Combining cash transfers and cognitive behavioral therapy to reduce antisocial behavior in young men: A mediation analysis of a randomized controlled trial in Liberia
Combining cash transfers and cognitive behavioral therapy to reduce antisocial behavior in young men: A mediation analysis of a randomized controlled trial in Liberia
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结合现金转移和认知行为疗法减少年轻男性的反社会行为：利比里亚随机对照试验的中介分析
DOI：
10.1101/2022.08.17.22278921
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Carpena M
中科院分区：
文献类型：
--
作者：
Carpena M
背景将认知行为疗法（CBT）与无条件现金转移（UCT）相结合的干预措施可降低反社会行为（ASB）的风险，但其潜在机制尚不清楚。在本文中，我们测试了心理和认知机制在解释这种效应中的作用。我们评估了执行功能、自我控制和时间偏好的中介作用。方法我们使用了利比里亚青年可持续转型的数据，这是一项针对犯罪男性的社区随机对照试验。这些男性被随机分为： 第 1 组：对照组（n = 237）；第 2 组：CBT+UCT（n = 207）。干预完成后 12-13 个月测量 ASB，并在 2-5 周后评估以下中介因素：(i) 自我控制，(ii) 时间偏好和 (iii) 执行功能。我们估计了干预对 ASB 的自然直接效应 (NDE) 和自然间接效应 (NIE)。 结果自我控制、时间偏好和所有三个中介变量的加权指数均与 ASB 评分相关，但干预仅影响时间偏好 [B = 0.09 95%CI (0.03; 0.15)]。没有证据表明干预对 ASB 的影响是通过自我控制 [BNIE= 0.007 95%CI (-0.01; 0.02)]、时间偏好 [BNIE= -0.02 95%CI (-0.05; 0.01)]、执行功能 [BNIE= 0.002 95%CI (-0.002; 0.006)] 或中介的加权指数[BNIE= -0.0005 95%CI (-0.03; 0.02)]。结论UCT 和 CBT 可以改善 ASB，即使没有通过心理和认知功能进行中介。研究结果表明，因果机制可能涉及非心理途径。
BackgroundInterventions that combine cognitive behavioral therapy (CBT) with unconditional cash transfers (UCT) reduce the risk of antisocial behavior (ASB), but the underlying mechanisms are unclear. In this paper, we test the role of psychological and cognitive mechanisms in explaining this effect. We assessed the mediating role of executive function, self-control, and time preferences.MethodsWe used data from the Sustainable Transformation of Youth in Liberia, a community-based randomized controlled trial of criminally engaged men. The men were randomized into: Group-1: control (n = 237); and Group-2: CBT+UCT (n = 207). ASB was measured 12–13 months after the interventions were completed, and the following mediators were assessed 2–5 weeks later: (i) self-control, (ii) time preferences and (iii) executive functions. We estimated the natural direct effect (NDE) and the natural indirect effect (NIE) of the intervention over ASB.ResultsSelf-control, time preferences and a weighted index of all three mediators were associated with ASB scores, but the intervention influenced time preferences only [B = 0.09 95%CI (0.03; 0.15)]. There was no evidence that the effect of the intervention on ASB was mediated by self-control [BNIE= 0.007 95%CI (-0.01; 0.02)], time preferences [BNIE= -0.02 95%CI (-0.05; 0.01)], executive functions [BNIE= 0.002 95%CI (-0.002; 0.006)] or the weighted index of the mediators [BNIE= -0.0005 95%CI (-0.03; 0.02)].ConclusionsUCT and CBT lead to improvements in ASB, even in the absence of mediation via psychological and cognitive functions. Findings suggest that the causal mechanisms may involve non-psychological pathways.
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影响因子：
2.8
作者：
Hofmann SG;Asnaani A;Vonk IJ;Sawyer AT;Fang A
通讯作者：
Fang A
住院药物滥用治疗客户中的反社会行为综合症。
影响因子：
4.2
作者：
Goldstein,RB;Powers,SI;McCusker,J;Lewis,BF;Bigelow,C;Mundt,KA
通讯作者：
Mundt,KA
影响因子：
0.9
作者：
Kabeer, Naila;Waddington, Hugh
通讯作者：
Waddington, Hugh
发展中国家：荟萃分析
DOI：
--
发表时间：
2012
期刊：
影响因子：
--
作者：
Luisa Fernández
通讯作者：
Luisa Fernández
影响因子：
7.4
作者：
Jellema, P;van der Windt, DAWM;Stalman, WAB
通讯作者：
Stalman, WAB