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Originalia

Die Wirksamkeit von Kinder- und Jugendlichenpsychotherapie

Published Online:September 01, 2006https://doi.org/10.1026//0033-3042.53.4.184

Abstract

Zusammenfassung. Eine Übersicht über die methodischen Probleme und die empirischen Ergebnisse bei der Untersuchung der Wirksamkeit von Psychotherapie im Kindes- und Jugendalter wird gegeben. Wesentliche Unterschiede zur Erwachsenenpsychotherapie werden herausgearbeitet. Globale Meta-Analysen belegen die Wirksamkeit vor allem kognitiv-behavioraler Verfahren und weisen darauf hin, dass durch Kinder- und Jugendlichenpsychotherapie Effekte erzielt werden, die mit den Effekten der Erwachsenenpsychotherapie vergleichbar sind. Bei der Behandlung von Depressionen, Phobien und Angststörungen, Aufmerksamkeitsdefizit-/Hyperaktivitätsstörungen und oppositionellen/aggressiven Störungen sowie von Sauberkeitsstörungen können bestimmte kognitiv-behaviorale Interventionen als evidenzbasiert eingestuft werden. Darauf aufbauend wurden mittlerweile Leitlinien zur Behandlung von einzelnen Störungen entwickelt.


Efficacy of child and adolescent psychotherapy

Abstract. The article reviews methodological problems and empirical results regarding the efficacy of child and adolescent psychotherapy. Differences compared to psychotherapy in adults are described. Global meta-analyses establish the efficacy primarily of cognitive-behavioural interventions. They show that the effects of child and adolescent psychotherapy are similar to those of psychotherapy in adults. In the treatment of depression, phobias and anxiety disorders, attention deficit/hyperactivity disorders, conduct disorders and elimination disorders certain cognitive-behavioural interventions can be classified as empirically supported treatments. Based on this results guidelines for the treatment of disorders in childhood and adolescence have been developed.

Literatur

  • American Academy of Child and Adolescent Psychiatry (1997). Practice Parameters for assessment and treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 36, whole supplement First citation in articleGoogle Scholar

  • Beidel, D. C. , Tumer, S. M. , Morris, T. L. (2000). Behavioral treatment of childhood social phobia. Journal of Consulting and Clinical Psychology, 68, 1072– 1080 First citation in articleCrossref, Google Scholar

  • Brestan, E. V. , Eyberg, S. M. (1998). Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5,272 kids. Journal of Clinical Child Psychology, 27, 180– 189 First citation in articleCrossref, Google Scholar

  • Casey, R. J. , Berman, J. S. (1985). The outcome of psychotherapy with children. Psychological Bulletin, 98, 388– 400 First citation in articleCrossref, Google Scholar

  • Chambless, D. L. , Baker, M. J. , Baucom, D. H. , Beutler, L. E. , Calhoun, K. S. , Chrits-Christoph, P. , Daiuto, A. , DeRubeis, R. , Detweitler, J. P. , Haaga, D. A. , Bennet Johnson, S. , McCurry, S. , Mueser, K. T. , Pope, K. S. , Sanderson, W. C. , Shoham, V. , Stickler, T. , Williams, D. A. , Woody, S. R. (1998). Update on empirically validated Therapies II. The Clinical Psychologist, 51, 3– 15 First citation in articleGoogle Scholar

  • Chambless, D. L. , Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7– 18 First citation in articleCrossref, Google Scholar

  • Chambless, D. L. , Ollendick, T. H. (2001). Empirically supported psychological interventions: controversies and evidence. Annual Review of Psychology, 52, 685– 716 First citation in articleCrossref, Google Scholar

  • Cohen, J. (1977). Statistical power analysis for the behavioral sciences (2nd. ed.) . New York: Academic Press. First citation in articleGoogle Scholar

  • Deutsche Gesellschaft für Kinder- und Jugendpsychiatrie und Psychotherapie, Berufsverband der Ärzte für Kinder- und Jugendpsychiatrie und Psychotherapie in Deutschland, Bundesarbeitsgemeinschaft der leitenden Klinikärzte für Kinder- und Jugendpsychiatrie und Psychotherapie (2000). Leitlinien zu Diagnostik und Therapie von psychischen Störungen im Säuglings-, Kindes- und Jugendalter . Köln: Deutscher Ärzte Verlag. First citation in articleGoogle Scholar

  • Döpfner, M. (1997). Verhaltenstherapie mit Kindern und Jugendlichen - Konzepte, Ergebnisse und Perspektiven der Therapieforschung. In F. Petermann (Hrsg.), Kinderverhaltenstherapie, Grundlagen und Anwendungen (S. 331-366). Baltmannsweiler: Schneider Verlag Hohengehren. First citation in articleGoogle Scholar

