Walter, Daniel, Heindrichs, Lena, Rademacher, Christiane, Matthias, Eva Katharina ORCID: 0000-0003-4366-4221 and Doepfner, Manfred (2022). Effectiveness of Usual-Care Cognitive Behavioral Therapy for Adolescents with School Absenteeism. Z. Kinder-und Jugendpsy. Psychother., 50 (6). S. 436 - 447. BERN: HOGREFE AG-HOGREFE AG SUISSE. ISSN 1664-2880

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Abstract

Objective: Highly-controlled, randomized controlled trials have provided considerable evidence for the efficacy of outpatient cognitive-behavioral therapy (CBT) for patients with school absenteeism and anxiety disorders. However, the effectiveness of outpatient CBT under routine-care conditions for youth with school absenteeism remains unproven. Methods: This observational study used file records to analyze the changes under routine CBT in a sample of n = 49 clinically referred adolescents aged 11 to 18 years with school absenteeism and mental disorders who were being treated in a university outpatient clinic. At the start and end of treatment, we assessed the severity of school absenteeism as well as mental health problems as rated by parents and by the adolescents themselves. Results: The analysis yielded a statistically highly significant decline in school absenteeism (large effect, Cohen's r = 0.80) and in mental health problems (small-to-large effect, Cohen's d = 0.33 to d = 0.82). However, a substantial proportion of the sample remained in the clinical range at the end of treatment. Conclusions: These findings suggest that CBT is effective for adolescents with school absenteeism when administered under routine-care conditions, though the results must be interpreted with caution because of the lack of a control condition.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Walter, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heindrichs, LenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rademacher, ChristianeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Matthias, Eva KatharinaUNSPECIFIEDorcid.org/0000-0003-4366-4221UNSPECIFIED
Doepfner, ManfredUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-660332
DOI: 10.1024/1422-4917/a000883
Journal or Publication Title: Z. Kinder-und Jugendpsy. Psychother.
Volume: 50
Number: 6
Page Range: S. 436 - 447
Date: 2022
Publisher: HOGREFE AG-HOGREFE AG SUISSE
Place of Publication: BERN
ISSN: 1664-2880
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
YOUTH PSYCHOTHERAPY; REFUSAL BEHAVIOR; CHILDREN; STABILITYMultiple languages
PsychiatryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/66033

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