Predictors and Moderators of Clinical Outcomes in Adolescents with Severe Mental Disorders After an Assertive Community Treatment.

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State: Public
Version: author
Serval ID
serval:BIB_7CA69C832C55
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Predictors and Moderators of Clinical Outcomes in Adolescents with Severe Mental Disorders After an Assertive Community Treatment.
Journal
Child Psychiatry and Human Development
Author(s)
Urben S., Baier V., Mantzouranis G., Pigois E., Graap C., Dutoit F., Cherix-Parchet M., Henz C., Faucherand A., Senent E., Holzer L.
ISSN
1573-3327 (Electronic)
ISSN-L
0009-398X
Publication state
Published
Issued date
2015
Peer-reviewed
Oui
Volume
46
Number
6
Pages
997-1005
Language
english
Abstract
Previous studies have shown that stressful life events (SLEs), gender, social functioning and pretreatment severity are some of the predictors and/or moderators of treatment outcome in psychiatric care. The current study explored the effect of these predictors and moderators on the treatment outcome related to assertive community treatment (ACT) proposed to young people with severe mental disorders. 98 patients were assessed for externalizing and emotional difficulties, at admission and then at discharge of an ACT. Analyses revealed significant improvements in terms of symptomatology. In particular, regression analyses showed that pretreatment severity is a significant predictor of the outcome on emotional symptoms and is moderated by SLE on the outcome on externalizing symptoms. Furthermore, higher social functioning proved to predict better outcome on externalizing symptoms. Our results further evidence that these factors can explain inter-individual differences in outcome related to ACT. The theoretical and clinical implications of these results are discussed.
Keywords
Adolescent, Adolescent Health Services, Community Mental Health Services, Female, Hospitalization, Humans, Male, Mental Disorders/diagnosis, Mental Disorders/psychology, Severity of Illness Index, Treatment Outcome
Pubmed
Web of science
Create date
10/03/2015 10:33
Last modification date
20/08/2019 14:38
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