Conduct Disorder Clinical Trial
Official title:
Effectiveness of an Anti-bullying Intervention for Adolescent Perpetrators: Using Tools Measuring Brain Function and Structure, Cognition and Behavior.
The investigators recruited school bullying perpetrators from the age of 12 to 17 by referral from the local police department. An anti-bullying intervention based on cognitive-behavioral therapy (CBT) principles was conducted, and addressed issues related to impulse control, empathy and communication enhancement. All participants completed brain magnetic resonance imaging, neurocognitive tests, and questionnaires before and after the intervention.
The present study included previous perpetrators of school bullying who were convicted for a
minor offense, including physical or verbal assaults or theft, and who were referred by the
police to participate in an anti-bullying intervention. The program consisted of 8 sessions
over 4 weeks and was conducted by a board-certified psychiatrist and a therapist with
previous training in psychosocial treatments. The intervention was based on CBT principles
and addressed various factors that have been associated with perpetrators of school
bullying, including impulse control, perspective taking (empathy), and the enhancement of
communication skills.
All participants completed the Korean Kiddie Schedule for Affective Disorders and
Schizophrenia—Present and Lifetime version (K-SADS-PL) administered by board-certified child
and adolescent psychiatrists. The validity and reliability of the original and Korean
versions of the K-SADS-PL have been established. Intelligence quotient (IQ) was measured
using the Korean Educational Developmental Institute's Wechsler Intelligence Scale for
Children.
Prior to and after participation in the program, all participants underwent brain magnetic
resonance imaging (structural and functional) and completed neurocognitive tests that
included the continuous performance test (CPT), the Stroop Word and Color Test, and the
Wisconsin Card Sorting Test (WCST). The parents of the participants completed questionnaires
including the Child Behavior Checklist (CBCL). Written informed consent was obtained from
the parents and the participants after sufficient explanation of the study. The study
protocol was approved by the institutional review board of the Seoul National University
Hospital.
;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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