Evidence map›Paper›PMID 35114734›Full record

Observational studyEarly intervention in psychiatry2022

Characteristics and treatment outcomes of children and adolescents accessing treatment in Child and Youth Mental Health Services.

Zhen Qi Lu, Hanna de Geus, Sanna Roest, Leanne Payne, Govind Krishnamoorthy, Robyn Littlewood, Margaret Hoyland, Stephen Stathis, William Bor, Christel M Middeldorp

Open access · hybridAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Early intervention in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. 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

10 authors at 5 institutions in 2 countries.

Zhen Qi LuChild Health Research Centre, the University of Queensland, Brisbane, Australia.
Hanna de GeusCurium-LUMC, Centre of Child and Youth Psychiatry, Leiden University Medical Centre, Leiden, The Netherlands.
Sanna RoestCurium-LUMC, Centre of Child and Youth Psychiatry, Leiden University Medical Centre, Leiden, The Netherlands.
Leanne PayneChild Health Research Centre, the University of Queensland, Brisbane, Australia.
Govind KrishnamoorthyChild and Youth Mental Health Service, Children's Health Queensland Hospital and Health Service, Brisbane, Australia.
Robyn LittlewoodHealth and Wellbeing Queensland, Brisbane, Australia.
Margaret HoylandChild and Youth Mental Health Service, Children's Health Queensland Hospital and Health Service, Brisbane, Australia.
Stephen StathisChild Health Research Centre, the University of Queensland, Brisbane, Australia.
William BorChild and Youth Mental Health Service, Children's Health Queensland Hospital and Health Service, Brisbane, Australia.
Christel M MiddeldorpChild Health Research Centre, the University of Queensland, Brisbane, Australia.ORCID 0000-0002-6218-0428
The University of Queensland · AUChildren’s Health Queensland Hospital and Health Service · AULeiden University · NLQueensland Health · AUUniversity of Southern Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo provide insight into the characteristics and treatment outcomes of children and adolescents accessing outpatient Child and Youth Mental Health Services (CYMHS), and to explore whether outcomes differ by age, sex, and ancestry background. This information can guide how to optimize the treatment delivered at these services.

methodsAn observational retrospective study was performed based on data from 3098 children and adolescents between age 5 and 18 who received treatment at Brisbane, Australia, community CYMHS between 2013-2018. Patient characteristics, service use, and clinician and parent rated Routine Outcome Measures (ROM) were extracted from electronic health records.

resultsAnxiety and mood disorders were the most common mental disorders (37% and 19%). In 1315 children and adolescents (42%), two or more disorders were diagnosed, and the far majority (88%) had experienced at least one psychosocial stressor. The ROM scores improved between start and end of treatment with Cohen's d effect sizes of around 0.9. However, ~50% of the children still scored in the clinical range at the end of treatment. Outcomes did not differ over gender and Indigenous status.

conclusionsChildren and adolescents accessing CYMHS have severe and complex mental disorders as reflected by high rates of comorbidity, exposure to adverse circumstances and high symptom scores at the start of treatment. Despite the clinically relevant and substantial improvement, end ROM scores indicated the presence of residual symptoms. As this increases the risk for relapse, services should explore ways to improve treatment to further reduce mental health symptoms.

Indexed as

Mental DisordersMental Health ServicesAdolescentAnxietyChildChild, PreschoolHumansMental HealthRetrospective StudiesTreatment Outcomechildren and adolescent psychiatrycommunity Child and Youth Mental Health Serviceobservational studyRoutine Outcome Measurestreatment outcome

Identifiers

PMID35114734
PMCPMC10078779
OpenAlexW4210389650

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.