Attachment-based family therapy: Adherence and differentiation
Attachment-based family therapy: Adherence and differentiation
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DOI：
10.1111/j.1752-0606.2007.00015.x
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发表时间：
2007-04-01
影响因子：
2.2
通讯作者：
Hogue, Aaron
中科院分区：
文献类型：
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作者：
Diamond, Gary M.;Diamond, Guy S.;Hogue, Aaron
这项研究检验了基于依恋的家庭治疗（ABFT）对抑郁青少年的忠诚度。训练有素的观察者使用治疗师行为评级量表（第 3 版）对 45 次 ABFT 会议和 45 次青少年药物滥用者两种基于经验的治疗（多维家庭治疗 (MDFT) 和认知行为治疗 (CBT)）中的治疗行为进行编码。结果表明，ABFT 治疗师采用了必要的 ABFT 干预措施，例如关注脆弱情感、强调与依恋相关的主题以及通过治疗中的表演促进青少年与父母的重新依恋。根据治疗的顺序性质，这些干预措施在治疗的早期阶段被更广泛地使用，此时更加关注重新附着。 ABFT 与 CBT 完全有区别，ABFT 治疗师使用更多的重组和重新依恋干预措施，而 CBT 治疗师则使用更多标志性的 CBT 干预措施，例如认知监测和家庭作业。 ABFT 也与 MDFT 有所区别，ABFT 治疗师更加强调重新依恋。这些结果表明 ABFT 是一种可行的差异化治疗方法。结合之前支持其功效的研究结果，ABFT 应被视为治疗抑郁青少年及其家庭的一种有前途的新方法。
This study examined the fidelity of attachment-based family therapy (ABFT) for depressed adolescents. Trained observers used the therapist behavior rating scale (3rd version) to code therapist behaviors in 45 sessions of ABFT and 45 sessions each from two empirically based treatments for adolescent substance abusers: multidimensional family therapy (MDFT) and cognitive-behavioral therapy (CBT). Results indicate that ABFT therapists employed essential ABFT interventions, such as focusing on vulnerable affect, highlighting attachment-related themes, and promoting adolescent-parent reattachment through in-session enactments. In accordance with the sequential nature of the treatment, these interventions were used more extensively during the early stage of treatment, when there is a greater focus on reattachment. ABFT was perfectly discriminable from CBT, with ABFT therapists using more restructuring and reattachment interventions and CBT therapists using more signature CBT interventions, such as cognitive monitoring and homework. ABFT was also discriminable from MDFT, with ABFT therapists placing a greater emphasis on reattachment. These results suggest that ABFT is a viable and differentiated treatment. Together with prior findings supporting its efficacy, ABFT should be considered a promising new approach for working with depressed adolescents and their families.