Efficacy Conduct disorder

Several randomized controlled studies have found benefits from cognitive-behavioural interventions with conduct-disordered or aggressive children. For example, Kazdin et al.(47) used a 20-session problem-solving skills programme with psychiatric inpatient children. Compared with two control conditions, the intervention led to significant reductions in parents' and teachers' ratings of aggressive behaviour after treatment and at 1-year follow-up. These results were replicated in two other randomized studies of problem-solving training by the same research group.(3 48> Other groups, too, have found that CBT has significant beneficial effects on antisocial behaviour that persist at 1-year follow-up.(49)

Since conduct disorders are notoriously difficult to treat, these results are very encouraging. Nevertheless, several limitations need to be borne in mind. (32) First, some children with conduct disorder do not respond to CBT. Children with comorbid diagnoses, poor peer relationships, or who come from dysfunctional families seem to be less likely to respond. Such children may do better with combination treatments such as multisystemic therapy, which seems to be effective in severely impaired cases.(59 Second, the clinical significance of the changes found in these studies is unclear. (32) Many children still have some conduct problems after treatment.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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