Trajectories of change of youth depressive symptoms in routine care: shape, predictors, and service-use implications

Autor:	Christopher H. Evans, Julian Edbrooke-Childs, Miranda Wolpert, Praveetha Patalay, Elisa Napoleone
Rok vydání:	2019
Předmět:	Male medicine.medical_specialty Adolescent Ethnic group Service use 03 medical and health sciences 0302 clinical medicine Developmental and Educational Psychology Child and adolescent psychiatry Humans Medicine 0501 psychology and cognitive sciences Child Psychiatry Routine care Depression (differential diagnoses) Depressive symptoms Depression business.industry 05 social sciences Multilevel model General Medicine Mental health 030227 psychiatry Psychotherapy Psychiatry and Mental health Mental Health Pediatrics Perinatology and Child Health Female Self Report business 050104 developmental & child psychology
Zdroj:	European Child & Adolescent Psychiatry. 28:1527-1536
ISSN:	1435-165X 1018-8827
DOI:	10.1007/s00787-019-01317-5
Popis:	Depression is one of the main reasons for youth accessing mental health services, yet we know little about how symptoms change once youth are in routine care. This study used multilevel modeling to examine the average trajectory of change and the factors associated with change in depressive symptoms in a large sample of youth seen in routine mental health care services in England. Participants were 2336 youth aged 8-18 (mean age 14.52; 77% females; 88% white ethnic background) who tracked depressive symptoms over a period of up to 32 weeks while in contact with mental health services. Explanatory variables were age, gender, whether the case was closed, total length of contact with services, and baseline severity in depression scores. Faster rates of improvement were found in older adolescents, males, those with shorter time in contact with services, closed cases, and those with more severe symptoms at baseline. This study demonstrates that when youth self-report their depressive symptoms during psychotherapy, symptoms decrease in a linear trajectory. Attention should be paid to younger people, females, and those with lower than average baseline scores, as their symptoms decrease at a slower pace compared to others.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d9968901f0489f9d0197be9a019e5e2b https://doi.org/10.1007/s00787-019-01317-5 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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