We aimed to examine symptom load in a clinical adolescent population at three-year follow-up and explore associations with standard care treatment procedures and resilience factors upon first presenting at Child and Adolescent Mental Health Services. This study is part of a prospective longitudinal cohort study: The Health Survey in Department of Children and Youth, St. Olavs hospital, Norway. A clinical population of 717 (43.5% of eligible) adolescents aged 13–18 years participated in the first study visit (T1, 2009–2011). Of these, 447 adolescents with psychiatric disorders, with treatment history from medical records and self-reported resilience factors (Resilience Scale for Adolescents; READ) at T1, reported symptom load (Achenbach System of Empirically Based Assessment - Youth Self Report; YSR) three years later aged 16–21 years (T2). At T1, 93.0% received individual treatment. The frequency of psychotherapy and medication varied by disorder group and between genders. Overall, psychotherapy was more frequent among girls, whereas medication was more common among boys. Total READ mean value (overall 3.5, SD 0.8), ranged from patients with mood disorders (3.0, SD 0.7) to patients with Attention Deficit Hyperactivity disorder (3.7, SD 0.7), and was lower for girls than boys in all diagnostic groups. At T2, the YSR Total Problem mean T-score ranged across the diagnostic groups (48.7, SD 24.0 to 62.7, SD 30.2), with highest symptom scores for those with mood disorders at T1, of whom 48.6% had T-scores in the borderline/clinical range (≥60) three years later. Number of psychotherapy sessions was positively associated and Total READ score was negatively associated with the YSR Total Problems T-score (regression coefficient β = 0.5, CI (0.3 to 0.7), p < 0.001 and β = − 15.7, CI (− 19.2 to − 12.1), p < 0.001, respectively). The subscale Personal Competence was associated with the lowest Total Problem score for both genders. Self-reported symptom load was substantial after three years, despite comprehensive treatment procedures. Higher self-reported resilience characteristics were associated with lower symptom load after three years. These results highlight the burden of adolescent psychiatric disorders, the need for extensive interventions and the importance of resilience factors for a positive outcome.

中文翻译：

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三年后青少年精神病患者临床样本中治疗程序和对症状负荷的适应力的关联

我们的目的是在三年的随访中检查临床青少年人群的症状负荷，并探索与标准护理治疗程序和首次在儿童和青少年心理健康服务中心就诊时的适应力因素的关联。本研究是前瞻性纵向队列研究的一部分：挪威圣奥拉夫斯医院儿童和青年部的健康调查。717 名（符合条件的 43.5%）13-18 岁青少年的临床人群参加了第一次研究访问（T1，2009-2011）。其中，447 名患有精神疾病的青少年，在 T1 时有医疗记录的治疗史和自我报告的弹性因素（青少年弹性量表；READ），报告了症状负荷（基于经验的评估阿亨巴赫系统 - 青年自我报告；YSR）三16-21 岁（T2）。在 T1，93.0%接受个别治疗。心理治疗和药物治疗的频率因疾病组和性别而异。总体而言，心理治疗在女孩中更为常见，而药物在男孩中更为常见。总 READ 平均值（总体 3.5，SD 0.8），范围从情绪障碍患者（3.0，SD 0.7）到注意力缺陷多动障碍患者（3.7，SD 0.7），在所有诊断组中，女孩低于男孩。在 T2 时，YSR 总问题平均 T 分数跨诊断组（48.7，SD 24.0 到 62.7，SD 30.2），T1 时情绪障碍患者的症状评分最高，其中 48.6% 的 T 分数在三年后临界/临床范围（≥60）。心理治疗次数呈正相关，阅读总分与 YSR 总问题 T 分数呈负相关（回归系数 β = 0.5，CI（0.3 至 0.7），p < 0.001 和 β = - 15.7，CI（- 19.2 至− 12.1)，分别为 p < 0.001)。子量表个人能力与两性的最低总问题得分相关。尽管进行了全面的治疗，但三年后自我报告的症状负荷仍然很大。三年后，较高的自我报告弹性特征与较低的症状负荷相关。这些结果强调了青少年精神障碍的负担、广泛干预的必要性以及适应力因素对积极结果的重要性。2 至 − 12.1)，分别为 p < 0.001)。子量表个人能力与两性的最低总问题得分相关。尽管进行了全面的治疗，但三年后自我报告的症状负荷仍然很大。三年后，较高的自我报告弹性特征与较低的症状负荷相关。这些结果强调了青少年精神障碍的负担、广泛干预的必要性以及适应力因素对积极结果的重要性。2 至 − 12.1)，分别为 p < 0.001)。子量表个人能力与两性的最低总问题得分相关。尽管进行了全面的治疗，但三年后自我报告的症状负荷仍然很大。三年后，较高的自我报告弹性特征与较低的症状负荷相关。这些结果强调了青少年精神障碍的负担、广泛干预的必要性以及适应力因素对积极结果的重要性。三年后，较高的自我报告弹性特征与较低的症状负荷相关。这些结果强调了青少年精神障碍的负担、广泛干预的必要性以及适应力因素对积极结果的重要性。三年后，较高的自我报告弹性特征与较低的症状负荷相关。这些结果强调了青少年精神障碍的负担、广泛干预的必要性以及适应力因素对积极结果的重要性。