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Erschienen in: neuropsychiatrie 2/2018

04.05.2018 | original article

Quality of life and satisfaction with inpatient treatment in adolescents with psychiatric disorders

A comparison between patients’, parents’, and caregivers’ (self-)assessments at admission and discharge

verfasst von: Petra Katzenschläger, Rainer Fliedl, Christian Popow, Michael Kundi

Erschienen in: neuropsychiatrie | Ausgabe 2/2018

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Summary

Objectives

The purpose of this study was to compare results of patients’, parents’, and caregivers’ (nursing staff and educators) (self-)assessments of quality of life, treatment outcomes, and satisfaction with inpatient treatment in a child and adolescent psychiatric hospital. In addition, the investigation included a comparison between admission and discharge of the three investigated groups.

Methods

The study considered adolescents at the Department of Child and Adolescent Psychiatry and Psychotherapy, Hinterbruehl, along with their parents and caregivers. Following questionnaires at admission and discharge were used: the Youth Self-Report (YSR) or Child Behavior Checklist (CBCL/4-18), Inventory for Assessing Quality of Life in Children and Adolescents (ILK), and Questionnaires of the Evaluation of Treatment (FBB).

Results

Adolescents (58 patients, aged 14–18 years, standard deviation = 1.06) with different psychiatric diagnoses consecutively admitted for a diagnostic or therapeutic stay were included. The quality of life score was significantly different between patients’ and parents’ rating at discharge. The results of the treatment satisfaction revealed no significant correlations between patients’, parents’, and caregivers’ ratings. A reduction in the psychopathology between admission and discharge was measured in all groups of raters. In addition, an increase in quality of life between admission and discharge was observed in patients, parents, and caregivers. Treatment satisfaction was moderate in all groups of raters.

Conclusion

The views of patients’ treatment measured by patients themselves, parents, and caregivers during a psychiatric ward stay are different and more or less unrelated. This indicates that each group applies different criteria when assessing treatment satisfaction.
Vorheriger Artikel No evidence of subgroups found in amphetamine consumers in Iran
Nächster Artikel Psychische Gesundheit, Akkulturation und Religiosität bei jüdischen Migranten aus der ehemaligen Sowjetunion in Österreich

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Fußnoten
1
After Bonferroni–Holm adjustment not significant.
 
