Marta Ruiz Cairó, S. Urben, Morgane Terren, Hélène De Rocquigny, Swen Courosse, Cecilia Bisio, Vivien Caspani, C. Legoux, Géraldine Petraglia, Boris Guignet, K. Plessen, L. Holzer
{"title":"Evolution of Clinical Outcome During Adolescents’ Psychiatric Inpatient Care: A Prospective Multiple Informant Study","authors":"Marta Ruiz Cairó, S. Urben, Morgane Terren, Hélène De Rocquigny, Swen Courosse, Cecilia Bisio, Vivien Caspani, C. Legoux, Géraldine Petraglia, Boris Guignet, K. Plessen, L. Holzer","doi":"10.2174/2210676610999200623114116","DOIUrl":null,"url":null,"abstract":"\n\nExamining the effectiveness and adequacy of adolescents’ psychiatric\ninpatient treatment through multiple perspectives is crucial to provide the best care.\n\n\n\nThe aims of the current study were to examine the consistencies and discrepancies\nbetween patients and clinicians and to understand how each group considered\nthe timing of improvement of symptoms and psychosocial difficulties of adolescents\nduring a psychiatric inpatient stay.\n\n\n\nThe Health of the Nation Outcome Scales for Children and Adolescents\n(HoNOSCA, assessing symptoms and psychosocial difficulties) was rated on a weekly\nbasis by patients and clinicians during a psychiatric inpatient stay. Data were collected\nfrom 297 patients, 58.2% females.\n\n\n\nBoth clinicians and patients reported a significant decrease of the HoNOSCA\nscores from admission to discharge, revealing that inpatient treatment is perceived as\nhelping the adolescents to alleviate their symptoms and psychosocial difficulties. However,\nthe item-by-item analyses indicated that patients and clinicians reported difficulties\nin different symptoms and psychosocial domains. Moreover, the week-by-week\nanalyses revealed discrepancies in the perception of the time-course of clinical outcome-\nchanges between clinicians and patients, as well as between males and females,\nand between voluntarily and involuntarily admitted patients.\n\n\n\nBy integrating perspectives of patients and clinicians and their respective\ntimelines, as well as by taking into account the mode of admission and the patient’s\ngender, this study provides a deeper understanding of the evolution of clinical outcome\nduring adolescents’ hospitalizations, which allows to adapt their treatment and therewith,\nto help patients more efficiently.\n","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2020-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescent Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/2210676610999200623114116","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Examining the effectiveness and adequacy of adolescents’ psychiatric
inpatient treatment through multiple perspectives is crucial to provide the best care.
The aims of the current study were to examine the consistencies and discrepancies
between patients and clinicians and to understand how each group considered
the timing of improvement of symptoms and psychosocial difficulties of adolescents
during a psychiatric inpatient stay.
The Health of the Nation Outcome Scales for Children and Adolescents
(HoNOSCA, assessing symptoms and psychosocial difficulties) was rated on a weekly
basis by patients and clinicians during a psychiatric inpatient stay. Data were collected
from 297 patients, 58.2% females.
Both clinicians and patients reported a significant decrease of the HoNOSCA
scores from admission to discharge, revealing that inpatient treatment is perceived as
helping the adolescents to alleviate their symptoms and psychosocial difficulties. However,
the item-by-item analyses indicated that patients and clinicians reported difficulties
in different symptoms and psychosocial domains. Moreover, the week-by-week
analyses revealed discrepancies in the perception of the time-course of clinical outcome-
changes between clinicians and patients, as well as between males and females,
and between voluntarily and involuntarily admitted patients.
By integrating perspectives of patients and clinicians and their respective
timelines, as well as by taking into account the mode of admission and the patient’s
gender, this study provides a deeper understanding of the evolution of clinical outcome
during adolescents’ hospitalizations, which allows to adapt their treatment and therewith,
to help patients more efficiently.
期刊介绍:
Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.