Clinical trial NCT05162287: Child and Adolescent Psychiatric Personality Structure
Official title: Psychosocial Distress, Levels of Personality Functioning, and Social Withdrawal in a Child and Adolescent Psychiatric Acute Inpatient Population
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Personality Disorders
Social Withdrawal of Childhood or Adolescence
Psychosocial Impairment
Keywords: acute adolescent psychiatric units
Lead sponsor: Universitätsklinikum Hamburg-Eppendorf
Sponsor class: OTHER
First posted: 2021-12-17
Enrollment: 62
Sex: ALL
Minimum age (years): 12
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Clinical study participants for the diagnostic study are patients between the ages of 12 and 17 who are undergoing treatment for a psychiatric illness in the acute care unit of the Child and Adolescent Psychiatry Department at the University Medical Center Hamburg-Eppendorf.

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.

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).

Primary outcomes:
measure: Psychosocial distress
timeFrame: 7 minutes
measure: Psychosocial distress
timeFrame: 3 minutes
Secondary outcomes:
measure: Level of personality functioning
timeFrame: 5 minutes
measure: Level of personality functioning
timeFrame: 10 minutes
measure: Social withdrawal
timeFrame: 3 minutes
measure: Social withdrawal
timeFrame: 2 minutes
Other outcomes:
Locations:
city: Hamburg
country: Germany
facility: University Medical Center Hamburg-Eppendorf
Study officials:
affiliation: Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics
name: Johannes Boettcher, M.Sc.
role: PRINCIPAL_INVESTIGATOR
affiliation: Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics
name: Carola Bindt, PD Dr.
role: STUDY_DIRECTOR
affiliation: Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics
name: Ursula Völker, Dr.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Remschmidt, H., Schmidt, M. H., & Poustka, F. (2017). Multiaxiales Klassifikationsschema für psychische Störungen des Kindes- und Jugendalters nach ICD-10 (7th ed.). Hogrefe AG.
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citation: Goth K, Birkholzer M, Schmeck K. Assessment of Personality Functioning in Adolescents With the LoPF-Q 12-18 Self-Report Questionnaire. J Pers Assess. 2018 Nov-Dec;100(6):680-690. doi: 10.1080/00223891.2018.1489258.
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