Mechanisms of change in multisystemic therapy: reducing delinquent behavior through therapist adherence and improved family and peer functioning.
Mechanisms of change in multisystemic therapy: reducing delinquent behavior through therapist adherence and improved family and peer functioning.
复制标题
DOI：
10.1037/0022-006x.68.3.451
复制
发表时间：
2000-06
影响因子：
5.9
通讯作者：
Stanley J. Huey;S. Henggeler;M. Brondino;Susan G. Pickrel
中科院分区：
文献类型：
--
作者：
Stanley J. Huey;S. Henggeler;M. Brondino;Susan G. Pickrel
以2例青少年罪犯为研究对象，对多系统治疗减少犯罪行为的机制进行了研究。样本1包括严重罪犯，他们主要是农村男性和非洲裔美国人。样本2包括药物滥用罪犯，他们主要是城市男性和白种人。治疗师对MST协议的遵守（基于多名受访者）与改善家庭关系（家庭凝聚力、家庭功能和父母监督）和减少犯罪同伴关系有关，而这反过来又与减少犯罪行为有关。此外，家庭关系和不良同伴关系的变化介导了照顾者评价的依从性与犯罪行为减少之间的关系。研究结果强调了在确定MST等复杂治疗如何促进最终结果时，确定中枢变化机制的重要性。
The mechanisms through which multisystemic therapy (MST) decreased delinquent behavior were assessed in 2 samples of juvenile offenders. Sample 1 included serious offenders who were predominantly rural, male, and African American. Sample 2 included substance-abusing offenders who were predominantly urban, male, and Caucasian. Therapist adherence to the MST protocol (based on multiple respondents) was associated with improved family relations (family cohesion, family functioning, and parent monitoring) and decreased delinquent peer affiliation, which, in turn, were associated with decreased delinquent behavior. Furthermore, changes in family relations and delinquent peer affiliation mediated the relationship between caregiver-rated adherence and reductions in delinquent behavior. The findings highlight the importance of identifying central change mechanisms in determining how complex treatments such as MST contribute to ultimate outcomes.