Mesh : Adolescent Humans Aggression Antisocial Personality Disorder Outpatients Research Design Treatment Outcome

来  源:   DOI:10.1371/journal.pone.0298057   PDF(Pubmed)

Abstract:
BACKGROUND: Juvenile antisocial behavior can have long-lasting and devastating effects for juveniles themselves, victims, and society. Evidence-based treatment is vital. Forensic Outpatient Systemic Therapy (Forensische Ambulante Systeem Therapie; FAST) is a promising treatment for juveniles showing severe antisocial behavior including aggression, (domestic) violence, and delinquent behavior. FAST has a flexible intensity and length, addresses individual and systemic risk and protective factors, and is responsive to the abilities of the client (system), intervention characteristics all considered crucial for effective treatment. The current study will investigate whether FAST is effective in reducing aggression of the juvenile, reaching client formulated subgoals, and improving family functioning. Processes of change will be examined, as well as mediation by reaching client formulated subgoals and improved family functioning.
METHODS: A Multiple Case Experimental Design (MCED) with an ABC design will be performed (A = baseline, B = intervention, and C = follow-up). Juveniles with primary aggression and/or anger problems (N = 15) and their caregiver(s) will be recruited. Data collection will consist of self-report questionnaires and case file analysis. Participants fill out frequent short self-report questionnaires (twice a week during phase A, every other week during phase B, and every week during phase C) and two main questionnaires at the start of the intervention and immediately after intervention end, thereby covering a period of 5 to 11 months. Both visual and statistical analyses will be performed.
CONCLUSIONS: This study will generate robust knowledge and inform clinical practice on the effectiveness, processes of change, and mediating mechanisms of FAST, aiming to improve the treatment of future families within youth forensic care.
BACKGROUND: This trial was registered at ClinicalTrials.gov on 28/08/2023, protocol ID 60-63600-98-1138a.
摘要:
背景:青少年反社会行为会对青少年本身产生长期和破坏性的影响,受害者,和社会。循证治疗至关重要。法医门诊系统治疗(ForensischeAmbulanteSysteemTherapie;FAST)是一种有希望的治疗青少年表现出严重的反社会行为,包括侵略,(家庭)暴力,和违法行为。FAST具有灵活的强度和长度,解决个人和系统性风险和保护因素,并且响应于客户端(系统)的能力,干预特征都被认为是有效治疗的关键。目前的研究将调查FAST是否有效减少青少年的攻击性,达到客户制定的子目标,改善家庭功能。将检查变化的过程,以及通过达到客户制定的子目标和改善家庭功能来进行调解。
方法:将进行ABC设计的多例实验设计(MCED)(A=基线,B=干预,和C=随访)。将招募具有主要攻击性和/或愤怒问题的青少年(N=15)及其看护人。数据收集将包括自我报告问卷和案例档案分析。参与者经常填写简短的自我报告问卷(在A阶段,每周两次,在B阶段每隔一周,以及C阶段期间的每周)和干预开始时和干预结束后立即进行的两个主要问卷,涵盖5至11个月。将进行视觉和统计分析。
结论:这项研究将产生丰富的知识,并为临床实践提供有关有效性的信息。变化的过程,和FAST的中介机制,旨在改善青年法医护理中未来家庭的待遇。
背景:该试验于2023年8月28日在ClinicalTrials.gov注册,协议ID60-63600-98-1138a。
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