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Quality of life and satisfaction with inpatient treatment in adolescents with psychiatric disorders

A comparison between patients’, parents’, and caregivers’ (self-)assessments at admission and discharge

Lebensqualität und Zufriedenheit mit der stationären Behandlung bei Jugendlichen mit psychiatrischen Störungen

Vergleich der (Selbst-)Einschätzungen durch PatientInnen, ihre Eltern und ihre BetreuerInnen bei der Aufnahme und Entlassung

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Summary

Objectives

The purpose of this study was to compare results of patients’, parents’, and caregivers’ (nursing staff and educators) (self-)assessments of quality of life, treatment outcomes, and satisfaction with inpatient treatment in a child and adolescent psychiatric hospital. In addition, the investigation included a comparison between admission and discharge of the three investigated groups.

Methods

The study considered adolescents at the Department of Child and Adolescent Psychiatry and Psychotherapy, Hinterbruehl, along with their parents and caregivers. Following questionnaires at admission and discharge were used: the Youth Self-Report (YSR) or Child Behavior Checklist (CBCL/4-18), Inventory for Assessing Quality of Life in Children and Adolescents (ILK), and Questionnaires of the Evaluation of Treatment (FBB).

Results

Adolescents (58 patients, aged 14–18 years, standard deviation = 1.06) with different psychiatric diagnoses consecutively admitted for a diagnostic or therapeutic stay were included. The quality of life score was significantly different between patients’ and parents’ rating at discharge. The results of the treatment satisfaction revealed no significant correlations between patients’, parents’, and caregivers’ ratings. A reduction in the psychopathology between admission and discharge was measured in all groups of raters. In addition, an increase in quality of life between admission and discharge was observed in patients, parents, and caregivers. Treatment satisfaction was moderate in all groups of raters.

Conclusion

The views of patients’ treatment measured by patients themselves, parents, and caregivers during a psychiatric ward stay are different and more or less unrelated. This indicates that each group applies different criteria when assessing treatment satisfaction.

Zusammenfassung

Zielsetzung

Ziel dieser Studie war es, die (Selbst‑)Einschätzungen der Lebensqualität, der Behandlungsergebnisse und der Zufriedenheit mit der stationären Behandlung durch die PatientInnen, ihre Eltern und ihre BetreuerInnen (Pflegepersonal und SozialpädagogInnen) in der Abteilung für Kinder- und Jugendpsychiatrie zu vergleichen. Zudem erfolgte ein Vergleich zwischen Aufnahme und Entlassung für die 3 Beurteilergruppen.

Methoden

An der Abteilung für Kinder- und Jugendpsychiatrie und Psychotherapie, Hinterbrühl, wurden die jugendlichen PatientInnen, ihre Eltern und ihre BetreuerInnen untersucht. Bei der Aufnahme und Entlassung kamen folgende Fragebögen zur Anwendung: der Youth Self-Report (YSR) oder die Child Behavior Checklist (CBCL/4-18), das Inventar zur Erfassung der Lebensqualität bei Kindern und Jugendlichen (ILK) und die Fragebögen zur Beurteilung der Behandlung (FBB).

Ergebnisse

Eingeschlossen wurden 58 jugendliche PatientInnen (Alter 14–18 Jahre, Standardabweichung = 1,06) mit verschiedenen psychiatrischen Diagnosen, die zu einem diagnostischen oder therapeutischen Aufenthalt aufgenommen wurden. Die Bewertung der Lebensqualität bei Entlassung unterschied sich signifikant zwischen den PatientInnen und ihren Eltern. Die Ergebnisse bezüglich der Behandlungszufriedenheit zwischen den Bewertungen durch die PatientInnen, ihre Eltern und ihre BetreuerInnen zeigten keine signifikanten Korrelationen. Ein Rückgang der psychopathologischen Störung zwischen Aufnahme und Entlassung wurde in allen Beurteilergruppen gemessen. Des Weiteren wurde eine Zunahme der Lebensqualität zwischen Aufnahme und Entlassung bei den PatientInnen, ihren Eltern und BetreuerInnen beobachtet. Die Behandlungszufriedenheit war in allen Beurteilergruppen mäßig.

Schlussfolgerung

Während des psychiatrischen stationären Aufenthalts unterschieden sich die Behandlungseinschätzungen zwischen den PatientInnen, ihren Eltern und ihren BetreuerInnen. Das deutet darauf hin, dass jede Gruppe bei der Bewertung der Behandlungszufriedenheit andere Kriterien anwendet.

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Notes

  1. After Bonferroni–Holm adjustment not significant.

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Author information

Authors and Affiliations

  1. Institute of Psychosocial Medicine, Psychotherapy and Childhood Research, Karl Landsteiner Association, Hinterbrühl, Austria

    Petra Katzenschläger & Rainer Fliedl

  2. Department of Child and Adolescent Psychiatry and Psychotherapy Hinterbruehl, General Hospital Baden-Moedling, Hinterbrühl, Austria

    Petra Katzenschläger & Rainer Fliedl

  3. Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria

    Christian Popow

  4. Institute of Environmental Health, Medical University of Vienna, Vienna, Austria

    Michael Kundi

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  1. Petra Katzenschläger
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Correspondence to Petra Katzenschläger.

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P. Katzenschläger, R. Fliedl, C. Popow and M. Kundi declare that they have no competing interests.

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Katzenschläger, P., Fliedl, R., Popow, C. et al. Quality of life and satisfaction with inpatient treatment in adolescents with psychiatric disorders. Neuropsychiatr 32, 75–83 (2018). https://doi.org/10.1007/s40211-018-0264-3

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  • DOI: https://doi.org/10.1007/s40211-018-0264-3

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