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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Randomized trial of anger control training for adolescents with Tourette's syndrome and disruptive behavior.
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Randomized trial of anger control training for adolescents with Tourette's syndrome and disruptive behavior.

机译:图雷特综合症和破坏性行为的青少年进行愤怒控制训练的随机试验。

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OBJECTIVE: To evaluate the efficacy of a 10-session individually administered anger control training (ACT) for adolescents with Tourette's syndrome (TS) and disruptive behavior. METHOD: Twenty-six subjects (24 boys and 2 girls; mean age 12.7 years, SD 0.88) with TS and high levels of disruptive behavior were randomly assigned to ACT or treatment-as-usual (TAU). The parent-rated Disruptive Behavior Rating Scale and the Clinical Global Impression-Improvement Scale rated by the independent evaluator were used as primary outcome measures. RESULTS: All randomized subjects completed end-point evaluation, and all subjects in the ACT group completed 3-month follow-up evaluation. The Disruptive Behavior Rating Scale score decreased by 52% in the ACT group compared with a decrease of 11% in the TAU control group (p <.001). On the Clinical Global Impression-Improvement Scale, the independent evaluator rated 9 (69%) of 13 subjects in the ACT condition as much improved or very much improved compared with 2 (15%) of13 in the TAU condition (p <.01). This reduction of disruptive behavior in the ACT group was well maintained at 3-month follow-up. CONCLUSIONS: Anger control training seems to reduce disruptive behavior in adolescents with TS. Larger trials are needed to confirm these results.Clinical trial registration information-Anger Control Training for Youth With Tourette's Syndrome. URL: http://www.clinicaltrials.gov. Unique identifier: NCT00486551.
机译:目的:评估一次10节课的愤怒控制训练(ACT)对患有图雷特综合症(TS)和破坏性行为的青少年的疗效。方法:将26名患有TS和高水平破坏性行为的受试者(24名男孩和2名女孩;平均年龄12.7岁,SD = 0.88)随机分配至ACT或常规治疗(TAU)。父母评定的破坏行为评定量表和独立评估者评定的临床总体印象改善量表用作主要结局指标。结果:所有随机受试者均完成终点评估,ACT组中的所有受试者均完成了3个月的随访评估。 ACT组的“破坏性行为评估量表”评分下降了52%,而TAU对照组则下降了11%(p <.001)。在临床总体印象改善量表上,独立评估者对ACT状态下的13名受试者中的9名(69%)进行了评估,与之相比,在TAU状态下的13名受试者中的2名(15%)则有很大改善或大大改善(p <.01) 。在3个月的随访中,ACT组的这种破坏性行为的减少得到了很好的维持。结论:愤怒控制训练似乎可以减少TS青少年的破坏性行为。需要更大的试验才能证实这些结果。临床试验注册信息-患有图雷特氏综合症的年轻人的焦虑控制培训。网址:http://www.clinicaltrials.gov。唯一标识符:NCT00486551。

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