Slesnick Natasha, Bartle-Haring Suzanne, Gangamma Rashmi
Department of Human Development and Family Science, The Ohio State University, Columbus, Ohio 43210, USA.
J Marital Fam Ther. 2006 Jul;32(3):261-81. doi: 10.1111/j.1752-0606.2006.tb01606.x.
There is a dearth of research that examines the impact of family systems therapy on problems among sexually and/or physically abused youth. Given this void, differential outcome and predictors of substance use change were evaluated for abused, as compared with nonabused, runaway adolescents who were randomly assigned to family therapy or treatment as usual. Abused adolescents reported lower family cohesion at baseline, although both abused and nonabused adolescents showed similar substance use reductions. Utilizing hierarchical linear modeling, we found that substance use changed with change in cohesion over time. These findings link change in family functioning to change in adolescent substance use, supporting fiamily systems theory. Findings suggest that a potent target of intervention involves focus on increasing positive communication interactions.
缺乏关于家庭系统疗法对遭受性虐待和/或身体虐待青少年问题影响的研究。鉴于这一空白，对随机分配接受家庭治疗或常规治疗的受虐待与未受虐待离家出走青少年进行了物质使用变化的差异结果和预测因素评估。受虐待青少年在基线时报告的家庭凝聚力较低，尽管受虐待和未受虐待的青少年在物质使用减少方面表现相似。利用分层线性模型，我们发现物质使用随时间凝聚力的变化而变化。这些发现将家庭功能的变化与青少年物质使用的变化联系起来，支持家庭系统理论。研究结果表明，一个有效的干预目标是专注于增加积极的沟通互动。
