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Effectiveness of an emotion focused cognitive-behavioral therapy (ECBT) program for externalizing disorders in children and adolescents : clinical profile

Published online by Cambridge University Press:  01 September 2022

N. Arfaoui ,
M. Hajri ,
Z. Abbes ,
S. Halayem  and
A. Bouden
N. Arfaoui*
Affiliation:
Razi Hospital, Child And Adolescent Psychiatry, Tunis, Tunisia
M. Hajri
Affiliation:
Razi Hospital, Child And Adolescent Psychiatry, Manouba, Tunisia
Z. Abbes
Affiliation:
Razi Hospital, Child And Adolescent Psychiatry, Manouba, Tunisia
S. Halayem
Affiliation:
Razi Hospital, Child And Adolescent Psychiatry, manouba, Tunisia
A. Bouden
Affiliation:
Razi hospital, Child And Adolescent Psychiatry, manouba, Tunisia
*
*Corresponding author.

Abstract

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Introduction

Externalizing disorders involve undercontrolled, impulsive, or aggressive behavior. Included in this category are Conduct Disorder, Oppositional Defiant Disorder, and Attention deficit hyperactivity. Difficulties with emotion regulation are a core feature of externalizing disorders in children and adolescents. Yet, no studies to date have compared the relative efficacy of an ECBT program in this population.

Objectives

to investigate the effectiveness of an ECBT inspired program in children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD), Conduct Disorder (CD) and Oppositional Defiant Disorder (ODD)

Methods

We conducted an experimental study with a pretest posttest design and a control group. 50 subjects with either ADHD, ODD or CD were selected and assigned to the experimental and control group. 25 patients ages 9–18 (13 boys, 12 girls) were enrolled in the ECBT-inspired program with 19 completing treatment. Comparison of pre- and post-test results for each sub-group was performed using the Wilcoxon test.

Results

showed that youths in the ADHD and ODD groups demonstrated a significant reduction in externalizing behavior problems measured by the Child Behavior Checklist (CBCL). In terms of emotional regulation, only the group of patients with ODD showed a significant improvement in the cognitive reappraisal subscale of the emotional regulation questionnaire(ERQ- CA ). Only in the ODD group, significant improvement was found in the identification and external oriented thniking subscale scores of the alexithymia questionnaire for children (AQC).

Conclusions

Such comparisons are necessary to determine the clinical profile of patients who might most benefit from such an intervention.

Disclosure

No significant relationships.

Keywords

clinicalexternalizing behaviorsemotion regulation
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S441
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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