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.

Do Not Panic

Do Not Panic

This guide Don't Panic has tips and additional information on what you should do when you are experiencing an anxiety or panic attack. With so much going on in the world today with taking care of your family, working full time, dealing with office politics and other things, you could experience a serious meltdown. All of these things could at one point cause you to stress out and snap.

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