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Efficacy of a multimodal treatment for disruptive behavior disorders in children and adolescents: focus on internalizing problems.
- Source :
-
Psychiatry research [Psychiatry Res] 2014 Nov 30; Vol. 219 (3), pp. 617-24. Date of Electronic Publication: 2014 Jun 02. - Publication Year :
- 2014
-
Abstract
- Disruptive Behavior Disorders (DBDs) are among the most common reasons for youth referrals to mental health clinics. Aim of this study is to compare short and medium term efficacy of a multimodal treatment program (MTP), compared to community care (treatment-as-usual, TAU). The sample included 135 youths with DBDs (113 males, age range 9-15 years, mean age 12±2.5 years) were assigned either to a MTP (n=64), or addressed to community care for a TAU (n=71). Outcome measures were the Child Behaviour Checklist (CBCL) and the Children's Global Assessment Scale (C-GAS). All subjects were assessed at the baseline (T0), after 1-year treatment (T1) and after a 2-year follow-up (T2). Compared with patients receiving TAU, youths in the MTP showed, both at T1 and T2, significantly lower scores on CBCL Externalizing Scale, Internalizing Scale, Anxious/Depressed, Social Problems, and Aggressive Behavior, and higher scores at the C-GAS. Improvement in Internalizing Scales was particularly evident, with a shift from the clinical to the non-clinical range. Rate of use of mental health services and scholastic failure were reduced in the MTP. It is suggested that the improvement of the Internalizing symptoms is a crucial component of the therapeutic process in this MTP.<br /> (Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.)
- Subjects :
- Adolescent
Aggression
Anxiety diagnosis
Attention Deficit and Disruptive Behavior Disorders psychology
Child
Combined Modality Therapy
Community Mental Health Services statistics & numerical data
Depressive Disorder, Major diagnosis
Female
Humans
Male
Mental Disorders
Anxiety therapy
Attention Deficit and Disruptive Behavior Disorders therapy
Depressive Disorder, Major therapy
Psychotherapy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1872-7123
- Volume :
- 219
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Psychiatry research
- Publication Type :
- Academic Journal
- Accession number :
- 25060833
- Full Text :
- https://doi.org/10.1016/j.psychres.2014.05.048