Early intervention in psychiatry · 2026
Cognitive-Behavioural Therapy for Adolescents With Impulsive Aggressive Behaviour: A Randomised Controlled Trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Soleimani-Rad Hassan, Abolghasemi Abbas, Shakerinia Iraj, Rahimi Saeid
Аннотация
INTRODUCTION: Impulsive aggressive behaviour is highly prevalent among children and adolescents referred to mental health clinics. However, there is limited evidence-based psychotherapeutic interventions for its treatment. This study examined the effectiveness of cognitive-behavioural therapy (CBT) for adolescents with intermittent explosive disorder (IED).
METHODS: This randomised controlled trial employed a pre-test/post-test design with a 3-month follow-up. Forty-two adolescents diagnosed with IED were recruited through purposive sampling and randomly assigned to either a CBT intervention group or a wait-list control group. Assessments were conducted at baseline, post-treatment and follow-up. The intervention group received 12 weekly CBT sessions.
RESULTS: ANCOVA analyses showed significant group differences in overt aggression, hostile automatic thoughts, emotion dysregulation, impulse control and global functioning. Compared with the wait-list group, adolescents receiving CBT demonstrated lower levels of aggressive behaviour, hostile cognitions, hostile bias and emotion regulation difficulties, along with shorter stop-signal reaction times and longer stop-signal delay times. They also exhibited improved global functioning. Repeated-measures ANOVA confirmed that these therapeutic gains were maintained over the 3-month follow-up period.
CONCLUSIONS: The findings indicate that when CBT is delivered comprehensively in a multicomponent format targeting maladaptive cognitions, emotion dysregulation and self-control deficits, it can serve as an effective intervention for adolescents with IED.
METHODS: This randomised controlled trial employed a pre-test/post-test design with a 3-month follow-up. Forty-two adolescents diagnosed with IED were recruited through purposive sampling and randomly assigned to either a CBT intervention group or a wait-list control group. Assessments were conducted at baseline, post-treatment and follow-up. The intervention group received 12 weekly CBT sessions.
RESULTS: ANCOVA analyses showed significant group differences in overt aggression, hostile automatic thoughts, emotion dysregulation, impulse control and global functioning. Compared with the wait-list group, adolescents receiving CBT demonstrated lower levels of aggressive behaviour, hostile cognitions, hostile bias and emotion regulation difficulties, along with shorter stop-signal reaction times and longer stop-signal delay times. They also exhibited improved global functioning. Repeated-measures ANOVA confirmed that these therapeutic gains were maintained over the 3-month follow-up period.
CONCLUSIONS: The findings indicate that when CBT is delivered comprehensively in a multicomponent format targeting maladaptive cognitions, emotion dysregulation and self-control deficits, it can serve as an effective intervention for adolescents with IED.