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Adolescent psychotherapy research: a practical review

R L Hendren1

  • 1Department of Psychiatry, University of New Mexico, Albuquerque 87131.

American Journal of Psychotherapy
|January 1, 1993
PubMed
Summary

Individual psychotherapy is effective for children and adolescents, but research flaws limit definitive proof. Future studies should consider developmental, family, and motivational factors for better outcomes.

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Area of Science:

  • Child and Adolescent Psychology
  • Psychotherapy Research
  • Clinical Psychology

Background:

  • Existing research, including meta-analyses, generally supports the efficacy of individual psychotherapy for children and adolescents.
  • Methodological limitations in current outcome studies hinder conclusive evidence regarding treatment effectiveness.
  • A comprehensive understanding requires considering various influencing factors beyond the therapy itself.

Purpose of the Study:

  • To review existing studies on individual psychotherapy outcomes for young people.
  • To highlight crucial factors influencing treatment success, such as developmental stage, family context, and patient motivation.
  • To provide recommendations for improving the design of future research in this field.

Main Methods:

  • Systematic review of published research on child and adolescent psychotherapy outcomes.
  • Analysis of studies focusing on internal and external validity.
  • Identification and synthesis of variables impacting treatment efficacy.

Main Results:

  • Evidence supports psychotherapy's effectiveness, but methodological weaknesses persist.
  • Key factors influencing outcomes include developmental processes, family dynamics, environmental influences, and the adolescent's motivation.
  • Inconsistencies in research design limit the ability to draw incontrovertible conclusions.

Conclusions:

  • While psychotherapy shows promise for youth, robust evidence is hampered by research quality.
  • Future research must adopt rigorous methodologies and incorporate a broader range of influencing variables.
  • Improved study designs are essential for establishing definitive proof of treatment efficacy and guiding clinical practice.

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