[Long-term stability of inpatient cognitive-behavioral therapy of adolescents with anxious-depressed school absenteeism].
90 adolescents (aged 12-18 years) with chronic anxious-depressive school absenteeism with or without comorbid disruptive symptoms underwent an open inpatient treatment. The treatment was manual guided with a cognitive-behavioral focus. In case of long lasting school absence youth were integrated on a special school initially. The present analyses cover 2- and 9-months follow-ups. At discharge continuous school attendance was achieved by 83 (92.2%) adolescents, by 75 (83.3%) at 2-month and by 63 (70.0%) at 9-month follow-up. For youth with school absenteeism within the follow-up interval absence rates were only minor. The rate of adolescents visiting the special school decreased from 40 (44.4%) at discharge to 24 (26.7%) 9 month later. Associated mental health problems were assessed using standardized questionnaires in self and parent ratings. Small to medium statistically significant aggravations were found. Within the follow-up interval 2/3 of the samplhe underwent an outpatient, weekly cognitive-behavioral treatment. These results must be interpreted with caution because of the lack of a control condition and of concomitant interventions during inpatient treatment.
Klinik und Poliklinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters am Uniklinikum Köln. daniel.walter@uk-koeln.de
Daniel
D
Walter
Christopher
C
Hautmann
Gerd
G
Lehmkuhl
Manfred
M
Döpfner
D000041:Absenteeism; D000293:Adolescent; D000553:Ambulatory Care; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy*; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000523:psychology / Q000628:therapy; D002648:Child; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D015897:Comorbidity; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy*; D004519:Education, Special; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D008297:Male; D010343:Patient Admission; D010698:Phobic Disorders / Q000523:psychology / Q000628:therapy*