European Child & Adolescent Psychiatry

, Volume 28, Issue 4, pp 543–556 | Cite as

Treatment satisfaction following routine outpatient cognitive-behavioral therapy of adolescents with mental disorders: a triple perspective of patients, parents and therapists

  • Paula Viefhaus
  • Manfred Döpfner
  • Lydia Dachs
  • Hildegard Goletz
  • Anja Görtz-Dorten
  • Claudia Kinnen
  • Daniela Perri
  • Christiane Rademacher
  • Stephanie Schürmann
  • Katrin Woitecki
  • Tanja Wolff Metternich-Kaizman
  • Daniel WalterEmail author
Original Contribution


The present study investigates treatment satisfaction (TS) rated by multiple informants (patient, parent, therapist) following routine outpatient cognitive-behavioral therapy (CBT) within a large sample (n = 965) of clinically referred adolescents aged 11–20 years. Moreover, potential predictors of TS were analyzed (patient-related variables, mental disorder characteristics, socio-demographic factors and treatment variables). Overall, our results show a high treatment satisfaction in patient, parent and therapist ratings, with the therapists being the most critical raters (completely/predominantly satisfied: 87.8% in patient, 92.0% in parent, and 64.0% in therapist ratings). Correlations between the three raters were only small to moderate, but statistically significant. Regression analysis examining differential effects found that mental disorder characteristics (parent- and patient-reported symptoms at post) and treatment variables (especially cooperation of patients and parents as rated by therapists) explained most of the variance in TS, whereas patient-related or socio-demographic variables did not emerge as relevant predictors of TS. The amounts of explained variance were R adj. 2  = 0.594 in therapist rating, R adj. 2  = 0.322 in patient rating and R adj. 2  = 0.203 in parent rating.


Treatment satisfaction Routine treatment Cognitive-behavioral therapy Adolescents 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standards

This study has been approved by the ethics committee at the University of Cologne and has, therefore, been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. All persons gave their informed consent prior to their inclusion in the study.

Supplementary material

787_2018_1220_MOESM1_ESM.docx (23 kb)
Supplementary material 1 (DOCX 23 kb)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Paula Viefhaus
    • 2
  • Manfred Döpfner
    • 1
    • 2
  • Lydia Dachs
    • 2
  • Hildegard Goletz
    • 2
  • Anja Görtz-Dorten
    • 2
  • Claudia Kinnen
    • 2
  • Daniela Perri
    • 2
  • Christiane Rademacher
    • 1
  • Stephanie Schürmann
    • 1
  • Katrin Woitecki
    • 2
  • Tanja Wolff Metternich-Kaizman
    • 1
    • 2
  • Daniel Walter
    • 1
    • 2
    Email author
  1. 1.Department of Child and Adolescent Psychiatry, Psychosomatics and PsychotherapyMedical Faculty of the University of CologneCologneGermany
  2. 2.School of Child and Adolescent Cognitive Behavior Therapy (AKiP)University Hospital CologneCologneGermany

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