Influence of Treatment for Disruptive Behavior Disorders on Adrenal and Gonadal Hormones in Youth

被引:11
作者
Dorn, Lorah D. [1 ,3 ]
Kolko, David J. [4 ]
Shenk, Chad E. [2 ,3 ]
Susman, Elizabeth J. [5 ]
Bukstein, Oscar [6 ]
机构
[1] Cincinnati Childrens Hosp Med Ctr, Div Adolescent Med, Cincinnati, OH 45229 USA
[2] Cincinnati Childrens Hosp Med Ctr, Div Behav Med & Clin Psychol, Cincinnati, OH 45229 USA
[3] Univ Cincinnati, Coll Med, Cincinnati, OH 45221 USA
[4] Univ Pittsburgh, Sch Med, Western Psychiat Inst & Clin, Pittsburgh, PA 15260 USA
[5] Penn State Univ, Dept Biobehav Hlth, University Pk, PA 16802 USA
[6] Univ Texas Hlth Sci Ctr Houston, Dept Psychiat & Behav Sci, Houston, TX USA
关键词
OPPOSITIONAL-DEFIANT DISORDER; DELINQUENT MALE-ADOLESCENTS; LOW SALIVARY CORTISOL; ANTISOCIAL-BEHAVIOR; YOUNG ADOLESCENTS; CONDUCT DISORDER; AGGRESSIVE-BEHAVIOR; SOCIAL-DOMINANCE; DIURNAL CORTISOL; PREVENTIVE INTERVENTIONS;
D O I
10.1080/15374416.2011.581614
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The study examined whether psychosocial intervention for children diagnosed with a disruptive behavior disorder (DBD; n - 84) changed concentrations of cortisol and testosterone across a 3-year follow-up when compared to a matched, nonclinical, healthy comparison (HC; n=69) group. Boys and girls (6-11 years) with a DBD were randomly assigned to one of two arms of a multimethod intervention. Hierarchical linear modeling revealed that children undergoing psychosocial intervention for a DBD experienced a significant decline in diurnal cortisol change over time (p<.05) when compared to the HC condition. Boys with a DBD diagnosis had significantly lower mean cortisol concentrations prior to treatment (p<.05) and showed a significantly steeper increase in mean cortisol over time (p<.05) when compared to HC boys. Treatment effects for diurnal cortisol change were replicated in the boys-only analysis. No treatment effects were noted for testosterone in either analysis.
引用
收藏
页码:562 / 571
页数:10
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