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The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

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Psychological interventions for antisocial personality disorder.

Simon Gibbon¹, Najat R Khalifa², Natalie H-Y Cheung³

¹Arnold Lodge, Nottinghamshire Healthcare NHS Foundation Trust, Leicester, UK.

The Cochrane Database of Systematic Reviews

|September 4, 2020

Summary

Psychological interventions for antisocial personality disorder (AsPD) show limited evidence of benefit. Few treatments demonstrated effectiveness, highlighting a need for more rigorous studies and potentially new approaches for AsPD.

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Area of Science:

Psychiatry
Clinical Psychology
Evidence-Based Practice

Background:

Antisocial personality disorder (AsPD) is linked to significant mental health issues, criminality, substance use, and relationship problems.
This review provides an updated evaluation of psychological interventions for adults diagnosed with AsPD.

Purpose of the Study:

To assess the potential benefits and adverse effects of psychological interventions for adults with AsPD.
To synthesize evidence from randomized controlled trials comparing psychological interventions to control conditions.

Main Methods:

Searched multiple databases (CENTRAL, MEDLINE, Embase) and trials registers up to September 2019.
Included randomized controlled trials (RCTs) of adults with AsPD (≥75% of sample).
Primary outcomes included aggression, reconviction, global functioning, social functioning, and adverse events.

Main Results:

Included 19 studies (8 new), with data from 10 studies (605 participants).
Most interventions showed no significant difference compared to treatment-as-usual (TAU) for primary outcomes.
Contingency management (CM) + standard maintenance (SM), schema therapy (ST), and dialectical behavior therapy (DBT) showed some evidence of potential benefit, but with very low certainty.

Conclusions:

Evidence for psychological interventions in AsPD is very limited and of low to very low certainty.
Few interventions demonstrated effectiveness in improving antisocial behavior or other primary outcomes.
Further methodologically rigorous studies are needed, and novel approaches may be required for effective AsPD treatment.