17th International ESCAP Congress 2017
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Contribution title 2582 - Week-by-week evolution of symptoms related to inpatient treatment in child and adolescent psychiatry: Rating from patients and health carers
Contribution code PS02-28 (P)
Authors
  1. Marta Ruiz-Cairo Service Universitaire de Psychiatrie de l’Enfant et de l’Adolescent (SUPEA) Presenter
  2. Sébastien Urben CHUV - Département de psychiatrie
  3. Laurent Holzer
  4. Boris Guignet Hôpital du Valais
  5. Vanessa Baier Service Universitaire de Psychiatrie de l’Enfant et de l’Adolescent (SUPEA)
  6. Swen Courosse CHUV - Département de psychiatrie
  7. Hélène de Rocquigny CHUV - Département de psychiatrie
  8. Jose Filipe Estrada Service Universitaire de Psychiatrie de l’Enfant et de l’Adolescent (SUPEA)
  9. Géraldine Petraglia Hopital Valais
  10. Morgane Terren
  11. Elodie Zysset Hopital Valais
Form of presentation Poster
Topic
  • Adolescent
Abstract 1. Objectives
The aim of the current study is to understand the timing of improvement of youth’s functioning related to inpatient (IP) stay rated by both the patients and health carers.

2. Methods
Youths aged from 12 and 17 years old, admitted in an IP unit were subject to participate to the study. Patients (N =13) and health carers (N=30) filled out the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) at admission, week 1, week 2 and at the discharge (as the mean duration of IP stay is of 18.5 days).

3. Results
An analyses of variance (ANOVA) with time as within subject-factor on the total score of the HoNOSCA rated by the health-carer revealed a significant effect of time, F(3, 87) = 64.36, p <.001, ƞ2p = .69. Post-hoc tests adjusted for multiple comparisons with Sidak corrections revealed a significant differences between admission and week 1 (p <.001) as well as between week 2 and discharge (p <.001), but no differences between week 1 and 2 (p >.05). The ANOVA conducted on the total score of the HoNOSCA rated by the patients revealed a significant effect of time, F(3, 36) = 13.71, p <.001, ƞ2p = .53. Post hoc tests also adjusted with Sidak correction revealed only a significant difference from admission to week 1, 2 and discharge (p <.02). No other differences reached significance.

4. Conclusions
We observe that patients, as health carers, perceive that hospitalization helps them to alleviate their clinical symptoms and the difficulties related to the mental illness. For patients, the main improvements occurred during the first week of hospitalization. For health-carers, improvements occurred during the first week and the last week before discharge. These results give some advices regarding the timing of evolution of difficulties related to psychiatric disorders.