University Hospital Ulm, Child and Adolescent Psychiatry and Psychotherapy, Ulm, Germany.
J Intellect Disabil Res. 2011 Feb;55(2):231-41. doi: 10.1111/j.1365-2788.2010.01369.x. Epub 2011 Jan 4.
Emotional and behavioural problems as well as a lack of social competence are common in adolescents with borderline intellectual functioning and impair their social and vocational integration. Group interventions specifically developed for this target group are scarce and controlled evaluation studies are absent.
A cognitive-behavioural group training (Social Competence Training for Adolescents with Borderline Intelligence) was developed and its effectiveness was examined in students attending special vocational schools. A total of 77 adolescents with borderline intelligence were randomised either to the intervention (n=40) or to the control group (n=37). Outcome measures at post-treatment and at a 6-month follow-up comprised self-reports, caregiver reports and behavioural observations.
The adolescents in the intervention group showed temporally stable improvement in their social competence, especially in social problem solving (F=17.6, P<0.001) and attainment of individual behavioural goals in everyday life (self-reports: F=15.9, P<0.001; caregiver reports: F=87.9, P<0.001). Effects of the intervention on other outcomes such as problem-solving competence and skills performed in standardised role plays were weak or absent.
Social Competence Training for Adolescents with Borderline Intelligence is a promising treatment for adolescents with borderline intellectual functioning and associated emotional/behavioural symptoms. Further studies examining long-term effects on the participants' social and vocational integration are needed.
边缘智力的青少年普遍存在情绪和行为问题以及缺乏社交能力,这会影响他们的社交和职业融入。专门针对这一目标群体开发的团体干预措施很少,也缺乏对照评估研究。
开发了一种认知行为团体训练(针对边缘智力青少年的社交能力训练),并在特殊职业学校的学生中检查了其效果。共有 77 名边缘智力青少年被随机分配到干预组(n=40)或对照组(n=37)。治疗后和 6 个月随访时的结局测量包括自我报告、照顾者报告和行为观察。
干预组的青少年在社交能力方面表现出暂时稳定的改善,特别是在社交问题解决(F=17.6,P<0.001)和日常生活中实现个人行为目标方面(自我报告:F=15.9,P<0.001;照顾者报告:F=87.9,P<0.001)。干预对其他结果(如解决问题的能力和在标准化角色扮演中表现出的技能)的影响较弱或不存在。
针对边缘智力青少年的社交能力训练是一种有前途的治疗边缘智力青少年和相关情绪/行为症状的方法。需要进一步研究以检验对参与者社交和职业融入的长期影响。