Juvenile maladaptive aggression: a review of prevention, treatment, and service configuration and a proposed research agenda

Daniel F Connor; Gabrielle A Carlson; Kiki D Chang; Peter T Daniolos; Reuven Ferziger; Robert L Findling; Janice G Hutchinson; Richard P Malone; Jeffrey M Halperin; Belinda Plattner; Robert M Post; Diane L Reynolds; Kenneth M Rogers; Kirti Saxena; Hans Steiner; Stanford/Howard/AACAP Workgroup on Juvenile Impulsivity and Aggression

doi:10.4088/JCP.v67n0516

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Juvenile maladaptive aggression: a review of prevention, treatment, and service configuration and a proposed research agenda

Journal article

Peer reviewed

Juvenile maladaptive aggression: a review of prevention, treatment, and service configuration and a proposed research agenda

Daniel F Connor, Gabrielle A Carlson, Kiki D Chang, Peter T Daniolos, Reuven Ferziger, Robert L Findling, Janice G Hutchinson, Richard P Malone, Jeffrey M Halperin, Belinda Plattner, …

The journal of clinical psychiatry, Vol.67(5), pp.808-820

05/2006

DOI: 10.4088/JCP.v67n0516

PMID: 16841631

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Abstract

To review prevention programs, psychosocial and psychopharmacologic treatments, and service delivery configurations for children and adolescents with maladaptive aggression. To propose a research agenda for disorders of aggression in child and adolescent psychiatry. Recent empirical studies were reviewed using searches of MEDLINE and PsycINFO (text terms: aggression, antisocial, violence, conduct, oppositional, psychosocial treatment, psychopharmacology, and prevention), relevant books, review articles, and bibliographies. Articles met the following criteria: published in an English-language, peer-reviewed journal between 1980 and 2005, included a focus on individuals < 18 years old, and included an outcome measure of relevant significance. Results of 154 randomized, controlled psychosocial treatment trials, 20 controlled psychopharmacology studies, 4 open-label medication studies, and 2 psychopharmacology meta-analyses were reviewed. Prevention programs show promise for reducing future aggression in at-risk populations. Empirical support is available for the effectiveness of multifocused psychosocial treatments in reducing aggression in children and adolescents. Atypical antipsychotics, lithium, divalproex sodium, and stimulants for conduct problems associated with attention-deficit/hyperactivity disorder have empirical support for reducing aggression in selected patient populations. Therapeutic nihilism in the treatment of aggressive children and adolescents with conduct problems is no longer warranted. Multifocused psychosocial interventions given early in life to at-risk children have the most support for effectiveness. However, treatments for children who routinely present to the child psychiatrist with already well-established disorders of aggression are neither robust nor well-established. Further research into maladaptive aggression in referred children and adolescents within and across psychiatric diagnoses is important for the field of child and adolescent psychiatry.

Family Therapy

Juvenile Delinquency - prevention & control

Age Factors

Humans

Juvenile Delinquency - psychology

Attention Deficit and Disruptive Behavior Disorders - prevention & control

Clinical Protocols

Child, Preschool

Aggression - psychology

Psychotropic Drugs - therapeutic use

Conduct Disorder - prevention & control

Conduct Disorder - psychology

Central Nervous System Stimulants - therapeutic use

Attention Deficit Disorder with Hyperactivity - therapy

Patient Care Team - organization & administration

Attention Deficit and Disruptive Behavior Disorders - therapy

Conduct Disorder - therapy

Psychotherapy - methods

Adult

Attention Deficit and Disruptive Behavior Disorders - psychology

Child

Risk Factors

Violence - prevention & control

Attention Deficit Disorder with Hyperactivity - prevention & control

Treatment Outcome

Violence - psychology

Adolescent

Attention Deficit Disorder with Hyperactivity - psychology

Aggression - drug effects

Research Design

Patient Education as Topic - methods

Details

Title: Subtitle: Juvenile maladaptive aggression: a review of prevention, treatment, and service configuration and a proposed research agenda
Creators: Daniel F Connor - Department of Psychiatry/MC1410, University of Connecticut Health Center, Farmington 06030-1410, USA. connor@psychiatry.uchc.edu
Gabrielle A Carlson
Kiki D Chang
Peter T Daniolos
Reuven Ferziger
Robert L Findling
Janice G Hutchinson
Richard P Malone
Jeffrey M Halperin
Belinda Plattner
Robert M Post
Diane L Reynolds
Kenneth M Rogers
Kirti Saxena
Hans Steiner
Stanford/Howard/AACAP Workgroup on Juvenile Impulsivity and Aggression
Resource Type: Journal article
Publication Details: The journal of clinical psychiatry, Vol.67(5), pp.808-820
DOI: 10.4088/JCP.v67n0516
PMID: 16841631
ISSN: 0160-6689
eISSN: 1555-2101
Language: English
Date published: 05/2006
Academic Unit: Psychiatry
Record Identifier: 9984083251002771

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