Blankestein Annemarieke, van der Rijken Rachel, Eeren Hester V, Lange Aurelie, Scholte Ron, Moonen Xavier, De Vuyst Katrien, Leunissen Jo, Didden Robert
Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
Viersprong Institute for Studies on Personality Disorders, Halsteren, The Netherlands.
J Appl Res Intellect Disabil. 2019 May;32(3):575-590. doi: 10.1111/jar.12551. Epub 2019 Jan 8.
An adaptation of multisystemic therapy (MST) was piloted to find out whether it would yield better outcomes than standard MST in families where the adolescent not only shows antisocial or delinquent behaviour, but also has an intellectual disability.
To establish the comparative effectiveness of MST-ID (n = 55) versus standard MST (n = 73), treatment outcomes were compared at the end of treatment and at 6-month follow-up. Pre-treatment differences were controlled for using the propensity score method.
Multisystemic therapy-ID resulted in reduced police contact and reduced rule breaking behaviour that lasted up to 6 months post-treatment. Compared to standard MST, MST-ID more frequently resulted in improvements in parenting skills, family relations, social support, involvement with pro-social peers and sustained positive behavioural changes. At follow-up, more adolescents who had received MST-ID were still living at home.
These results support further development of and research into the MST-ID adaptation.
对多系统疗法（MST）进行了调整试点，以探究在青少年不仅表现出反社会或犯罪行为，还患有智力障碍的家庭中，调整后的疗法是否会比标准MST产生更好的效果。
为确定MST-ID（n = 55）与标准MST（n = 73）的相对有效性，在治疗结束时和6个月随访时比较治疗结果。使用倾向评分法控制治疗前的差异。
多系统疗法-ID导致警方接触减少，违规行为减少，且这种效果在治疗后持续长达6个月。与标准MST相比，MST-ID更常带来养育技能、家庭关系、社会支持、与亲社会同伴的交往以及持续积极行为改变方面的改善。在随访时，更多接受MST-ID治疗的青少年仍住在家里。
这些结果支持对MST-ID调整疗法进行进一步开发和研究。
