Linking session focus to treatment outcome in evidence-based treatments for adolescent substance abuse
Linking session focus to treatment outcome in evidence-based treatments for adolescent substance abuse
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DOI：
10.1037/0033-3204.41.2.83
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发表时间：
2004-06-01
期刊：
影响因子：
2.5
通讯作者：
Samuolis, J
中科院分区：
文献类型：
--
作者：
Hogue, A;Liddle, HA;Samuolis, J
针对青少年药物滥用的两种经经验支持的治疗方法，检查了具体治疗技术和治疗结果之间的关系：个体认知行为治疗和多维家庭治疗。参与者是 51 名市中心的药物滥用青少年，他们在一项大型随机试验中接受门诊心理治疗。使用针对模型特定技术和治疗焦点的 17 项观察测量来评估每个病例的一次疗程。探索性因素分析确定了 2 个分量表，即青少年焦点和家庭焦点，具有很强的参与者间可靠性和内部一致性。过程结果分析显示，在两种研究条件下，家庭关注（而非青少年关注）预测治疗后药物使用、外化症状和内化症状的改善。讨论了针对青少年吸毒问题实施和传播基于个人和家庭的方法的影响。
The relation between specific therapy techniques and treatment outcome was examined for 2 empirically supported treatments for adolescent substance abuse: individual cognitive-behavioral therapy and multidimensional family therapy. Participants were 51 inner-city, substance-abusing adolescents receiving outpatient psychotherapy within a larger randomized trial. One session per case was evaluated using a 17-item observational measure of model-specific techniques and therapeutic foci. Exploratory factor analysis identified 2 subscales, Adolescent Focus and Family Focus, with strong interrater reliability and internal consistency. Process-outcome analyses revealed that family focus, but not adolescent focus, predicted posttreatment improvement in drug use, externalizing symptoms, and internalizing symptoms within both study conditions. Implications for the implementation and dissemination of individual-based and family-based approaches for adolescent drug use are discussed.