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首页> 外文期刊>The journal of clinical psychiatry >Juvenile maladaptive aggression: a review of prevention, treatment, and service configuration and a proposed research agenda.
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Juvenile maladaptive aggression: a review of prevention, treatment, and service configuration and a proposed research agenda.

机译：青少年适应不良攻击：预防，治疗和服务配置的审查以及拟议的研究议程。

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OBJECTIVE: To review prevention programs, psychosocial and psychopharmacologic treatments, and service delivery configurations for children and adolescents with maladaptive aggression. To propose a research agenda for disorders of aggression in child and adolescent psychiatry. DATA SOURCES: Recent empirical studies were reviewed using searches of MEDLINE and PsycINFO (text terms: aggression, antisocial, violence, conduct, oppositional, psychosocial treatment, psychopharmacology, and prevention), relevant books, review articles, and bibliographies. DATA EXTRACTION: Articles met the following criteria: published in an English-language, peer-reviewed journal between 1980 and 2005, included a focus on individuals < 18 years old, and included an outcome measure of relevant significance. STUDY SELECTION: Results of 154 randomized, controlled psychosocial treatment trials, 20 controlled psychopharmacology studies, 4 open-label medication studies, and 2 psychopharmacology meta-analyses were reviewed. RESULTS: Prevention programs show promise for reducing future aggression in at-risk populations. Empirical support is available for the effectiveness of multifocused psychosocial treatments in reducing aggression in children and adolescents. Atypical antipsychotics, lithium, divalproex sodium, and stimulants for conduct problems associated with attention-deficit/hyperactivity disorder have empirical support for reducing aggression in selected patient populations. CONCLUSIONS: Therapeutic nihilism in the treatment of aggressive children and adolescents with conduct problems is no longer warranted. Multifocused psychosocial interventions given early in life to at-risk children have the most support for effectiveness. However, treatments for children who routinely present to the child psychiatrist with already well-established disorders of aggression are neither robust nor well-established. Further research into maladaptive aggression in referred children and adolescents within and across psychiatric diagnoses is important for the field of child and adolescent psychiatry.
机译：目的：审查针对适应不良的儿童和青少年的预防计划，社会心理和心理药物治疗以及服务提供方式。为儿童和青少年精神病学的侵略性疾病提出研究议程。数据来源：使用MEDLINE和PsycINFO（文本术语：侵略，反社会，暴力，行为，对立，心理社会治疗，心理药理学和预防），相关书籍，评论文章和参考书目进行搜索，对最近的实证研究进行回顾。数据提取：文章符合以下条件：在1980年至2005年之间以英语进行同行评审，并发表论文，重点关注18岁以下的个人，并包括具有相关意义的结果指标。研究选择：审查了154项随机对照社会心理治疗试验，20项对照心理药理研究，4项开放标签药物研究和2项心理药理荟萃分析的结果。结果：预防计划显示出减少危险人群未来侵略的希望。在减少儿童和青少年侵略性方面，多方面心理社会治疗的有效性可获得经验支持。非典型抗精神病药，锂，双丙戊酸钠和用于与注意力不足/多动障碍相关的行为问题的兴奋剂在减少选定患者群体的侵略性方面有经验支持。结论：不再需要治疗虚无主义来治疗具有行为问题的侵略性儿童和青少年。在生命早期对处于危险中的儿童进行多方面的社会心理干预对有效性的支持最大。然而，对于那些已经向儿童精神科医生提出常规，已经确定的侵略性疾病的儿童的治疗方法既不健全，也不完善。在儿童和青少年精神病学领域内，对被转诊的儿童和青少年进行的适应不良攻击的进一步研究在精神病学诊断中和在精神病学诊断中都是重要的。

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