Literatur
1.
Comer JS, Kendall PC. A symptom-level examination of parent-child agreement in the diagnosis of anxious youths. J Am Acad Child Adolesc Psychiatry. 2004;43:878–86. CrossRefPubMed
2.
Rescorla LA, Ginzburg S, Achenbach TM, Ivanova MY, Almquist F, Begovac I, et al. Cross-informant agreement between parent-reported and adolescent self-reported problems in 25 societies. J Clin Child Adolesc Psychol. 2013;42:262–73. CrossRefPubMed
3.
Bredel S, Brunner R, Haffner J, Resch F. Behandlungserfolg, Behandlungserleben und Behandlungszufriedenheit aus Sicht der Patienten, Eltern und Therapeuten—Ergebnisse einer evaluativen Studie aus der stationären Kinder- und Jugendpsychiatrie. Prax Kinderpsychol Kinderpsychiatr. 2004;53:256–76. Success of treatment, experience of treatment, and satisfaction with treatment from the perspective of patients, parents, and therapists—Results of an evaluative study on inpatient treatment in child and adolescent psychiatry. PubMed
4.
Zander B, Balck F, Rotthaus W, Strack M. Effektivität eines systemischen Behandlungsmodells in der stationären Kinder- und Jugendpsychiatrie. Prax Kinderpsychol Kinderpsychiatr. 2001;50:325–41. The effectiveness of a systemic treatment model in an inpatient department of child psychiatry. PubMed
5.
Petot D, Rescorla LA, Petot JM. Agreement between parent- and self-reports of Algerian adolescents’ behavioral and emotional problems. J Adolesc. 2011;34:977–86. CrossRefPubMed
6.
van der Ende J, Verhulst FC. Informant, gender and age differences in ratings of adolescent problem behaviour. Eur Child Adolesc Psychiatry. 2005;14:117–26. CrossRefPubMed
7.
Wang J, Zhang YQ, Leung PWL. The application of CBCL, YSR and TRF for 12–18 years of age students in Beijing. Chin Ment Health J. 2005;19:621–5.
8.
Achenbach TM. Manual for Child Behavior Checklist/4–18 and 1991 Profile. Burlington: University of Vermont, Department of Psychiatry; 1991.
9.
Stanger C, Lewis M. Agreement among parents, teachers and children on internalizing and externalizing behavior problems. J Clin Child Psychol. 1993;22:107–16. CrossRef
10.
Sawyer MG, Clark JJ, Baghurst PA. Childhood emotional and behavioural problems: a comparison of children’s reports with reports from parents and teachers. J Paediatr Child Health. 1993;29:119–25. CrossRefPubMed
11.
Rescorla LA, Bochicchio L, Achenbach TM, Ivanova MY, Almqvist F, Begovac I, et al. Parent-teacher agreement of children’s problems in 21 societies. J Clin Child Adolesc Psychol. 2014;43:627–42. CrossRefPubMed
12.
Ferdinand RF, van der Ende J, Verhulst FC. Prognostic value of parent-adolescent disagreement in a referred sample. Eur Child Adolesc Psychiatry. 2006;15:156–62. CrossRefPubMed
13.
Salbach-Andrae H, Lenz K, Lehmkuhl U. Patterns of agreement among parent, teacher and youth ratings in a referred sample. Eur Psychiatry. 2009;24:345–51. CrossRefPubMed
14.
Achenbach TM, McConaughy SH. T. HC. Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychol Bull. 1987;101:213–32. CrossRefPubMed
15.
Sawyer MG, Baghurst PA, Mathias J. Differences between informants’ reports describing emotional and behavioural problems in community and clinic-referred children: a research note. J Child Psychol Psychiatry. 1992;33:441–9. CrossRefPubMed
16.
Cantwell DP, Lewinsohn PM, Rohde P, Seeley JR. Correspondence between adolescent report and parent report of psychiatric diagnostic data. J Am Acad Child Adolesc Psychiatry. 1997;36:610–9. CrossRefPubMed
17.
Edelbrock C, Costello AJ, Dulcan MK, Conover NC, Kala R. Parent-child agreement on child psychiatric symptoms assessed via structured clinical interview. J Child Psychol Psychiatry. 1986;27:181–90. CrossRefPubMed
18.
Mattejat F, Remschmidt H. ILK—Inventar zur Erfassung der Lebensqualität bei Kindern und Jugendlichen. Bern: Huber; 2006. Inventory for assessing Quality of Life in Children and Adolescents.
19.
Plück J, Döpfner M, Berner W, Englert E, Fegert J, Huss M, et al. Die Bedeutung unterschiedlicher Informationsquellen bei der Beurteilung psychischer Störungen im Jugendalter—ein Vergleich von Elternurteil und Selbsteinschätzung Jugendlicher. Prax Kinderpsychol Kinderpsychiatr. 1997;46:566–82. PubMed
20.
Mattejat F, Remschmidt H. Fragebogen zur Beurteilung der Behandlung (FBB). Göttingen: Hogrefe; 1998. Questionnaires for the evaluation of treatment (FBB).
21.
Arbeitsgruppe Deutsche Child Behavior Checklist. Fragebogen für Jugendliche. Deutsche Bearbeitung des Youth Self-Report (YSR) der Child Behavior Checklist. Köln: Arbeitsgruppe Kinder‑, Jugend- und Familiendiagnostik (KJFD); 1998. Questionnaire for adolescents. German edition of Youth Self-Report (YSR) of the Child Behavior.
22.
Arbeitsgruppe Deutsche Child Behavior Checklist. Elternfragebogen über das Verhalten von Kindern und Jugendlichen. Deutsche Bearbeitung der Child Behavior Checklist 4‑18 (CBCL/4-18). Einführung und Anleitung zur Handauswertung mit deutschen Normen. Köln: Arbeitsgruppe Kinder‑, Jugend- und Familiendiagnostik (KJFD); 1998. Parent questionnaire about the behaviour of children and adolescents. German edition of Child Behavior Checklist 4‑18 (CBCL/4-18). Introduction and instructions for hand evaluation with German standards.
23.
Wechsler D. WISC-IV—Wechsler Intelligence Scale for Children. 4th ed. Franzfurt am Main: Pearson Assessment & Information GmbH; 2011. German Edition.
24.
