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How the Adolescent Inpatients Are Rehabilitated After Discharge (AdolInpRehabi)

This study has been terminated.
(Study couldn´t start due to investigator)
Sponsor:
ClinicalTrials.gov Identifier:
NCT01709526
First Posted: October 18, 2012
Last Update Posted: October 18, 2012
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
University of Eastern Finland
Information provided by (Responsible Party):
Helena Pehkonen, Kuopio University Hospital
  Purpose
The aims of this six month follow-up study are which treatment components will correlate or which clinical treatments interventions contribute adolescent inpatients recovering in the psychiatric treatment after discharge. Comparisons will be made between the 47 adolescents aged 13 to 18 years, with major depression and conduct disorders, and between those with and without suicide attempts by multivariate analyses. Are the adolescent psychiatric inpatients recovered?

Condition Intervention Phase
Psychiatric Diseases Behavioral: Improvement after psychiatric inpatient treatment Phase 2 Phase 3

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Prospective Study the Adolescent Inpatients Rehabilitation

Further study details as provided by Helena Pehkonen, Kuopio University Hospital:

Enrollment: 63
Study Start Date: January 2009
Study Completion Date: October 2012
Primary Completion Date: October 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Improvement after psychiatric inpatient treatment Behavioral: Improvement after psychiatric inpatient treatment
Cognition, psychosocial functioning
Other Name: After adolescents treatment

Detailed Description:

The whole prospective study sample consisted of 63 adolescents aged 13 to 18 years (40 girls and 23 boys)referred for psychiatric treatment to the adolescent psychiatric inpatient unit of Kuopio University Hospital, Finland. This study is part of the "Kliininen Laatuprojekti"- Depression Project in Kuopio University Hospital. Researcher UH, Doctor of Philosophy, has been the head of the study project. She has done this study by carrying, analysing, doing articles and writing abstracts and keeping lectures and congress sessions in Finland and aboard. In the same time she has done clinical work by caring adolescents in the hospital ward and in the therapy settings. UH has been the first writer in the articles, one article in national and three in international articles. This Doctoral dissertation has been presented 17th November 2007, supervisor was professor, MD. Mauri Marttunen.

The prospective study set out to investigate gender differences, psychosocial and cognitive functioning, self-image, and changes in these structured parameters, and the role of working alliance. More girls than boys were admitted to inpatient care. Mood and conduct disorders were the most common diagnoses. Girls more commonly had poor family relationships but more peers than boys. Violent and destructive behaviour were more common among boys, and they performed worse in tests assessing nonverbal cognitive performance and total immediate recall memory than girls. Both girls and boys had an impaired IQ at entry. Major impairment in functioning in several areas such as school, family relations, judgement and thinking was found among both genders.

The psychosocial functioning and cognitive performance of inpatients improved during treatment.

There were also improvements in intrapsychic constructs: in the psychological self-image, especially body-image, and in relationships with family members, particularly among emotionally-disturbed adolescents. Cognitive performance was significantly enhanced among subjects both with a good and with a poor working alliance. According to multivariate analyses, a better quality of working alliance and a greater number of therapy sessions were associated with positive changes in cognitive performance and self-image.

When subjects with major depression and conduct disorder were compared, nonverbal cognitive and general cognitive performance, body and self-image, and overall psychosocial functioning improved in both groups of subjects during treatment. More positive changes in self-image and family functioning were found among subjects with MDD.

Suicidal adolescents' treatment compliance and outcome were as good as those of non-suicidal patients. Their psychosocial functioning, cognitive performance, and both the psychological self and body-image improved during treatment. Positive changes in body-image associated significantly with a higher probability of improvement in psychosocial functioning, while a higher GAS score at entry was associated with a lower probability of functional improvement. In clinical practice, attention needs to be paid to structured assessment of adolescent psychiatric inpatients. This study suggests a need to combine at least regular individual therapy, pharmacotherapy, family interventions, and a school program. Since a good working alliance between the therapist and the adolescent patient seems to modify the treatment outcome, particular attention to creating a good alliance with the patient and intensive involvement of the parents in treatment are recommended. Prospective studies with a sufficient follow-up after discharge and well-designed intervention studies among adolescent inpatients are needed.

Now it is interested in how they are in recovery with the role of working alliance and improvement in the psychosocial functioning after discharge?

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   14 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • psychiatric disease
  • adolescents
  • inpatient treatment

Exclusion Criteria:

  • emergency psychiatric treatment
  • under 4 weeks treatment
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01709526


Locations
Finland
Kuopio University Hospital
Kuopio, Finland
Sponsors and Collaborators
Kuopio University Hospital
University of Eastern Finland
Investigators
Principal Investigator: Ulla Hintikka Kuopio University Hospital
  More Information

Responsible Party: Helena Pehkonen, assistant, Kuopio University Hospital
ClinicalTrials.gov Identifier: NCT01709526     History of Changes
Other Study ID Numbers: KUH5702803
First Submitted: June 29, 2011
First Posted: October 18, 2012
Last Update Posted: October 18, 2012
Last Verified: October 2012

Keywords provided by Helena Pehkonen, Kuopio University Hospital:
Psychosocial functioning
Cognitive performance of inpatients
Psychiatric diseases

Additional relevant MeSH terms:
Mental Disorders