Biosocial processes predicting multisystemic therapy treatment response.

Biosocial processes predicting multisystemic therapy treatment response.
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DOI:
10.1016/j.biopsycho.2012.12.002
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发表时间:
2013-02
影响因子:
2.6
通讯作者:
Whitmore, Elizabeth
Whitmore, Elizabeth
中科院分区:
医学3区
文献类型:
--
作者:
Ryan, Stacy R.;Brennan, Patricia A.;Cunningham, Phillippe B.;Foster, Sharon L.;Brock, Rebecca L.;Whitmore, Elizabeth

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本研究探讨了生物(睾酮)和社会(越轨同伴关系)因素在治疗早期作为治疗结果的预测因子在接受多系统治疗(MST)的青少年男孩在社区设置。结果变量包括主要照顾者报告的青少年攻击和犯罪的变化。在治疗开始时,对精神分裂症和越轨的同伴关系进行了评估;在治疗开始、治疗中期和治疗结束时,对结果变量(攻击和犯罪)进行了评估。研究对象为112名男性青少年(M年龄= 15.42,SD = 1.31)及其照顾者。生长曲线分析显示,治疗早期高睾酮和高偏差同伴关系的组合与治疗过程中攻击和犯罪的下降幅度较小显著相关。研究结果为睾酮在预测未来外化行为中的作用提供了新的证据。临床和理论意义进行了讨论。
This study examined biological (testosterone) and social (deviant peer affiliation) factors early in treatment as predictors of treatment outcome among adolescent boys receiving Multisystemic Therapy (MST) in community settings. Outcome variables included changes in youth aggression and delinquency as reported by the primary caregiver. Testosterone and deviant peer affiliation were assessed at treatment onset; and outcome variables (aggression and delinquency) were assessed at treatment onset, mid-treatment and end-of-treatment. Participants were 112 adolescent boys (M age = 15.42, SD = 1.31) and their caregivers. Growth curve analyses revealed that the combination of high testosterone and high deviant peer affiliation early in treatment were significantly associated with less of a decline in aggression and delinquency over the course of treatment. Results provide novel evidence for the role of testosterone in the prediction of future externalizing behaviors. Clinical and theoretical implications are discussed.
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