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Goertz-Dorten A, Dose C, Hofmann L, Katzmann J, Groth M, Detering K, Hellmann A, Stadler L, Braun B, Hellmich M, Doepfner M. Effects of Computer-Assisted Social Skills Training in Children With Disruptive Behavior Disorders: A Randomized Controlled Trial. J Am Acad Child Adolesc Psychiatry 2022; 61:1329-1340. [PMID: 35398192 DOI: 10.1016/j.jaac.2022.03.027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 02/07/2022] [Accepted: 03/25/2022] [Indexed: 11/24/2022]
Abstract
OBJECTIVE Computer-assisted child-focused interventions are expected to improve efficiency and personalization of therapist-led treatments for children and adolescents. However, therapist-led, outpatient interventions using computer assistance are lacking for children with oppositional defiant disorder (ODD) or conduct disorder (CD). The present randomized controlled trial examined the efficacy of individualized computer-assisted social skills training for children with aggressive behavior compared to a resource activation intervention. METHOD A total of 100 children aged 6-12 years with a diagnosis of ODD/CD and peer-related aggression were randomly (1:1) assigned to either individually delivered computer-assisted social skills training (ScouT) or an individually delivered supportive resource activation treatment (STARK). The primary outcome was parent-rated peer-related aggression, assessed with the respective scale of the Questionnaire for Aggressive Behavior of Children (FAVK) and measured at pre-assessment and after the 16-week intervention (post-assessment). Further parent-, self-, teacher- and/or clinician-rated outcomes included ODD and CD symptoms, a wide range of behavioral and emotional symptoms, callous-unemotional traits, functional impairment, and quality of life. RESULTS After correcting for multiple testing, analyses of covariance comparing the efficacy of ScouT to the efficacy of STARK yielded small to moderate treatment effects in favor of the ScouT condition regarding parent-rated peer-related aggression (primary outcome; d = -0.64, 95% CI = -1.05, -0.24), parent-rated callous and uncaring traits, and parent-rated quality of life. However, the analyses did not reveal any significant effects for self- or teacher-rated peer-related aggression assessed with the respective scale of the FAVK (self-report: d = -0.21, 95% CI = -0.69, 0.29; teacher rating: d = -0.17, 95% CI = -0.56, 0.22). Moreover, after controlling for multiple comparisons, no significant effects emerged for the following: parent-, self-, and teacher-rated adult-related aggression; parent-, self-, teacher-, and clinician-rated ODD and CD symptoms; parent-, self-, and teacher-rated emotional and behavioral symptoms; and parent-rated functional impairment. CONCLUSION According to parent ratings, school-age children with disruptive behavior disorders and peer-related aggression seem to benefit more from individualized, computer-assisted social skills training than from resource activation treatment. However, this conclusion is limited by the missing effects on the clinician-, self-, and teacher-rated measures. CLINICAL TRIAL REGISTRATION INFORMATION Treatment of Children With Peer Related Aggressive Behavior (ScouT); https://clinicaltrials.gov/; NCT02143427.
