Child and Adolescent Psychiatric Personality Structure

NCT ID: NCT05162287

Last Updated: 2023-07-19

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 62 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2021-12-01
• Study Completion Date: 2022-12-05

Brief Summary

The study plan outlined here represents an investigation of instruments on the patients treated in the acute ward of child and adolescent psychiatry at the University Medical Center Hamburg Eppendorf (UKE). The psychosocial burden of the affected children and adolescents is evident due to the severity of the disorders leading to specific admission. The psychosocial burden can be defined as "psychological, social, or school-occupational functional impairment [...] that has arisen as a consequence of a mental disorder, a specific developmental disorder, or an intellectual impairment". The current research project aims to survey the severity of psychosocial distress, personality functioning impairment, and social withdrawal. A better knowledge of these factors may contribute to a more suitable, specialized treatment offer on the acute ward in the medium term.

Detailed Description

Children and adolescents who receive inpatient psychiatric treatment are counted among the most impaired in society. In addition to the usually very severe mental disorders, the patient:s often have psychosocial risk factors and traumatic life events in their history. As demand for psychiatric-psychotherapeutic care increases, many inpatient services have been driven to reduce costs, while parallel pressures to measure outcomes and effectiveness have increased. The call for evidence-based practice underscores the need to use valid and reliable measurement tools to capture changes in symptoms and functionality during short-term interventions and their effectiveness. Measuring this change allows for the evaluation of the interventions as a whole and identifying areas for improvement. Acute care units are a particular type of inpatient setting. The main goal of treatment is to stabilize the patient:s by reducing acute psychiatric symptoms, suicide risk, and danger to others. The challenge of care for this target group is to do justice to heterogeneous initial situations and offer customized help for each child and adolescent. The use of instruments to record psychosocial stress and personality disorders increases the chance that at least some of those affected can be prevented from developing a chronic course and thus long-term psychosocial impairment utilizing tailored interventions.

Conditions

Personality Disorders; Social Withdrawal of Childhood or Adolescence; Psychosocial Impairment

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

Patients who are treated in the acute ward of the child and adolescent psychiatry

All children and adolescents aged 12 to 18 years who are treated in the acute ward of the Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics at the University Medical Center Hamburg-Eppendorf are recruited.

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

• Patients treated in the acute ward of the Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics at the University Medical Center Hamburg-Eppendorf
• Patients with a principal diagnosis of a psychiatric disorder (ICD-10-GM-2016: F10 - F90).
• Patients under 18 years of age.

Exclusion Criteria

• Patients with organic, including symptomatic mental disorders (F00 - F09)
• Dementia / cognitive impairment (IQ < 70)
• lack of German language skills
• severe visual or hearing impairment (uncorrected).

• Minimum Eligible Age: 12 Years
• Maximum Eligible Age: 17 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Universitätsklinikum Hamburg-Eppendorf

OTHER

Sponsor Role: lead

Responsible Party

Johannes Boettcher

Dipl.-Psych.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Johannes Boettcher, M.Sc.

Role: PRINCIPAL_INVESTIGATOR

Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics

Carola Bindt, PD Dr.

Role: STUDY_DIRECTOR

Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics

Ursula Völker, Dr.

Role: PRINCIPAL_INVESTIGATOR

Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics

Locations

University Medical Center Hamburg-Eppendorf

Hamburg, , Germany

Countries

Germany

References

Remschmidt, H., Schmidt, M. H., & Poustka, F. (2017). Multiaxiales Klassifikationsschema für psychische Störungen des Kindes- und Jugendalters nach ICD-10 (7th ed.). Hogrefe AG.

Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Other Identifiers

2021-100618-BO-FF

Identifier Type: -

Identifier Source: org_study_id