Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, United States of America.
Snohomish County Juvenile Court, Everett, Washington, United States of America.
PLoS One. 2019 Nov 7;14(11):e0224363. doi: 10.1371/journal.pone.0224363. eCollection 2019.
This pilot quasi-experimental trial tested a gender-responsive cognitive behavioral group intervention with 87 court-involved female adolescents (5 juvenile courts) who were at indicated risk for substance use disorder. Participants in the intervention (n = 57) received twice weekly group sessions for 10 weeks (20 sessions) focused on building emotional, thought and behavior regulation skills and generalizing these skills to relationally-based scenarios (GOAL: Girls Only Active Learning). Youth in the control condition (n = 30) received services as usual, which included non-gender-specific aggression management training, individual counseling and no services. The GOAL program was found to be acceptable to youth and parents and feasible to implement within a juvenile court setting using skilled facilitators. Compared to services as usual, the program significantly and meaningfully reduced self-reported delinquent behavior (β = 0.84, p < 0.05) over 6 months, and exhibited trend level effects for reduced substance use (β = 0.40, p = 0.07). The program had mixed or no effects on family conflict and emotion regulation skills. These findings are discussed in light of treatment mechanisms and gender-responsive services.
本试点准实验研究检验了一种性别响应认知行为团体干预措施，该措施针对有物质使用障碍风险的 87 名涉案女性青少年（5 家少年法庭）。干预组（n = 57）每周接受两次 10 周（20 次）的团体会议，重点是建立情绪、思维和行为调节技能，并将这些技能推广到基于关系的情景中（GOAL：仅限女孩的主动学习）。对照组（n = 30）的青年接受了常规服务，包括非性别特定的攻击管理培训、个体咨询和无服务。结果发现，GOAL 方案在少年法庭环境中使用熟练的促进者是可行的，并且受到青少年和家长的欢迎。与常规服务相比，该方案在 6 个月内显著且有意义地减少了自我报告的犯罪行为（β=0.84，p<0.05），并显示出减少物质使用的趋势水平效应（β=0.40，p=0.07）。该方案对家庭冲突和情绪调节技能的影响不大或没有影响。这些发现是根据治疗机制和性别响应服务进行讨论的。
