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Biomedical subjects

C Wever

Publications and source records attributed to C Wever.

4 recordsLinked to original sources
PubMed1998

Three-year outcome of disruptive adolescents treated in a day program.

Adolescents (N = 38) who attended a multi modal day program were matched with a control group (N = 35) for age, gender, year of assessment, and on delinquent and aggressive scores. Parent and child were separately interviewed three years after initial assessment. Adolescents who attended the program functioned better overall and were more satisfied with treatment than controls. Both groups showed a poor outcome and a decrease in symptom scores. A diagnosis of conduct disorder, high delinquency scores and high total problem scores predicted a poorer outcome.

Adolescent↗
PubMed1997

Juvenile obsessive-compulsive disorder.

OBJECTIVE: To describe the characteristics of a series of children and adolescents with obsessive-compulsive disorder (OCD) and evaluate the outcome of treatment. METHOD: Type of symptoms, severity before and after treatment and factors associated with outcome were examined in a large group (n = 82) of consecutive OCD cases referred for treatment. RESULTS: Most children (95%) had both obsessions and compulsions. Symptoms had been present for 2 years on average. Seventy-one per cent (n = 57) of all eligible patients completed a combined behavioural and pharmacological protocol. Among these, there was a 68% remission rate and a 60% decrease of symptoms at 4 weeks. Comorbidity with oppositional defiant disorder and high aggression scores were associated with poor outcome. CONCLUSIONS: Juvenile OCD can be treated effectively in a standard clinical setting. Treatment programs of the kind described are accepted by young people. It remains to be seen whether in this age group a combined treatment produces better results than medication alone or cognitive-behaviour therapy alone.

Adolescent↗
PubMed1995

Inter-rater reliability of global assessment of functioning in a clinical setting.

Four studies on the inter-rater reliability of a proposed Axis V version for DSM-IV and of the CGAS involving 162 child and adolescent patients and 20 clinicians showed moderate agreement (intraclass correlation: 0.53-0.66). This was comparable to previous versions of Axis V, but lower than that reported for the CGAS. More detailed description of anchor points did not increase reliability nor there were differences in agreement when rating current or previous functioning.

Achievement↗