TY  - JOUR
PY  - 2014//
TI  - Efficacy of a multimodal treatment for disruptive behavior disorders in children and adolescents: focus on internalizing problems
JO  - Psychiatry research
A1  - Masi, Gabriele
A1  - Milone, Annarita
A1  - Paciello, Marinella
A1  - Lenzi, Francesca
A1  - Muratori, Pietro
A1  - Manfredi, Azzurra
A1  - Polidori, Lisa
A1  - Ruglioni, Laura
A1  - Lochman, John E.
A1  - Muratori, Filippo
SP  - 617
EP  - 624
VL  - 219
IS  - 3
N2  - Disruptive Behavior Disorders (DBDs) are among the most common reasons for youth referrals to mental health clinics. Aim of this study is to compare short and medium term efficacy of a multimodal treatment program (MTP), compared to community care (treatment-as-usual, TAU). The sample included 135 youths with DBDs (113 males, age range 9-15 years, mean age 12±2.5 years) were assigned either to a MTP (n=64), or addressed to community care for a TAU (n=71). Outcome measures were the Child Behaviour Checklist (CBCL) and the Children׳s Global Assessment Scale (C-GAS). All subjects were assessed at the baseline (T0), after 1-year treatment (T1) and after a 2-year follow-up (T2). Compared with patients receiving TAU, youths in the MTP showed, both at T1 and T2, significantly lower scores on CBCL Externalizing Scale, Internalizing Scale, Anxious/Depressed, Social Problems, and Aggressive Behavior, and higher scores at the C-GAS. Improvement in Internalizing Scales was particularly evident, with a shift from the clinical to the non-clinical range. Rate of use of mental health services and scholastic failure were reduced in the MTP. It is suggested that the improvement of the Internalizing symptoms is a crucial component of the therapeutic process in this MTP.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2014.05.048
ID  - ref1
ER  -