Prior exposure to interpersonal violence and long-term treatment response for boys with a disruptive behavior disorder.
Prior exposure to interpersonal violence and long-term treatment response for boys with a disruptive behavior disorder.
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患有破坏性行为障碍的男孩先前遭受过人际暴力和长期治疗反应。
DOI：
10.1002/jts.21962
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发表时间：
2014
影响因子：
3.3
通讯作者：
Insana,SalvatoreP
中科院分区：
文献类型：
--
作者：
Shenk,ChadE;Dorn,LorahD;Kolko,DavidJ;Rausch,JosephR;Insana,SalvatoreP
人际暴力（IPV）在破坏性行为障碍（DBD）儿童中很常见，并增加了DBD症状严重程度、冷酷无情（CU）特征和神经内分泌紊乱的风险。因此，考虑到这些关系，IPV可能很难改变接受DBD干预的家庭的症状轨迹。目前的研究检查了接受DBD治疗前的IPV是否预测了各种相关结果的轨迹，特别是DBD症状、CU特征和皮质醇浓度。诊断为DBD的男孩（N= 66，年龄范围= 6-11岁，其中54.5%在治疗前经历过IPV）患有对立违抗性障碍或品行障碍，参加了一项随机临床试验，并在治疗后3年进行评估。多水平模型显示，先前的IPV预测DBD症状、CU特征和皮质醇轨迹的变化率较小，表明干预的益处较小。IPV的效应大小在每个结局中都很大（d= 0.88-1.07）。这些结果表明，IPV是DBD男孩长期治疗反应的预测因子。将创伤因素纳入现有的DBD干预措施可能值得试验，以提高有IPV病史的男孩的治疗效果。
Interpersonal violence (IPV) is common in children with a disruptive behavior disorder (DBD) and increases the risk for greater DBD symptom severity, callous–unemotional (CU) traits, and neuroendocrine disruption. Thus, IPV may make it difficult to change symptom trajectories for families receiving DBD interventions given these relationships. The current study examined whether IPV prior to receiving treatment for a DBD predicted trajectories of a variety of associated outcomes, specifically DBD symptoms, CU traits, and cortisol concentrations. Boys with a DBD diagnosis (N= 66; age range = 6–11 years; 54.5% of whom experienced IPV prior to treatment) of either oppositional defiant disorder or conduct disorder participated in a randomized clinical trial and were assessed 3 years following treatment. Multilevel modeling demonstrated that prior IPV predicted smaller rates of change in DBD symptoms, CU traits, and cortisol trajectories, indicating less benefit from intervention. The effect size magnitudes of IPV were large for each outcome (d= 0.88–1.07). These results suggest that IPV is a predictor of the long‐term treatment response for boys with a DBD. Including trauma‐focused components into existing DBD interventions may be worth testing to improve treatment effectiveness for boys with a prior history of IPV.
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影响因子：
8.2
作者：
Susman, EJ
通讯作者：
Susman, EJ
影响因子：
5.9
作者：
Ford, JD;Racusin, R;Sengupta, A
通讯作者：
Sengupta, A
对有行为问题的儿童及其父母的短期团体治疗计划进行评估。
影响因子：
4.1
作者：
S. Hemphill;L. Littlefield
通讯作者：
L. Littlefield
临床转诊的患有或不患有 CD 的 ODD 儿童和健康对照：跨背景领域的比较
DOI：
--
发表时间：
2008
期刊：
影响因子：
--
作者：
D. Kolko;L. Dorn;O. Bukstein;Jeffrey D. Burke
通讯作者：
Jeffrey D. Burke
影响因子：
3.3
作者：
Stouthamer-Loeber, M;Loeber, R;Wei, E
通讯作者：
Wei, E