Treatment responsivity of aggressive forensic psychiatric outpatients

Autor: Jan K. Buitelaar, Robbert-Jan Verkes, Erik Bulten, Danique Smeijers
Rok vydání: 2018
Předmět:
Adult
Male
medicine.medical_specialty
Patient Dropouts
Treatment adherence
Stress-related disorders Donders Center for Medical Neuroscience [Radboudumc 13]
Pathology and Forensic Medicine
Anger Control
Experimental Psychopathology and Treatment
Social Skills
03 medical and health sciences
All institutes and research themes of the Radboud University Medical Center
0302 clinical medicine
Arts and Humanities (miscellaneous)
Social skills
Outpatients
medicine
Humans
Psychiatry
Aggression replacement training
aggressive behavior
Applied Psychology
Dropout (neural networks)
forensic psychiatric patients
0505 law
Netherlands
Neurodevelopmental disorders Donders Center for Medical Neuroscience [Radboudumc 7]
treatment
business.industry
Aggression
responsivity
Mental Disorders
05 social sciences
Cognition
Articles
Forensic Psychiatry
030227 psychiatry
Forensic science
050501 criminology
Anger Management Therapy
Female
medicine.symptom
business
Zdroj: International Journal of Offender Therapy and Comparative Criminology, 62, 3834-3852
International Journal of Offender Therapy and Comparative Criminology
International Journal of Offender Therapy and Comparative Criminology, 62, 12, pp. 3834-3852
ISSN: 0306-624X
DOI: 10.1177/0306624X17747052
Popis: Contains fulltext : 194468.pdf (Publisher’s version ) (Open Access) Aggression replacement training (ART) is widely used to reduce aggression. Results regarding its effectiveness, however, are inconclusive regarding adults and specific populations displaying severe aggression. The current open uncontrolled treatment study aimed at assessing the social skills and anger control modules of the ART to reduce aggression in forensic psychiatric outpatients (FPOs). Furthermore, characteristics associated with treatment outcome and dropout were examined. The results suggested that aggression changed during the ART. In addition, higher baseline levels of trait aggression were associated with greater reductions of aggression, whereas more cognitive distortions were associated with less reduction. Treatment dropouts were characterized by higher levels of psychopathic traits, proactive aggression, and more weekly substance use. As there was a considerable amount of dropout; it is important to assess risk of dropping out of treatment and, subsequently, improve treatment motivation. This might enhance treatment adherence which may lead to a more successful reduction of aggression. 19 p.
Databáze: OpenAIRE