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January 10, 2023Frontiers in PsychiatryOpen Access

At the heart of change: Differences in young offenders’ HRV patterns after the delivery of the PSYCHOPATHY.COMP program

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Key result

The PSYCHOPATHY.COMP program improved emotion regulation in male young offenders, promoting adaptive physiological recovery and reducing emotion regulation difficulties compared to treatment as usual.

Why the study?

Intervention programs specifically tailored to the treatment needs of young offenders were needed, alongside testing their efficacy using physiological indexes of emotion regulation such as heart rate variability.

Does the PSYCHOPATHY.COMP program improve emotion regulation in male young offenders with Conduct Disorder?

Population

Young offenders in Portuguese juvenile detention facilities

Comparison

PSYCHOPATHY.COMP program vs Treatment As Usual

Follow-up

6-months follow-up

Authors

RSRúben SousaDSDiana Ribeiro da SilvaNPNicola Petrocchi

Discussion

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Overview

May support PSYCHOPATHY.COMP for emotion regulation in young offenders; hypothesis-generating and requires randomized confirmation before practice change.

Structured PICO

Does the PSYCHOPATHY.COMP program improve emotion regulation in male young offenders with Conduct Disorder?

P
Population
109 male detained youth aged 14 to 18 years with conduct disorder, followed up to 6 months post-treatment.
I
Intervention
PSYCHOPATHY.COMP program (20-session individual intervention based on Compassion Focused Therapy) delivered over about 6 months.
C
Comparator
Treatment As Usual (TAU) consisting of around 20 individual counseling sessions delivered in Portuguese juvenile detention facilities.
O
Outcome
Emotion regulation assessed via physiological indexes (vagally mediated heart rate variability: RMSSD and HFms2) and self-report (Difficulties in Emotion Regulation Scale-Adolescent Version) during a standardized procedure (resting, reactivity, recovery) at pre-treatment, post-treatment, and 6-months follow-up.surrogate

Main Result

Effect estimate: ηp2 0.061 (95% CI 0.008-0.125)

p-value: p=0.012

The PSYCHOPATHY.COMP program improved emotion regulation in young offenders, supported by both self-report and physiological HRV measures.

Limitations

  • Non-randomized design
  • Exclusion of female detained youth
  • Significant dropouts in the control group at follow-up due to COVID-19 restrictions
  • Lack of detailed information regarding medication intake

Cite This Study

Sousa et al. (2023) studied Conduct Disorder (n=109). PSYCHOPATHY.COMP program vs. Treatment As Usual (TAU) was evaluated on Vagally mediated heart rate variability (HFms2) Assessment X Condition interaction (ηp2 0.061, 95% CI 0.008-0.125, p=0.012). The PSYCHOPATHY.COMP program improved emotion regulation in male young offenders, promoting adaptive physiological recovery and reducing emotion regulation difficulties compared to treatment as usual.

synapsesocial.com/papers/6a202957eaa49a33b5fbfdfahttps://doi.org/10.3389/fpsyt.2022.1032011
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Association between Self-Reported Difficulties in Emotion Regulation and Heart Rate Variability: The Salient Role of Not Accepting Negative Emotions2017 · 107 citations
  2. 2Heart Rate Variability and Cardiac Vagal Tone in Psychophysiological Research – Recommendations for Experiment Planning, Data Analysis, and Data Reporting2017 · 2,355 citations
  3. 3Heart Rate Variability, Prefrontal Neural Function, and Cognitive Performance: The Neurovisceral Integration Perspective on Self-regulation, Adaptation, and Health2009 · 1,892 citations
  4. 4Resources, Harshness, and Unpredictability2016 · 112 citations