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Updated: Jun 21, 2026

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
Published on: September 19, 2019
Changes in maternal depression are associated with MST outcomes for adolescents with co-occurring externalizing and
Teresa Grimbos1, Isabela Granic
1Ontario Institute for Studies in Education, University of Toronto, Human Development and Applied Psychology, Toronto, Ontario, Canada M6G 1L5. tgrimbos@oise.utoronto.ca
Abstract:
The efficacy of Multisystemic therapy (MST) in treating adolescent aggression has been established, however, not all youth and their families benefit from MST. One reason for this treatment variability could be the failure to distinguish between different aggressive subtypes with different risk factors, developmental prognoses and treatment needs. We investigated whether changes in maternal depression over MST would lead to different outcomes for two aggressive subtypes: pure externalizers (EXT) and mixed externalizers/internalizers (MIXED). Forty-two EXT and 27 MIXED youth and their families underwent MST for six months. Maternal depression, youth externalizing and internalizing behaviour were assessed before and after MST. Results showed a marginally greater change in externalizing for EXT youth. In addition, reductions in maternal depression were related to successful treatment outcomes for MIXED youth only. Our findings have implications for MST clinicians, namely the importance of reducing depressive symptoms in mothers of MIXED youth to improve their outcomes.
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