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Verfasst von:Stadler, Christina [VerfasserIn]   i
 Freitag, Christine M. [VerfasserIn]   i
 Popma, Arne [VerfasserIn]   i
 Nauta-Jansen, Lucres [VerfasserIn]   i
 Konrad, Kerstin [VerfasserIn]   i
 Unternaehrer, Eva [VerfasserIn]   i
 Ackermann, Katharina [VerfasserIn]   i
 Bernhard, Anka [VerfasserIn]   i
 Martinelli, Anne [VerfasserIn]   i
 Oldenhof, Helena [VerfasserIn]   i
 Gundlach, Malou [VerfasserIn]   i
 Kohls, Gregor [VerfasserIn]   i
 Prätzlich, Martin [VerfasserIn]   i
 Kieser, Meinhard [VerfasserIn]   i
 Limprecht, Ronald [VerfasserIn]   i
 Raschle, Nora Maria [VerfasserIn]   i
 Vriends, Noortje [VerfasserIn]   i
 Trestman, Robert L. [VerfasserIn]   i
 Kirchner, Marietta [VerfasserIn]   i
 Kersten, Linda [VerfasserIn]   i
Titel:Start now
Titelzusatz:a cognitive behavioral skills training for adolescent girls with conduct or oppositional defiant disorder - a randomized clinical trial
Verf.angabe:Christina Stadler, Christine M. Freitag, Arne Popma, Lucres Nauta-Jansen, Kerstin Konrad, Eva Unternaehrer, Katharina Ackermann, Anka Bernhard, Anne Martinelli, Helena Oldenhof, Malou Gundlach, Gregor Kohls, Martin Prätzlich, Meinhard Kieser, Ronald Limprecht, Nora M. Raschle, Noortje Vriends, Robert L. Trestman, Marietta Kirchner, Linda Kersten
Ausgabe:Online version of record before inclusion in an issue
E-Jahr:2023
Jahr:10 October 2023
Umfang:12 S.
Fussnoten:Gesehen am 09.01.2024
Titel Quelle:Enthalten in: The journal of child psychology and psychiatry
Ort Quelle:Oxford : Wiley-Blackwell, 1960
Jahr Quelle:2023
Band/Heft Quelle:(2023), Artikel-ID 13896, Seite 1-12
ISSN Quelle:1469-7610
Abstract:Background Conduct disorder (CD) and oppositional defiant disorder (ODD) both convey a high risk for maladjustment later in life and are understudied in girls. Here, we aimed at confirming the efficacy of START NOW, a cognitive-behavioral, dialectical behavior therapy-oriented skills training program aiming to enhance emotion regulation skills, interpersonal and psychosocial adjustment, adapted for female adolescents with CD or ODD. Methods A total of 127 girls were included in this prospective, cluster randomized, multi-center, parallel group, quasi-randomized, controlled phase III trial, which tested the efficacy of START NOW (n = 72) compared with standard care (treatment as usual, TAU, n = 55). All female adolescents had a clinical diagnosis of CD or ODD, were 15.6 (±1.5) years on average (range: 12-20 years), and were institutionalized in youth welfare institutions. The two primary endpoints were the change in number of CD/ODD symptoms between (1) baseline (T1) and post-treatment (T3), and (2) between T1 and 12-week follow-up (T4). Results Both treatment groups showed reduced CD/ODD symptoms at T3 compared with T1 (95% CI: START NOW = −4.87, −2.49; TAU = −4.94, −2.30). There was no significant mean difference in CD/ODD symptom reduction from T1 to T3 between START NOW and TAU (−0.056; 95% CI = −1.860, 1.749; Hedge's g = −0.011). However, the START NOW group showed greater mean symptom reduction from T1 to T4 (−2.326; 95% CI = −4.274, −0.378; Hedge's g = −0.563). Additionally, secondary endpoint results revealed a reduction in staff reported aggression and parent-reported irritability at post assessment. Conclusions Although START NOW did not result in greater symptom reduction from baseline to post-treatment compared with TAU, the START NOW group showed greater symptom reduction from baseline to follow-up with a medium effect size, which indicates a clinically meaningful delayed treatment effect.
DOI:doi:10.1111/jcpp.13896
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1111/jcpp.13896
 kostenfrei: Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/jcpp.13896
 DOI: https://doi.org/10.1111/jcpp.13896
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:aggression
 Conduct disorder
 oppositional-defiant disorder
 randomized-trial
K10plus-PPN:1877516848
Verknüpfungen:→ Zeitschrift

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