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基于家庭的严重青少年犯罪者治疗方法:多层次荟萃分析。

Family-based treatments for serious juvenile offenders: A multilevel meta-analysis.

机构信息

Department of Psychological Sciences, University of Missouri.

Department of Psychology, University of Kansas.

出版信息

J Consult Clin Psychol. 2017 Apr;85(4):335-354. doi: 10.1037/ccp0000183.

Abstract

OBJECTIVE

Researchers have identified several family-based treatments that hold considerable promise in reducing serious juvenile offending; however, these treatments remain underutilized by youth service systems. In the present study, we used meta-analysis to summarize the findings of research on family-based treatments for serious juvenile offenders.

METHOD

We conducted a multilevel meta-analysis that modeled dependencies between multiple effect sizes from the same study. The meta-analysis synthesized 324 effect sizes from 28 studies that met inclusion criteria. Potential moderators (e.g., characteristics of samples, treatments, methods, and measures) were entered as fixed effects in the meta-analytic model.

RESULTS

Across studies, family-based treatments produced modest, yet long-lasting, treatment effects (mean d = 0.25 for antisocial behavior, 0.24 overall) relative to comparison conditions. Furthermore, certain characteristics moderated the magnitude of treatment effects; for example, measures of substance use showed the largest effects and measures of peer relationships showed the smallest effects.

CONCLUSIONS

Policymakers, administrators, and treatment providers may find it useful to consider the effects of family-based treatments for serious juvenile offenders in their selection of treatments for this population. In addition, investigators who seek to develop and study such treatments may wish to consider the current findings in their future research efforts. (PsycINFO Database Record

摘要

目的

研究人员已经确定了几种基于家庭的治疗方法,这些方法在减少严重青少年犯罪方面具有很大的潜力;然而,青少年服务系统仍未充分利用这些治疗方法。在本研究中,我们使用荟萃分析总结了针对严重青少年犯罪者的基于家庭的治疗研究的结果。

方法

我们进行了多级荟萃分析,该分析对来自同一研究的多个效应量进行建模。荟萃分析综合了符合纳入标准的 28 项研究的 324 个效应量。潜在的调节变量(例如,样本、治疗、方法和措施的特征)作为固定效应输入到荟萃分析模型中。

结果

与对照组相比,基于家庭的治疗方法在各种研究中产生了适度但持久的治疗效果(反社会行为的平均 d 值为 0.25,总体为 0.24)。此外,某些特征调节了治疗效果的大小;例如,药物使用的测量值显示出最大的效果,而同伴关系的测量值显示出最小的效果。

结论

政策制定者、管理人员和治疗提供者在为该人群选择治疗方法时,可能会发现考虑基于家庭的严重青少年犯罪者治疗方法的效果很有用。此外,寻求开发和研究此类治疗方法的研究人员可能希望在未来的研究工作中考虑当前的研究结果。

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