  • Döpfner, M. (1999). Ergebnisse der Psychotherapieforschung zur Verhaltenstherapie mit Kindern und Jugendlichen. In M. Borg-Laufs (Hrsg.), Lehrbuch der Verhaltenstherapie mit Kindern und Jugendlichen, Band I: Grundlagen (S. 153-188). Tübingen: DGVT-Verlag. First citation in articleGoogle Scholar

  • Döpfner, M. (2000). Angst- und Zwangsstörungen bei Kindern und Jugendlichen - Einführung in den Themenschwerpunkt, Kindheit und Entwicklung, 9, 131– 132 First citation in articleLink, Google Scholar

  • Döpfner, M. (2002). Zwangsstörungen. In G. Esser (Hrsg.), Lehrbuch der klinischen Psychologie und Psychotherapie des Kindes- und Jugendalters (S. 243-262). Stuttgart: Enke. First citation in articleGoogle Scholar

  • Döpfner, M. , Breuer, D. , Lehmkuhl, G. (2002). The Cologne Multimodal Intervention Study (COMIS): Study design and global treatment outcomes . Submitted for publication. First citation in articleGoogle Scholar

  • Döpfner, M. , Frölich, J. , Lehmkuhl, G. (2000). Hyperkinetische Störungen. Leitfaden Kinder- und Jugendpsychotherapie, Band 1 . Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Döpfner, M. , Lehmkuhl, G. , Heubrock, D. , Petermann, F. (2000). Diagnostik psychischer Störungen im Kindes- und Jugendalter. Leitfaden Kinder- und Jugendpsychotherapie, Band 2 . Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Döpfner, M. , Schlüter, S. , Rey, E.-R. (1981). Evaluation eines sozialen Kompetenztrainings für selbstunsichere Kinder im Alter von neun bis zwölf Jahren - ein Therapievergleich. Zeitschrift für Kinder- und Jugendpsychiatrie, 9, 233– 252 First citation in articleGoogle Scholar

  • Döpfner, M. , Schürmann, S. , Frölich, J. (2002). Das Therapieprogramm für Kinder mit hyperkinetischem und oppositionellem Problemverhalten (THOP) (3. vollst. überarb. Aufl.). Weinheim: Psychologie Verlags Union. First citation in articleGoogle Scholar

  • Duda-Kirchhof, K. , Döpfner, M. (2000). Therapieprogramm für Kinder und Jugendliche mit Angststörungen - Behandlungskonzept und Behandlungseffekte. Kindheit und Entwicklung, 9, 161– 170 First citation in articleLink, Google Scholar

  • Durlak, J. A. , Wells, A. M. , Cotton, J. K. , Johnson, S. (1995). Analysis of selected methodological issues in child psychotherapy research. Journal of Clinical Child Psychology, 24, 141– 148 First citation in articleCrossref, Google Scholar

  • Durlak, J. A. , McGlinchey, K. A. (1999). Child therapy outcome research. Current status and some future priorities. In S. W. Russ & T. Ollendick (Eds.), Handbook of psychotherapies with children and families (pp. 525-539). New York: Kluwer Academic/Plenum Publishers. First citation in articleGoogle Scholar

  • Durlak, J. A. , Fuhrman, T. , Lampman, C. (1991). Effectiveness of cognitive-behavior therapy for maladapting children: A meta-analysis. Psychological Bulletin, 110, 204– 214 First citation in articleCrossref, Google Scholar

  • Dush, D. M. , Hirt, M. L. , Schroeder, H. E. (1989). Self-statement modification in the treatment of child behavior disorders: A meta-analysis. Psychological Bulletin, 106, 97– 106 First citation in articleCrossref, Google Scholar

  • Eyberg, S.M. , Boggs, S. , Algina, J. (1995). Parentchild interaction therapy: a psychosocial model for the treatment of young children with conduct problem behavior and their families. Psychopharmacology Bulletin, 31, 83– 91 First citation in articleGoogle Scholar

  • Frölich, J. , Döpfner, M. , Berner, W. , Lehmkuhl, G. (2002). Effects of combined behavioural treatment with parent management training in ADHD. Behavioural and Cognitive Psychotherapy, 30, 111– 115 First citation in articleCrossref, Google Scholar

