Adolescent Psychiatry Inpatients: Self-reported Parent-adolescent Communication Quality and Treatment Outcome

Condition(s) studied

Study summary

The quality of parent-adolescent communication has been found to be associated with adolescent mental health. However, little is known about the association of parent-adolescent communication and adolescent mental health in the context of psychiatry inpatient treatment.

This study aims to find out whether self-reported parent-adolescent communication quality at the time of admission to psychiatry predicts the treatment outcome in terms of symptom reduction 6 months later in an adolescent inpatient sample. It also aims to track changes in adolescent self-reported communication quality in the course of inpatient treatment and afterwards (2, 4 and 6 months after admission) to see whether improvement predicts treatment outcome, with treatment outcome being defined as symptom reduction to baseline. As a secondary endpoint, it will be assessed whether a placement of the adolescent outside the family was considered during treatment and whether self-reported communication quality at the time of admission predicts the consideration of placement outside the family.

Eligibility

Primary outcome measure(s)

• Change in self-rated relevant symptoms according to the discharge diagnosis (general mental health) — From baseline to 6 months after admission (T3)
  General mental health symptoms will be assessed with the YSR (Youth Self-Report). If a condition other than F32-33 or F40-41 is the primary diagnosis, the YSR total scale will be used. The YSR consists of 112 items, rated on a three-step scale. Higher values indicate higher symptom burden.
• Change in self-rated relevant symptoms according to the discharge diagnosis (depression symptoms) — From baseline to 6 months after admission (T3)
  Depression symptoms will be assessed with the DISYPS-DES (Diagnostik-System für Psychische Störungen - Depressive Störungen). If the primary diagnosis is depression (F32-F33), DISYPS-DES will be used. The DISYPS-DES consists of consist of 29 items, rated on a four-step scale. Higher values indicate higher symptom burden.
• Change in self-rated relevant symptoms according to the discharge diagnosis (anxiety symptoms) — From baseline to 6 months after admission (T3)
  Anxiety symptoms will be assessed with the DISYPS-ANG (Diagnostik-System für Psychische Störungen - Angststörungen). If the primary diagnosis is anxiety (F40-F41), DISYPS-ANG will be used for the primary outcome. The DISYPS-ANG consists of 44 items, rated on a four-step scale. Higher values indicate higher symptom burden.
• Discussion of external placement (rated by clinician) — From baseline to 6 months after admission (T3)
  The responsible clinician rates whether an external placement (outside the family) of the adolescent was discussed in the context of psychiatric treatment (yes/no). It has to be considered as discussed (\"yes\") if either the adolescent, one parent or more or the treatment team articulate a wish/recommendation regarding external placement during the period of treatment toward any other party.

Trial sites (1)

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