Treatment moderators of cognitive behavior therapy to reduce aggressive behavior: a meta-analysis

Verfasser / Beitragende:
[Kirsten Smeets, Anouk Leeijen, Mariët van der Molen, Floor Scheepers, Jan Buitelaar, Nanda Rommelse]
Ort, Verlag, Jahr:
2015
Enthalten in:
European Child & Adolescent Psychiatry, 24/3(2015-03-01), 255-264
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00787-014-0592-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00787-014-0592-1 
245 0 0 |a Treatment moderators of cognitive behavior therapy to reduce aggressive behavior: a meta-analysis  |h [Elektronische Daten]  |c [Kirsten Smeets, Anouk Leeijen, Mariët van der Molen, Floor Scheepers, Jan Buitelaar, Nanda Rommelse] 
520 3 |a Maladaptive aggression in adolescents is an increasing public health concern. Cognitive Behavior Therapy (CBT) is one of the most common and promising treatments of aggression. However, there is a lack of information on predictors of treatment response regarding CBT. Therefore, a meta-analysis was performed examining the role of predictors on treatment response of CBT. Twenty-five studies were evaluated (including 2,302 participants; 1,580 boys and 722 girls), and retrieved through searches on PubMed, PsycINFO and EMBASE. Effect sizes were calculated for studies that met inclusion criteria. Study population differences and specific CBT characteristics were examined for their explanatory power. There was substantial variation across studies in design and outcome variables. The meta-analysis showed a medium treatment effect for CBT to reduce aggression (Cohen'd=0.50). No predictors of treatment response were found in the meta-analysis. Only two studies did examine whether proactive versus reactive aggression could be a moderator of treatment outcome, and no effect was found of this subtyping of aggression. These study results suggest that CBT is effective in reducing maladaptive aggression. Furthermore, treatment setting and duration did not seem to influence treatment effect, which shows the need for development of more cost-effective and less-invasive interventions. More research is needed on moderators of outcome of CBT, including proactive versus reactive aggression. This requires better standardization of design, predictors, and outcome measures across studies. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Aggression  |2 nationallicence 
690 7 |a Cognitive behavior therapy  |2 nationallicence 
690 7 |a Meta-analysis  |2 nationallicence 
690 7 |a Effect size  |2 nationallicence 
700 1 |a Smeets  |D Kirsten  |u Karakter Child and Adolescent Psychiatry University Centre, Reinier Postlaan 12, 6525 GC, Nijmegen, The Netherlands  |4 aut 
700 1 |a Leeijen  |D Anouk  |u Department of Health Sciences, VU University Amsterdam, Amsterdam, The Netherlands  |4 aut 
700 1 |a van der Molen  |D Mariët  |u Faculty of Psychology and Education and the EMGO Institute for Health and Care Research, VU University Amsterdam, Amsterdam, The Netherlands  |4 aut 
700 1 |a Scheepers  |D Floor  |u Department of Psychiatry, Rudolf Magnus Institute of Neuroscience, UMC Utrecht, Utrecht, The Netherlands  |4 aut 
700 1 |a Buitelaar  |D Jan  |u Karakter Child and Adolescent Psychiatry University Centre, Reinier Postlaan 12, 6525 GC, Nijmegen, The Netherlands  |4 aut 
700 1 |a Rommelse  |D Nanda  |u Karakter Child and Adolescent Psychiatry University Centre, Reinier Postlaan 12, 6525 GC, Nijmegen, The Netherlands  |4 aut 
773 0 |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/3(2015-03-01), 255-264  |x 1018-8827  |q 24:3<255  |1 2015  |2 24  |o 787 
856 4 0 |u https://doi.org/10.1007/s00787-014-0592-1  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a review-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00787-014-0592-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Smeets  |D Kirsten  |u Karakter Child and Adolescent Psychiatry University Centre, Reinier Postlaan 12, 6525 GC, Nijmegen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Leeijen  |D Anouk  |u Department of Health Sciences, VU University Amsterdam, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van der Molen  |D Mariët  |u Faculty of Psychology and Education and the EMGO Institute for Health and Care Research, VU University Amsterdam, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Scheepers  |D Floor  |u Department of Psychiatry, Rudolf Magnus Institute of Neuroscience, UMC Utrecht, Utrecht, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Buitelaar  |D Jan  |u Karakter Child and Adolescent Psychiatry University Centre, Reinier Postlaan 12, 6525 GC, Nijmegen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rommelse  |D Nanda  |u Karakter Child and Adolescent Psychiatry University Centre, Reinier Postlaan 12, 6525 GC, Nijmegen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/3(2015-03-01), 255-264  |x 1018-8827  |q 24:3<255  |1 2015  |2 24  |o 787