安全住宿护理与青少年男孩和女孩积极行为改变的关系

IF 1 Q3 PSYCHOLOGY, CLINICAL Residential Treatment for Children & Youth Pub Date : 2022-07-25 DOI:10.1080/0886571X.2022.2100561
Raymond V. Gutterswijk, C. Kuiper, A. Harder, B. Bocanegra, Frank C. P. van der Horst, Peter Prinzie
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引用次数: 0

摘要

摘要:安全的寄宿青少年护理机构试图通过提供针对性别的治疗来优化他们的帮助,以实现青少年积极的行为改变。在这项研究中,我们调查了239名荷兰青少年(M年龄=15.59岁,SD=1.36岁,54.9%为女孩)在安全寄宿护理中的行为变化。对行为问题、创伤后应激障碍症状、情绪调节、感知能力和家庭问题进行了测试前、测试后和随访测量。对接受特定性别护理的女孩与接受常规护理的女孩和男孩进行了比较。缺失数据分析显示,数据集包含许多缺失值。在组水平上使用MANCOVA、ANCOVA和自举计划对比进行分析,在病例水平上使用可靠变化指数进行分析。在群体层面,研究结果显示,与常规的女孩护理相比,针对性别的女孩护理更有效,只是在减少外化行为问题方面。总的来说,在针对性别的帮助与常规帮助的有效性方面,相似之处多于差异。在个人层面,0-58%的青少年在安全的寄宿护理期间有所改善。然而,大多数青少年没有表现出任何变化(25-88%),甚至恶化(0-39%)。这些结果有力地强调了替代干预措施的必要性。
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Associations between Secure Residential Care and Positive Behavioral Change in Adolescent Boys and Girls
ABSTRACT Secure residential youth care facilities try to optimize their help by offering gender-specific treatment, in an attempt to achieve positive behavioral change in adolescents. In this study, we examined behavioral change in a sample of 239 Dutch adolescents (M age = 15.59 years, SD = 1.36 years, 54.9% girls) in secure residential care. Pretest, posttest and follow-up measurements were carried out for behavioral problems, PTSD symptoms, emotion regulation, perceived competence and family problems. Comparisons were made between girls in gender-specific care, and girls and boys in regular care. Missing data analyses revealed the dataset contained many missing values. Analyses were performed at group level, using MANCOVA, ANCOVA’s and bootstrapped planned contrast, and at case level, using the Reliable Change Index. At group level, results revealed higher effectiveness of gender-specific care for girls compared to regular care for girls, only in diminishing externalizing behavioral problems. Overall, there were more similarities than differences in the effectiveness of gender-specific versus regular help. At individual level, 0–58% of the adolescents improved during their stay in secure residential care. However, most adolescents showed no change (25–88%) or even deterioration (0–39%). These results strongly emphasize the need for alternative interventions.
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来源期刊
CiteScore
2.00
自引率
33.30%
发文量
27
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