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Published in: BMC Psychiatry 1/2016

Open Access 01-12-2016 | Research article

Child and adolescent psychiatry patients coming of age: a retrospective longitudinal study of inpatient treatment in Tyrol

Authors: Martin Fuchs, Georg Kemmler, Hans Steiner, Josef Marksteiner, Christian Haring, Carl Miller, Armand Hausmann, Kathrin Sevecke

Published in: BMC Psychiatry | Issue 1/2016

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Abstract

Background

Mental illness is a common phenomenon at all ages. Various independent studies have shown that psychopathology is often expressed on a continuum from youth to adulthood. The aim of our study was to demonstrate a) the frequency of admission of former child and adolescent psychiatry inpatients (CAP-IP) to adult inpatient mental health facilities, and b) a potential longitudinal diagnostic shift. This is the first Austrian study designed to shed light on these issues.

Methods

Nearly 1000 inpatient cases at a specialized child and adolescent care center were analyzed. These cases were then tracked using data matching with registry data from adult psychiatric institutions. Overall, our observational period was 23 years.

Results

26 % of our sample of former CAP-IP used psychiatric inpatient mental health services as adults, thus indicating chronicity or reoccurrence. In line with previous literature, there were patients who stayed in the same diagnostic category as well as patients with a diagnostic shift from childhood to adulthood.

