caa a22 4500 605477159 CHVBK 20210128100359.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00787-014-0671-3 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0671-3 Evaluating change in symptomatic and functional level of children and youth with emotional disorders: a naturalistic observation study [Elektronische Daten] [Toril Nilsen, Bjørn-Helge Handegård, Martin Eisemann, Siv Kvernmo] The objective of the study is to describe the changes in symptomatic and functional impairment for children and youth with emotional disorders treated at child and adolescent mental health outpatient services (CAMHS) in Norway. The study was of naturalistic observational type in which the treatment can be classified as "treatment as usual” (TAU). The Strengths and Difficulties Questionnaire (SDQ), the Health of the Nation Outcome Scale (HONOSCA) and the Children's Global Assessment Scale (CGAS) were used as measures of change. The information from multiple informants allowed the evaluation of change from different perspectives. The sample consisted of 84 children and youth with emotional disorders treated at two CAMHS in the North of Norway. The SDQ, the HONOSCA and the CGAS were administered at intake (T0), during assessment (T1) and approximately, 6months after T1 (T2). Change was analysed by means of the Linear Mixed Models procedure. The results show that children and youth with emotional disorders experience a statistically significant improvement per month during outpatient treatment according to nearly all the measures of change. For the clinician rated scores, change rates during active assessment/treatment were larger than during the waitlist period. Evaluating change from the perspective of clinical significance showed that only a small proportion of the subjects had change scores that were statistically reliable and clinically significant. Whether an actual change has occurred is uncertain for the majority of patients. Springer-Verlag Berlin Heidelberg, 2015 Emotional disorders nationallicence Anxiety nationallicence Depression nationallicence Treatment outcome nationallicence Outpatient nationallicence Nilsen Toril Research Group for Clinical Psychology, Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037, Tromsø, Norway aut Handegård Bjørn-Helge Regional Centre for Child and Youth Mental Health and Child Welfare, UiT The Arctic University of Norway, Tromsø, Norway aut Eisemann Martin Research Group for Mental e-Health, Department of Psychology, UiT The Arctic University of Norway, Tromsø, Norway aut Kvernmo Siv Divisions of Child and Adolescent Health, Department of Child and Adolescent Psychiatry, University Hospital of North-Norway, Tromsø, Norway aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/10(2015-10-01), 1219-1231 1018-8827 24:10<1219 2015 24 787 https://doi.org/10.1007/s00787-014-0671-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0671-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nilsen Toril Research Group for Clinical Psychology, Department of Psychology, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037, Tromsø, Norway aut NATIONALLICENCE 700 1- Handegård Bjørn-Helge Regional Centre for Child and Youth Mental Health and Child Welfare, UiT The Arctic University of Norway, Tromsø, Norway aut NATIONALLICENCE 700 1- Eisemann Martin Research Group for Mental e-Health, Department of Psychology, UiT The Arctic University of Norway, Tromsø, Norway aut NATIONALLICENCE 700 1- Kvernmo Siv Divisions of Child and Adolescent Health, Department of Child and Adolescent Psychiatry, University Hospital of North-Norway, Tromsø, Norway aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/10(2015-10-01), 1219-1231 1018-8827 24:10<1219 2015 24 787