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Background: Acquired brain injury (ABI) is a major health problem, often with negative effects on behaviour and mental health as well as cognition. Prevalence of ABI is exceptionally high among offenders and increases their re‐offending risk. Information on risk factors for ABI and its outcomes among offenders that could guide effective treatment for them is, nevertheless, scarce and dispersed. However, there is a more substantial literature about the general population that could inform work with brain‐injured offenders, especially when selecting for samples or subgroups with similar relevant characteristics, such as lower socio‐economic status (SES), pre‐injury lower tested intelligence score (<85) and pre‐injury mental health problems. Aims: To explore brain injury data from non‐offender samples of otherwise similar socio‐economic and mental health and ability characteristics to offenders then, first, to describe their untreated outcomes and, secondly, outcomes after frequently used interventions in these circumstances, noting factors associated with their effectiveness. Method: Three databases were systematically searched for the years 2010–2022; first, using terms for brain injury or damage and cognitive (dys)function, mental health or quality of life. Second, in a separate search, we used these terms and terms for interventions and rehabilitation. In the second review, studies were selected for clear, distinguishable data on age, sex, SES and lifestyle factors to facilitate inferences for offenders. A narrative analytical approach was adopted for both reviews. Results: Samples with characteristics that are typical in offender groups, including lower SES, lower pre‐injury intelligence quotient (<85), prior cognitive impairments and prior mental health problems, had poorer cognitive and behavioural outcomes following ABI than those without such additional problems, together with lower treatment adherence. With respect to treatment, adequate motivation and self‐awareness were associated with better cognitive and behavioural outcomes than when these were low or absent, regardless of the outcome measured. Conclusions: More complex pre‐injury mental health problems and social disadvantages typical of offenders are associated with poorer post‐brain injury recovery. This paper adds to practical knowledge by bringing together work that follows specific outcome trajectories. Overall, succesful ABI‐interventions in the general population that aim at pre‐injury difficulties comparable to those seen among offenders, show that personalising injury‐specific treatments and taking account of these difficulties, maximised positive outcomes. [ABSTRACT FROM AUTHOR]

Background: Juvenile antisocial behavior can have long-lasting and devastating effects for juveniles themselves, victims, and society. Evidence-based treatment is vital. Forensic Outpatient Systemic Therapy (Forensische Ambulante Systeem Therapie; FAST) is a promising treatment for juveniles showing severe antisocial behavior including aggression, (domestic) violence, and delinquent behavior. FAST has a flexible intensity and length, addresses individual and systemic risk and protective factors, and is responsive to the abilities of the client (system), intervention characteristics all considered crucial for effective treatment. The current study will investigate whether FAST is effective in reducing aggression of the juvenile, reaching client formulated subgoals, and improving family functioning. Processes of change will be examined, as well as mediation by reaching client formulated subgoals and improved family functioning. Methods: A Multiple Case Experimental Design (MCED) with an ABC design will be performed (A = baseline, B = intervention, and C = follow-up). Juveniles with primary aggression and/or anger problems (N = 15) and their caregiver(s) will be recruited. Data collection will consist of self-report questionnaires and case file analysis. Participants fill out frequent short self-report questionnaires (twice a week during phase A, every other week during phase B, and every week during phase C) and two main questionnaires at the start of the intervention and immediately after intervention end, thereby covering a period of 5 to 11 months. Both visual and statistical analyses will be performed. Discussion: This study will generate robust knowledge and inform clinical practice on the effectiveness, processes of change, and mediating mechanisms of FAST, aiming to improve the treatment of future families within youth forensic care. Trial registration: This trial was registered at ClinicalTrials.gov on 28/08/2023, protocol ID 60-63600-98-1138a. [ABSTRACT FROM AUTHOR]

