Evaluating the effectiveness of interventions in child psychiatry

Journal/Book: Can J Psychiatry. 1997; 42: Suite 200, 237 Argyle Ave, Ottawa on K2P 1B8, Canada. Canadian Psychiatric Assoc. 584-594.

Abstract: Objective: To review the nature of outcome measures used to evaluate psychosocial treatment in children. Method: Recent research findings that highlight the importance of outcome data and justify randomized controlled trials (RCTs) are reviewed. Results: Outcome measures of child therapy can focus on changes in the child's symptoms, adaptation to the psychosocial environment, cognitive or emotional capacities, and changes in interaction with others. They can also assess service utilization, related costs, and the suffering of those associated with the child before and after treatment. RCTs remain the optimal methodology, notwithstanding current critiques. Conclusion: Studies assessing the effectiveness of psychosocial treatment must include a definition of various outcomes and use appropriate methodologies to measure them.

Note: Article Fonagy P, Univ London Univ Coll, Subdept Clin Hlth Psychol, Gower St, London WC1E 6BT, ENGLAND

Keyword(s): outcome; randomized controlled trials; psychotherapy; methodology; LIMITED DYNAMIC PSYCHOTHERAPY; CLINICAL-PRACTICE GUIDELINES; TEST-RETEST RELIABILITY; MENTAL-HEALTH-SERVICES; ADOLESCENT PSYCHOTHERAPY; BEHAVIOR PROBLEMS; SCHIZOPHRENIC-PATIENTS; DEPRESSIVE SYMPTOMS; PRIMARY PREVENTION; FUTURE-DIRECTIONS

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