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认知行为疗法在十年间减少犯罪与暴力:实验证据

Cognitive Behavioral Therapy Reduces Crime and Violence over Ten Years: Experimental Evidence
AER: Insights · 2023 · Christopher Blattman、Sebastián Chaskel、Julian Jamison、Margaret A. Sheridan

中文摘要

若干小规模、短期或非实验研究表明,基于认知行为理论的干预可在一至二年内减少反社会行为,但关于这种效果持续性的研究较为少见。我们对利比里亚999名高风险男性进行了追踪调查,这些男性在十年前被随机分配至以下四组之一:接受为期八周、成本较低且由非专业人员实施的治疗;获得200美元现金;同时接受治疗并获得现金;或二者均不接受。十年后,仅接受治疗者的反社会行为(如抢劫和贩卖毒品)下降了0.2个标准差,显著大于一年后的影响。与此同时,同时接受治疗和现金者的反社会行为减少了0.25个标准差,与一年后的结果相近。在这两种情形下,影响均集中于基线风险最高的男性。(JEL D91、K42、O15、O17)

Abstract

Several small, short-term, or nonexperimental studies show that cognitive behavioral–informed interventions reduce antisocial behaviors over one to two years, but persistence research is rare. We followed 999 high-risk men in Liberia ten years after randomization into eight weeks of low-cost, nonspecialist-led therapy; $200 cash; both; or neither. A decade later, antisocial behaviors (such as robbery and drug selling) fell 0.2 standard deviations from therapy alone—significantly greater than the one-year impacts. Meanwhile, men who received therapy plus cash were 0.25 standard deviations less antisocial—similar to one-year results. In both cases, impacts were concentrated in men exhibiting highest baseline risk. (JEL D91, K42, O15, O17)
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