Psychoanalytic Psychotherapy for Children and Adolescents with Severe Externalising Psychopathology

TY - JOUR

T1 - Psychoanalytic Psychotherapy for Children and Adolescents with Severe Externalising Psychopathology

T2 - An Effectiveness Trial

AU - Weitkamp, Katharina

AU - Daniels, Judith K

AU - Romer, Georg

AU - Wiegand-Grefe, Silke

PY - 2017/9

Y1 - 2017/9

N2 - OBJECTIVES: This partly waitlist-controlled prospective field study aimed to evaluate the effectiveness of psychoanalytic psychotherapy for children and adolescents with severe externalising symptoms. Externalising symptoms are associated with diagnoses of conduct disorders, hyperkinetic disorders, and disorders of social functioning.METHODS: Participants were 93 children and adolescents in psychoanalytic therapy with a diagnosed psychiatric disorder with externalising symptomatology (intervention group: n = 65; minimal supportive treatment/waitlist control group: n = 28). Data was collected from parents and patients (≥ 11 years) at beginning/end of treatment, 6- and 12-month follow-up. The effects of long-term psychoanalytical treatment were analysed using a longitudinal design.RESULTS: At the end of therapy, externalising symptoms were significantly reduced rated by both parents and patients (parent-rated: d = .69, patient-rated: d = .63). This effect was stable at the 1-year follow-up (parent-rated: d = .77, patient-rated: d = .68). About 70% of the patients may be considered as recovered or improved by the end of therapy.CONCLUSIONS: Psychoanalytic therapy may be successful in alleviating psychiatric disorders with externalising symptoms with effects stable at the 1-year follow-up.

AB - OBJECTIVES: This partly waitlist-controlled prospective field study aimed to evaluate the effectiveness of psychoanalytic psychotherapy for children and adolescents with severe externalising symptoms. Externalising symptoms are associated with diagnoses of conduct disorders, hyperkinetic disorders, and disorders of social functioning.METHODS: Participants were 93 children and adolescents in psychoanalytic therapy with a diagnosed psychiatric disorder with externalising symptomatology (intervention group: n = 65; minimal supportive treatment/waitlist control group: n = 28). Data was collected from parents and patients (≥ 11 years) at beginning/end of treatment, 6- and 12-month follow-up. The effects of long-term psychoanalytical treatment were analysed using a longitudinal design.RESULTS: At the end of therapy, externalising symptoms were significantly reduced rated by both parents and patients (parent-rated: d = .69, patient-rated: d = .63). This effect was stable at the 1-year follow-up (parent-rated: d = .77, patient-rated: d = .68). About 70% of the patients may be considered as recovered or improved by the end of therapy.CONCLUSIONS: Psychoanalytic therapy may be successful in alleviating psychiatric disorders with externalising symptoms with effects stable at the 1-year follow-up.

KW - Adolescent

KW - Ambulatory Care

KW - Antisocial Personality Disorder

KW - Attention Deficit Disorder with Hyperactivity

KW - Child

KW - Child, Preschool

KW - Conduct Disorder

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Psychoanalytic Therapy

KW - Social Adjustment

KW - Treatment Outcome

KW - Young Adult

KW - Controlled Clinical Trial

KW - Journal Article

U2 - 10.13109/zptm.2017.63.3.251

DO - 10.13109/zptm.2017.63.3.251

M3 - SCORING: Journal article

C2 - 28974184

VL - 63

SP - 251

EP - 266

JO - Z PSYCHOSOM MED PSYC

JF - Z PSYCHOSOM MED PSYC

SN - 1438-3608

IS - 3

ER -