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This study compared the effectiveness of Mode Deactivation Therapy (MDT) to Treatment As Usual (TAU) for adolescent residential patients with conduct and personality disorders. Assessments before and after treatment found MDT significantly reduced aggressive behavior, therapeutic holds, depression, and suicidal ideation more than TAU. MDT led to a 70.7% decrease in holds and 66.8% reduction in aggression compared to 24.7% and 27.9% for TAU. The results suggest MDT is more effective than TAU for treating conduct disorders in adolescents.
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Online presentation Alexis Hohne
- 1. Murphy, C. J., & Siv, A. M. (2011). A one year study of mode deactivation therapy: Adolescent residential patients with conduct and personality disorders. International Journal Of Behavioral Consultation And Therapy, 7(1), 33- 40. A ONE YEAR STUDY OF MODE DEACTIVATION THERAPY: ADOLESCENT RESIDENTIAL PATIENTS WITH CONDUCT AND PERSONALITY DISORDERS Alexis Hohne
- 2. Mode Deactivation Therapy is more effective than Treatment As Usual Based on Pretest and Posttest Assessments of Behavior Depression symptoms Suicidal thoughts Aggressive behavior HYPOTHESIS
- 3. Prolonged pattern of antisocial behavior Failure to follow rules and laws Ignore or go against social norms Lack of empathy 1-10% of youth CONDUCT DISORDER
- 4. Mindfulness exercises Awareness of fears and triggers New coping strategies Cognitive Behavioral Therapy Changes in bad thoughts not bad thinking Make beliefs more realistic Dialectical Behavior Therapy Offer alternatives to bad behaviors MODE DEACTIVATION THERAPY
- 5. Daily psychotherapy Individual – once a week Teaching social skills Psychodynamic Behavior is unconscious Finding & Fixing TREATMENT AS USUAL
- 6. HOW DO WE MEASURE IT?
- 7. Physical aggression Average number of incidents during first 2 months Behavior Incident Reports Child Behavior Checklist Internalizing Externalizing Total Beck Depression Inventory Suicide Ideation Questionnaire PRETEST
- 8. Physical aggression Average number of incidents 2 months after discharge Child Behavior Checklist Internalizing Externalizing Total Beck Depression Inventory Suicide Ideation Questionnaire POSTTEST
- 9. MDT 70.7% decrease in post-treatment therapeutic holds! 66.8% reduction in physical aggression Lower scores on all CBCL Depression – difference of 24.3 Suicidal Ideation – difference of 50 TAU 24.7% reduction in therapeutic holds 27.9% reduction in physical aggression Depression – difference of 14.1 Suicidal Ideation – difference of 42.43 RESULTS
- 10. Mode Deactivation Therapy works better on adolescents with conduct disorder than Treatment As Usual WHAT DOES THIS MEAN?
- 11. Further studies can be done Conduct disorder can be treated 23-83% of youth in juvenile detention centers SO WHAT?
- 12. Murphy, C. J., & Siv, A. M. (2011). A one year study of mode deactivation therapy: Adolescent residential patients with conduct and personality disorders. International Journal Of Behavioral Consultation And Therapy, 7(1), 33-40. REFERENCE