Department of Child and Adolescent Psychiatry, Curium - Leiden University Medical Centre, Leiden, The Netherlands.
Department of Child and Adolescent Psychiatry, VU University Medical Centre, Amsterdam, The Netherlands.
J Child Psychol Psychiatry. 2017 May;58(5):532-545. doi: 10.1111/jcpp.12685. Epub 2017 Jan 25.
Multidimensional family therapy (MDFT) is a well-established treatment for adolescents showing both substance abuse and/or antisocial behavior.
The effectiveness of MDFT in reducing adolescents' substance abuse, delinquency, externalizing and internalizing psychopathology, and family malfunctioning was examined by means of a (three-level) meta-analysis, summarizing 61 effect sizes from 19 manuscripts (N = 1,488 participants).
Compared with other therapies, the overall effect size of MDFT was significant, albeit small in magnitude (d = 0.24, p < .001), and similar across intervention outcome categories. Moderator analysis revealed that adolescents with high severity problems, including severe substance abuse and disruptive behavior disorder, benefited more from MDFT than adolescents with less severe conditions.
It can be concluded that MDFT is effective for adolescents with substance abuse, delinquency, and comorbid behavior problems. Subsequently, it is important to match specific characteristics of the adolescents, such as extent of impairment, with MDFT.
多维家庭治疗（MDFT）是一种成熟的治疗方法，适用于同时存在药物滥用和/或反社会行为的青少年。
通过（三级）荟萃分析，总结了 19 篇文献中的 61 个效应量（N=1488 名参与者），考察了 MDFT 对减少青少年药物滥用、犯罪行为、外化和内化精神病理学以及家庭功能障碍的有效性。
与其他疗法相比，MDFT 的总体效果显著，尽管效果较小（d=0.24，p<.001），且在干预结果类别中相似。调节分析显示，严重程度较高的青少年，包括严重的药物滥用和破坏性行为障碍，从 MDFT 中获益更多，而病情较轻的青少年则获益较少。
可以得出结论，MDFT 对有药物滥用、犯罪行为和共患行为问题的青少年有效。因此，根据青少年的具体特征，如损害程度，与 MDFT 相匹配是很重要的。
