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Efficacy of the “Cooperative Assessment” Diagnostic Procedure to Early Improve Acute Symptoms in a Sample of Adolescents with Anxiety and Mood Disorders

Published online by Cambridge University Press:  23 March 2020

M. Biagiarelli ,
M. Curto ,
M.P. Andraos ,
V. Aprile ,
S. Pelaccia ,
G. Listanti ,
G. Trabucchi ,
F.M. Moscati ,
F. Pazzelli  and
F. Caccia
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M. Biagiarelli
Affiliation:
Sapienza University of Rome, Faculty of Medicine and Psychology, Department of Dynamic and Clinical Psychology, Roma, Italy
M. Curto
Affiliation:
Sapienza University of Rome, Department of Neurology and Psychiatry, Roma, Italy
M.P. Andraos
Affiliation:
Sapienza University of Rome, Dynamic and Clinical Psychology, Roma, Italy
V. Aprile
Affiliation:
Sapienza University of Rome, Residency of Clinical Assessment, Roma, Italy
S. Pelaccia
Affiliation:
Sapienza University of Rome, Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Roma, Italy
G. Listanti
Affiliation:
Sapienza University of Rome, Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Roma, Italy
G. Trabucchi
Affiliation:
Sapienza University of Rome, Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Roma, Italy
F.M. Moscati
Affiliation:
Sapienza University of Rome, Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Roma, Italy
F. Pazzelli
Affiliation:
Sapienza University of Rome, Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Roma, Italy
F. Caccia
Affiliation:
Sapienza University of Rome, Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Roma, Italy
M. Pezzotti
Affiliation:
Sant’Andrea Hospital, Accademia di psicoterapia della famiglia, Roma, Italy
A. Mazzei
Affiliation:
Sant’Andrea Hospital, Accademia di psicoterapia della famiglia, Roma, Italy
S. Caltagirone
Affiliation:
Sapienza University of Rome, Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Roma, Italy
P. Girardi
Affiliation:
Sapienza University of Rome, Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Roma, Italy
M. Pompili
Affiliation:
Sapienza University of Rome, Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Roma, Italy
S. Ferracuti
Affiliation:
Sapienza University of Rome, Department of Neurology and Psychiatry, Roma, Italy
C. Sarlatto
Affiliation:
Sapienza University of Rome, Sant’Andrea Hospital, Psychiatry Residency Training Program, Faculty of Medicine and Psychology, Roma, Italy

Abstract

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Introduction

Anxiety and mood disorders are common in adolescence and predict poor mental health outcomes and low quality of life in adulthood. Although early intervention seems to be critical, dropouts in the early stages of treatment are frequent and associated with low insight and severe symptoms. Therefore, a diagnostic assessment phase aimed to increase insight and early reduce symptoms appears to be essential in adolescents.

Objectives

The objective of this study is to demonstrate that the diagnostic method Cooperative Assessment is able to early reduce symptoms in adolescents with anxiety and mood disorders.

Methods

A sample of 88 patients, aged 14–19 years were included. All were recruited at the first visit and evaluated with the Cooperative Assessment. This manualized procedure was created from principles of collaborative and therapeutic assessment and aim to involve the patient in a co-developed diagnosis thorough the collaborative use of test results. Patients were evaluated before (T0), in the middle (T1) and after (T2) the assessment using CGI, GAF, HAM-A, HAM-D and MRS scales.

Results

Eighty-eight adolescents, 56.8% females, diagnosed with anxiety (47.7%) and mood disorders (52.3%) completed the protocol. HAM-A, HAM-D, MRS, CGI and GAF significantly improved at T1 and T2 with respect to T0 (T0: HAM-A 17.31 ± 8.22; HAM-D 16.97 ± 8.37; MRS5.78 ± 6.17; GAF 59.3 ± 11.06; CGI 3.63 ± 1.35; T2: HAM-A 11.41 ± 6.82; HAM-D 11.1 ± 6.91; MRS3.82 ± 3.87; GAF 67.5 ± 10.76; CGI 3.03 ± 1.26; P < 0.001; Wilcoxon signed-rank test for repeated measures).

Conclusions

Cooperative assessment is able to early improve symptoms in adolescents with mood and anxiety disorders.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster walk: Child and adolescent psychiatry–part 1
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S122 - S123
Copyright
Copyright © European Psychiatric Association 2017
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