Ignite Creation Date:
2024-10-26 @ 3:42 PM
Last Modification Date:
2024-10-26 @ 3:42 PM
Study NCT ID:
NCT06633458
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-07-30
Brief Title:
Adolescent Psychiatry Inpatients Self-reported Parent-adolescent Communication Quality and Treatment Outcome
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Adolescent Psychiatry Inpatients Self-reported Parent-adolescent Communication Quality As a Predictor of Treatment Outcome
Status:
RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The quality of parent-adolescent communication has been found to be associated with adolescent mental health However little is known about the association of parent-adolescent communication and adolescent mental health in the context of psychiatry inpatient treatment
This study aims to find out whether self-reported parent-adolescent communication quality at the time of admission to psychiatry predicts the treatment outcome in terms of symptom reduction 6 months later in an adolescent inpatient sample It also aims to track changes in adolescent self-reported communication quality in the course of inpatient treatment and afterwards 2 4 and 6 months after admission to see whether improvement predicts treatment outcome with treatment outcome being defined as symptom reduction to baseline As a secondary endpoint it will be assessed whether a placement of the adolescent outside the family was considered during treatment and whether self-reported communication quality at the time of admission predicts the consideration of placement outside the family
This study aims to find out whether self-reported parent-adolescent communication quality at the time of admission to psychiatry predicts the treatment outcome in terms of symptom reduction 6 months later in an adolescent inpatient sample It also aims to track changes in adolescent self-reported communication quality in the course of inpatient treatment and afterwards 2 4 and 6 months after admission to see whether improvement predicts treatment outcome with treatment outcome being defined as symptom reduction to baseline As a secondary endpoint it will be assessed whether a placement of the adolescent outside the family was considered during treatment and whether self-reported communication quality at the time of admission predicts the consideration of placement outside the family
Detailed Description:
The main hypotheses of the study are
1a Higher quality of self-reported parent-adolescent communication at baseline is positively associated with higher symptom reduction from baseline psychiatry admission t0 to 6 months after admission t3
1 b Higher improvement of parent-adolescent communication from t0 to t3 is positively associated with higher symptom reduction from t0 to t3
2 Higher quality of self-reported parent-adolescent communication at baseline is negatively associated with consideration of the adolescents placement outside the family during treatment
The hypotheses 1a and 1b will be assessed with a linear regression model hypothesis 2 will be assessed with a logistic regression model
Covariates that will be taken into consideration are symptom severity at baseline socioeconomic status of the family adolescent gender age and comorbidity Sensitivity analyses will be calculated for inpatient treatment duration and outpatient treatment duration after discharge from the hospital
Symptom severity as the primary outcome is assessed with three measures YSR Youth Self-Report DISYPS-ANG Diagnostik-System für Psychische Störungen - Angststörungen and DISYPS-DES Diagnostik-System für Psychische Störungen - Depressive Störungen The relevant scale will be chosen according to the primary clinical diagnosis If the primary diagnosis is anxiety F40-F41 DISYPS-ANG will be used for the primary outcome If the primary diagnosis is depression F32-F33 DISYPS-DES will be used If any other condition is the primary diagnosis the YSR total scale will be used Raw values of the DISYPS and the YSR will be transformed into z-values
1a Higher quality of self-reported parent-adolescent communication at baseline is positively associated with higher symptom reduction from baseline psychiatry admission t0 to 6 months after admission t3
1 b Higher improvement of parent-adolescent communication from t0 to t3 is positively associated with higher symptom reduction from t0 to t3
2 Higher quality of self-reported parent-adolescent communication at baseline is negatively associated with consideration of the adolescents placement outside the family during treatment
The hypotheses 1a and 1b will be assessed with a linear regression model hypothesis 2 will be assessed with a logistic regression model
Covariates that will be taken into consideration are symptom severity at baseline socioeconomic status of the family adolescent gender age and comorbidity Sensitivity analyses will be calculated for inpatient treatment duration and outpatient treatment duration after discharge from the hospital
Symptom severity as the primary outcome is assessed with three measures YSR Youth Self-Report DISYPS-ANG Diagnostik-System für Psychische Störungen - Angststörungen and DISYPS-DES Diagnostik-System für Psychische Störungen - Depressive Störungen The relevant scale will be chosen according to the primary clinical diagnosis If the primary diagnosis is anxiety F40-F41 DISYPS-ANG will be used for the primary outcome If the primary diagnosis is depression F32-F33 DISYPS-DES will be used If any other condition is the primary diagnosis the YSR total scale will be used Raw values of the DISYPS and the YSR will be transformed into z-values
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None