Multisystemic therapy for child non-externalizing psychological and health problems: a preliminary review.

Multisystemic therapy for child non-externalizing psychological and health problems: a preliminary review.
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DOI:
10.1007/s10567-012-0127-6
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发表时间:
2013-03
影响因子:
6.9
通讯作者:
Stanley, Melinda A.
Stanley, Melinda A.
中科院分区:
心理学1区
文献类型:
--
作者:
Pane, Heather T.;White, Rachel S.;Nadorff, Michael R.;Grills-Taquechel, Amie;Stanley, Melinda A.

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多系统疗法(MST)是减少或预防犯罪等外化行为,增加亲社会或适应性行为的有效方法。这个项目的目的是回顾MST对其他反映非外化行为的儿童心理和健康问题的疗效的文献,特别是与虐待儿童、严重精神疾病有关的困难[严重精神疾病在本综述文件中被定义为“存在自杀意念、杀人意念、精神病或由于精神疾病对自己或他人造成伤害的症状,其严重程度足以根据美国儿童和青少年精神病学学会(美国儿童和青少年精神病学学会的护理级别安置标准)需要住院治疗。精神疾病的护理级别安置标准“(Henggler等人)。收录于《美国儿科杂志》38:1331-1345,第1332页)。此外,有“严重情绪障碍(SED)”的青少年被定义为将严重到有资格在公立学校接受心理健康服务的问题内化和/或外化,这些青少年“目前处于或即将面临昂贵的离家安置的风险”(Rowland等人。在J Emot Behav Disord 13:13-23,第13-14页,也被列入严重精神疾病类别。],以及健康问题(即肥胖和糖尿病坚持治疗)。检索了PubMed、Web of Science、MEDLINE和emocINFO数据库;ClinicalTrials.gov;DARE;Web of Knowledge;和Cochrane Central Register of Control Trials;并询问MST开发人员以确保识别所有相关文章。在确定的242项研究中,18项符合纳入标准进行审查。这些被结合在一个叙述性的综合中,并在审查问题的背景下进行批评。研究质量评级都高于先前综述中报告的平均分数。与其他治疗方法相比,MST的疗效得到了混合支持。在许多情况下,MST或对照组的治疗效果不会随着时间的推移而持续。MST对不同背景的青年是有效的。没有研究讨论在不同治疗环境下提供的MST的疗效。四项研究发现,MST比对照治疗更具成本效益,从而减少了患有严重精神疾病的青年的户外安置,或降低了患有糖尿病控制不佳的青年的治疗成本。
Multisystemic therapy (MST) is effective for decreasing or preventing delinquency and other externalizing behaviors and increasing prosocial or adaptive behaviors. The purpose of this project was to review the literature examining the efficacy of MST for other child psychological and health problems reflecting non-externalizing behaviors, specifically difficulties related to child maltreatment, serious psychiatric illness [Serious psychiatric illness was defined throughout the current review paper as the “presence of symptoms of suicidal ideation, homicidal ideation, psychosis, or threat of harm to self or others due to mental illness severe enough to warrant psychiatric hospitalization based on the American Academy of Child and Adolescent Psychiatry (Level of care placement criteria for psychiatric illness.) level of care placement criteria for psychiatric illness” (Henggeler et al. in J Am Acad Child Psy 38:1331–1345, p. 1332,). Additionally, youth with “serious emotional disturbance (SED)” defined as internalizing and/or externalizing problems severe enough to qualify for mental health services in public school who were “currently in or at imminent risk of a costly out-of-home placement” (Rowland et al. in J Emot Behav Disord 13:13–23, pp. 13–14,) were also included in the serious psychiatric illness category.], and health problems (i.e., obesity and treatment adherence for diabetes). PubMed, Web of Science, MEDLINE, and PsycINFO databases; Clinicaltrials.gov; DARE; Web of Knowledge; and Cochrane Central Register of Controlled Trials were searched; and MST developers were queried to ensure identification of all relevant articles. Of 242 studies identified, 18 met inclusion criteria for review. These were combined in a narrative synthesis and critiqued in the context of review questions. Study quality ratings were all above mean scores reported in prior reviews. Mixed support was found for the efficacy of MST versus other treatments. In many cases, treatment effects for MST or comparison groups were not sustained over time. MST was efficacious for youth with diverse backgrounds. No studies discussed efficacy of MST provided in different treatment settings. Four studies found MST more cost-effective than a comparison treatment, leading to fewer out-of-home placements for youth with serious psychiatric illness or lower treatment costs for youth with poorly controlled diabetes.
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发表时间: 1998-06-01
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