Hard-to-treat or hard-to-catch ? Clinical features and therapeutic outcomes of help-seeking foster care youths with mood disorders - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Frontiers in Psychiatry Année : 2023

Hard-to-treat or hard-to-catch ? Clinical features and therapeutic outcomes of help-seeking foster care youths with mood disorders

Résumé

Introduction The 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. Methods A 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). Results We 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. Discussion These 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.

Dates et versions

hal-04279779 , version 1 (10-11-2023)

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Xavier Benarous, Hélène Lahaye, Hugues Pellerin, Angèle Consoli, David Cohen, et al.. Hard-to-treat or hard-to-catch ? Clinical features and therapeutic outcomes of help-seeking foster care youths with mood disorders. Frontiers in Psychiatry, 2023, 14, ⟨10.3389/fpsyt.2023.1211516⟩. ⟨hal-04279779⟩
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