Universität zu Köln

Walter, Daniel, Dachs, Lydia, Faber, Martin, Goletz, Hildegard, Goertz-Dorten, Anja, Kinnen, Claudia, Rademacher, Christiane, Schuermann, Stephanie, Woitecki, Katrin, Metternich-Kaizman, Tanja Wolff, Plueck, Julia, Hautmann, Christopher, Ise, Elena and Doepfner, Manfred (2015). Effectiveness of Cognitive-Behavioral Therapy for Children and Adolescents Under Routine Care Conditions in a University Outpatient Clinic As Rated by Parents. Z. Klin. Psychol. Psychother., 44 (3). S. 169 - 181. GOTTINGEN: HOGREFE & HUBER PUBLISHERS. ISSN 2190-6297

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Abstract

Background: There is a lack of studies examining the effectiveness of cognitive-behavioral therapy under routine care conditions. Objective: Changes in mental health problems of children and adolescents as rated by parents during outpatient therapy within a university clinic were examined. Psychologists or educationalists in advanced psychotherapy training provided all therapies. Therapists were guided by accredited supervisors for cognitive-behavioral therapy (one hour of supervision every fourth therapy session). Method: 976 completed treatments were analyzed with parent rating, using the Child Behavior Checklist's pre-post-comparisons. Effect sizes were computed and the clinical relevance of these changes was analyzed. Examinations were done for the whole sample and separately for youths that were rated within a clinical range by their parents at the beginning of treatment. Additionally, analyses for representativeness were calculated. Results: Within the complete sample, small to medium statistically significant decreases of mental health problems were observed. Youths who had been rated within clinical range by parent rating on the CBCL mainly showed large effect sizes. Neither could be explained by spontaneous changes or regression effects. It has to be noted that one quarter to one third of all patients were rated within a clinical range by their parents. Conclusions: These results show first hints of the effectiveness of cognitive-behavioral therapy of youths with mental health problems under routine care conditions. The results must be interpreted conservatively because of the lack of a control group.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Walter, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Dachs, Lydia UNSPECIFIED UNSPECIFIED UNSPECIFIED Faber, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Goletz, Hildegard UNSPECIFIED UNSPECIFIED UNSPECIFIED Goertz-Dorten, Anja UNSPECIFIED UNSPECIFIED UNSPECIFIED Kinnen, Claudia UNSPECIFIED UNSPECIFIED UNSPECIFIED Rademacher, Christiane UNSPECIFIED UNSPECIFIED UNSPECIFIED Schuermann, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Woitecki, Katrin UNSPECIFIED UNSPECIFIED UNSPECIFIED Metternich-Kaizman, Tanja Wolff UNSPECIFIED UNSPECIFIED UNSPECIFIED Plueck, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Hautmann, Christopher UNSPECIFIED UNSPECIFIED UNSPECIFIED Ise, Elena UNSPECIFIED UNSPECIFIED UNSPECIFIED Doepfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-415798
DOI:	10.1026/1616-3443/a000321
Journal or Publication Title:	Z. Klin. Psychol. Psychother.
Volume:	44
Number:	3
Page Range:	S. 169 - 181
Date:	2015
Publisher:	HOGREFE & HUBER PUBLISHERS
Place of Publication:	GOTTINGEN
ISSN:	2190-6297
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PSYCHOTHERAPY-RESEARCH; YOUTH PSYCHOTHERAPY; ANXIETY DISORDERS; SOCIAL ANXIETY; EVIDENCE BASE; METAANALYSIS; EFFICACY; STANDARD; DESIGNS Multiple languages Psychology, Clinical Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41579