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Fukuyama K, Matsuzawa K, Hubbard SL, Dirks P, Rulka JT, Maisuzawa K, Hubbard SL, Rutka JT, Del Maestro RF, Vaithilingam IS, McDonald W, Weiss JB, Mikkelsen T, Kohn E, Nclson K, Rosenblum ML, Guha A, Shamah S, Stiles C, Dooley NP, Baltuch GH, Roslworowski M, Villemure JG, Yong VW, Baltuch G, Rostworowski M, Couldwell WT, Hinton DR, Weiss MH, Law R, Couldwell WT, Hinton DR, Law R, Weiss MH, Piepmeier JM, Pedersen PE, Greer CA, Dirks PB, Hubbard SL, Taghian A, Budach W, Freeman J, Gioioso D, Suit HD, Turner J, Barron G, Zia P, Wong CS, Van Dyk J, Milosevic M, Laperriere NJ, Myles ST, Lauryssen C, Shaw EG, Scheithauer BW, Suman V, Katzmann J, Preul M, Shenouda G, Langleben A, Arnold D, Watling C, van Meyel D, Ramsay D, Cairncross G, Bahary JP, Wainer I, Pollak M, Leyland-Jones B, Tsatoumas A, Choi A, Rosenfeld SS, Gillespie GY, Gladson CL, Drake JM, Hoffman HJ, Humphreys RP, Holowka S, Fullon DS, Urtasun RC, Hamilton MG, Beals S, Joganic E, Spetzler R, Buckner JC, Schaefer PL, Dinapolit RP, O'Fallon JR, Burch PA, Chandler CL, Hopkins K, Coakham HB, Bullimore J, Kemshead JT, Bernstein M, Laperriere N, MeKenzie S, Glen J, Lee D, Macdonald D, et alFukuyama K, Matsuzawa K, Hubbard SL, Dirks P, Rulka JT, Maisuzawa K, Hubbard SL, Rutka JT, Del Maestro RF, Vaithilingam IS, McDonald W, Weiss JB, Mikkelsen T, Kohn E, Nclson K, Rosenblum ML, Guha A, Shamah S, Stiles C, Dooley NP, Baltuch GH, Roslworowski M, Villemure JG, Yong VW, Baltuch G, Rostworowski M, Couldwell WT, Hinton DR, Weiss MH, Law R, Couldwell WT, Hinton DR, Law R, Weiss MH, Piepmeier JM, Pedersen PE, Greer CA, Dirks PB, Hubbard SL, Taghian A, Budach W, Freeman J, Gioioso D, Suit HD, Turner J, Barron G, Zia P, Wong CS, Van Dyk J, Milosevic M, Laperriere NJ, Myles ST, Lauryssen C, Shaw EG, Scheithauer BW, Suman V, Katzmann J, Preul M, Shenouda G, Langleben A, Arnold D, Watling C, van Meyel D, Ramsay D, Cairncross G, Bahary JP, Wainer I, Pollak M, Leyland-Jones B, Tsatoumas A, Choi A, Rosenfeld SS, Gillespie GY, Gladson CL, Drake JM, Hoffman HJ, Humphreys RP, Holowka S, Fullon DS, Urtasun RC, Hamilton MG, Beals S, Joganic E, Spetzler R, Buckner JC, Schaefer PL, Dinapolit RP, O'Fallon JR, Burch PA, Chandler CL, Hopkins K, Coakham HB, Bullimore J, Kemshead JT, Bernstein M, Laperriere N, MeKenzie S, Glen J, Lee D, Macdonald D, Sneed PK, Gulin PG, Larson DA, McDermott MW, Prados MD, Wara WM, Weaver KA, Gaspar L, Zamorano L, Garcia L, Shamsa F, Warmelink C, Yakar D, Espinosa JA, Souhami L, Caron JL, Olivier A, Podgorsak EB, Lindquist C, Loeffler JS, Lunsford LD, Newton HB, Kotur MD, Papp AC, Prior TW, Roosen N, Chopra R, Windham J, Parliament M, Franko A, Mielke B, Feindel W, Tampieri D, Mechtler LL, Wilheim-Leitch S, Shin K, Kinkel WR, Hammoud MA, Sawaya R, Shi W, Thall PP, Leeds N, Patel M, Truax B, Kinkel P, Cheng TM, O'Ncill BP, Piepgras DG, Frost PJ, Simpson WJS, Payne DG, Pintilie M, Ramsay DA, Bonnin J, Macdonald DR, Assis L, Villemurel JG, Choi S, Leblancl R, Olivieri A, Bertrandl G, Hazel J, Grand W, Plunkett R, Munschauer F, Ostrow P, Mcchtler L, Meckling S, Dold O, Forsyth P, Brasher P, Hagen N, Hudson LP, Cooke AL, Muller PJ, Tucker W, Moulton R, Cusimano M, Bilbao J, Pahapill PA, Sibala C, West C, Fisher B, Pexman W, Taylor J, Lee T, McKenzie SW, Zengmin T, Zonghui L, Kirby S, Fisher BJ, Stewart DJ, Roa W, McClean B, Buckney S, Halls S, Richardson S, Wilson BC, Whitton AC, Borr RD, Rhydderch H, Case T, Feeny D, Furlong W, Torrance GW. Abstracts of the 6th Canadian Neuro-Oncology Meeting May 18–21, 1994 Lake Louise, Alberta. J Neurooncol 1994. [DOI: 10.1007/bf01306460] [Show More Authors] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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