GOALEvalPlosone (1).xls

<b>Abstract: </b>This pilot quasi-experimental trial tested a gender-responsive cognitive behavioral group intervention with 87 court-involved female adolescents (5 juvenile courts) who were at indicated risk for substance use disorder. Participants in the intervention (n = 57) received twice weekly group sessions for 10 weeks (20 sessions) focused on building emotional, thought and behavior regulation skills and generalizing these skills to relationally-based scenarios (GOAL: Girls Only Active Learning). Youth in the control condition (n = 30) received services as usual, which included non-gender-specific aggression management training, individual counseling and no services. The GOAL program was found to be acceptable to youth and parents and feasible to implement within a juvenile court setting using skilled facilitators. Compared to services as usual, the program significantly and meaningfully reduced self-reported delinquent behavior (β = 0.84, p &lt; 0.05) over 6 months, and exhibited trend level effects for reduced substance use (β = 0.40, p = 0.07). The program had mixed or no effects on family conflict and emotion regulation skills. These findings are discussed in light of treatment mechanisms and gender-responsive services.

<b>摘要：</b>本项采用准实验设计的试点研究，针对来自5家少年法庭的87名涉司法程序的女性青少年开展了性别响应性认知行为团体干预，这些青少年均存在明确的物质使用障碍风险。干预组（n=57）每周接受2次团体辅导，持续10周（共20次课程），核心内容为培养情绪、思维与行为调节技能，并将这些技能迁移至人际互动场景（该项目名为GOAL：Girls Only Active Learning，即仅限女孩的主动学习项目）。对照组（n=30）则接受常规服务，内容涵盖非性别特异性的攻击行为管理培训、个体咨询，且未提供其他专项服务。研究结果显示，GOAL项目获得了青少年与家长的认可，且在配备专业引导者的少年法庭场景中具备可实施性。相较于常规服务，该项目在6个月随访周期内，可显著且实质性地降低自我报告的越轨行为（β=0.84，p<0.05）；同时在减少物质使用方面呈现出趋势性效应（β=0.40，p=0.07）。该项目对家庭冲突与情绪调节技能的影响则呈现混杂性，或未产生显著作用。本研究结合干预机制与性别响应性服务的相关理论，对上述研究结果展开了讨论。