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What treatment outcomes matter in adolescent depression? A Q-study of priority profiles among mental health practitioners in the UK and Chile.
- Source :
- European Child & Adolescent Psychiatry; Jan2024, Vol. 33 Issue 1, p151-166, 16p
- Publication Year :
- 2024
-
Abstract
- Evidence-based and person-centred care requires the measurement of treatment outcomes that matter to youth and mental health practitioners. Priorities, however, may vary not just between but also within stakeholder groups. This study used Q-methodology to explore differences in outcome priorities among mental health practitioners from two countries in relation to youth depression. Practitioners from the United Kingdom (UK) (n = 27) and Chile (n = 15) sorted 35 outcome descriptions by importance and completed brief semi-structured interviews about their sorting rationale. By-person principal component analysis (PCA) served to identify distinct priority profiles within each country sample; second-order PCA examined whether these profiles could be further reduced into cross-cultural "super profiles". We identified three UK outcome priority profiles (Reduced symptoms and enhanced well-being; improved individual coping and self-management; improved family coping and support), and two Chilean profiles (Strengthened identity and enhanced insight; symptom reduction and self-management). These could be further reduced into two cross-cultural super profiles: one prioritized outcomes related to reduced depressive symptoms and enhanced well-being; the other prioritized outcomes related to improved resilience resources within youth and families. A practitioner focus on symptom reduction aligns with a long-standing focus on symptomatic change in youth depression treatment studies, and with recent measurement recommendations. Less data and guidance are available to those practitioners who prioritize resilience outcomes. To raise the chances that such practitioners will engage in evidence-based practice and measurement-based care, measurement guidance for a broader set of outcomes may be needed. [ABSTRACT FROM AUTHOR]
- Subjects :
- WELL-being
CONSENSUS (Social sciences)
INDIVIDUAL development
PSYCHOTHERAPISTS
STAKEHOLDER analysis
RESEARCH methodology
SELF-management (Psychology)
FAMILY support
PATIENT-centered care
INTERVIEWING
FAMILIES
HEALTH outcome assessment
PSYCHOSOCIAL functioning
TREATMENT effectiveness
ETHNOLOGY research
DEPRESSION in adolescence
NURSES
TEENAGERS' conduct of life
RESEARCH funding
FACTOR analysis
MENTAL depression
DESCRIPTIVE statistics
BIOMECHANICS
PSYCHOLOGICAL adaptation
EVIDENCE-based nursing
PSYCHOLOGICAL resilience
PSYCHOTHERAPY
ADOLESCENCE
Subjects
Details
- Language :
- English
- ISSN :
- 10188827
- Volume :
- 33
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- European Child & Adolescent Psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 174972283
- Full Text :
- https://doi.org/10.1007/s00787-023-02140-9