Puzzling Findings in Studying the Outcome of 'Real World' Adolescent Mental Health Services: The TRAILS Study
| Autor: | Johan Ormel, Frank C. Verhulst, Albertine J. Oldehinkel, Frederike Jörg, Sijmen A. Reijneveld, Danielle Jansen |
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| Přispěvatelé: | Child and Adolescent Psychiatry / Psychology, Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Public Health Research (PHR), Sociology/ICS, Life Course Epidemiology (LCE) |
| Rok vydání: | 2012 |
| Předmět: |
Male
050103 clinical psychology Non-Clinical Medicine Psychometrics lcsh:Medicine CHILDREN BEHAVIORAL-PROBLEMS Cohort Studies PARENTS Adolescent Psychiatry Outcome Assessment Health Care Health care Psychology Prospective Studies lcsh:Science Child media_common Psychiatry Child Psychiatry Response rate (survey) Multidisciplinary DEPRESSIVE PROBLEMS 05 social sciences Self-esteem 3. Good health Clinical Psychology Mental Health Health Education and Awareness PROPENSITY SCORE METHODS Medicine Female Health Services Research CLINICAL-TRIALS Research Article 050104 developmental & child psychology Cohort study Clinical psychology Mental Health Services medicine.medical_specialty Adolescent media_common.quotation_subject Health Informatics Biology SDG 3 - Good Health and Well-being Emotionality PSYCHOTHERAPY medicine Humans 0501 psychology and cognitive sciences Health Care Quality Health Care Policy Mood Disorders business.industry lcsh:R TEMPERAMENT CARE Mental health Adolescent Health Services Developmental Psychology Propensity score matching Linear Models lcsh:Q Health Statistics business EXTERNALIZING PROBLEMS |
| Zdroj: | PLoS One (print), 7(9). Public Library of Science PLoS ONE PLoS ONE, 7:e44704. PUBLIC LIBRARY SCIENCE PLoS ONE, Vol 7, Iss 9, p e44704 (2012) |
| ISSN: | 1932-6203 |
| Popis: | BACKGROUND: The increased use and costs of specialist child and adolescent mental health services (MHS) urge us to assess the effectiveness of these services. The aim of this paper is to compare the course of emotional and behavioural problems in adolescents with and without MHS use in a naturalistic setting.METHOD AND FINDINGS: Participants are 2230 (pre)adolescents that enrolled in a prospective cohort study, the TRacking Adolescents' Individual Lives Survey (TRAILS). Response rate was 76%, mean age at baseline 11.09 (SD 0.56), 50.8% girls. We used data from the first three assessment waves, covering a six year period. Multiple linear regression analysis, propensity score matching, and data validation were used to compare the course of emotional and behavioural problems of adolescents with and without MHS use. The association between MHS and follow-up problem score (β 0.20, SE 0.03, p-valueCONCLUSIONS: The benefits of MHS are questionable. Replication studies should reveal whether a critical examination of everyday care is necessary or an artefact is responsible for these results. |
| Databáze: | OpenAIRE |
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