Love Allison R, Mueller Charles W, Tolman Ryan T, Ka Powell A
Department of Psychology, University of Hawai'i at Mānoa, 2430 Campus Road, Honolulu, HI, 96822, USA,
Adm Policy Ment Health. 2014 Jul;41(4):421-33. doi: 10.1007/s10488-013-0480-x.
Frequency, level, and rate of improvement on 48 therapist-identified treatment targets were examined for 790 youth in usual care receiving intensive in-home services. Targets related to disruptive behavior, depressive mood, and functional impairment were most common. Overall, targets attained moderate levels of improvement and reached maximum gains in approximately three months. Targets associated with disruptive behavior and depressive mood disorders showed significantly greater improvement than those associated with ADHD. Anxiety-related targets improved quickest and significantly faster than disruptive behavior targets. Outcomes for targets within the same diagnostic group also varied substantially. Practice and implementation implications are discussed.
对790名接受强化家庭服务的常规护理青少年，检查了48个治疗师确定的治疗目标的频率、水平和改善率。与破坏性行为、抑郁情绪和功能损害相关的目标最为常见。总体而言，目标达到了中等程度的改善，并在大约三个月内达到最大收益。与破坏性行为和抑郁情绪障碍相关的目标比与注意力缺陷多动障碍相关的目标有显著更大的改善。与焦虑相关的目标改善最快，且明显快于破坏性行为目标。同一诊断组内目标的结果也有很大差异。讨论了实践和实施方面的影响。
