Maria McDonald, Theresia Fippel, Susanne Knappe, Patricia Theresa Porst, Cornelia Beate Siegmund, Julia Zink, Max Weniger, Katja Beesdo-Baum, Veit Roessner
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Depending on their risk status (normal vs. borderline vs. abnormal), children received a recommendation for no intervention, an indicated prevention program (i.a. \"Baghira\") or further diagnostics. Questionnaires such as the Child Behavior Checklist and the Parent Rating Scale for Conduct Disorder (DISYPS Competence scale) were administered at three time points (T0: pre-intervention, T1: 6 months after screening/ post-intervention, T2: 6 months after T1). Children who participated in \"Baghira\" (BA n = 171), a cognitive-behavioral group program for children with disruptive behaviors, were compared to children screened as normal (NOR n = 881) or received a recommendation for \"Baghira\" but refused participation (NO BA n = 46).</p><p><strong>Results: </strong>Disruptive behavior problems decreased (BA: β = - 3.61, p <.001) and prosocial behavior increased (BA: β = 1.67, p <.001) in the BA compared to the NOR group from T0 to T1. These effects were maintained at T2 follow-up (BA: β = - 1.60; p =.035; β = 1.12; p =.019). However, the NO BA group also improved in prosocial behavior and from T0 to T1.</p><p><strong>Conclusion: </strong>Although an improvement in disruptive behavior symptoms as well as an increase in prosocial behavior were observed, controlled studies using matched or stratified designs are needed to replicate the effectiveness of \"Baghira\" in a prevention context, apart from the Covid-19 pandemic, to improve children's mental health.</p>","PeriodicalId":9934,"journal":{"name":"Child and Adolescent Psychiatry and Mental Health","volume":"19 1","pages":"55"},"PeriodicalIF":3.4000,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12085012/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of group-based indicated prevention in children identified with disruptive behavior problems: results of an implementation study in the German health care system.\",\"authors\":\"Maria McDonald, Theresia Fippel, Susanne Knappe, Patricia Theresa Porst, Cornelia Beate Siegmund, Julia Zink, Max Weniger, Katja Beesdo-Baum, Veit Roessner\",\"doi\":\"10.1186/s13034-025-00902-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Subclinical disruptive behavior problems often occur during childhood and are a risk factor for developing a mental disorder later in life. 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引用次数: 0
摘要
背景：亚临床破坏性行为问题通常发生在儿童时期，并且是以后生活中发展为精神障碍的危险因素。为了防止出现功能失调的破坏性行为，早期干预至关重要。本研究旨在检验一项指示性预防计划对有破坏性行为问题的儿童的有效性。方法：采用力量与困难问卷对儿童常规健康检查中出现的破坏性行为问题进行筛查。根据他们的风险状况（正常、边缘、异常），儿童接受不干预的建议，一个指示的预防方案(如：“Baghira”)或进一步的诊断。在三个时间点（T0：干预前，T1：筛查/干预后6个月，T2：干预后6个月）对儿童行为量表和父母行为障碍评定量表（DISYPS能力量表）进行问卷调查。参与“Baghira”的儿童（BA n = 171）与被筛选为正常儿童（NOR n = 881）或接受“Baghira”推荐但拒绝参与的儿童（NO BA n = 46）进行比较。“Baghira”是一项针对破坏性行为儿童的认知行为小组项目。结果：破坏性行为问题减少（BA: β = - 3.61, p）结论：虽然观察到破坏性行为症状的改善以及亲社会行为的增加，但需要使用匹配或分层设计的对照研究来复制“Baghira”在预防背景下的有效性，除了Covid-19大流行，以改善儿童的心理健康。
Effectiveness of group-based indicated prevention in children identified with disruptive behavior problems: results of an implementation study in the German health care system.
Background: Subclinical disruptive behavior problems often occur during childhood and are a risk factor for developing a mental disorder later in life. To prevent a manifestation of dysfunctional disruptive behavior, early intervention is critical. This study aimed to examine the effectiveness of an indicated prevention program in children with disruptive behavior problems.
Methods: Screening for disruptive behavior problems was conducted using the Strength and Difficulties Questionnaire during routine pediatric health check-ups. Depending on their risk status (normal vs. borderline vs. abnormal), children received a recommendation for no intervention, an indicated prevention program (i.a. "Baghira") or further diagnostics. Questionnaires such as the Child Behavior Checklist and the Parent Rating Scale for Conduct Disorder (DISYPS Competence scale) were administered at three time points (T0: pre-intervention, T1: 6 months after screening/ post-intervention, T2: 6 months after T1). Children who participated in "Baghira" (BA n = 171), a cognitive-behavioral group program for children with disruptive behaviors, were compared to children screened as normal (NOR n = 881) or received a recommendation for "Baghira" but refused participation (NO BA n = 46).
Results: Disruptive behavior problems decreased (BA: β = - 3.61, p <.001) and prosocial behavior increased (BA: β = 1.67, p <.001) in the BA compared to the NOR group from T0 to T1. These effects were maintained at T2 follow-up (BA: β = - 1.60; p =.035; β = 1.12; p =.019). However, the NO BA group also improved in prosocial behavior and from T0 to T1.
Conclusion: Although an improvement in disruptive behavior symptoms as well as an increase in prosocial behavior were observed, controlled studies using matched or stratified designs are needed to replicate the effectiveness of "Baghira" in a prevention context, apart from the Covid-19 pandemic, to improve children's mental health.
期刊介绍：
Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.
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