Conclusions

Childhood and adolescence is a very important period for early intervention and prevention of mental illness. Our findings support the notion of the continuity of psychopathology from youth into adulthood.
Literature
1.
go back to reference Kessler RC, Avenevoli S, Costello EJ, Georgiades K, Green JG, Gruber MJ, He JP, Koretz D, McLaughlin KA, Petukhova M et al. Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry. 2012;69(4):372–80.CrossRefPubMed Kessler RC, Avenevoli S, Costello EJ, Georgiades K, Green JG, Gruber MJ, He JP, Koretz D, McLaughlin KA, Petukhova M et al. Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry. 2012;69(4):372–80.CrossRefPubMed
2.
go back to reference Ravens-Sieberer U, Wille N, Erhart M, Bettge S, Wittchen HU, Rothenberger A, Herpertz-Dahlmann B, Resch F, Holling H, Bullinger M et al. Prevalence of mental health problems among children and adolescents in Germany: results of the BELLA study within the National Health Interview and Examination Survey. Eur Child Adolesc Psychiatry. 2008;17 Suppl 1:22–33.CrossRefPubMed Ravens-Sieberer U, Wille N, Erhart M, Bettge S, Wittchen HU, Rothenberger A, Herpertz-Dahlmann B, Resch F, Holling H, Bullinger M et al. Prevalence of mental health problems among children and adolescents in Germany: results of the BELLA study within the National Health Interview and Examination Survey. Eur Child Adolesc Psychiatry. 2008;17 Suppl 1:22–33.CrossRefPubMed
3.
go back to reference Merikangas KR, He JP, Brody D, Fisher PW, Bourdon K, Koretz DS. Prevalence and treatment of mental disorders among US children in the 2001-2004 NHANES. Pediatrics. 2010;125(1):75–81.CrossRefPubMed Merikangas KR, He JP, Brody D, Fisher PW, Bourdon K, Koretz DS. Prevalence and treatment of mental disorders among US children in the 2001-2004 NHANES. Pediatrics. 2010;125(1):75–81.CrossRefPubMed
4.
go back to reference Merikangas KR, Nakamura EF, Kessler RC. Epidemiology of mental disorders in children and adolescents. Dialogues Clin Neurosci. 2009;11(1):7–20.PubMedPubMedCentral Merikangas KR, Nakamura EF, Kessler RC. Epidemiology of mental disorders in children and adolescents. Dialogues Clin Neurosci. 2009;11(1):7–20.PubMedPubMedCentral
5.
go back to reference Kessler RC, Avenevoli S, Costello J, Green JG, Gruber MJ, McLaughlin KA, Petukhova M, Sampson NA, Zaslavsky AM, Merikangas KR. Severity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry. 2012;69(4):381–9.CrossRefPubMedPubMedCentral Kessler RC, Avenevoli S, Costello J, Green JG, Gruber MJ, McLaughlin KA, Petukhova M, Sampson NA, Zaslavsky AM, Merikangas KR. Severity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry. 2012;69(4):381–9.CrossRefPubMedPubMedCentral
6.
go back to reference Barkmann C, Schulte-Markwort M. Prevalence of emotional and behavioral disorders in children and adolescents in Germany - a systematic literature review. Psychiatr Prax. 2004;31(6):278–87.CrossRefPubMed Barkmann C, Schulte-Markwort M. Prevalence of emotional and behavioral disorders in children and adolescents in Germany - a systematic literature review. Psychiatr Prax. 2004;31(6):278–87.CrossRefPubMed
7.
go back to reference Colman I, Murray J, Abbott RA, Maughan B, Kuh D, Croudace TJ, Jones PB. Outcomes of conduct problems in adolescence: 40 year follow-up of national cohort. BMJ. 2009;338:a2981.CrossRefPubMedPubMedCentral Colman I, Murray J, Abbott RA, Maughan B, Kuh D, Croudace TJ, Jones PB. Outcomes of conduct problems in adolescence: 40 year follow-up of national cohort. BMJ. 2009;338:a2981.CrossRefPubMedPubMedCentral
8.
go back to reference Althoff RR, Verhulst FC, Rettew DC, Hudziak JJ, van der Ende J. Adult outcomes of childhood dysregulation: a 14-year follow-up study. J Am Acad Child Adolesc Psychiatry. 2010;49(11):1105–16.PubMedPubMedCentral Althoff RR, Verhulst FC, Rettew DC, Hudziak JJ, van der Ende J. Adult outcomes of childhood dysregulation: a 14-year follow-up study. J Am Acad Child Adolesc Psychiatry. 2010;49(11):1105–16.PubMedPubMedCentral
9.
go back to reference Copeland WE, Adair CE, Smetanin P, Stiff D, Briante C, Colman I, Fergusson D, Horwood J, Poulton R, Costello EJ et al. Diagnostic transitions from childhood to adolescence to early adulthood. J Child Psychol Psychiatry. 2013;54(7):791–9.CrossRefPubMedPubMedCentral Copeland WE, Adair CE, Smetanin P, Stiff D, Briante C, Colman I, Fergusson D, Horwood J, Poulton R, Costello EJ et al. Diagnostic transitions from childhood to adolescence to early adulthood. J Child Psychol Psychiatry. 2013;54(7):791–9.CrossRefPubMedPubMedCentral
10.
go back to reference Copeland WE, Shanahan L, Costello EJ, Angold A. Childhood and adolescent psychiatric disorders as predictors of young adult disorders. Arch Gen Psychiatry. 2009;66(7):764–72.CrossRefPubMedPubMedCentral Copeland WE, Shanahan L, Costello EJ, Angold A. Childhood and adolescent psychiatric disorders as predictors of young adult disorders. Arch Gen Psychiatry. 2009;66(7):764–72.CrossRefPubMedPubMedCentral
