Hard-to-treat or hard-to-catch? Clinical features and therapeutic outcomes of help-seeking foster care youths with mood disorders
IntroductionThe high level of emotional problems in youths placed in foster care contrasts with the limited use of evidence-based treatments. This study aims to better characterize the clinical features and therapeutic outcomes of foster care youths with mood disorders.MethodsA secondary analysis of...
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Frontiers Media S.A.
2023-10-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1211516/full |
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| author | Xavier Benarous Xavier Benarous Hélène Lahaye Hélène Lahaye Hugues Pellerin Angèle Consoli David Cohen David Cohen Réal Labelle Réal Labelle Johanne Renaud Johanne Renaud Priscille Gérardin Fabienne El-Khoury Judith van der Waerden Jean-Marc Guilé Jean-Marc Guilé Jean-Marc Guilé |
| author_facet | Xavier Benarous Xavier Benarous Hélène Lahaye Hélène Lahaye Hugues Pellerin Angèle Consoli David Cohen David Cohen Réal Labelle Réal Labelle Johanne Renaud Johanne Renaud Priscille Gérardin Fabienne El-Khoury Judith van der Waerden Jean-Marc Guilé Jean-Marc Guilé Jean-Marc Guilé |
| author_sort | Xavier Benarous |
| collection | DOAJ |
| description | IntroductionThe high level of emotional problems in youths placed in foster care contrasts with the limited use of evidence-based treatments. This study aims to better characterize the clinical features and therapeutic outcomes of foster care youths with mood disorders.MethodsA secondary analysis of data collected in the context of a French-Canadian clinical research network on pediatric mood disorders in four sites was conducted to compare three groups of patients with depressive or bipolar disorder: those without exposure to child welfare intervention (WCWI, n = 181), those who received non-placement psychosocial intervention (NPI, n = 62), and those in placement interventions (PI, n = 41).ResultsWe observed a very high rate of academic problems in patients in the groups NPI/PI compared to those in the WCWI group. Patients in the PI group had more disruptive behavioral disorders (OR = 6.87, 95% CI [3.25–14.52]), trauma-related disorders (OR = 3.78, 95% CI [1.6–8.94]), and any neurodevelopmental disorders (OR = 2.73, 95% CI [1.36–5.49]) compared to the other groups (NPI/WCWI). Among inpatients, the Clinical Global Impression-Improvement scale and the change in the Children Global Assessment Scale during the hospital stay did not differ across the three groups. We observed a higher prescription rate of antipsychotics in the PI group compared to the NPI/WCWI groups, but no significant difference for antidepressants and mood stabilizers.DiscussionThese findings support the view that, when provided with dedicated support, fostered inpatient youths can improve in a range comparable to other inpatients. Undetected neurodevelopmental disorders and academic problems are likely important contributors of the burden of mood disorders in these youths. |
| first_indexed | 2024-03-11T18:34:46Z |
| format | Article |
| id | doaj.art-38daa968067e4e36a41d8c54d08fbc23 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-11T18:34:46Z |
| publishDate | 2023-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-38daa968067e4e36a41d8c54d08fbc232023-10-13T05:27:04ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-10-011410.3389/fpsyt.2023.12115161211516Hard-to-treat or hard-to-catch? Clinical features and therapeutic outcomes of help-seeking foster care youths with mood disordersXavier Benarous0Xavier Benarous1Hélène Lahaye2Hélène Lahaye3Hugues Pellerin4Angèle Consoli5David Cohen6David Cohen7Réal Labelle8Réal Labelle9Johanne Renaud10Johanne Renaud11Priscille Gérardin12Fabienne El-Khoury13Judith van der Waerden14Jean-Marc Guilé15Jean-Marc Guilé16Jean-Marc Guilé17Department of Child and Adolescent Psychopathology, Amiens University Hospital, Amiens, FranceINSERM Unit U1105 Research Group for Analysis of the Multimodal Cerebral Function, University of Picardy Jules Verne (UPJV), Amiens, FranceDepartment of Child and Adolescent Psychopathology, Amiens University Hospital, Amiens, FranceINSERM Unit U1105 Research Group for Analysis of the Multimodal Cerebral Function, University of Picardy Jules Verne (UPJV), Amiens, FranceDepartment of Child and Adolescent Psychiatry, Pitié-Salpêtrière University Hospital, APHP, Paris, FranceDepartment of Child and Adolescent Psychiatry, Pitié-Salpêtrière University Hospital, APHP, Paris, FranceDepartment of Child and Adolescent Psychiatry, Pitié-Salpêtrière University Hospital, APHP, Paris, FranceCNRS UMR 7222, Institute for Intelligent Systems and Robotics, Sorbonne University, Paris, FranceDepartment of Psychology, Université du Québec à