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18-12-2018 | Original Article

Parent- and Teacher-Rated Effectiveness of Cognitive-Behavioral Therapy for Children and Adolescents Under Usual Care Conditions in a University Outpatient Clinic

Auteurs: Daniel Walter, Lydia Dachs, Johanna Farwick zum Hagen, Hildegard Goletz, Anja Goertz-Dorten, Claudia Kinnen, Christiane Rademacher, Stephanie Schuermann, Paula Viefhaus, Tanja Wolff Metternich-Kaizman, Manfred Doepfner

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2019

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Abstract

Compared to randomized controlled trials, studies examining the effectiveness of cognitive behavioral therapy (CBT) in children and adolescents with mental disorders are rare, and a teacher perspective is scarce. The present study investigated the effectiveness of routine CBT in 519 patients aged 6–18 years with mental disorders. Changes in mental health problems were assessed in teacher (Teacher Report Form, TRF) and parent rating (Child Behavior Checklist, CBCL) and were analyzed within the total sample, yielding statistically significant, small to medium effect sizes (teacher rating: d = .74–2.39; parent rating: d = .65–1.18). Changes in a subgroup of patients with elevated symptom scores at treatment start were compared to a historical control group receiving weekly academic tutoring. Net total score effect sizes lay between d = 0.98 and d = 1.29 for teacher rating (parent rating: d = 0.84 to d = 1.01). Nevertheless, a substantial number of patients remained in the clinical range. Symptom changes during family- and patient-based CBT interventions did not differ from treatments including additional school-based interventions, as was also the case for the comparison of treatments with and without additional pharmacotherapy.
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Metagegevens
Titel
Parent- and Teacher-Rated Effectiveness of Cognitive-Behavioral Therapy for Children and Adolescents Under Usual Care Conditions in a University Outpatient Clinic
Auteurs
Daniel Walter
Lydia Dachs
Johanna Farwick zum Hagen
Hildegard Goletz
Anja Goertz-Dorten
Claudia Kinnen
Christiane Rademacher
Stephanie Schuermann
Paula Viefhaus
Tanja Wolff Metternich-Kaizman
Manfred Doepfner
Publicatiedatum
18-12-2018
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 4/2019
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-018-0860-2