11.
go back to reference Hofstra MB, Van der Ende J, Verhulst FC. Continuity and change of psychopathology from childhood into adulthood: a 14-year follow-up study. J Am Acad Child Adolesc Psychiatry. 2000;39(7):850–8.CrossRefPubMed Hofstra MB, Van der Ende J, Verhulst FC. Continuity and change of psychopathology from childhood into adulthood: a 14-year follow-up study. J Am Acad Child Adolesc Psychiatry. 2000;39(7):850–8.CrossRefPubMed
12.
go back to reference Hofstra MB, van der Ende J, Verhulst FC. Child and adolescent problems predict DSM-IV disorders in adulthood: a 14-year follow-up of a Dutch epidemiological sample. J Am Acad Child Adolesc Psychiatry. 2002;41(2):182–9.CrossRefPubMed Hofstra MB, van der Ende J, Verhulst FC. Child and adolescent problems predict DSM-IV disorders in adulthood: a 14-year follow-up of a Dutch epidemiological sample. J Am Acad Child Adolesc Psychiatry. 2002;41(2):182–9.CrossRefPubMed
13.
go back to reference Mason WA, Kosterman R, Hawkins JD, Herrenkohl TI, Lengua LJ, McCauley E. Predicting depression, social phobia, and violence in early adulthood from childhood behavior problems. J Am Acad Child Adolesc Psychiatry. 2004;43(3):307–15.CrossRefPubMed Mason WA, Kosterman R, Hawkins JD, Herrenkohl TI, Lengua LJ, McCauley E. Predicting depression, social phobia, and violence in early adulthood from childhood behavior problems. J Am Acad Child Adolesc Psychiatry. 2004;43(3):307–15.CrossRefPubMed
14.
go back to reference Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. 2007;20(4):359–64.CrossRefPubMedPubMedCentral Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry. 2007;20(4):359–64.CrossRefPubMedPubMedCentral
15.
go back to reference Kim-Cohen J, Caspi A, Moffitt TE, Harrington H, Milne BJ, Poulton R. Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry. 2003;60(7):709–17.CrossRefPubMed Kim-Cohen J, Caspi A, Moffitt TE, Harrington H, Milne BJ, Poulton R. Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry. 2003;60(7):709–17.CrossRefPubMed
16.
go back to reference Fuchs M, Bosch A, Hausmann A, Steiner H. “The child is father of the man” - review of literature on epidemiology in child and adolescent psychiatry. Z Kinder Jugendpsychiatr Psychother. 2013;41(1):45–55.CrossRefPubMed Fuchs M, Bosch A, Hausmann A, Steiner H. “The child is father of the man” - review of literature on epidemiology in child and adolescent psychiatry. Z Kinder Jugendpsychiatr Psychother. 2013;41(1):45–55.CrossRefPubMed
17.
go back to reference Reef J, van Meurs I, Verhulst FC, van der Ende J. Children’s problems predict adults’ DSM-IV disorders across 24 years. J Am Acad Child Adolesc Psychiatry. 2010;49(11):1117–24.PubMed Reef J, van Meurs I, Verhulst FC, van der Ende J. Children’s problems predict adults’ DSM-IV disorders across 24 years. J Am Acad Child Adolesc Psychiatry. 2010;49(11):1117–24.PubMed
18.
go back to reference Rutter M, Kim-Cohen J, Maughan B. Continuities and discontinuities in psychopathology between childhood and adult life. J Child Psychol Psychiatry. 2006;47(3–4):276–95.CrossRefPubMed Rutter M, Kim-Cohen J, Maughan B. Continuities and discontinuities in psychopathology between childhood and adult life. J Child Psychol Psychiatry. 2006;47(3–4):276–95.CrossRefPubMed
19.
go back to reference Olino TM, Seeley JR, Lewinsohn PM. Conduct disorder and psychosocial outcomes at age 30: early adult psychopathology as a potential mediator. J Abnorm Child Psychol. 2010;38(8):1139–49.CrossRefPubMedPubMedCentral Olino TM, Seeley JR, Lewinsohn PM. Conduct disorder and psychosocial outcomes at age 30: early adult psychopathology as a potential mediator. J Abnorm Child Psychol. 2010;38(8):1139–49.CrossRefPubMedPubMedCentral
20.
go back to reference Steinhausen HC, Haslimeier C, Winkler MC. The outcome of episodic versus persistent adolescent depression in young adulthood. J Affect Disord. 2006;96(1–2):49–57.CrossRefPubMed Steinhausen HC, Haslimeier C, Winkler MC. The outcome of episodic versus persistent adolescent depression in young adulthood. J Affect Disord. 2006;96(1–2):49–57.CrossRefPubMed
21.
go back to reference Beesdo-Baum K, Knappe S. Developmental epidemiology of anxiety disorders. Child Adolesc Psychiatr Clin N Am. 2012;21(3):457–78.CrossRefPubMed Beesdo-Baum K, Knappe S. Developmental epidemiology of anxiety disorders. Child Adolesc Psychiatr Clin N Am. 2012;21(3):457–78.CrossRefPubMed
22.
go back to reference Polanczyk G, Rohde LA. Epidemiology of attention-deficit/hyperactivity disorder across the lifespan. Curr Opin Psychiatry. 2007;20(4):386–92.CrossRefPubMed Polanczyk G, Rohde LA. Epidemiology of attention-deficit/hyperactivity disorder across the lifespan. Curr Opin Psychiatry. 2007;20(4):386–92.CrossRefPubMed
