Henggeler Scott W, Letourneau Elizabeth J, Chapman Jason E, Borduin Charles M, Schewe Paul A, McCart Michael R
Family Services Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina 29425, USA.
J Consult Clin Psychol. 2009 Jun;77(3):451-62. doi: 10.1037/a0013971.
The mediators of favorable multisystemic therapy (MST) outcomes achieved at 12 months postrecruitment were examined within the context of a randomized effectiveness trial with 127 juvenile sexual offenders and their caregivers. Outcome measures assessed youth delinquency, substance use, externalizing symptoms, and deviant sexual interest/risk behaviors; hypothesized mediators included measures of parenting and peer relations. Data were collected at pretreatment, 6 months postrecruitment, and 12 months postrecruitment. Consistent with the MST theory of change and the small extant literature in this area of research, analyses showed that favorable MST effects on youth antisocial behavior and deviant sexual interest/risk behaviors were mediated by increased caregiver follow-through on discipline practices as well as decreased caregiver disapproval of and concern about the youth's bad friends during the follow-up. These findings have important implications for the community-based treatment of juvenile sexual offenders.
在一项针对127名青少年性犯罪者及其照顾者的随机有效性试验中,研究了招募后12个月实现的多系统治疗(MST)良好效果的中介因素。结果测量评估了青少年犯罪、物质使用、外化症状以及异常性兴趣/风险行为;假设的中介因素包括养育方式和同伴关系的测量。在治疗前、招募后6个月和招募后12个月收集数据。与MST的变革理论以及该研究领域现存的少量文献一致,分析表明,MST对青少年反社会行为和异常性兴趣/风险行为的良好影响是通过照顾者在纪律措施上更多的坚持以及在随访期间照顾者对青少年不良朋友的不认可和担忧的减少来介导的。这些发现对青少年性犯罪者的社区治疗具有重要意义。