Background: Aggressive conduct among delinquents presents a pervasive issue, bearing substantial implications for not only society at large but also for the victims and the individuals displaying the aggression. Traditional approaches to treating aggression regulation deficiencies generally employ Cognitive Behavioral Therapy (CBT) in conjunction with analog role-playing exercises. A body of research supports the efficacy of various therapeutic models for aggression regulation, including Responsive Aggression Regulation Therapy (Re-ART). Role-playing within a therapeutic context has been shown to contribute significantly to reductions in violent reoffending. However, the practical application of these skills in real-world settings remains challenging due to the inherent risk of aggressive outbreaks. Additionally, the conventional role-playing scenarios, often conducted in a therapy room, lack contextual realism and may induce role confusion between the patient and the therapist. Virtual Reality (VR) technology could offer a viable solution to these limitations by allowing for skill training in both behavioral and cognitive domains within a realistic yet safe and controlled setting. The technology also facilitates realtime awareness of emotional states and tension levels in the patient. This paper describes the study protocol of a randomized controlled trial in which Re-ART offered in a virtual environment (Re-ART VR) is compared to Re-ART offered as treatment as usual. Methods and analysis: Adult forensic outpatients with aggression regulation problems are randomly assigned to either Re-ART VR or Re-ART. The Controlling Skills, Influence of Thinking and Handling Conflicts modules will be offered to both groups during 3-6 months. Pre- and post-intervention measurements are performed. The primary outcome measurement is the degree of aggression regulation, while secondary outcome measurements include impulsivity and cognitive biases. Additionally, patient motivation and therapist motivation are expected to act as moderating factors. Discussion: To date, scarcely previous research has been done on the effectiveness of VR in treatment of aggression regulation problems in forensic outpatients. Forensic outpatients who do not benefit sufficiently from mainly CBT-based interventions may benefit more from experiential learning. The unique capabilities of VR in this regard have the potential to enhance the treatment effect. [ABSTRACT FROM AUTHOR]

Objective: This study explores the intricate relationship between cognitive functioning and aggression, with a specific focus on individuals prone to reactive or proactive aggression. The purpose of the study was to identify important neuropsychological constructs and suitable tests for comprehending and addressing aggression. Methods: An international panel of 32 forensic neuropsychology experts participated in this three-round Delphi study consisting of iterative online questionnaires. The experts rated the importance of constructs based on the Research Domain Criteria (RDoC) framework. Subsequently, they suggested tests that can be used to assess these constructs and rated their suitability. Results: The panel identified the RDoC domains Negative Valence Systems, Social Processes, Cognitive Systems and Positive Valence Systems as most important in understanding aggression. Notably, the results underscore the significance of Positive Valence Systems in proactive aggression and Negative Valence Systems in reactive aggression. The panel suggested a diverse array of 223 different tests, although they noted that not every RDoC construct can be effectively measured through a neuropsychological test. The added value of a multimodal assessment strategy is discussed. Conclusions: This research advances our understanding of the RDoC constructs related to aggression and provides valuable insights for assessment strategies. Rather than suggesting a fixed set of tests, our study takes a flexible approach by presenting a top-3 list for each construct. This approach allows for tailored assessment to meet specific clinical or research needs. An important limitation is the predominantly Dutch composition of the expert panel, despite extensive efforts to diversify. [ABSTRACT FROM AUTHOR]

There is some debate about whether or not sex offenders are similar to non-sex offenders with regard to family background (parental characteristics), personality, and psychopathology. The central aim of this study focused on the comparison of juvenile sex offenders and non-sex offenders. The sample consisted of incarcerated juvenile male sex (n = 30) and non-sex (n = 368) offenders. It appeared that sex offenders resembled non-sex offenders with respect to most of the offender and parental characteristics. Results demonstrated some differences between both groups, while the majority of characteristics were similar. Limitations of the study are discussed, especially the low number of sex offenders, followed by suggestions for further research. (Contains 5 tables.)

In this paper, the Adolescent Sexual Abuser Project (ASAP) assessment pack-Dutch Revised Version (ASAP-D) is presented. The ASAP-D is an assessment instrument which measures the personality characteristics that are generally considered relevant in the literature for the development and perpetuation of sexually abusive behaviour in juveniles. After a description of the measures that comprise the instrument, its basic psychometric qualities are presented. In addition, the personality characteristics as measured by the ASAP-D are compared between a group of juvenile sex offenders, a group of juvenile perpetrators of non-sexual violent offences and a representative sample of non-delinquent youth. The results of this comparison are discussed. (Contains 5 tables.)

