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Predictors and Moderators of Clinical Outcomes in Adolescents with Severe Mental Disorders After an Assertive Community Treatment

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Abstract

Previous studies have shown that stressful life events (SLEs), gender, social functioning and pretreatment severity are some of the predictors and/or moderators of treatment outcome in psychiatric care. The current study explored the effect of these predictors and moderators on the treatment outcome related to assertive community treatment (ACT) proposed to young people with severe mental disorders. 98 patients were assessed for externalizing and emotional difficulties, at admission and then at discharge of an ACT. Analyses revealed significant improvements in terms of symptomatology. In particular, regression analyses showed that pretreatment severity is a significant predictor of the outcome on emotional symptoms and is moderated by SLE on the outcome on externalizing symptoms. Furthermore, higher social functioning proved to predict better outcome on externalizing symptoms. Our results further evidence that these factors can explain inter-individual differences in outcome related to ACT. The theoretical and clinical implications of these results are discussed.

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Authors and Affiliations

  1. Research Unit, University Psychiatric Service for Child and Adolescent (UPSCA), Department of Psychiatry (DP), University Hospital (CHUV), Rue du Bugnon 25A, 1011, Lausanne, Switzerland

    Sébastien Urben & Gregory Mantzouranis

  2. Mobile Team for Adolescent, University Psychiatric Service for Child and Adolescent (UPSCA), Department of Psychiatry (DP), University Hospital (CHUV), Lausanne, Switzerland

    Vanessa Baier, Eva Pigois, Caroline Graap, Fabienne Dutoit, Aymeric Faucherand, Esperanza Senent & Laurent Holzer

  3. Mobile Team for Child and Adolescent, Psychiatric and Psychotherapeutic Service for Child and Adolescent, Nant Foundation, Aigle, Switzerland

    Mélanie Cherix-Parchet

  4. Mobile Team for Child and Adolescent, Psychiatric Service for Child and Adolescent, Department of Psychiatry (DP), University Hospital (CHUV), Yverdon, Switzerland

    Coralie Henz

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  1. Sébastien Urben
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  2. Vanessa Baier
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  3. Gregory Mantzouranis
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  4. Eva Pigois
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  5. Caroline Graap
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  6. Fabienne Dutoit
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  7. Mélanie Cherix-Parchet
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  8. Coralie Henz
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  10. Esperanza Senent
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  11. Laurent Holzer
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Correspondence to Sébastien Urben.

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Urben, S., Baier, V., Mantzouranis, G. et al. Predictors and Moderators of Clinical Outcomes in Adolescents with Severe Mental Disorders After an Assertive Community Treatment. Child Psychiatry Hum Dev 46, 997–1005 (2015). https://doi.org/10.1007/s10578-015-0537-z

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