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PSYCH up2date 2015; 9(04): 225-235
DOI: 10.1055/s-0041-101200
Persönlichkeitsstörungen, Impulskontrollstörungen und dissoziative Störungen

Störung des Sozialverhaltens mit fehlenden prosozialen Emotionen

Sind vorliegende Behandlungsprogramme weniger wirksam?
Christina Stadler
,
Linda Kersten
,
Martin Prätzlich
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Kernaussagen

Kinder und Jugendliche mit gestörtem Sozialverhalten und zusätzlich mangelnden prosozialen Emotionen, sog. CU-Eigenschaften, haben meist bezüglich ihrer Störung einen schweren Verlauf und eine ungünstige Prognose. Diese Patientengruppe ist jedoch nicht unbehandelbar, wie zahlreiche Untersuchungen in dieser Patientengruppe mit verschiedenen, bereits bestehenden Interventionen zeigen. Liegt im Kindesalter der Fokus noch mehr auf der Verbesserung der Eltern-Kind-Beziehung und bei Elterntrainingsprogrammen, so zeigen bei älteren Kindern und Jugendlichen multisystemische Therapieformen und Gruppentrainingsprogramme, die an einer Förderung emotionaler Kompetenzen und Problemlösestrategien ansetzen, Wirksamkeit. Zusätzlich ist wichtig, die Motivation für die Therapie zu fördern und die ganze Familie in die Behandlung einzuschließen sowie die einzelnen Versorgungssysteme zu vernetzen.



Publication History

Publication Date:
17 July 2015 (online)

© Georg Thieme Verlag KG
Stuttgart · New York

 