  • Grawe, K. , Donati, R. , Bernauer, F. (1994). Psychotherapie im Wandel. Von der Konfession zur Profession . Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Harrington, R.C. (2001). Kognitive Verhaltenstherapie bei depressiven Kindern und Jugendlichen . Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Hautzinger, M. (2000). Depression. In F. Petermann (Hrsg.), Fallbuch der klinischen Kinderpsychologie und -psychotherapie (2. überarbeitete Aufl., S. 161-72). Göttingen: Hogrefe. First citation in articleCrossref, Google Scholar

  • Henggeler, S. W. , Schoenwald, S. K. , Borduin, C. M. , Rowland, M. D. , Cunningham, P. B. (1998). Multisystemic- treatment of antisocial behavior in children and adolescents . New York: Guilford. First citation in articleGoogle Scholar

  • Hibbs, E. D. (2001). Evaluating empirically based psychotherapy research for children and adolescents. European Child and Adolescent Psychiatry, 10, Suppl. 1, I/3– I/11 First citation in articleGoogle Scholar

  • Kaslow, N. J. , Thompson, M. P. (1998). Applying the criteria for empirically supported treatments to studies of psychosocial interventions for child and adolescent depression. Journal of Clinical Child Psychology, 27, 146– 155 First citation in articleCrossref, Google Scholar

  • Kazdin, A. E. (1988). Child Psychotherapy. Developing and identifying effective treatments . New York: Pergamon Press. First citation in articleGoogle Scholar

  • Kazdin, A. E. (2000). Developing a research agenda for child and adolescent psychotherapy. Archives of General Psychiatry, 57, 829– 835 First citation in articleCrossref, Google Scholar

  • Kazdin, A. E. (2001). Bridging the enormous gaps of theory with therapy research and practice. Journal of Clinical Child Psychology, 30, 59– 66 First citation in articleCrossref, Google Scholar

  • Kazdin, A. E. , Bass, D. , Ayres, W. A. , Rodgers, A. (1990). Empirical and clinical focus of child and adolescent psychotherapy research. Journal of Consulting and Clinical Psychology, 58, 729– 740 First citation in articleCrossref, Google Scholar

  • Kazdin, A. E. , Siegel, T. C. , Bass, D. (1992). Cognitive problem-solving skills training and parent management training in the treatment of antisocial behavior in children. Journal of Consulting and Clinical Psychology, 60, 733– 747 First citation in articleCrossref, Google Scholar

  • Kazdin, A. E. , Weisz, J. R. (1998). Identifying and developing empirically supported child and adolescent treatments. Journal of Consulting and Clinical Psychology, 66, 19– 36 First citation in articleCrossref, Google Scholar

  • Kendall, P. C. , Flannery-Schroeder, E. , Panichelli-Mindel, S.M. , Southam-Gerow, M. , Henin, A. , Warman, M. (1997). Therapy for youths with anxiety disorders: a second randomized clinical trial. Journal of Consulting and Clinical Psychology, 65, 366– 380 First citation in articleCrossref, Google Scholar

  • Lambert, M. (2001). Psychotherapy outcome and quality improvement: Introduction to the special section on patient-focused research. Journal of Consulting and Clinical Psychology, 69, 147– 149 First citation in articleCrossref, Google Scholar

  • Lewinsohn, P. M. , Clarke, 0. N. , Hops, R. , Andrews, J. (1990). Cognitive-behavioral treatment for depressed adolescents. Behavior Therapy, 21, 385– 401 First citation in articleCrossref, Google Scholar

  • Lochman, J. E. , Lampron, L. B. , Gemmer, T. C. , Harris, S. R. (1989). Teacher consultation and cognitive-behavioral interventions with aggressive boys. Psychology in the Schools, 26, 179– 188 First citation in articleCrossref, Google Scholar

  • Lonigan, C. J. , Elbert, J. C. , Bennett Johnson, S. (1998). Empirically supported psychosocial interventions for children. Journal of Clinical Child Psychology, 27, 138– 145 First citation in articleCrossref, Google Scholar

  • Mufson, L. , Moreau, D. , Weissman, M. M. , Klerman, G. L. (1993). Interpersonal psychotherapy for depressed adolescents . New York: Guilford. First citation in articleGoogle Scholar

  • MTA Cooperative Group (1999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56, 1073– 1086 First citation in articleCrossref, Google Scholar

  • Ollendick, T. H. , King, N. J. (1998). Empirically supported treatments for children with phobic and anxiety disorders: current status. Journal of Clinical Child Psychology, 27, 156– 167 First citation in articleCrossref, Google Scholar

  • Patterson, G. R. , Gullion, M. E. (1968). Living with children: New methods for parents and teachers . Champaign: Research Press. First citation in articleGoogle Scholar

