Commentary: Why treatment is the best choice for childhood mental disorders – a commentary on Roest et al. (2022)

An important question in mental healthcare for children is whether treatments are effective and safe in the long run. Here, we comment on a recent editorial perspective by Roest et al. (2022), who argue, based on an overview of systematic reviews, ‘that there is no convincing evidence that interventions for the most common childhood disorders are beneficial in the long term’. We believe that the available evidence does not justify this conclusion and express our concern regarding the harmful effects of their message. We show that there is evidence to suggest beneficial longer term treatment effects for each of the disorders and explain why evidence‐based treatment should be offered to children with mental disorders.

[1]  P. de Jonge,et al.  Editorial Perspective: Are treatments for childhood mental disorders helpful in the long run? An overview of systematic reviews , 2022, Journal of child psychology and psychiatry, and allied disciplines.

[2]  Summary of the clinical practice guideline for the treatment of depression across three age cohorts. , 2021, The American psychologist.

[3]  P. Hoekstra,et al.  Cost-Effectiveness and Cost Utility of Treatment of Attention-Deficit/Hyperactivity Disorder: A Systematic Review. , 2021, Journal of child and adolescent psychopharmacology.

[4]  B. Franke,et al.  The World Federation of ADHD International Consensus Statement: 208 Evidence-based conclusions about the disorder , 2021, Neuroscience & Biobehavioral Reviews.

[5]  O. Bukstein,et al.  Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents With Anxiety Disorders. , 2020, Journal of the American Academy of Child and Adolescent Psychiatry.

[6]  P. Cuijpers,et al.  Psychotherapy for Depression Across Different Age Groups: A Systematic Review and Meta-analysis. , 2020, JAMA psychiatry.

[7]  B. Chorpita,et al.  Durability of Cognitive Behavioral Therapy Effects for Youth and Adolescents With Anxiety, Depression, or Traumatic Stress:A Meta-Analysis on Long-Term Follow-Ups. , 2019, Behavior therapy.

[8]  P. Tugwell,et al.  AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both , 2017, British Medical Journal.

[9]  Golda S. Ginsburg,et al.  Long-Term Outcomes of Youth Treated for an Anxiety Disorder: A Critical Review , 2017, Clinical child and family psychology review.

[10]  B. Orobio de Castro,et al.  Sustained, fade-out or sleeper effects? A systematic review and meta-analysis of parenting interventions for disruptive child behavior. , 2017, Clinical psychology review.

[11]  Marina Danckaerts,et al.  Behavioral interventions in attention-deficit/hyperactivity disorder: a meta-analysis of randomized controlled trials across multiple outcome domains. , 2014, Journal of the American Academy of Child and Adolescent Psychiatry.

[12]  T. O'Connor,et al.  Early prevention of antisocial personality: long-term follow-up of two randomized controlled trials comparing indicated and selective approaches. , 2014, The American journal of psychiatry.

[13]  Golda S. Ginsburg,et al.  COGNITIVE BEHAVIORAL THERAPY AGE EFFECTS IN CHILD AND ADOLESCENT ANXIETY: AN INDIVIDUAL PATIENT DATA METAANALYSIS , 2013, Depression and anxiety.

[14]  H. Caci,et al.  A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder: effects of treatment and non-treatment , 2012, BMC Medicine.

[15]  John P.A. Ioannidis,et al.  Integration of evidence from multiple meta-analyses: a primer on umbrella reviews, treatment networks and multiple treatments meta-analyses , 2009, Canadian Medical Association Journal.

[16]  J. Posthumus.  Preventive effects and cost-effectiveness of the Incredible Years program for parents of preschoolers with aggressive behavior , 2004 .

[17]  W. Gropp,et al.  Accepted for publication , 2001 .

[18]  P. Vostanis,et al.  Two-year outcome of children treated for depression , 1998, European Child & Adolescent Psychiatry.