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
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
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