挪威青少年破坏性行为的功能家庭治疗:随机对照试验的结果
Asgeir Røyrhus Olseth1, Kristine Amlund Hagen1, Serap Keles2
1Norwegian Center for Child Behavioral Development.
概括
功能性家庭治疗 (FFT) 对青少年破坏性行为没有超过通常治疗 (TAU). 无论是FT还是TAU都改善了行为,但TAU在内部化问题方面显示出更好的长期结果.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 行为治疗是一种行为疗法.
- 家庭系统 家庭系统
背景情况:
- 青少年的破坏性行为给个人,家庭和社会系统带来了重大挑战.
- 早期干预对于缓解与青少年破坏性行为相关的长期负面结果至关重要.
研究的目的:
- 评估功能性家庭治疗 (FFT) 与常规治疗 (TAU) 相比,对具有破坏性行为的青少年的短期和长期有效性.
- 评估FT对攻击性行为,违规,内化问题,社交技能,犯罪,同行参与,学业表现和适应性功能的影响.
主要方法:
- 一项随机对照试验涉及161名青少年 (年龄11-17岁),因破坏性行为而被转诊.
- 参与者被随机分配到FFT或TAU.
- 结果被评估在前测试,6个月后测试,18个月后跟踪使用家长,教师和自我报告措施.
主要成果:
- 从测试前到测试后,没有观察到FT对TAU的显著干预效应.
- 从预测到测试后,FFT和TAU两组都在攻击性行为,违反规则,内化问题,社交技能和自我报告的违法行为方面显著改善.
- 在测试后和随访期间,TAU在父母报告的内化问题方面表现出显著的优势,而这两组在攻击性行为方面都有所改善.
结论:
- 研究结果不支持功能家庭治疗对青少年破坏性行为的通常治疗的假设优越性.
- 无论是FT还是TAU都显示出短期的好处,但TAU可能会为某些问题提供更好的长期结果,例如内部化问题.
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