What question did this study set out to answer?

To assess the real-world effectiveness and dose-response relationships of routine outpatient child and adolescent psychiatric care across diverse diagnostic categories.

June 1, 2010World PsychiatryOpen Access

The effectiveness of child and adolescent psychiatric treatments in a naturalistic outpatient setting

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Authors

MBMareile Bachmann CBChristian Bachmann KJKatja John

Discussion

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Overview

Observational study finds disorder-specific benefits of outpatient psychiatric care in youth, indicating that higher session volume aids anxiety and attention deficits but not depression.

Key Points

To assess the real-world effectiveness and dose-response relationships of routine outpatient child and adolescent psychiatric care across diverse diagnostic categories.
Conducted a naturalistic observational study following 1,182 consecutively referred patients across nine psychiatric practices in Germany with assessments at baseline, 3 months, and 12 months.
Categorized a subset of 269 patients with complete Child Behavior Checklist (CBCL) data into low-dose (≤8 sessions) and high-dose (≥9 sessions) groups.
Applied propensity score matching using logistic regression on baseline psychiatric, social, and demographic covariates to control for non-random treatment allocation.
Across all diagnoses, 66% of patients shifted below the clinical threshold (T-score ≤60; p≤0.0005) at one year, yielding an overall pre-post effect size of d*=1.19.
Significant treatment interaction effects favored high-dose therapy in attention-deficit/hyperactivity disorder (dcorr=0.48) and anxiety disorder (dcorr=0.39).
High-dose treatment yielded no significant relative advantage for conduct disorder (dcorr=-0.32) or depressive disorder (dcorr=-0.57).

Cite This Study

Bachmann et al. (2010) studied this question.

synapsesocial.com/papers/6a6f727a8031ec7bb1dbc0e6 https://doi.org/10.1002/j.2051-5545.2010.tb00288.x

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June 1, 2010World PsychiatryOpen Access

The effectiveness of child and adolescent psychiatric treatments in a naturalistic outpatient setting

View Full Paper

Ask AI

Bookmark

Authors

MBMareile Bachmann CBChristian Bachmann KJKatja John

Discussion

Member takes

Overview

Observational study finds disorder-specific benefits of outpatient psychiatric care in youth, indicating that higher session volume aids anxiety and attention deficits but not depression.

Key Points

To assess the real-world effectiveness and dose-response relationships of routine outpatient child and adolescent psychiatric care across diverse diagnostic categories.
Conducted a naturalistic observational study following 1,182 consecutively referred patients across nine psychiatric practices in Germany with assessments at baseline, 3 months, and 12 months.
Categorized a subset of 269 patients with complete Child Behavior Checklist (CBCL) data into low-dose (≤8 sessions) and high-dose (≥9 sessions) groups.
Applied propensity score matching using logistic regression on baseline psychiatric, social, and demographic covariates to control for non-random treatment allocation.
Across all diagnoses, 66% of patients shifted below the clinical threshold (T-score ≤60; p≤0.0005) at one year, yielding an overall pre-post effect size of d*=1.19.
Significant treatment interaction effects favored high-dose therapy in attention-deficit/hyperactivity disorder (dcorr=0.48) and anxiety disorder (dcorr=0.39).
High-dose treatment yielded no significant relative advantage for conduct disorder (dcorr=-0.32) or depressive disorder (dcorr=-0.57).

Cite This Study

Bachmann et al. (2010) studied this question.

synapsesocial.com/papers/6a6f727a8031ec7bb1dbc0e6 https://doi.org/10.1002/j.2051-5545.2010.tb00288.x

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