self-ratings of the Youth Self-Report (YSR) scale. For the main analysis, 677 adolescents aged 11aEuro'21 years had complete data. Changes from pre- to post-assessment showed significant reductions in mental health problems on both parent- and self-ratings. Pre- to post-effect sizes (Cohen's d) were small-to-medium for the total sample (d = 0.23 to d = 0.62) and medium-to-large for those adolescents rated in the clinical range on each (sub)scale at the start of treatment (d = 0.65 to d = 1.48). We obtained medium net effect sizes (d = 0.69) for the CBCL and YSR total scores when patients in the clinical range were compared to historical controls. However, a substantial part of the sample remained in the clinical range at treatment end. The results suggest that CBT is effective for adolescents with mental disorders when administered under routine care conditions but must be interpreted conservatively due to the lack of a direct control condition.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Walter, Daniel UNSPECIFIED orcid.org/0000-0002-2430-7117 UNSPECIFIED Dachs, Lydia UNSPECIFIED UNSPECIFIED UNSPECIFIED Faber, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Goletz, Hildegard UNSPECIFIED UNSPECIFIED UNSPECIFIED Goertz-Dorten, Anja UNSPECIFIED UNSPECIFIED UNSPECIFIED Hautmann, Christopher UNSPECIFIED UNSPECIFIED UNSPECIFIED Kinnen, Claudia UNSPECIFIED UNSPECIFIED UNSPECIFIED Rademacher, Christiane UNSPECIFIED UNSPECIFIED UNSPECIFIED Schuermann, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Metternich-Kaizman, Tanja Wolff UNSPECIFIED UNSPECIFIED UNSPECIFIED Doepfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-204208
DOI:	10.1007/s00787-017-1021-z
Journal or Publication Title:	Eur. Child Adolesc. Psych.
Volume:	27
Number:	1
Page Range:	S. 65 - 78
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1435-165X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language YOUTH PSYCHOTHERAPY; MENTAL-HEALTH; CHILD; METAANALYSIS; CHECKLIST; VALIDITY; OUTCOMES; ANXIETY Multiple languages Psychology, Developmental; Pediatrics; Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20420