  • Literatur

  • 1 Kretschmer T, Hickman M, Doerner R. et al. Outcomes of childhood conduct problem trajectories in early adulthood: findings from the ALSPAC study. Eur Child Adolescent Psychiatry 2014; 23: 539-549
    Google Scholar
  • 2 Maughan B, Rowe R, Messer J. et al. Conduct disorder and oppositional defiant disorder in a national sample: Developmental epidemiology. J Child Psychol Psychiatry, and Allied Disciplines 2004; 45: 609-621
    Google Scholar
  • 3 Odgers CL, Caspi A, Broadbent JM. et al. Prediction of differential adult health burden by conduct problem subtypes in males. Arch General Psychiatry 2007; 64: 476-484
    Google Scholar
  • 4 Odgers CL, Milne BJ, Caspi A. et al. Predicting prognosis for the conduct-problem boy: Can family history help?. J Am Acad Child Adolescent Psychiatry 2007; 46: 1240-1249
    Google Scholar
  • 5 Scott S, O’Connor TG. An experimental test of differential susceptibility to parenting among emotionally-dysregulated children in a randomized controlled trial for oppositional behavior. J Child Psychol Psychiatry, and Allied Disciplines 2012; 53: 1184-1193
    Google Scholar
  • 6 Fairchild G, Hagan CC, Walsh ND. et al. Brain structure abnormalities in adolescent girls with conduct disorder. J Child Psychol Psychiatry 2013; 54: 86-95
    Google Scholar
  • 7 Frick PJ, Cornell AH, Barry CT. et al. Callous-unemotional traits and conduct problems in the prediction of conduct problem severity, aggression, and self-report of delinquency. J Abnormal Child Psychol 2003; 31: 457-470
    Google Scholar
  • 8 Viding E, McCrory EJ. Genetic and neurocognitive contributions to the development of psychopathy. Development Psychopathol 2012; 124: 969-983
    Google Scholar
  • 9 Larsson H, Viding E, Rijsdijk FV. et al. Relationships between parental negativity and childhood antisocial behavior over time: A bidirectional effects model in a longitudinal genetically informative design. J Abnormal Child Psychol 2008; 36: 633-645
    Google Scholar
  • 10 Blair RJR, Peschardt KS, Budhani S. et al. The development of psychopathy. J Child Psychol Psychiatry 2006; 47: 262-275
    Google Scholar
  • 11 De Brito SA, Mechelli A, Wilke M. et al. Size matters: increased grey matter in boys with conduct problems and callous-unemotional traits. Brain 2009; 132: 843-852
    Google Scholar
  • 12 Stadler C. Störungen des Sozialverhaltens. Z Kinder- Jugendpsychiatrie Psychother 2014; 42: 177-184
    Google Scholar
  • 13 Dadds MR, Jambrak J, Pasalich D. et al. Impaired attention to the eyes of attachment figures and the developmental origins of psychopathy. J Child Psychol Psychiatry 2011; 52: 238-245
    Google Scholar
  • 14 Frick PJ, Ray JV, Thornton LC. et al. Can callous-unemotional traits enhance the understanding, diagnosis, and treatment of serious conduct problems in children and adolescents? A comprehensive review. Psychol Bulletin 2014; 140: 1-57
    Google Scholar
  • 15 Frick PJ, Ray JV, Thornton LC. et al. Annual Research Review: A developmental psychopathology approach to understanding callous-unemotional traits in children and adolescents with serious conduct problems. J Child Psychol Psychiatry 2014; 55: 532-548
    Google Scholar
  • 16 Herpers PCM, Rommelse NNJ, Bons DMA. et al. Callous-unemotional traits as a cross-disorders construct. Social Psychiatry Psychiatric Epidemiol 2012; 47: 2045-2064
    Google Scholar
  • 17 Murray J, Farrington DP. Risk factors for conduct disorder and delinquency: key findings from longitudinal studies. Can J Psychiatry/Revue Canadienne de Psychiatrie 2010; 55: 633-642
    Google Scholar
  • 18 Schlack R, Holling H, Erhart M. et al. Parental psychopathology, aggression, and depression in children and adolescents. Kindheit und Entwicklung 2010; 19: 228-238
    Google Scholar
  • 19 Olsson M, Hansson K, Cederblad M. A long-term follow-up of conduct disorder adolescents into adulthood. Nordic J Psychiatry 2006; 60: 469-479
    Google Scholar
  • 20 Van Ryzin MJ, Leve LD. Affiliation with delinquent peers as a mediator of the effects of multidimensional treatment foster care for delinquent girls. J Consulting Clin Psychol 2012; 80: 588
    Google Scholar
  • 21 Waschbusch DA, Carrey NJ, Willoughby MT. et al. Effects of methylphenidate and behavior modification on the social and academic behavior of children with disruptive behavior disorders: The moderating role of callous/unemotional traits. J Clin Child Adolescent Psychol 2007; 36: 629-644
    Google Scholar
