Ethnic Similarity, Therapist Adherence, and Long-Term Multisystemic Therapy Outcomes.

Ethnic Similarity, Therapist Adherence, and Long-Term Multisystemic Therapy Outcomes.
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DOI:
10.1177/1063426610376773
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发表时间:
2011-03-01
影响因子:
1.9
通讯作者:
Schoenwald SK
Schoenwald SK
中科院分区:
心理学4区
文献类型:
--
作者:
Chapman JE;Schoenwald SK

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本研究调查了种族相似性之间的关系,在多系统治疗,治疗师的坚持,和青年长期的行为和犯罪结果的青少年参与的治疗师对。参与者是1979年青年和家庭治疗的429名治疗师在45个地点的供应商组织。关系被发现,独立的,并在种族相似性的存在下,坚持和减少青年外化和内化的行为问题1年后的治疗和青年刑事指控4年后的治疗。种族相似性和结果之间的关系,发现只有减少青年外化行为的问题,而不是坚持包括在模型中。然而,在种族相似的护理人员-治疗师配对中,依从性评分更高,有证据表明,依从性的提高预示着年轻人的结果会稍好一些。未来的研究和临床实践的影响被认为是。
The current study investigated relations among ethnic similarity in caregiver-therapist pairs of youth participating in Multisystemic Therapy, therapist adherence, and youth long-term behavioral and criminal outcomes. Participants were 1979 youth and families treated by 429 therapists across provider organizations in 45 sites. Relations were found, independently, and in the presence of ethnic similarity, between adherence and reductions in youth Externalizing and Internalizing behavior problems 1-year post-treatment and youth criminal charges 4 years post-treatment. Relations between ethnic similarity and outcomes were found only for reductions in youth Externalizing behavior problems and not when adherence was included in the model. Adherence ratings were higher, however, in ethnically similar caregiver-therapist pairs, and evidence was found that this increased adherence predicted slightly better outcomes for youth. Implications for future research and clinical practice are considered.
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