The primary objective of the present study is to evaluate the effectiveness of the Aggression Replacement Training (ART) on aggression regulation disorder in a forensic psychiatric outpatient setting.A secondary objective is to examine how treatment…
ID
Source
Brief title
Condition
- Impulse control disorders NEC
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The main outcome of aggressive behavior will be the score on the Overt
Aggression Scale-Modified for Outpatient Use (MOAS) and Social Dysfunction and
Aggression Scale (SDAS). The MOAS and SDAS will be completed by different
relevant informants. A decrease of 50% on one of the questionnaires counts as a
response to treatment, a decrease between 20-40% as a partial response and a
decrease below 20% as a non response.
Secondary outcome
During the pre-screening, the MOAS will be completed to examine if the
participant meets the inclusion criteria. To examine if the participant does
meet the inclusion and does not meet the exclusion criteria the M.I.N.I.,
SCID-II, CIDI, PPI, EuropASI and NLV will be completed during the screening.
For the baseline and follow-up measure of the interventions, the IOA will be
conducted to measure social skills. The IPAS, RPQ, AQ, ZAV, SECS and PSAP will
be used to measure the effect of the Anger Control Training. To assess the
moral reasoning, the SRM-AV and HIT will be conducted. In addition,
neurocognitive tasks will be conducted to include how responders and
non-responders profiles relate to forms and correlates of aggressive behaviour.
Background summary
Inappropriate aggressive behavior poses a great burden on society and is the
main reason for referral to a forensic psychiatric setting. Behavioral therapy
like Aggression Replacement Training (ART) has been shown to be effective in
the treatment of aggressive behavior in adolescents. However, little is known
about the effectiveness of ART in adults. The efficacy of these interventions
for aggression need to be examined in relation to specific types of aggressive
behaviors (i.e. reactive vs. proactive).
Study objective
The primary objective of the present study is to evaluate the effectiveness of
the Aggression Replacement Training (ART) on aggression regulation disorder in
a forensic psychiatric outpatient setting.
A secondary objective is to examine how treatment responder and non-responder
profiles relate to contemporary dichotomized forms and correlates of aggressive
behavior (i.e. proactive vs. reactive).
Study design
Randomized controlled multi-centre treatment efficacy study among patients with
aggression regulation disorder in a forensic psychiatric outpatient setting.
Intervention
Patients will be randomly assigned to an ART-intervention group and a control
group. The intervention group receives 18 sessions of ART over a period of 18
to 19 weeks. The control group receives over the same period treatment as usual
(i.e. individual contacts on a regular base that is not related to their
aggression regulation disorder or other treatments). After the control group
have completed this research, they will receive the ART. This data will not be
collected
Study burden and risks
Burdens and risks for participation to this study have been kept to a minimum.
Training (ART) will be given once a week during a 18 to 19 week treatment
phase. All participants will be asked to fill in a number of questionnaires
before treatment phase for the benefit of the main and secondary objectives. At
the endpoint a number of questionnaires will be repeated. The experimental
conditions are similar to clinical practice and the extent of burden for
participants of the study is not significantly other than in clinical practice
except a few more questionnaires. Previous efficacy studies have pointed out
that quality of life of aggressive individuals improves due to these
interventions: less contacts with judicial services or reduction of
convictions, inclusion in work trajectories.
Reinier Postlaan 10
6500 HB Nijmegen
NL
Reinier Postlaan 10
6500 HB Nijmegen
NL
Listed location countries
Age
Inclusion criteria
Meeting DSM-IV criteria for antisocial personality disorder, borderline personality disorder or the integrated research criteria for Intermittent Explosive Disorder (IED-IR):
Exclusion criteria
Lifetime history of (hypo)mania, schizophrenia, or delusional disorder
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| CCMO | NL38040.091.11 |
| OMON | NL-OMON25956 |