  • 22 Kolko DJ, Pardini DA. ODD dimensions, ADHD, and callous-unemotional traits as predictors of treatment response in children with disruptive behavior disorders. J Abnormal Psychol 2010; 119: 713
    Google Scholar
  • 23 Hawes DJ, Dadds MR. The treatment of conduct problems in children with callous-unemotional traits. J Consulting Clin Psychol 2005; 73: 737-741
    Google Scholar
  • 24 Somech LY, Elizur Y. Promoting self-regulation and cooperation in pre-kindergarten children with conduct problems: A randomized controlled trial. J Am Acad Child Adolescent Psychiatry 2012; 51: 412-422
    Google Scholar
  • 25 McDonald R, Dodson MC, Rosenfield D. et al. Effects of a parenting intervention on features of psychopathy in children. J Abnormal Child Psychol 2011; 39: 1013-1023
    Google Scholar
  • 26 Dadds MR, Cauchi AJ, Wimalaweera S. et al. Outcomes, moderators, and mediators of empathic-emotion recognition training for complex conduct problems in childhood. Psychiatry Res 2012; 199: 201-207
    Google Scholar
  • 27 Manders WA, Dekovic M, Asscher JJ. et al. Psychopathy as predictor and moderator of multisystemic therapy outcomes among adolescents treated for antisocial behavior. J Abnormal Child Psychol 2013; 41: 1121-1132
    Google Scholar
  • 28 Butler S, Baruch G, Hickey N. et al. A randomized controlled trial of multisystemic therapy and a statutory therapeutic intervention for young offenders. J Am Acad Child Adolescent Psychiatry 2011; 50: 1220-1235
    Google Scholar
  • 29 White SF, Frick PJ, Lawing K. et al. Callous unemotional traits and response to functional family therapy in adolescent offenders. Behav Sci Law 2013; 31: 271-285
    Google Scholar
  • 30 Hawes DJ, Price MJ, Dadds MR. Callous-unemotional traits and the treatment of conduct problems in childhood and adolescence: A comprehensive review. Clin Child Family Psychol Rev 2014; 17: 248-267
    Google Scholar
  • 31 NICE. Antisocial behaviour and conduct disorders in children and young people: recognition, intervention and management. Im Internet: Accessed April 30, 2015 at: https://www.nice.org.uk/guidance/cg158/chapter/1-recommendations
    Google Scholar
  • 32 Henggeler SW, Sheidow AJ. Empirically supported family-based treatments for conduct disorder and delinquency in adolescents. J Marital Family Ther 2012; 38: 30-58
    Google Scholar
  • 33 Baldwin SA, Christian S, Berkeljon A. et al. The effects of family therapies for adolescent delinquency and substance abuse: A meta-analysis. J Marital Family Ther 2012; 38: 281-304
    Google Scholar
  • 34 Rhiner B, Graf T, Dammann G. et al. Multisystemic therapy (MST) for adolescents with severe conduct disorders in German-speaking Switzerland-implementation and first results. Z Kinder Jug-Psych 2011; 39: 33-39
    Google Scholar
  • 35 Candelaria AM, Fedewa AL, Ahn S. The effects of anger management on children’s social and emotional outcomes: A meta-analysis. School Psychol Int 2012; 33: 596-614
    Google Scholar
  • 36 Schmid M. Psychische Gesundheit von Heimkindern. Eine Studie zur Prävalenz psychischer Störungen in der stationären Jugendhilfe. Weinheim: Juventa; 2007
    Google Scholar
  • 37 Schmid M. Psychisch belastete Kinder in der Heimerziehung eine kooperative Herausforderung. In: Integras, Hrsg. Leitfaden Fremdplatzierung. Zürich: Integras; 2013: 142-160
    Google Scholar
  • 38 Vermeiren R, Deboutte D, Ruchkin V. et al. Antisocial behaviour and mental health – findings from three communities. Eur Child Adolescent Psychiatry 2002; 11: 168-175
    Google Scholar
  • 39 Petrosino A, Buehler J, Turpin-Petrosino C. Scared straight and other juvenile awareness programs for preventing juvenile delinquency: A systematic review. Campbell Systematic Reviews 2013; 9
    Google Scholar
  • 40 De Swart J, Van den Broek H, Stams G. et al. The effectiveness of institutional youth care over the past three decades: A meta-analysis. Children Youth Services Rev 2012; 34: 1818-1824
    Google Scholar
  • 41 Shelton D, Kesten K, Zhang W. et al. Impact of a dialectic behavior therapy – corrections modified (DBT-CM) upon behaviorally challenged incarcerated male adolescents. J Child Adolescent Psychiatric Nursing 2011; 24: 105-113
    Google Scholar
  • 42 Lahey BB, Waldman ID. Annual research review: phenotypic and causal structure of conduct disorder in the broader context of prevalent forms of psychopathology. J Child Psychol Psychiatry 2012; 53: 536-557
    Google Scholar
  • 43 Cunningham RM, Chermack ST, Zimmerman MA. et al. Brief motivational interviewing intervention for peer violence and alcohol use in teens: one-year follow-up. Pediatrics 2012; 129: 1083-1090
    Google Scholar