Responsive Aggression Regulation Therapy (Re-ART) Improves Executive Functioning in Adolescents and Young Adults with Severe Aggression Problems: A Pilot Study

J Forensic Sci. 2020 Nov;65(6):2058-2064. doi: 10.1111/1556-4029.14539. Epub 2020 Aug 31.

Abstract

This pilot study (N = 25) compared the effects of a short, four-month version of Responsive Aggression Regulation Therapy Outpatient (Re-ART Compact) and the entire, ten-month intervention (Re-ART Complete) on specific executive functioning (EF) and the risk of violent recidivism in adolescents and young adults (13-23 years). Re-ART is a cognitive behavioral-based intervention for adolescents and young adults with severe aggression problems. The Re-ART Compact and Re-ART Complete groups were comparable on the EF measures inhibition, flexibility, emotion regulation, self-evaluation, and self-control, but the Re-ART Complete group showed more improved risk of violent recidivism. We conclude that Re-ART Compact can be used as a compact, short intervention for EF, which is a valuable addition to the field of forensic mental health care where many problem behaviors relate to poor EF.

Keywords: adolescent; aggression; executive functioning; forensic mental health; treatment; young adult.

MeSH terms

  • Adolescent
  • Aggression / psychology*
  • Cognitive Behavioral Therapy / methods*
  • Executive Function*
  • Female
  • Forensic Psychiatry
  • Humans
  • Male
  • Pilot Projects
  • Random Allocation
  • Recidivism / prevention & control
  • Young Adult