Jensen Peter S
The REACH Institute (REsource for Advancing Children's Health), New York, NY 10010, USA.
J Clin Psychiatry. 2008;69 Suppl 4:37-42.
Aggression in children and adolescents is a serious problem and is associated with various psychiatric disorders, not just conduct and oppositional defiant disorders, but in fact, most psychiatric disorders. Currently, while a growing base of data supports an important role for pharmacologic treatments in managing aggression, studies have also shown that psychosocial therapy in conjunction with medication may be more effective in treating aggression than medication alone in many patients. According to recently published treatment guidelines on the management of aggression, psychosocial approaches should always be implemented first, with pharmacotherapy added later if necessary. This article details the risk factors and protective factors associated with aggression in children and adolescents, describes the evidence base for the use of psychosocial therapy for the management of aggression, and discusses various psychosocial therapy approaches that may be effective in treating aggressive children and adolescents.
儿童和青少年的攻击行为是一个严重问题，与多种精神障碍相关，不仅包括品行障碍和对立违抗障碍，实际上还与大多数精神障碍有关。目前，虽然越来越多的数据支持药物治疗在管理攻击行为方面发挥重要作用，但研究也表明，在许多患者中，心理社会治疗与药物联合使用可能比单独使用药物更有效地治疗攻击行为。根据最近发布的攻击行为管理治疗指南，应始终首先实施心理社会方法，必要时再添加药物治疗。本文详细介绍了与儿童和青少年攻击行为相关的风险因素和保护因素，描述了使用心理社会治疗管理攻击行为的证据基础，并讨论了可能有效治疗攻击性儿童和青少年的各种心理社会治疗方法。
