[How effective are interventions in children and adolescents with antisocial behavior? A utilization study].

Abstract

OBJECTIVE:

Anti-social behavior in childhood and adolescence represents a frequent behavior disorder in this age group and its prognosis is predominantly unfavourable. The purpose of this study was to analyze the outcome and predictors of outpatients and inpatients with conduct disorders and internalizing disorders.

METHOD:

We compared a 10 year follow-up history of in- and outpatients with conduct disorders and internalizing disorders. The sample of patients with conduct disorders was divided into three groups ("I": F90.1; "E": F91.2, F92; "D": F91.1, F91.3). The outcome was defined as an improvement of psychosocial functioning (SGKJ). Statistical analysis consisted of Fisher exact test and logistical regression.

RESULTS:

Our findings showed the best results in patients with the ICD 10 diagnosis F90.1. Inpatient treatment was superior to outpatient treatment. Cooperation of parents and children, severeness of disease, psychosocial risk factors and pharmacotherapy were found to be the most important predictors.

CONCLUSIONS:

Effectiveness of an outpatient treatment of children and adolescents with conduct disorders can be increased by training of parents, home treatment or pharmacotherapy.

• Authors: A Wagner, C Jennen-Steinmetz, C Göpel, M H Schmidt
• Journal: Zeitschrift fur Kinder- und Jugendpsychiatrie und Psychotherapie (Z Kinder Jugendpsychiatr Psychother) Vol. 32 Issue 1 Pg. 5-16 (Feb 2004) ISSN: 1422-4917 [Print] Switzerland
• Vernacular Title: Wie effektiv sind Interventionen bei Kindern und Jugendlichen mit Störungen des Sozialverhaltens? eine Inanspruchnahmestudie.
• PMID: 14992043 (Publication Type: Comparative Study, Journal Article)

Topics

• Adolescent
• Adult
• Aggression (psychology)
• Ambulatory Care (statistics & numerical data)
• Antisocial Personality Disorder (epidemiology, therapy)
• Child
• Child Behavior Disorders (epidemiology, therapy)
• Child, Preschool
• Comorbidity
• Female
• Follow-Up Studies
• Germany
• Humans
• Internal-External Control
• Male
• Outcome and Process Assessment, Health Care (statistics & numerical data)
• Patient Admission (statistics & numerical data)
• Retrospective Studies
• Social Behavior Disorders (epidemiology, therapy)
• Social Environment
• Socialization
• Treatment Outcome