Coatsworth J D, Santisteban D A, McBride C K, Szapocznik J
Department of Human Development and Family Studies, Pennsylvania State University, 105 White Building, University Park, PA 16802, USA.
Fam Process. 2001 Fall;40(3):313-32. doi: 10.1111/j.1545-5300.2001.4030100313.x.
This study extends a program of research investigating the effectiveness of Brief Strategic Family Therapy to engage and retain families and/or youth in treatment. The study contrasted Brief Strategic Family Therapy (BSFT) with a Community Comparison (CC) condition selected to represent the common engagement and treatment practices of the community; 104 families were randomly assigned to BSFT or CC. Results indicate that families assigned to BSFT had significantly higher rates of engagement (81% vs. 61%), and retention (71% vs. 42%). BSFT was also more effective than CC in retaining more severe cases. Post hoc analyses of treatment effectiveness suggest that BSFT was able to achieve comparable treatment effects despite retaining more difficult cases. We discuss these results from a public health perspective, and highlight the study's contribution to a small but growing body of literature that suggests the benefits of a family-systems paradigm for engagement and retention in treatment.
本研究扩展了一项研究计划，该计划旨在调查简短策略式家庭治疗在促使家庭和/或青少年参与治疗并持续接受治疗方面的有效性。该研究将简短策略式家庭治疗（BSFT）与一个社区对照（CC）条件进行了对比，选择CC条件是为了代表社区常见的参与和治疗做法；104个家庭被随机分配到BSFT组或CC组。结果表明，被分配到BSFT组的家庭参与率（81%对61%）和持续治疗率（71%对42%）显著更高。在留住病情更严重的病例方面，BSFT也比CC更有效。对治疗效果的事后分析表明，尽管留住了更难治疗的病例，但BSFT仍能取得相当的治疗效果。我们从公共卫生的角度讨论了这些结果，并强调了该研究对一小部分但不断增长的文献的贡献，这些文献表明家庭系统范式在参与治疗和持续接受治疗方面的益处。
