Caregiver-therapist ethnic similarity predicts youth outcomes from an empirically based treatment

Caregiver-therapist ethnic similarity predicts youth outcomes from an empirically based treatment
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DOI:
10.1037/0022-006x.73.5.808
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发表时间:
2005-10-01
影响因子:
5.9
通讯作者:
Letourneau, EJ
Letourneau, EJ
中科院分区:
心理学1区
文献类型:
--
作者:
Halliday-Boykins, CA;Schoenwald, SK;Letourneau, EJ

文献摘要

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在传播点实施的多系统治疗(MST)中,研究了照顾者-治疗师种族相似性对青少年结果的影响。与假设一致,研究结果证实,与照顾者和治疗师种族不匹配的青少年相比,照顾者和治疗师种族匹配的青少年表现出更大的症状减轻,更长的治疗时间,并且更有可能达到治疗目标。此外,对于照顾者是混血的青少年,照顾者-治疗师的种族匹配与心理社会功能的更大改善有关。治疗时间和出院成功率的种族匹配效应部分由治疗师对MST的依从性介导。本研究显示了检验来访者和治疗师种族对经验性治疗结果的影响的重要性。
The effects of caregiver-therapist ethnic similarity on youth outcomes from multisystemic therapy (MST), as implemented in dissemination sites, were examined. Consistent with hypotheses, findings confirmed that youths whose caregivers were ethnically matched with their therapists demonstrated greater decreases in symptoms, longer times in treatment, and increased likelihood of discharge for meeting treatment goals relative to youths whose caregivers and therapists were not ethnically matched. In addition, for youths whose caregivers were of mixed ethnic heritage, caregiver-therapist ethnic match was associated with greater improvements in psychosocial functioning. Ethnic match effects on both treatment length and discharge success were partially mediated by therapist adherence to MST. This study shows the importance of examining the effects of both client and therapist ethnicity on outcomes from empirically based treatments.