GROUP DEVIANCE, GROUP LEADERSHIP, AND TEEN AOD OUTCOMES

群体偏差、群体领导力和青少年 AOD 结果

• 批准号: 6953092
• 负责人: MARK J MACGOWAN
• 金额: $ 14.05万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-29 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6953092
• 关键词: adolescence (12-20); audiotape; behavior modification; behavioral /social science research tag; child psychology; data collection methodology /evaluation; gender difference; group counseling; group therapy; human data; human therapy evaluation; interpersonal relations; leadership; longitudinal human study; meta analysis; negative reinforcements; oppositional defiant disorder; outcomes research; peer group; psychological reinforcement; questionnaires; social behavior disorders; social group process

DESCRIPTION (provided by applicant): Group therapy is the most popular form of treatment for AOD problems and there are many reports of its beneficial effects. Yet some research has reported negative effects. Specifically, studies have found that aggregating youth with conduct disorder (CD) created environments in which youth exhibited negative behavior that was positively reinforced by other group members (i.e., "deviancy training"). Other studies have suggested that antisocial behavior and deviancy training also were affected by group leader behaviors. These findings suggest that while (a) CD group composition, (b) member-reinforced disruptive behavior in groups, and (c) leadership behavior may have independent effects on outcomes, they likely interact to produce diverse outcomes. This exploratory/developmental study (R-21) will examine the influence of CD group composition (i.e., proportion of CD among group members), disruptive behavior in group (i.e., antisocial behavior and deviancy training), and group leader behaviors (i.e., negative and positive) on changes in AOD use over t me. This study tests whether the interactions of group leader behaviors with group disruptive behavior mediate changes in the trajectory of AOD behaviors over sessions and through follow-up. Data derive from a recently completed NIAAA clinical trial that involved 122 youths randomly assigned to 21 groups using the Westchester Model Student Assistance Program protocol. In the proposed study, trained evaluators will review audio tapes and transcripts of each group session to assess group leader behaviors and disruptive behavior. This research is important because: (1) it will identify the factors that contribute to iatrogenic effects to help inform the development of effective group treatment approaches; (2) it incorporates the best representation of factors thought to contribute to iatrogenic effects, and applies them to AOD group treatment; (3) it incorporates statistical methods to understand the independent, combined, and longitudinal influences of composition, disruptive behavior, and leader behaviors, on outcomes; and (4) it will make recommendations about the compositional mix of treatment groups of youths with CD, and what leader behaviors reduce disruptive group behavior. We believe this research is innovative and significant in its approach to understanding factors influencing group treatment effectiveness, and ultimately will improve clinical approaches to adolescents with AOD problems.

描述（由申请人提供）： 小组疗法是针对AOD问题的最流行的治疗形式，并且有许多有关其有益作用的报道。然而，一些研究报告了负面影响。具体而言，研究发现，汇总的行为障碍青年（CD）创造了环境，在这种环境中，青年表现出负面行为，而其他小组成员则积极加强了（即“魔术训练”）。其他研究表明，反社会行为和恶化训练也受到群体领导者行为的影响。这些发现表明，尽管（a）CD组组成，（b）组中成员强化的破坏性行为以及（c）领导行为可能对结果产生独立的影响，但它们可能会产生各种结果。这项探索性/发展研究（R-21）将研究CD组组成（即CD在组成员中的比例），组中的颠覆性行为（即反社会行为和ve虫训练）以及小组领导者行为（即负面和负面）对AOD对我的变化的影响。这项研究测试了小组领导者行为与群体颠覆行为的相互作用是否介导了会话和随访的AOD行为轨迹的变化。数据来自最近完成的NIAAA临床试验，该试验涉及122名使用Westchester Model Student Assiss Assiss Program方案随机分配给21个小组的年轻人。在拟议的研究中，训练有素的评估人员将回顾每个小组会议的音频磁带和成绩单，以评估小组领导者的行为和破坏性行为。这项研究很重要，因为：（1）它将确定导致医源作用的因素，以帮助告知有效的小组治疗方法； （2）它结合了被认为有助于医源作用的因素的最佳代表，并将其应用于AOD组治疗； （3）它结合了统计方法，以了解组成，颠覆性行为和领导者行为的独立，组合和纵向影响； （4）它将就具有CD的年轻人的治疗群体组成组成，以及哪些领导者行为降低了破坏性的群体行为。我们认为，这项研究在理解影响群体治疗效果的因素的方法方面具有创新性和重要意义，最终将改善对AOD问题的青少年的临床方法。

项目成果

Evidence for optimism: behavior therapies and motivational interviewing in adolescent substance abuse treatment.

乐观的证据：青少年药物滥用治疗中的行为疗法和动机访谈。

• DOI: 10.1016/j.chc.2010.03.006
• 发表时间: 2010
• 期刊: Child and adolescent psychiatric clinics of North America
• 影响因子: 2.4
• 作者: Macgowan,MarkJ;Engle,Bretton
• 通讯作者: Engle,Bretton