Multisystemic Therapy for Child Abuse and Neglect: a randomized effectiveness trial.
Multisystemic Therapy for Child Abuse and Neglect: a randomized effectiveness trial.
复制标题
虐待和忽视儿童的多系统治疗：一项随机有效性试验。
DOI：
10.1037/a0020324
复制
发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Mayhew,AmyMarie
中科院分区：
文献类型：
--
作者：
Swenson,CynthiaCupit;Schaeffer,CindyM;Henggeler,ScottW;Faldowski,Richard;Mayhew,AmyMarie
本研究的主要目的是对身体受虐待的青少年（平均年龄13.88岁，女性55.8%，黑人68.6%）及其家庭进行儿童虐待和忽视多系统治疗（MST-CAN）的随机有效性试验。86个因身体虐待而接受儿童保护服务的家庭被随机分配到MST-CAN或增强门诊治疗（EOT），两种干预措施都由社区精神卫生中心的治疗师提供。在基线后16个月的5次评估中，意向治疗分析显示MST-CAN在减少青少年心理健康症状、父母精神困扰、与虐待相关的父母行为、青少年家庭外安置和青少年安置变化方面明显比EOT更有效。此外，MST-CAN在改善父母的自然社会支持方面显着更有效。大多数结果的效应量在中等到较大的范围内。虽然MST-CAN组的孩子比EOT组的孩子更少经历过再虐待事件，但基础率很低，这种差异在统计学上并不显著。这项研究的结果表明，在社区治疗环境中，对儿童身体虐待进行广泛治疗的潜力得到了有效的推广和实施。（PsycINFO数据库记录(c) 2016 APA，版权所有）
The primary purpose of this study was to conduct a randomized effectiveness trial of Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) for physically abused youth (mean age= 13.88 years, 55.8% female, 68.6% Black) and their families. Eighty-six families being followed by Child Protective Services due to physical abuse were randomly assigned to MST-CAN or Enhanced Outpatient Treatment (EOT), with both interventions delivered by therapists employed at a community mental health center. Across five assessments extending 16 months post baseline, intent-to-treat analyses showed that MST-CAN was significantly more effective than EOT in reducing youth mental health symptoms, parent psychiatric distress, parenting behaviors associated with maltreatment, youth out-of-home placements, and changes in youth placement. Also, MST-CAN was significantly more effective at improving natural social support for parents. Effect sizes were in the medium to large range for most outcomes examined. Although fewer children in the MST-CAN condition experienced an incident of reabuse than did counterparts in the EOT condition, base rates were low and this difference was not statistically significant. The findings of this study demonstrate the potential for broad-based treatments of child physical abuse to be effectively transported and implemented in community treatment settings.(PsycINFO Database Record (c) 2016 APA, all rights reserved)