Background: Effective treatment of adolescents with psychopathological disorders is essential to reduce late psychiatric morbidity, poor functioning and disability. Objective: In this study, a new adolescents’ assessment method named “Cooperative Assessment” (COOPAS) was developed with the aims of early establishing a good therapeutic alliance and reducing symptoms in order to lower treatment dropouts. Method: To establish COOPAS efficacy, 136 helpseeking adolescents were consecutively recruited, evaluated with the COOPAS 8-week protocol and were followed up for 6 months to detect late dropouts. Hamilton rating scales for Depression and Anxiety (HAM-D, HAM-A), Global Functioning Role and Social Scales (GF-RS, GF-SS), Structured Interview for Prodromal Symptoms (SIPS), Clinical Global Impression (CGI), Working Alliance Inventory – Therapist Version (WAI-T), Therapist Response Questionnaire (TRQ) and Psychotherapy Relationship Questionnaire (PRQ) were administered before, after 4 weeks and at the end of the assessment. Results: At the end of the assessment, HAM-A and HAM-D scores showed a mean 25% reduction with respect to baseline and CGI, GF-SS and GF-RS were significantly improved. Similarly, WAI-T scale showed a significant increase in all the three subscales and patients transference patterns (PRQ) showed a decrease of the Anxious/Preoccupied and Avoidant/Counterdependent dimensions with a parallel increase of the Secure/Engaged one. After 6 months, dropout rate was 8.8%. Conclusions: COOPAS method has proven effective in early reducing depressive and anxiety symptoms, improving therapeutic alliance and reduce dropout rate in adolescents affected by anxiety and mood disorders.
EFFICACY OF THE COOPERATIVE ASSESSMENT METHOD (COOPAS) TO IMPROVE THE PSYCHIATRIC CARE OF HELP-SEEKING ADOLESCENTS / Biagiarelli, Mario; Curto, Martina; Listanti, Giulia; Paola Andraos, Maria; Pazzelli, Floriana; Aprile, Veronica; Pelaccia, Simona; Mantovani, Beatrice; Caccia, Federica; Carpentieri, Renato; Trabucchi, Guido; Tambelli, Renata; Girardi, Paolo; Ferracuti, Stefano; Sarlatto, Cinzia. - In: CLINICAL NEUROPSYCHIATRY. - ISSN 1724-4935. - 5/6:(2019).
EFFICACY OF THE COOPERATIVE ASSESSMENT METHOD (COOPAS) TO IMPROVE THE PSYCHIATRIC CARE OF HELP-SEEKING ADOLESCENTS
Mario BiagiarelliPrimo
;Martina Curto
Secondo
;Giulia Listanti;Floriana Pazzelli;Simona Pelaccia;Beatrice Mantovani;Federica Caccia;Renato Carpentieri;Guido Trabucchi;Renata Tambelli;Paolo Girardi;Stefano Ferracuti;
2019
Abstract
Background: Effective treatment of adolescents with psychopathological disorders is essential to reduce late psychiatric morbidity, poor functioning and disability. Objective: In this study, a new adolescents’ assessment method named “Cooperative Assessment” (COOPAS) was developed with the aims of early establishing a good therapeutic alliance and reducing symptoms in order to lower treatment dropouts. Method: To establish COOPAS efficacy, 136 helpseeking adolescents were consecutively recruited, evaluated with the COOPAS 8-week protocol and were followed up for 6 months to detect late dropouts. Hamilton rating scales for Depression and Anxiety (HAM-D, HAM-A), Global Functioning Role and Social Scales (GF-RS, GF-SS), Structured Interview for Prodromal Symptoms (SIPS), Clinical Global Impression (CGI), Working Alliance Inventory – Therapist Version (WAI-T), Therapist Response Questionnaire (TRQ) and Psychotherapy Relationship Questionnaire (PRQ) were administered before, after 4 weeks and at the end of the assessment. Results: At the end of the assessment, HAM-A and HAM-D scores showed a mean 25% reduction with respect to baseline and CGI, GF-SS and GF-RS were significantly improved. Similarly, WAI-T scale showed a significant increase in all the three subscales and patients transference patterns (PRQ) showed a decrease of the Anxious/Preoccupied and Avoidant/Counterdependent dimensions with a parallel increase of the Secure/Engaged one. After 6 months, dropout rate was 8.8%. Conclusions: COOPAS method has proven effective in early reducing depressive and anxiety symptoms, improving therapeutic alliance and reduce dropout rate in adolescents affected by anxiety and mood disorders.File | Dimensione | Formato | |
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