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

NCT06633458 | Recruiting

• 1 other identifier: JuStCom
• Study Type: observational
• Target: 60
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Mental Disorder in Adolescence; Depression in Adolescence; Anxiety

Keywords

mental health; adolescence; communication

Outcome Measures

Primary Outcomes (4)

• Change in self-rated relevant symptoms according to the discharge diagnosis (general mental health)

  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.

  From baseline to 6 months after admission (T3)

• Change in self-rated relevant symptoms according to the discharge diagnosis (depression symptoms)

  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.

  From baseline to 6 months after admission (T3)

• Change in self-rated relevant symptoms according to the discharge diagnosis (anxiety symptoms)

  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.

  From baseline to 6 months after admission (T3)

• Discussion of external placement (rated by clinician)

  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.

  From baseline to 6 months after admission (T3)

Secondary Outcomes (1)

• Change in self-rated parent-adolescent communication quality

  From baseline to 6 months after admission (T3)

Study Arms (1)

Study group (observation only)

Adolescent inpatients at the child and adolescent psychiatry, age 14-17 years.

Eligibility Criteria

• Age: 14 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Adolescents aged 14;1 to 17;12 years with a diagnosis of a mental disorder requiring inpatient treatment at a psychiatric site.

You may qualify if:

• Admission to inpatient care unit of the adolescent psychiatry at the University Medical Center Hamburg-Eppendorf.

You may not qualify if:

• Severe symptom burden at admission
• Lack of knowledge of the German language.

Sponsors & Collaborators

• Universitätsklinikum Hamburg-Eppendorf: lead

Study Sites (1)

University Medical Center Hamburg-Eppendorf

Hamburg, Hamburg, 20246, Germany

RECRUITING

MeSH Terms

Conditions

Anxiety Disorders; Psychological Well-Being; Communication

Condition Hierarchy (Ancestors)

Mental Disorders; Personal Satisfaction; Behavior

Study Officials

• Holger Zapf, Dr

  Universitätsklinikum Hamburg-Eppendorf

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Holger Zapf, Dr

CONTACT

+49 176 8441 2529; h.zapf@uke.de

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 30, 2024
• First Posted: October 9, 2024
• Study Start: July 8, 2024
• Primary Completion (Estimated): July 7, 2026
• Study Completion (Estimated): October 30, 2026
• Last Updated: October 9, 2024

Record last verified: 2024-07

Locations

DE (1)