Efficacy of a multimodal treatment for disruptive behavior disorders in children and adolescents: Focus on internalizing problems

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)617-624
Number of pages8
JournalPsychiatry Research
Volume219
Issue number3
DOIs
Publication statusPublished - Nov 30 2014

Keywords

  • Adolescents
  • Children
  • Conduct disorder
  • Disruptive behavior disorders
  • Internalizing symptoms
  • Oppositional defiant disorder
  • Treatment

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry
  • Medicine(all)

Fingerprint Dive into the research topics of 'Efficacy of a multimodal treatment for disruptive behavior disorders in children and adolescents: Focus on internalizing problems'. Together they form a unique fingerprint.

  • Cite this