23.
go back to reference Moss HB, Chen CM, Yi HY. Early adolescent patterns of alcohol, cigarettes, and marijuana polysubstance use and young adult substance use outcomes in a nationally representative sample. Drug Alcohol Depend. 2014;136:51–62.CrossRefPubMed Moss HB, Chen CM, Yi HY. Early adolescent patterns of alcohol, cigarettes, and marijuana polysubstance use and young adult substance use outcomes in a nationally representative sample. Drug Alcohol Depend. 2014;136:51–62.CrossRefPubMed
24.
go back to reference Paul M, Street C, Wheeler N, Singh SP. Transition to adult services for young people with mental health needs: A systematic review. Clin Child Psychol Psychiatry. 2015;20(3):436–57.CrossRefPubMed Paul M, Street C, Wheeler N, Singh SP. Transition to adult services for young people with mental health needs: A systematic review. Clin Child Psychol Psychiatry. 2015;20(3):436–57.CrossRefPubMed
25.
go back to reference Stagi P, Galeotti S, Mimmi S, Starace F, Castagnini AC. Continuity of care from child and adolescent to adult mental health services: evidence from a regional survey in Northern Italy. Eur Child Adolesc Psychiatry. 2015;24(12):1535–41.CrossRefPubMed Stagi P, Galeotti S, Mimmi S, Starace F, Castagnini AC. Continuity of care from child and adolescent to adult mental health services: evidence from a regional survey in Northern Italy. Eur Child Adolesc Psychiatry. 2015;24(12):1535–41.CrossRefPubMed
26.
go back to reference Steinhausen HC. What happens to children and adolescents with mental disorders? Findings from long-term outcome research. Z Kinder Jugendpsychiatr Psychother. 2013;41(6):419–31.CrossRefPubMed Steinhausen HC. What happens to children and adolescents with mental disorders? Findings from long-term outcome research. Z Kinder Jugendpsychiatr Psychother. 2013;41(6):419–31.CrossRefPubMed
27.
go back to reference Brieger P, Bloink R, Sommer S, Marneros A. A catch-up study of former child and adolescent psychiatric inpatients: psychiatric status in adulthood. Psychopathology. 2001;34(1):43–9.CrossRefPubMed Brieger P, Bloink R, Sommer S, Marneros A. A catch-up study of former child and adolescent psychiatric inpatients: psychiatric status in adulthood. Psychopathology. 2001;34(1):43–9.CrossRefPubMed
28.
go back to reference Fergusson DM, Horwood LJ, Ridder EM. Conduct and attentional problems in childhood and adolescence and later substance use, abuse and dependence: results of a 25-year longitudinal study. Drug Alcohol Depend. 2007;88 Suppl 1:S14–26.CrossRefPubMed Fergusson DM, Horwood LJ, Ridder EM. Conduct and attentional problems in childhood and adolescence and later substance use, abuse and dependence: results of a 25-year longitudinal study. Drug Alcohol Depend. 2007;88 Suppl 1:S14–26.CrossRefPubMed
29.
go back to reference Huizink AC, Ferdinand RF, van der Ende J, Verhulst FC. Symptoms of anxiety and depression in childhood and use of MDMA: prospective, population based study. BMJ. 2006;332(7545):825–8.CrossRefPubMedPubMedCentral Huizink AC, Ferdinand RF, van der Ende J, Verhulst FC. Symptoms of anxiety and depression in childhood and use of MDMA: prospective, population based study. BMJ. 2006;332(7545):825–8.CrossRefPubMedPubMedCentral
30.
go back to reference Nock MK, Kazdin AE, Hiripi E, Kessler RC. Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: results from the National Comorbidity Survey Replication. J Child Psychol Psychiatry. 2007;48(7):703–13.CrossRefPubMed Nock MK, Kazdin AE, Hiripi E, Kessler RC. Lifetime prevalence, correlates, and persistence of oppositional defiant disorder: results from the National Comorbidity Survey Replication. J Child Psychol Psychiatry. 2007;48(7):703–13.CrossRefPubMed
31.
go back to reference Ramklint M, von Knorring AL, von Knorring L, Ekselius L. Personality disorders in former child psychiatric patients. Eur Child Adolesc Psychiatry. 2002;11(6):289–95.CrossRefPubMed Ramklint M, von Knorring AL, von Knorring L, Ekselius L. Personality disorders in former child psychiatric patients. Eur Child Adolesc Psychiatry. 2002;11(6):289–95.CrossRefPubMed
32.
go back to reference Kaess M, Brunner R, Chanen A. Borderline Personality Disorder in Adolescence. Pediatrics. 2014;134(4):782–93.CrossRefPubMed Kaess M, Brunner R, Chanen A. Borderline Personality Disorder in Adolescence. Pediatrics. 2014;134(4):782–93.CrossRefPubMed
Metadata
Title
Child and adolescent psychiatry patients coming of age: a retrospective longitudinal study of inpatient treatment in Tyrol
Authors
Martin Fuchs
Georg Kemmler
Hans Steiner
Josef Marksteiner
Christian Haring
Carl Miller
Armand Hausmann
Kathrin Sevecke
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2016
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-016-0910-x

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