Ogden Terje, Halliday-Boykins Colleen A
The Norwegian Center for Studies on Conduct Problems and Innovative Practice, Oslo, Norway, E-mail:
Family Services Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, USA, E-mail:
Child Adolesc Ment Health. 2004 May;9(2):77-83. doi: 10.1111/j.1475-3588.2004.00085.x.
MST is an intensive home- and community-based intervention for youths with serious antisocial behaviour and other serious clinical problems, which has been effective at reducing out-of-home placements and producing favourable long-term clinical outcomes in the US. The aims of the study were to determine the degree to which these outcomes would be replicated in Norway for youths with serious behaviour problems and to conduct a randomised trial of MST by an independent team of investigators.
Participants were 100 seriously antisocial youths in Norway who were randomly assigned to Multisystemic Therapy (MST) or usual Child Welfare Services (CS) treatment conditions. Data were gathered from youths, parents, and teachers pre- and post-treatment.
MST was more effective than CS at reducing youth internalising and externalising behaviours and out-of-home placements, as well as increasing youth social competence and family satisfaction with treatment.
This is the first study of MST outside of the US and one of the first not conducted by the developers of MST. The findings replicate those obtained by MST's developers and demonstrate the generalisability of short-term MST effects beyond the US.
多系统治疗（MST）是一种针对有严重反社会行为及其他严重临床问题的青少年的强化家庭及社区干预措施，在美国，该措施在减少青少年离家安置以及取得良好的长期临床效果方面颇为有效。本研究的目的是确定在挪威，对于有严重行为问题的青少年而言，这些效果能在多大程度上得到重现，同时由一个独立的研究团队对多系统治疗进行一项随机试验。
研究对象为挪威100名有严重反社会行为的青少年，他们被随机分配至多系统治疗（MST）组或常规儿童福利服务（CS）治疗组。在治疗前和治疗后，从青少年、家长及教师处收集数据。
在减少青少年内化和外化行为、减少离家安置，以及提高青少年社交能力和家庭对治疗的满意度方面，多系统治疗（MST）比常规儿童福利服务（CS）更有效。
这是美国以外对多系统治疗（MST）的首次研究，也是首批并非由多系统治疗（MST）开发者开展的研究之一。研究结果重现了多系统治疗（MST）开发者所获得的结果，并证明了多系统治疗（MST）短期效果在美国以外地区的普遍性。