Although many studies have concluded that men and women engage in domestic violence at equal levels, existing studies have hardly focused on gender specific risk factors for domestic violence perpetration. Therefore, this study aimed to examine gender differences in criminogenic risk factors between Dutch male and female forensic outpatients who were referred to forensic treatment for domestic violence. Clinical structured assessments of criminogenic risk factors were retrieved for 366 male and 87 female outpatients. Gender differences were not only found in the prevalence and interrelatedness of criminogenic risk factors, but also in associations between criminogenic risk factors and treatment dropout. In men, risk factors related to the criminal history, substance abuse, and criminal attitudes were more prevalent than in women, whereas risk factors related to education/work, finances, and the living environment were more prevalent in women. Further, having criminal friends, having a criminal history, and drug abuse were associated with treatment dropout in men, whereas a problematic relationship with family members, housing instability, a lack of personal support, and unemployment were associated with treatment dropout in women. Finally, network analyses revealed gender differences in risk factor interrelatedness. The results provide important insights into gender specific differences in criminogenic risk factors for domestic violence, which support clinical professionals in tailoring treatment to the specific needs of male and female perpetrators of domestic violence. [ABSTRACT FROM AUTHOR]

This study aimed to investigate the factor structure and measurement invariance of the Brief Symptom Inventory-18 (BSI-18) among Chinese adults. A sample comprising 1,839 adults from four cities in Shaanxi province completed the BSI-18 and background information. The best-fitting factor structure model of the BSI-18 was verified by confirmatory factor analyses, and multigroup confirmatory factor analyses were performed to test the measurement invariance. The results indicated that the three-factor bi-factor model fitted the current data best (χ2 = 468.861, df = 117, CFI = 0.939, TLI = 0.920, RMSEA = 0.040, BIC = 47044.977). The configural, metric, scalar, and strict invariance models all had acceptable model fit indexes across genders, and the configural, metric, scalar invariance models with different living areas and educational levels were all acceptable. Overall, the three-factor bi-factor model of the BSI-18 shows a good fit for use with Chinese adults, making it a viable tool for effectively measuring the mental health of Chinese adults. [ABSTRACT FROM AUTHOR]

This study examined the structure of occupational well-being among 1,252 Dutch teachers. Building on Warr (1994) and Ryff (1989), a multidimensional model for occupational well-being (including affective, cognitive, professional, social and psychosomatic dimensions) was proposed and tested. Confirmatory factor analysis supported the distinction between these dimensions. A second-order factor analysis revealed that affect was the most central dimension, supporting earlier conceptualizations of subjective well-being that mainly focused on affect., The literature on subjective well-being usually construes well-being as a primarily affective state (Diener, Suh, Lucas, & Smith, 1999). However, over the past 15 years several broader conceptualizations of well-being [...]

Covering both individual and neuropsychological factors, the Forensic Symptom Inventory—Youth Version—Revised (FSI-YV-R) is the first broad spectrum questionnaire for adolescents in forensic care, measuring several deficits, such as executive dysfunctions, anger, and inadequate coping to enhance treatment goals and evaluate interventions. In this study, both the factor structure and the measurement and structural invariance of the FSI-YV-R were investigated. The sample consisted of 159 forensic juvenile outpatients (79.9% males and 20.1% females) aged 12 to 19 with a mean age of 16.07 (SD = 1.57). Multi-Group Confirmatory Factor Analyses identified a second-order model (measuring executive functioning) and proved measurement and structural invariant across age groups (younger adolescents, 12–15 years and older adolescents, 16–18 years). Contrary to the expectations none of the FSI-YV-R subscales differentiated between younger adolescents (N = 74) and older adolescents (N = 85). These results and implications for both theory and practice are discussed. [ABSTRACT FROM AUTHOR]

Johnson argued that coercive control is crucial in explaining heterogeneity in intimate partner violence, with such violence being more frequent, less reciprocal, and more often male-to-female aggression when it serves to exercise control over the partner. We assessed 280 Dutch forensic outpatients who had recently engaged in intimate partner violence on nonaggressive coercive control. Control showed significant, small to moderate, associations with more frequent past year acts of psychological aggression, physical assault, and sexual coercion and more frequently resulted in partner injury. Control was unrelated to reciprocity of partner violence. High controlling violence was enacted mostly, but not exclusively by men. Overall, while perhaps not having a uniquely strong association, our findings provide partial support for the role of coercive control in intimate partner violence and suggest it may benefit intimate partner violence risk assessment. [ABSTRACT FROM AUTHOR]

