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Adolescent outcome of disruptive behaviour disorder in children who had been treated in in–patient and day–treatment settings

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Abstract

Although several studies have been conducted on the longitudinal course of childhood disruptive behaviours in community samples and in general psychiatric samples, little is known about adolescent adjustment in psychiatrically treated disruptive behaviour disorder (DBD) children. We examined a sample of adolescents (n = 47) who had been treated as children in an in–patient and/or day–treatment setting because of their severely disruptive behaviour. At follow–up, we found that half of the adolescents had a DBD diagnosis, and on average higher numbers of participants ever used soft drugs, had ever been in court, were not attending school when this was mandatory, and were smoking on a daily basis, as compared to comparison groups. There was, however, a large variance among the adolescents of our sample.When outcome was defined in terms of DBD diagnosis, living status, delinquency, school attendance, and smoking behaviour, 38 % had a positive outcome and 34 % had a poor outcome. For clinical purposes, it is important to recognise that there are large individual differences in outcome.

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Authors and Affiliations

  1. School of Psychology, Cardiff University, Cardiff (Wales), UK

    St. H. M. van Goozen PhD

  2. Dept. of Child and Adolescent Psychiatry, B01–324, University Medical Centre Utrecht, 85500, 3508 GA, Utrecht, The Netherlands

    I. van Bokhoven MSc, W. Matthys MD, PhD & H. van Engeland MD, PhD

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  1. I. van Bokhoven MSc
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  2. W. Matthys MD, PhD
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  3. St. H. M. van Goozen PhD
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  4. H. van Engeland MD, PhD
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Correspondence to I. van Bokhoven MSc.

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van Bokhoven, I., Matthys, W., van Goozen, S.H.M. et al. Adolescent outcome of disruptive behaviour disorder in children who had been treated in in–patient and day–treatment settings. Eur Child Adolesc Psychiatry 15, 79–87 (2006). https://doi.org/10.1007/s00787-006-0490-2

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