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Contribution title 3215 - Theraplay for juvenile delinquents: randomized controlled trial
Contribution code PS01-31 (P)
Authors
  1. Ji-hye Han
  2. Bongseog Kim Sanggye paik hospital Presenter
Form of presentation Poster
Topic
  • Adolescent
Abstract Objectives
Cases and proportion of juvenile delinquency in South Korea is increasing, thus it is necessary to develop mental health intervention programs for juvenile delinquents. Based on Theraplay’s roll as an early intervention program in various field including juvenile delinquents in the U.S.A., the aim of this study is to evaluate the effectiveness of Theraplay with juvenile delinquents compared with control group.

Methods
We randomly gathered 200 adolescents from Seoul reformatory. 3 researchers interviewed the participants to diagnose participant’s mental disorder based on Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition(DSM-5) from November 2015 to January 2016. We chose 30 participants who have Attention Deficit Hyperactivity Disorder(A.D.H.D) with 3 other psychiatric comorbidities, and they were randomly assigned to Theraplay group and Control group. Every participants were asked to fill in self-reporting questionnaires which included Youth Self-Report(K-YSR) and Pediatric Quality of Life Inventory(PEDsQL), Barratt impulsiveness, Self-control rating, Self-esteem scale, Children’s Depression Inventory at the baseline and endpoint. We offered 20 times of 1 hour Theraplay for Theraplay group and recreation for control group every week.

Results
Comparison of demographic characteristics showed no significant difference between two groups. Comparing the change of mean scores between pre and post treatment in two groups, only Theraplay group showed statistically significant enhancement in school functioning (p=0.043). In self-esteem scale both group showed significant changes but in opposite direction: While Theraplay group showed improvement in self-esteem score (p=0), control group showed decrease (p=0.036). In addition, comparing endpoint change in outcome variables from baseline between two groups, self-esteem scale, delinquent behavior, externalizing behavior showed significant differences (p=0, p=0.023, p=0.023)


Conclusion
In Theraplay group school function and self-esteem scale score showed improvement. When we compared difference value with control group, there were significantly differences in self-esteem, delinquent behavior and externalizing behavior. However, from the baseline two groups have already shown differences in delinquent behavior, externalizing behavior, further study should include larger study samples, and recruit from multicenter.