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What if children with psychiatric problems disagree with their clinicians on the need for care? Factors explaining discordance and clinical directions
BACKGROUND: Children and adolescents in mental healthcare often perceive their care needs and necessary treatment differently from their clinicians. As such discordance between young patients and clinicians may obstruct treatment adherence and compromise treatment outcomes, it is important to unders...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8845355/ https://www.ncbi.nlm.nih.gov/pubmed/35164814 http://dx.doi.org/10.1186/s13034-022-00448-z |
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author | Vijverberg, Richard Ferdinand, Robert Beekman, Aartjan van Meijel, Berno |
author_facet | Vijverberg, Richard Ferdinand, Robert Beekman, Aartjan van Meijel, Berno |
author_sort | Vijverberg, Richard |
collection | PubMed |
description | BACKGROUND: Children and adolescents in mental healthcare often perceive their care needs and necessary treatment differently from their clinicians. As such discordance between young patients and clinicians may obstruct treatment adherence and compromise treatment outcomes, it is important to understand the factors associated with it. We therefore investigated the factors associated with patient–clinician discordance with regard to care needs in various areas of functioning. METHODS: A cross-sectional study involving 244 children/adolescents aged 6–18 participating with their clinicians in treatment at a specialized mental healthcare center. As a previous study conducted by our research group had found the greatest patient–clinician discordance in three CANSAS care needs—“mental health problems,” “information regarding diagnosis and/or treatment,” and “making and/or keeping friends”—we used univariable and multivariable statistics to investigate the factors associated with discordance regarding these three care needs. RESULTS: patient–clinician discordance on the three CANSAS items was associated with child, parent, and family/social-context factors. Three variables were significant in each of the three final multivariable models: dangerous behavior towards self (child level); severity of psychiatric problems of the parent (parent level); and growing up in a single-parent household (family/social-context level). CONCLUSIONS: To deliver treatment most effectively and to prevent drop-out, it is important during diagnostic assessment and treatment planning to address the patient’s care needs at all three levels: child, parent and family/social context. |
format | Online Article Text |
id | pubmed-8845355 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-88453552022-02-16 What if children with psychiatric problems disagree with their clinicians on the need for care? Factors explaining discordance and clinical directions Vijverberg, Richard Ferdinand, Robert Beekman, Aartjan van Meijel, Berno Child Adolesc Psychiatry Ment Health Research Article BACKGROUND: Children and adolescents in mental healthcare often perceive their care needs and necessary treatment differently from their clinicians. As such discordance between young patients and clinicians may obstruct treatment adherence and compromise treatment outcomes, it is important to understand the factors associated with it. We therefore investigated the factors associated with patient–clinician discordance with regard to care needs in various areas of functioning. METHODS: A cross-sectional study involving 244 children/adolescents aged 6–18 participating with their clinicians in treatment at a specialized mental healthcare center. As a previous study conducted by our research group had found the greatest patient–clinician discordance in three CANSAS care needs—“mental health problems,” “information regarding diagnosis and/or treatment,” and “making and/or keeping friends”—we used univariable and multivariable statistics to investigate the factors associated with discordance regarding these three care needs. RESULTS: patient–clinician discordance on the three CANSAS items was associated with child, parent, and family/social-context factors. Three variables were significant in each of the three final multivariable models: dangerous behavior towards self (child level); severity of psychiatric problems of the parent (parent level); and growing up in a single-parent household (family/social-context level). CONCLUSIONS: To deliver treatment most effectively and to prevent drop-out, it is important during diagnostic assessment and treatment planning to address the patient’s care needs at all three levels: child, parent and family/social context. BioMed Central 2022-02-14 /pmc/articles/PMC8845355/ /pubmed/35164814 http://dx.doi.org/10.1186/s13034-022-00448-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Vijverberg, Richard Ferdinand, Robert Beekman, Aartjan van Meijel, Berno What if children with psychiatric problems disagree with their clinicians on the need for care? Factors explaining discordance and clinical directions |
title | What if children with psychiatric problems disagree with their clinicians on the need for care? Factors explaining discordance and clinical directions |
title_full | What if children with psychiatric problems disagree with their clinicians on the need for care? Factors explaining discordance and clinical directions |
title_fullStr | What if children with psychiatric problems disagree with their clinicians on the need for care? Factors explaining discordance and clinical directions |
title_full_unstemmed | What if children with psychiatric problems disagree with their clinicians on the need for care? Factors explaining discordance and clinical directions |
title_short | What if children with psychiatric problems disagree with their clinicians on the need for care? Factors explaining discordance and clinical directions |
title_sort | what if children with psychiatric problems disagree with their clinicians on the need for care? factors explaining discordance and clinical directions |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8845355/ https://www.ncbi.nlm.nih.gov/pubmed/35164814 http://dx.doi.org/10.1186/s13034-022-00448-z |
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