Montréal, Montréal, QC, CanadaCentre for Research and Intervention on Suicide, Ethical Issues and End-of-Life Practices, Université du Québec à Montréal, Montréal, QC, CanadaManulife Centre for Breakthroughs in Teen Depression and Suicide Prevention, Douglas Mental Health University Institute, McGill University, Montréal, QC, CanadaDepartment of Psychiatry, McGill University, Montréal, QC, CanadaDepartment of Child and Adolescent Psychopathology, Rouen University Hospital, Rouen, France0Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique, Equipe de Recherche en Epidémiologie Sociale, Paris, France0Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique, Equipe de Recherche en Epidémiologie Sociale, Paris, FranceDepartment of Child and Adolescent Psychopathology, Amiens University Hospital, Amiens, FranceINSERM Unit U1105 Research Group for Analysis of the Multimodal Cerebral Function, University of Picardy Jules Verne (UPJV), Amiens, France1Pôle de psychiatrie de l’enfant et de l’adolescent, Etablissement Publique de Santé Mentale de la Somme, Paris, FranceIntroductionThe high level of emotional problems in youths placed in foster care contrasts with the limited use of evidence-based treatments. This study aims to better characterize the clinical features and therapeutic outcomes of foster care youths with mood disorders.MethodsA secondary analysis of data collected in the context of a French-Canadian clinical research network on pediatric mood disorders in four sites was conducted to compare three groups of patients with depressive or bipolar disorder: those without exposure to child welfare intervention (WCWI, n = 181), those who received non-placement psychosocial intervention (NPI, n = 62), and those in placement interventions (PI, n = 41).ResultsWe observed a very high rate of academic problems in patients in the groups NPI/PI compared to those in the WCWI group. Patients in the PI group had more disruptive behavioral disorders (OR = 6.87, 95% CI [3.25–14.52]), trauma-related disorders (OR = 3.78, 95% CI [1.6–8.94]), and any neurodevelopmental disorders (OR = 2.73, 95% CI [1.36–5.49]) compared to the other groups (NPI/WCWI). Among inpatients, the Clinical Global Impression-Improvement scale and the change in the Children Global Assessment Scale during the hospital stay did not differ across the three groups. We observed a higher prescription rate of antipsychotics in the PI group compared to the NPI/WCWI groups, but no significant difference for antidepressants and mood stabilizers.DiscussionThese findings support the view that, when provided with dedicated support, fostered inpatient youths can improve in a range comparable to other inpatients. Undetected neurodevelopmental disorders and academic problems are likely important contributors of the burden of mood disorders in these youths.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1211516/fulldepressive disorderearly-onset bipolar disorderdisruptive mood dysregulation disorderchild adversitycomplex psychotraumadevelopmental psychotrauma |
| spellingShingle | Xavier Benarous Xavier Benarous Hélène Lahaye Hélène Lahaye Hugues Pellerin Angèle Consoli David Cohen David Cohen Réal Labelle Réal Labelle Johanne Renaud Johanne Renaud Priscille Gérardin Fabienne El-Khoury Judith van der Waerden Jean-Marc Guilé Jean-Marc Guilé Jean-Marc Guilé Hard-to-treat or hard-to-catch? Clinical features and therapeutic outcomes of help-seeking foster care youths with mood disorders Frontiers in Psychiatry depressive disorder early-onset bipolar disorder disruptive mood dysregulation disorder child adversity complex psychotrauma developmental psychotrauma |
| title | Hard-to-treat or hard-to-catch? Clinical features and therapeutic outcomes of help-seeking foster care youths with mood disorders |
| title_full | Hard-to-treat or hard-to-catch? Clinical features and therapeutic outcomes of help-seeking foster care youths with mood disorders |
| title_fullStr | Hard-to-treat or hard-to-catch? Clinical features and therapeutic outcomes of help-seeking foster care youths with mood disorders |
| title_full_unstemmed | Hard-to-treat or hard-to-catch? Clinical features and therapeutic outcomes of help-seeking foster care youths with mood disorders |
| title_short | Hard-to-treat or hard-to-catch? Clinical features and therapeutic outcomes of help-seeking foster care youths with mood disorders |
| title_sort | hard to treat or hard to catch clinical features and therapeutic outcomes of help seeking foster care youths with mood disorders |
| topic | depressive disorder early-onset bipolar disorder disruptive mood dysregulation disorder child adversity complex psychotrauma developmental psychotrauma |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1211516/full |
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