This article investigates the measurement and structural invariance of a newly developed self-report questionnaire, the Forensic Symptoms Inventory-Revised, aimed at measuring eight cognitive, emotional, and behavioral deficits (aggression, lack of social support, problematic substance use, lack of concentration, anger, poor self-regulation, impulsivity, and sexual problems) among adult forensic outpatients. The sample consisted of 716 outpatients (603 males, 1 13 females) with a mean age of 38.19 (SD = 12.47). Multi-Group Confirmatory Factor Analyses supported the measurement and structural invariance with respect to gender and age groups (18-23 years and ≥24 years). Between-group comparisons revealed that, compared to females, male outpatients reported more substance related problems, as well as incapacities to control verbal and/or physical aggression. Compared to adults, young adults displayed more inadequate self-regulation skills and reported more social support. These findings may promote the formulation of gender- and age-specific treatment goals. [ABSTRACT FROM AUTHOR]

Arsonists are considered a type of violent offender by some and a distinct group of offenders by others. Assuming the latter could be beneficial to offer tailor-made psychotherapeutic treatment to these offenders. The present study investigated whether arsonists ( n = 55) and violent offenders ( n = 41) are differentiable regarding several demographic and personal characteristics, and criminal career. Results indicated that arsonists were significantly more often diagnosed with a Diagnostic and Statistical Manual of Mental Disorders ( DSM) Axis II disorder, and more socially isolated and lacking coping skills. Violent offenders, on the other hand, demonstrated more drug abuse/dependence, a younger age at the first manifestation of antisocial behavior, a more extensive criminal history and higher percentage of recidivism. In light of these results, it is conceivable that arsonists could benefit from a slightly different treatment approach, for example, with more attention to relational and emotion regulation skills. [ABSTRACT FROM AUTHOR]

As language may be an important barrier for ethnic minority families to access health care, interpreters can be a valuable aid to reach these families. Little is known, however, about the effects of using interpreters in mental health care. The present study investigated whether the use of interpreters affected treatment outcomes of Multisystemic therapy (MST) in the Netherlands. Ninety-one cases with an interpreter were compared with 91 cases without an interpreter. The two groups were matched regarding age, gender, imposed sanction, and therapist. Each case’s progress, treatment duration, and treatment outcomes were obtained. For 61 of the matched pairs, long-term re-conviction rates were retrieved from official judicial records. Comparing the cases with interpreter and the matched controls revealed no significant differences. Moreover, the treatment outcomes were the same for professional and family interpreters. Although there was a trend toward higher recidivism rates during MST when an interpreter had been used, the long-term judicial data did not reveal any differences between the interpreter group and the matched control group. Thus, it seems that in a highly structured and goal-oriented treatment like MST, both professional and family interpreters can be used to obtain treatment outcomes comparable with those of native speakers. [ABSTRACT FROM AUTHOR]

Responsive-Aggression Regulation Therapy (Re-ART) Outpatient is a cognitive behavioral-based intervention for adolescents and young adults (16-24 years) with severe aggressive behavioral problems. This pilot study (N = 26) examined the level of program integrity (PI; that is, the delivery of the intervention as it is originally intended) of Re-ART. We also investigated the pre- and post-test changes in several outcome variables, and the relation between the level of PI and these changes. Participants were recruited from three different outpatient forensic settings. Results showed that the PI of half of the treatments was not sufficient (e.g., the intensity of the program was too low and some standard modules were not offered). In addition, this pilot study demonstrated that sufficient PI was related to positive changes in aggression, cognitive distortions, social support, coping (reported by therapist), and distrust (responsiveness to treatment). [ABSTRACT FROM AUTHOR]

This meta-analysis, including six studies (13 effect sizes) and 164 adolescents, examined the effectiveness of individually oriented treatment (which means that the intervention contained at least an individual component, possibly in combination with group and/or family therapy) with CBT-elements for adolescents with severe aggression problems. A large and homogeneous overall effect size was found (d = 1.139) indicating consistency across studies. The included studies examined the effect of three interventions, namely, mode deactivation therapy (MDT; four studies), stress-inoculation therapy (1), and the cell-phone program (1). This multilevel analysis demonstrated that only few individually oriented interventions have been developed and evaluated, while four of the included studies used a weak research design. Effective individually tailored interventions for youths with severe aggression problems (who are unsuitable for group treatment) are scant. There may be added value if group interventions are supplemented with more individually tailored evidence-based interventions. [ABSTRACT FROM PUBLISHER]