受虐待和被忽视的儿童和青少年在接受以证据为基础的多系统干预后的不同治疗反应。

IF 2.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Research on Child and Adolescent Psychopathology Pub Date : 2024-10-14 DOI:10.1007/s10802-024-01248-z
Corinna Buderer, Tom Kirsch, Tania Pérez, Cynthia Cupit Swenson, Marc Schmid
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引用次数: 0

摘要

有关高风险青少年对基于家庭的治疗计划的不同治疗反应和亚组轨迹的研究十分有限。本研究率先对虐待和忽视儿童多系统疗法(MST-CAN)进行了研究,并在先前研究的基础上确定了具有不同心理病理学的亚组。瑞士有 208 对亲子组合参加了 MST-CAN 评估。家长们报告了他们孩子(平均年龄 = 10.27 岁,最小年龄 = 3.5 岁,44.2% 为女孩,55.8% 为男孩,98.6% 为白人)的情绪和行为问题。对纵向数据进行了研究,以分析治疗前和治疗后(T1 和 T2)分组内的不同变化。对 T1 组和 T2 组进行交叉分析,以检查症状类别随时间的变化。总体而言,治疗效果显著。分组分析表明,在五个分组中,有四个分组(80%)至少在两项结果指标上出现了积极变化。治疗对有外化症状的儿童最为成功。有多种症状的儿童在不同症状方面也有所改善。在具体症状方面,有焦虑回避症状的儿童从治疗中受益。此外,治疗对情绪和行为正常的儿童也有帮助。同时,治疗对有内化症状的儿童没有明显效果。值得注意的是,三个(60%)亚组的儿童忽视现象有所减少。外化症状和多重症状儿童的症状等级在不同时期保持稳定。最终,MST-CAN 减少了大多数家庭的情绪和行为问题以及对儿童的忽视。了解儿童对复杂治疗方案的不同治疗反应对于充分满足不同需求至关重要。
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Differential Treatment Responses of Maltreated and Neglected Children and Adolescents Following an Evidence-based Multisystemic Intervention.

Limited studies have investigated differential treatment responses to family-based treatment programs and subgroup trajectories in youth in a high-risk context. This study pioneered an examination of Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) and built on prior research that identified subgroups with different psychopathologies. Participants included 208 parent-child dyads enrolled in the MST-CAN evaluation in Switzerland. Parents reported their children's (Mage = 10.27 years, SDage = 3.5, 44.2% girls, 55.8% boys, 98.6% White) emotional and behavioral problems. Longitudinal data were examined to analyze the differential changes within the pre- and post-treatment (T1 and T2) subgroups. The T1 cluster and T2 cluster were cross-tabulated to examine changes in the symptom class over time. Overall, the treatment proved to be highly beneficial. Subgroup analyses revealed that four out of the five subgroups (80%) showed positive changes in at least two outcome measures. The treatment was most successful for children with externalizing symptoms. Children with multiple symptoms also showed improvements across different symptoms. Regarding specific symptoms, children with anxious-avoidant symptoms benefited from the treatment. Additionally, the treatment was beneficial for children with normative emotions and behavior. Meanwhile, the treatment did not have any significant effects for children with internalizing symptoms. Notably, child neglect was reduced in three (60%) subgroups. The symptom class remained stable across time for children with externalizing and multiple symptoms. Ultimately, MST-CAN reduced emotional and behavioral problems and child neglect in most families. Understanding children's differential treatment responses to complex treatment programs is essential to adequately address different needs.

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来源期刊
Research on Child and Adolescent Psychopathology
Research on Child and Adolescent Psychopathology Psychology-Developmental and Educational Psychology
CiteScore
5.00
自引率
4.00%
发文量
107
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