Wechsler D. WAIS-IV—Wechsler Adult Intelligence Scales. 4th ed. Frankfurt am Main: Pearson Assessment & Information GmbH; 2013.
25.
Gevensleben H, Holl B, Albrecht B, Schlamp D, Kratz O, Studer P, et al. Neurofeedback training in children with ADHD: 6‑month follow-up of a randomised controlled trial. Eur Child Adolesc Psychiatry. 2010;19:715–24. CrossRefPubMedPubMedCentral
26.
Seiffge-Krenke I, Kollmar F. Discrepancies between mothers’ and fathers’ perceptions of sons’ and daughters’ problem behaviour: a longitudinal analysis of parent-adolescent agreement on internalising and externalising problem behaviour. J Child Psychol Psychiatry. 1998;39:687–97. CrossRefPubMed
27.
Youngstrom E, Loeber R, Stouthamer-Loeber M. Patterns and correlates of agreement between parent, teacher, and male adolescent ratings of externalizing and internalizing problems. J Consult Clin Psychol. 2000;68:1038–50. CrossRefPubMed
28.
Commentary ATM. Definitely more than measurement error: but how should we understand and deal with informant discrepancies? J Clin Child Adolesc Psychol. 2011;40:80–6. CrossRef
29.
Kolko DJ, Kazdin AE. Emotional/behavioral problems in clinic and nonclinic children: correspondence among child, parent and teacher reports. J Child Psychol Psychiatry. 1993;34:991–1006. CrossRefPubMed
30.
Sourander A, Helstelä L, Helenius H. Parent-adolescent agreement on emotional and behavioral problems. Soc Psychiatry Psychiatr Epidemiol. 1999;34:657–63. CrossRefPubMed
31.
Rey JM, Schrader E, Morris-Yates A. Parent-child agreement on children’s behaviours reported by the Child Behaviour Checklist (CBCL). J Adolesc. 1992;15:219–30. CrossRefPubMed
32.
De Los RA, Thomas SA, Goodman KL, Kundey SM. Principles underlying the use of multiple informants’ reports. Annu Rev Clin Psychol. 2013;9:123–49. CrossRef
33.
Jozefiak T, Larsson B, Wichstrøm L, Mattejat F, Ravens-Sieberer U. Quality of Life as reported by school children and their parents: a cross-sectional survey. Health Qual Life Outcomes. 2008;6:34. CrossRefPubMedPubMedCentral
34.
Eiser C, Morse R. The measurement of quality of life in children: past and future perspectives. J Dev Behav Pediatr. 2001;22:248–56. CrossRefPubMed
35.
Theunissen NC, Vogels TG, Koopman HM, Verrips GH, Zwinderman KA, Verloove-Vanhorick SP, et al. The proxy problem: child report versus parent report in health-related quality of life research. Qual Life Res. 1998;7:387–97. CrossRefPubMed
36.
Katzenschläger P. Life satisfaction and psychiatric symptoms of adolescents during rehabilitation treatment. Vienna: Medical University of Vienna; 2018.
37.
Remschmidt H, Mattejat F. Wie erfolgreich sind stationäre kinder- und jugendpsychiatrische Behandlungen? Erste Ergebnisse aus dem Marburger Evaluationsprojekt. Z Kinder Jugendpsychiatr Psychother. 2006;34:455–64. How successful is inpatient treatment in child and adolescent psychiatry? Preliminary results of the Marburg Evaluation Project. CrossRefPubMed
38.
Mattejat F, Simon B, König U, Quaschner K, Barchewitz C, Felbel D, et al. Lebensqualität bei psychisch kranken Kindern und Jugendlichen: Ergebnisse der ersten multizentrischen Studie mit dem Inventar zur Erfassung der Lebensqualität bei Kindern und Jugendlichen (ILK). Z Kinder Jugendpsychiatr Psychother. 2003;31:293–303. Quality of life in children and adolescents with psychiatric disorders—Results of the first multicenter-Study with the ILK. CrossRefPubMed
39.
Solberg C, Larsson B, Jozefiak T. Consumer satisfaction with the Child and Adolescent Mental Health Service and its association with treatment outcome: a 3-4–year follow-up study. Nord J Psychiatry. 2015;69:224–32. CrossRefPubMed
40.
Winter S, Wiegard A, Welke M, Lehmkuhl U. Evaluation mit der Psychotherapie Basisdokumentation für Kinder und Jugendliche: Psy-BaDo-KJ—Ein Instrument zur Qualitätssicherung und Therapieevaluation im Bereich Kinder- und Jugendpsychotherapie. Z Kinder Jugendpsychiatr Psychother. 2005;33:113–22. Evaluation with the “Psychotherapie Basisdokumentation” for children and adolescents: Psy-Ba- Do-KJ—A questionnaire for quality assurance and evaluation of psychotherapy for children and adolescents. CrossRefPubMed
41.
Madan A, Sharp C, Newlin E, Vanwoerden S, Fowler JC. Adolescents are less satisfied with inpatient psychiatric care than their parents: does it matter? J Healthc Qual. 2016;38:e19–28. CrossRefPubMed
42.
Kopec-Schrader EM, Rey JM, Plapp JM, Beumont PJV. Parental evaluation of treatment in an adolescent service. J Adolesc. 1994;17:239–49. CrossRef
43.
Kitts RL, Gallagher K, Ibeziako P, Bujoreanu S, Garcia G, DeMaso DR. Parent and young adult satisfaction with psychiatry consultation services in a childrens hospital. Psychosomatics. 2013;54:575–84. CrossRefPubMed
44.
Shapiro JP, Welker CJ, Jacobson BJ. The young client satisfaction questionnaire: development, construct validation and factor structure. J Clin Child Psychol. 1997;26:87–98. CrossRefPubMed
Metadaten
Titel
Quality of life and satisfaction with inpatient treatment in adolescents with psychiatric disorders
A comparison between patients’, parents’, and caregivers’ (self-)assessments at admission and discharge
verfasst von
Petra Katzenschläger
Rainer Fliedl
Christian Popow
Michael Kundi
Publikationsdatum
04.05.2018
Verlag
Springer Vienna
Erschienen in
neuropsychiatrie / Ausgabe 2/2018
Print ISSN: 0948-6259
Elektronische ISSN: 2194-1327
DOI
https://doi.org/10.1007/s40211-018-0264-3

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