Evidence map›Paper›PMID 34943371›Full record

ArticleChildren (Basel, Switzerland)2021

Outcome Quality of Inpatient and Day-Clinic Treatment in Child and Adolescent Psychiatry-A Naturalistic Study.

Leonhard Thun-Hohenstein, Franka Weltjen, Beatrix Kunas, Roman Winkler, Corinna Fritz

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Recent Advances in Child and Adolescent Psychiatry.Children (Basel, Switzerland) · 2022
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Leonhard Thun-HohensteinPaediatric and Adolescent Psychiatry, University Children's Hospital, Paracelsus Medical University (PMU), 5020 Salzburg, Austria.ORCID 0000-0001-6600-8564
Franka WeltjenPaediatric and Adolescent Psychiatry, University Children's Hospital, Paracelsus Medical University (PMU), 5020 Salzburg, Austria.
Beatrix KunasPaediatric and Adolescent Psychiatry, University Children's Hospital, Paracelsus Medical University (PMU), 5020 Salzburg, Austria.
Roman WinklerLudwig Boltzmann Institut for Health Technology Assessment, Ludwig Boltzmann Gesellschaft, 1090 Vienna, Austria.
Corinna FritzPaediatric and Adolescent Psychiatry, University Children's Hospital, Paracelsus Medical University (PMU), 5020 Salzburg, Austria.
Paracelsus Medical University · ATLudwig Boltzmann Gesellschaft · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChild and adolescent psychiatry has only recently been established as a separate specialty and is practiced in different settings. The epidemiology of psychological problems in childhood is high and varied, thus qualitative work is essential. Assessment of outcome as part of quality management is central to assure the service of psychiatric care to be effective.

methodOver a three-year period consecutively admitted patients from inpatient and day-clinic treatment were prospectively evaluated. A total of 200 from 442 patients (m = 80, f = 120; age 15.1 ± 2.8 y) agreed to participate. Patients, caregivers, and therapists answered a range of questionnaires to provide a multi-personnel rating. Questionnaires used for outcome assessment were Child Behavior Checklist (CBCL) and Youth-Self-Report (YSR) (at admission, discharge, and 6 weeks after discharge) and the problem score of the Inventory of Quality of Life for children (ILK), treatment satisfaction, and process quality by the Questionnaire for Treatment Satisfaction (FBB, at discharge) and as real-life outcome control assessment of quality of life (ILK) was added (admission, discharge, and 6 wks after discharge).

resultsThere was a significant reduction in psychopathologicalsymptoms (CBCL, YSR) and in the problem score. Furthermore, there was a significant increase in quality of life. QoL score and YSR/CBCL scores returned to normal levels. Treatment satisfaction was high and so was satisfaction with process quality. Factors significantly influencing outcome were severity of disease and the relationship to the therapist. No differences were found for gender and setting.

conclusionThe quality management analysis revealed significant improvements of symptom load, a significant increase in QoL and a high treatment satisfaction. Furthermore, process quality was scored highly by parents and therapists.

Indexed as

child and adolescent psychiatryday-clinicinpatientoutcome qualityquality of lifetreatment satisfaction

Identifiers

PMID34943371
PMCPMC8699994
OpenAlexW4200187186

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.