Jalling Camilla, Bodin Maria, Romelsjö Anders, Källmén Håkan, Durbeej Natalie, Tengström Anders
STAD, Stockholm Center for Psychiatry Research and Education, Karolinska Institutet, Norra Stationsgatan 69, 113 64 Stockholm, Sweden.
Department of Knowledge-Based Policy and Guidance, National Board of Health and Welfare, Stockholm, Sweden.
J Child Fam Stud. 2016;25:811-826. doi: 10.1007/s10826-015-0263-y. Epub 2015 Aug 9.
Two theoretically based parent training programs, delivered in real-world settings by the social services, were examined in this randomized controlled trial for effectiveness in reducing adolescents' antisocial behavior and substance use. Two hundred and thirty-seven (237) adolescents in ages between 12 and 18 and their parents were assigned to one of two programs or to a wait-list control condition. The programs were the nine weekly group sessions program Comet 12-18 (Swedish Parent Management Training Program) and the six weekly ParentSteps (Swedish shortened version by Strengthening Families Program 10-14). Outcome measures were antisocial behavior, substance use, and delinquency, and psychosocial dysfunction. Data based on adolescents' and parents' ratings of the adolescents' problem behavior at baseline and 6 months later were analyzed with repeated measures ANVOA, Logistic regression, and Kruskal-Wallis test. The results showed that parents' ratings of adolescents' antisocial behaviors decreased significantly over time, but no time by group effect emerged. No program effects were found in the adolescents' self-reported antisocial behavior, delinquency, or psychosocial functioning. A threefold risk of illicit drug use was found in both intervention groups. The results suggest that neither Comet nor ParentSteps had beneficial effects on adolescent's antisocial or delinquent behavior, or on alcohol use. The only significant group difference found was a threefold risk of drug use in the intervention adolescents at follow-up, but for several reasons this finding should be interpreted with caution. : ISRCTN76141538.
在这项随机对照试验中，对社会服务机构在现实环境中实施的两个基于理论的家长培训项目进行了检验，以评估其在减少青少年反社会行为和药物使用方面的有效性。237名年龄在12至18岁之间的青少年及其父母被分配到两个项目之一或等待名单控制组。这两个项目分别是为期九周的小组课程项目Comet 12 - 18（瑞典家长管理培训项目）和为期六周的ParentSteps（瑞典版强化家庭项目10 - 14的简化版）。结果测量指标包括反社会行为、药物使用、犯罪行为以及心理社会功能障碍。基于青少年及其父母在基线和6个月后对青少年问题行为的评分数据，采用重复测量方差分析、逻辑回归和克鲁斯卡尔 - 沃利斯检验进行分析。结果表明，随着时间的推移，父母对青少年反社会行为的评分显著下降，但未发现组间与时间的交互效应。在青少年自我报告的反社会行为、犯罪行为或心理社会功能方面未发现项目效果。在两个干预组中都发现了非法药物使用风险增加三倍的情况。结果表明，Comet和ParentSteps对青少年的反社会或犯罪行为以及酒精使用均无有益影响。唯一发现的显著组间差异是随访时干预组青少年药物使用风险增加三倍，但出于多种原因，这一发现应谨慎解读。试验注册号：ISRCTN76141538。
