Parent- and therapist-rated treatment satisfaction following routine child cognitive-behavioral therapy

Autor: Katrin Woitecki, Claudia Kinnen, Manfred Döpfner, Hildegard Goletz, Tanja Wolff Metternich-Kaizman, Christiane Rademacher, Paula Viefhaus, Daniela Perri, Daniel Walter, Anja Görtz-Dorten, Lydia Dachs, Stephanie Schürmann
Rok vydání: 2020
Předmět:
Routine treatment
Male
medicine.medical_specialty
Cognitive-behavioral therapy
medicine.medical_treatment
Personal Satisfaction
behavioral disciplines and activities
Parent ratings
Treatment satisfaction
Correlation
03 medical and health sciences
0302 clinical medicine
Developmental and Educational Psychology
Child and adolescent psychiatry
medicine
Humans
0501 psychology and cognitive sciences
Child
Children
Cognitive Behavioral Therapy
business.industry
05 social sciences
Regression analysis
Original Contribution
General Medicine
Differential effects
030227 psychiatry
Cognitive behavioral therapy
Psychiatry and Mental health
Treatment Outcome
Pediatrics
Perinatology and Child Health

Female
Observational study
business
050104 developmental & child psychology
Clinical psychology
Lower degree
Zdroj: European Child & Adolescent Psychiatry
ISSN: 1435-165X
1018-8827
DOI: 10.1007/s00787-020-01528-1
Popis: This observational study examined treatment satisfaction (TS) following routine outpatient cognitive-behavioral therapy (CBT) in a large sample of children (n = 795; aged 6 to 10 years). TS was investigated in parent and therapist rating. Means, standard deviations and inter-rater correlations were calculated to investigate TS. Regression analysis was conducted to examine potential correlates of TS (patient-related variables, mental disorder characteristics, socio-demographic factors and treatment variables). High TS in parent and therapist rating was found, with therapists showing a lower degree of TS than parents (completely or predominantly satisfied: parent rating 94.1%, therapist rating 69.5%). A statistically significant, moderate inter-rater correlation was found. Regression analysis explained 21.8% of the variance in parent rating and 57.2% in therapist rating. Most of the TS variance was explained by mental disorder characteristics (parent-rated symptoms and therapist-rated global impairment at treatment end) and by treatment variables (especially the therapist-rated cooperation of parents and patients), whereas socio-demographic and patient-related variables did not show any relevant associations with TS. Based on these results, to optimize TS, therapists should concentrate on establishing a sustainable cooperation of parents and children during therapy, and work to achieve a low global impairment at treatment end. Electronic supplementary material The online version of this article (10.1007/s00787-020-01528-1) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE