This meta-analysis examined whether psychological treatments delivered to adults with histories of violent offending in correctional and forensic mental health settings were related to change in dynamic risk factors. Twenty-two controlled studies (86% comprised male samples) were identified via a comprehensive search. Treatments had a significant effect overall, with small to moderate improvements in trait anger, social problem solving, impulsivity, and general social skill. The treatment effect for antisocial cognitions was nonsignificant. There were a small number of significant moderators, which provide preliminary indications of treatment features that may promote greater change. However, small sample sizes and difficulties disentangling moderating effects preclude drawing firm conclusions. While these results are useful and promising, the field remains limited by few high-quality outcome studies, disparate outcome/measure selection, inconsistent/incomplete reporting of evaluations, and limited information about whether change in dynamic risk factors predicts reductions in recidivism. Suggestions for advancing the field are provided.

中文翻译：

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具有暴力犯罪史的成年人的心理治疗是否与动态危险因素的变化相关？中间治疗结果的荟萃分析

这项荟萃分析检查了在矫正和法医心理健康环境中具有暴力犯罪历史的成年人所接受的心理治疗是否与动态危险因素的变化有关。通过全面搜索确定了22项对照研究（86％包含男性样本）。总体而言，治疗具有显着效果，在特质愤怒，解决社会问题，冲动性和一般社交技能方面有小到中等的改善。反社会认知的治疗效果不显着。少数重要的主持人提供了可能促进更大变化的治疗功能的初步指示。但是，由于样本量小且难以消除调节作用，因此无法得出明确的结论。尽管这些结果很有用且很有希望，该领域仍然受到少数高质量结果研究的限制，不同结果/方法选择，评估报告不一致/不完整以及关于动态风险因素变化是否预示着累犯减少的信息有限。提供了推进该领域的建议。