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Open Access 01-12-2021 | Mood Disorders | Research

Association of treatment procedures and resilience to symptom load three-years later in a clinical sample of adolescent psychiatric patients

Authors: Kari Skulstad Gårdvik, Marite Rygg, Terje Torgersen, Jan Lance Wallander, Stian Lydersen, Marit Sæbø Indredavik

Published in: BMC Psychiatry | Issue 1/2021

Abstract

Background

We aimed to examine symptom load in a clinical adolescent population at three-year follow-up and explore associations with standard care treatment procedures and resilience factors upon first presenting at Child and Adolescent Mental Health Services.

Methods

This study is part of a prospective longitudinal cohort study: The Health Survey in Department of Children and Youth, St. Olavs hospital, Norway. A clinical population of 717 (43.5% of eligible) adolescents aged 13–18 years participated in the first study visit (T₁, 2009–2011). Of these, 447 adolescents with psychiatric disorders, with treatment history from medical records and self-reported resilience factors (Resilience Scale for Adolescents; READ) at T₁, reported symptom load (Achenbach System of Empirically Based Assessment - Youth Self Report; YSR) three years later aged 16–21 years (T₂).

Result

At T₁, 93.0% received individual treatment. The frequency of psychotherapy and medication varied by disorder group and between genders. Overall, psychotherapy was more frequent among girls, whereas medication was more common among boys. Total READ mean value (overall 3.5, SD 0.8), ranged from patients with mood disorders (3.0, SD 0.7) to patients with Attention Deficit Hyperactivity disorder (3.7, SD 0.7), and was lower for girls than boys in all diagnostic groups. At T₂, the YSR Total Problem mean T-score ranged across the diagnostic groups (48.7, SD 24.0 to 62.7, SD 30.2), with highest symptom scores for those with mood disorders at T₁, of whom 48.6% had T-scores in the borderline/clinical range (≥60) three years later. Number of psychotherapy sessions was positively associated and Total READ score was negatively associated with the YSR Total Problems T-score (regression coefficient β = 0.5, CI (0.3 to 0.7), p < 0.001 and β = − 15.7, CI (− 19.2 to − 12.1), p < 0.001, respectively). The subscale Personal Competence was associated with the lowest Total Problem score for both genders.

Conclusions

Self-reported symptom load was substantial after three years, despite comprehensive treatment procedures. Higher self-reported resilience characteristics were associated with lower symptom load after three years. These results highlight the burden of adolescent psychiatric disorders, the need for extensive interventions and the importance of resilience factors for a positive outcome.

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Title: Association of treatment procedures and resilience to symptom load three-years later in a clinical sample of adolescent psychiatric patients
Authors: Kari Skulstad Gårdvik
Marite Rygg
Terje Torgersen
Jan Lance Wallander
Stian Lydersen
Marit Sæbø Indredavik
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Mood Disorders
Psychotherapy
Attention Deficit Hyperactivity Disorder
Affective Disorder
Attention Deficit Hyperactivity Disorder
Published in: BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/s12888-021-03417-6

At a glance: The STEP trials

Springer Medicine

Association of treatment procedures and resilience to symptom load three-years later in a clinical sample of adolescent psychiatric patients

Abstract

Background

Methods

Result

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Result

Conclusions

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