  • Paul, G. L. (1967). Outcome research in psychotherapy. Journal of Consulting and Clinical Psychology, 31, 109– 118 First citation in articleCrossref, Google Scholar

  • Pelham, W. E. , Wheeler, T. , Chronis, A. (1998). Empirically supported psychosocial treatments for attention deficit hyperactivity disorder. Journal of Clinical Child Psychology, 27, 190– 205 First citation in articleCrossref, Google Scholar

  • Petermann, F. , Döpfner, M. , Schmidt, M. H. (2001). Aggressiv-dissoziale Störungen. Leitfaden Kinder- und Jugendpsychotherapie, Band 3 . Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Petermann, F. , Petermann, U. (2001). Training mit aggressiven Kindern (9. überarbeitete Aufl.). Weinheim: Psychologie Verlags Union. First citation in articleGoogle Scholar

  • Petermann, U. , Petermann, F. (2000). Training mit sozial unsicheren Kindern (7. überarbeitete Aufl.). Weinheim: Psychologie Verlags Union. First citation in articleGoogle Scholar

  • Rademacher, C. , Walter, D. , Döpfner, M. (2002). SELBST - ein Therapieprogramm zu Behandlung von Selbstwert-, Leistungs- und Beziehungsstörungen. Kindheit und Entwicklung, 11, 107– 118 First citation in articleLink, Google Scholar

  • Richters, J. E. , Arnold, L. E. , Jensen, P. S. , Abikoff, H. , Conners, C. K. , Greenhill, L. L. , Hechtman, L. , Hinshaw, S. P. , Prelham, W. E. , Swanson, J. (1995). NIMH collaborative multisite multimodal treatment study of children with ADHD: I. Background and rationale. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 987– 1000 First citation in articleCrossref, Google Scholar

  • Shapiro, T. H. (1989). The psychodynamic formulation in child and adolescent Psychiatry. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 675– 680 First citation in articleCrossref, Google Scholar

  • Smith, M. L. , Glass, G. V. , Miller, T. I. (1980). The benefits of psychotherapy . Baltimore: John Hopkins University Press. First citation in articleGoogle Scholar

  • Stark, K. D. , Reynolds, W. M. , Kaslow, N. J. (1987). A comparison of the relative efficacy of self-control therapy and a behavioral problem-solving therapy for depression in children. Journal of Abnormal Child Psychology, 15, 91– 113 First citation in articleCrossref, Google Scholar

  • Taylor, E. , Sergeant, J. , Döpfner, M. , Gunning, B. , Overmeyer, S. , Möbius, H. , Eisert, H. G. (1998). Clinical guidelines for hyperkinetic disorder. European Child & Adolescent Psychiatry, 7, 184– 200 First citation in articleCrossref, Google Scholar

  • Webster-Stratton, C. (1994). Advancing videotape parent training: A comparison study. Journal of Consulting and Clinical Psychology, 62, 583– 593 First citation in articleCrossref, Google Scholar

  • Weiss, B. , Catron, T. , Harris, V. , Phung, T. (1999). The effectiveness of traditional child psychotherapy. Journal of Consulting and Clinical Psychology, 67, 82– 94 First citation in articleCrossref, Google Scholar

  • Weiss, B. , Catron, T. , Harris, V. (2000). A 2-year follow-up of the effectiveness of traditional child psychotherapy. Journal of Consulting and Clinical Psychology, 68, 1094– 1101 First citation in articleCrossref, Google Scholar

  • Weisz, J. R. , Jensen, A. L. (2001). Child and adolescent psychotherapy in research and practice contexts: Review of the evidence and suggestions for improving the field. European Child and Adolescent Psychiatry, 10, supplement, 1/12– 1/18 First citation in articleGoogle Scholar

  • Weisz, J. R. , Weiss, B. , Alicke, M. D. , Klotz, M. L. (1987). Effectiveness of psychotherapy with children and adolescents: A meta-analysis for clinicians. Journal of Consulting and Clinical Psychology, 55, 542– 549 First citation in articleCrossref, Google Scholar

  • Weisz, J. R. , Donenberg, G. R. , Han, S. S. , Weiss, B. (1995). Bridging the gap between lab and clinic in child and adolescent psychotherapy. Journal of Consulting and Clinical Psychology, 63, 688– 701 First citation in articleCrossref, Google Scholar

  • Weisz, J. R. , Weiss, B. , Han, S. , Granger, D. A. , Morton, T. (1995). Effects of Psychotherapy with children and adolescents revisited: A meta-analysis of treatment outcome studies. Psychological Bulletin, 117, 450– 468 First citation in articleCrossref, Google Scholar