文章基本信息

标题：A comparative treatment efficacy study of conventional therapy and mode deactivation therapy (MDT) for adolescents with conduct disorders, mixed personality disorders, and experiences of childhood trauma.
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作者：Joan Swart ; Jack Apsche
期刊名称：International Journal of Behavioral Consultation and Therapy
印刷版ISSN：1555-7855
出版年度：2014
卷号：9
期号：1
页码：23-29
DOI：10.1037/h0101011
出版社：Behavior Analyst Today
摘要：Mode Deactivation Therapy (MDT) was developed based on the cognitive theory of Prof. Aaron Beck, and incorporated elements from Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and mindfulness with the novel change effect process—Validation, Clarification, and Redirection (VCR)—that is the crux of the mode deactivation concept. MDT has the objective to overcome shortcomings of other cognitive-behavioral therapies in the treatment of adolescents with trauma-based multiple Axis-I conditions and Axis-II personality constellations that have proved difficult to treat. As the most recent of more than 20 MDT research studies to be reported, this study confirms the effectiveness of MDT in treating this population. A sample of 143 participants were treated at an inpatient facility and randomly assigned to an experimental MDT group or a standard Cognitive-Behavioral Therapy (CBT) (Treatment as Usual, TAU) group. Across the assessment measures applied, MDT achieved a higher than 40% average improvement from baseline at treatment completion. An average improvement of 5% was reported for the TAU group. Results are consistent with previous studies and provide evidence of the validity and utility of MDT to treat adolescents with behavior problems cost-effectively.
其他关键词：mode deactivation, MDT, adolescent, conduct 0 sorder, cogntve-behavioral, subostance abuse, aggress lon, childhoodabuse, trauma, personality disorder, contextual therapy