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一项关于从业者对青少年网络成瘾治疗过程中家庭参与看法的定性研究。

A Qualitative Study of Practitioners' Views on Family Involvement in Treatment Process of Adolescent Internet Addiction.

机构信息

Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China.

出版信息

Int J Environ Res Public Health. 2020 Dec 24;18(1):86. doi: 10.3390/ijerph18010086.

Abstract

Despite emerging evidence of the effectiveness of a family-focused approach as an Internet addiction (IA) treatment modality for adolescents, little research has been done to explore family involvement in the treatment process from the clinician's perspective. This study employed a qualitative design to examine practitioners' views pertaining to the roles and challenges of family participation in IA intervention. In total, 10 practitioners working with adolescents with IA were interviewed. Thematic analysis was used to analyze the transcribed interviews. Three overreaching themes were synthesized: That family involvement in IA intervention is challenging yet important; shifting the focus from the adolescent to the relationship; and provision of individualized services and intervention to address the heterogeneous nature of cases. The findings show that family participation in IA treatment is successful in enhancing positive outcomes. The needs of adolescents with IA and family members are addressed through individual counseling and psychoeducation, respectively. Conjoint therapy sessions foster effective communication, improve family interactions and functioning, and restore relationships. However, caution regarding family dynamics is required when considering whether family involvement is appropriate. Practitioners need to establish therapeutic alliances and be flexible when working with family members in terms of the degree and arrangement of participation.

摘要

尽管以家庭为中心的方法作为青少年网络成瘾(IA)治疗模式的有效性的新证据不断涌现,但从临床医生的角度探讨家庭在治疗过程中的参与情况的研究甚少。本研究采用定性设计,从临床医生的角度探讨了家庭参与 IA 干预的角色和挑战。共采访了 10 名从事青少年 IA 治疗的从业者。采用主题分析对转录访谈进行了分析。综合了三个主题:家庭参与 IA 干预具有挑战性但很重要;将重点从青少年转移到关系上;以及提供个性化的服务和干预措施,以解决案例的异质性。研究结果表明,家庭参与 IA 治疗有助于提高积极的结果。通过个别辅导和心理教育分别满足青少年和家庭成员的需求。联合治疗课程促进有效的沟通,改善家庭互动和功能,并修复关系。然而,在考虑是否适当进行家庭参与时,需要谨慎考虑家庭动态。从业者需要与家庭成员建立治疗联盟,并在参与程度和安排方面保持灵活性。

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