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[Behavior therapy in children and adolescents: a utilization study]

A Podeswik1, U Ehlert, P Altherr

  • 1Forschungszentrum für Psychobiologie und Psychosomatik, Universität Trier.

Zeitschrift Fur Kinder- Und Jugendpsychiatrie
|September 1, 1995
PubMed
Summary

Outpatient behavior therapy is available in Germany for children and adolescents, though its use is limited. This study analyzed therapy applications, revealing common diagnoses and treatment goals for young patients.

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Area of Science:

  • Psychiatry
  • Psychology
  • Pediatrics

Background:

  • Outpatient behavior therapy has been a covered health service in Germany since 1980.
  • Despite its availability, behavior therapy plays a minor role in treating psychological and psychiatric issues in children and adolescents.
  • This study examines the current utilization and characteristics of this therapeutic approach in young populations.

Purpose of the Study:

  • To analyze sociodemographic data, symptoms, diagnoses, treatment goals, and methods for outpatient behavior therapy in children and adolescents.
  • To understand the social context of patients undergoing this therapy.
  • To identify trends in the application of behavior therapy for pediatric and adolescent mental health.

Main Methods:

  • Content analysis of 221 applications for long-term outpatient behavior therapy for children and adolescents.

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  • Data collected included sociodemographic information, presenting symptoms, diagnoses, therapeutic objectives, and intervention strategies.
  • Information on patients' social situations was also gathered.
  • Main Results:

    • The analysis indicated that 7- to 11-year-old boys are the primary recipients of this therapy.
    • Treatment rates for girls increase during puberty, with more adolescent girls treated than boys.
    • Commonly treated conditions include developmental disorders, hyperkinetic disorders, emotional disorders, phobias, enuresis, adjustment disorders, conduct disorders, and eating disorders.
    • Key treatment goals focused on developing new behavioral skills and reinforcing symptom-incompatible behaviors.
    • Cognitive-behavioral methods were frequently employed.

    Conclusions:

    • Outpatient behavior therapy in Germany is utilized for a range of childhood and adolescent psychological and psychiatric disorders.
    • Demographic trends show a shift in treatment prevalence between genders during developmental stages.
    • Cognitive-behavioral approaches are a common modality, with goals centered on skill acquisition and behavioral modification.