title: A 12-week comparison regarding symptom improvement in an urban university-based outpatient child psychiatry clinic.
abstract: To compare the efficacy of pharmacotherapy versus combination pharmacotherapy and psychotherapy for externalizing, conduct, and aggressive behaviors in children aged 6 through 18 years in an urban academic outpatient facility. Data from a child psychiatry outpatient population whose scores were identified as "at risk" or "clinically significant" based on a validated and standardized assessment tool were assessed at baseline and 12 weeks or more after treatment. Conduct symptoms worsened with medication management alone but improved with combination treatment (P < 0.05). Females and older youth were more likely to have therapy included in their treatment. Conduct problems that can be seen in a variety of youth disorders, such as disruptive behaviors, mood, and anxiety disorders, have a better probability of improving with treatment that includes psychotherapy versus medication management alone.
authors.affiliation: Department of Psychiatry, Rush University Medical Center, Chicago, IL.
authors.forename: Adrienne L
authors.initials: AL
authors.lastname: Adams
authors.forename: Patricia
authors.initials: P
authors.lastname: Meaden
mesh_terms: D000293:Adolescent; D000367:Age Factors; D000704:Analysis of Variance; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology / Q000628:therapy; D002665:Child Psychiatry / Q000458:organization & administration*; D015331:Cohort Studies; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration*; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy / Q000379:methods / Q000458:organization & administration; D011619:Psychotropic Drugs / Q000627:therapeutic use; D012189:Retrospective Studies; D012737:Sex Factors
chemical_list: D011619:Psychotropic Drugs