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Heterogeneity in Response during Multisystemic Therapy: Exploring Subgroups and Predictors.

Esther C A Mertens1, Maja Deković2, Jessica J Asscher3

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Summary
This summary is machine-generated.

Multisystemic Therapy (MST) shows varied adolescent responses. Parental competence and prosocial peers predict treatment success, highlighting the need for personalized interventions for externalizing behaviors.

Keywords:
Externalizing problemsMSTParental sense of competenceProsocial peersTrajectories

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Area of Science:

  • Child and Adolescent Psychology
  • Behavioral Therapy
  • Family Systems Therapy

Background:

  • Multisystemic Therapy (MST) is effective for adolescent externalizing behaviors at a group level.
  • Previous research has not fully explored individual differences in treatment response to MST.
  • Identifying predictors of differential treatment trajectories is crucial for optimizing interventions.

Purpose of the Study:

  • To identify distinct subgroups of adolescents responding differently to MST.
  • To investigate if pre-treatment individual and contextual factors predict these response trajectories.
  • To inform personalized treatment approaches for serious externalizing problem behaviors.

Main Methods:

  • 147 adolescents and their parents receiving MST participated.
  • Pre-treatment assessments included hostile attributions, parenting competence, and peer involvement.
  • Externalizing behaviors were assessed monthly for 5 months via self-reports.

Main Results:

  • Six distinct subgroups with different change trajectories in externalizing behaviors were identified.
  • Two subgroups showed poor treatment response (no change or increase in behaviors).
  • Parental competence predicted most positive response trajectories; lower prosocial peer involvement predicted resistance to MST.

Conclusions:

  • Adolescents exhibit varied responses to Multisystemic Therapy, underscoring the need for personalized treatment.
  • Parental sense of parenting competence and prosocial peer involvement are key protective factors.
  • Early intervention focusing on these protective factors may enhance MST effectiveness for resistant cases.