Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation?
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
van Bodegom Larissa S, Overbeek Mathilde M, Gerritsen Suzanne E, Maras Athanasios, Hillegers Manon H J, Wolke Dieter, Rizopoulos Dimitris, Allibrio Giovanni, van Amelsvoort Therese A M J, Appleton Rebecca, Armando Marco, Franić Tomislav, de Girolamo Giovanni, Madan Jason, Manenti Lidia, Margari Francesco, McNicholas Fiona, Pastore Adriana, Paul Moli, Purper-Ouakil Diane, Rinaldi Francesco, Saam Melanie C, Santosh Paramala J, Sartor Anne, Schulze Ulrike M E, Signorini Giulia, Singh Swaran P, Street Cathy, Tah Priya, Tanase Elena, Tremmery Sabine, Tuomainen Helena, Dieleman Gwendolyn C
Аннотация
METHODS: Within the wider MILESTONE cohort study, 203 CAMHS users were classified with unipolar depressive disorder by their clinician, and 185 reported clinical levels of depressive problems on the DSM-oriented Depressive Problems scale of the Achenbach Youth Self Report. Logistic regression models were fitted to both subsamples to assess the relationship between clinicians' transition recommendations and risk factors for persistent depression.
RESULTS: Only clinician-rated severity of psychopathology was related to a recommendation to continue treatment for those classified with unipolar depressive disorder (N = 203; OR = 1.45, 95% CI (1.03-2.03), p = .044) and for those with self-reported depressive problems on the Achenbach DSM-oriented Depressive Problems scale (N = 185; OR = 1.62, 95% CI (1.12-2.34), p = .012).
CONCLUSION: Transition recommendations and need for continued treatment are based on clinical expertise, rather than self-reported problems and needs.