Asgeir Røyrhus Olseth, Kristine Amlund Hagen, Serap Keles, Gunnar Bjørnebekk
{"title":"挪威针对青少年破坏行为的功能性家庭疗法:随机对照试验的结果。","authors":"Asgeir Røyrhus Olseth, Kristine Amlund Hagen, Serap Keles, Gunnar Bjørnebekk","doi":"10.1037/fam0001213","DOIUrl":null,"url":null,"abstract":"<p><p>Disruptive behavior during adolescence is linked to severe problems for the youths later in life and poses challenges to the families, schools, and treatment systems these youths meet. This randomized controlled trial was conducted to examine the short- and long-term effectiveness of functional family therapy (FFT) for adolescents aged 11-17 referred for disruptive behavior to Child Welfare Services in Norway. One hundred sixty-one youths (<i>M</i><sub>age</sub> = 14.7, 45.9% female) were randomly assigned to FFT (<i>n</i> = 88) or treatment as usual (TAU, <i>n</i> = 73). Primary outcomes were parent- and teacher-reported youth aggressive behavior, rule-breaking behavior, internalizing problems, and social skills; youth self-reported delinquency (SRD) and negative peer involvement; and teacher-reported academic performance and adaptive functioning. Outcomes were collected before treatment (pretest), 6 months after pretest (posttest), and 18 months after pretest (follow-up). The results showed no intervention effect for FFT compared to TAU between pretest and posttest (<i>p</i> > .05). Significant improvements between pretest and posttest were found for youth receiving both FFT and TAU on parent-reported aggressive and rule-breaking behavior, internalizing problems, and social skills (ranging from <i>d</i> = 0.56 to -0.45) and youth SRD (<i>d</i> = 0.29). Between posttest and follow-up, however, a significant intervention effect in favor of TAU was found for parent-reported youth internalizing (<i>d</i> = 0.27). Significant improvements between posttest and follow-up were also found for youth receiving both FFT and TAU on parent- and teacher-reported aggressive behavior. Findings did not support the hypothesized superiority of FFT over TAU. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":48381,"journal":{"name":"Journal of Family Psychology","volume":" ","pages":"548-558"},"PeriodicalIF":2.3000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Functional family therapy for adolescent disruptive behavior in Norway: Results from a randomized controlled trial.\",\"authors\":\"Asgeir Røyrhus Olseth, Kristine Amlund Hagen, Serap Keles, Gunnar Bjørnebekk\",\"doi\":\"10.1037/fam0001213\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Disruptive behavior during adolescence is linked to severe problems for the youths later in life and poses challenges to the families, schools, and treatment systems these youths meet. This randomized controlled trial was conducted to examine the short- and long-term effectiveness of functional family therapy (FFT) for adolescents aged 11-17 referred for disruptive behavior to Child Welfare Services in Norway. One hundred sixty-one youths (<i>M</i><sub>age</sub> = 14.7, 45.9% female) were randomly assigned to FFT (<i>n</i> = 88) or treatment as usual (TAU, <i>n</i> = 73). Primary outcomes were parent- and teacher-reported youth aggressive behavior, rule-breaking behavior, internalizing problems, and social skills; youth self-reported delinquency (SRD) and negative peer involvement; and teacher-reported academic performance and adaptive functioning. Outcomes were collected before treatment (pretest), 6 months after pretest (posttest), and 18 months after pretest (follow-up). The results showed no intervention effect for FFT compared to TAU between pretest and posttest (<i>p</i> > .05). Significant improvements between pretest and posttest were found for youth receiving both FFT and TAU on parent-reported aggressive and rule-breaking behavior, internalizing problems, and social skills (ranging from <i>d</i> = 0.56 to -0.45) and youth SRD (<i>d</i> = 0.29). Between posttest and follow-up, however, a significant intervention effect in favor of TAU was found for parent-reported youth internalizing (<i>d</i> = 0.27). Significant improvements between posttest and follow-up were also found for youth receiving both FFT and TAU on parent- and teacher-reported aggressive behavior. Findings did not support the hypothesized superiority of FFT over TAU. 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引用次数: 0
摘要
青少年时期的破坏性行为与他们日后生活中的严重问题有关,并对这些青少年所遇到的家庭、学校和治疗系统提出了挑战。这项随机对照试验旨在研究功能性家庭疗法(FFT)对因破坏行为而被转介到挪威儿童福利服务机构的 11-17 岁青少年的短期和长期疗效。161名青少年(年龄=14.7岁,45.9%为女性)被随机分配到功能性家庭治疗(88人)或常规治疗(73人)。主要结果是家长和教师报告的青少年攻击行为、破坏规则行为、内化问题和社交技能;青少年自我报告的犯罪(SRD)和消极同伴参与;以及教师报告的学习成绩和适应功能。结果收集于治疗前(前测)、前测后 6 个月(后测)和前测后 18 个月(随访)。结果显示,在前测和后测之间,FFT 与 TAU 相比没有干预效果(P > .05)。同时接受 FFT 和 TAU 的青少年在家长报告的攻击和破坏规则行为、内化问题和社交技能(d = 0.56 到 -0.45)以及青少年 SRD(d = 0.29)方面,在前测和后测之间都有显著改善。然而,在测试后和随访期间,对家长报告的青少年内化问题(d = 0.27)的干预效果显著,TAU 更受青睐。同时接受 FFT 和 TAU 的青少年,在家长和教师报告的攻击行为方面,从测试后到随访期间也有明显改善。研究结果并不支持FFT优于TAU的假设。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
Functional family therapy for adolescent disruptive behavior in Norway: Results from a randomized controlled trial.
Disruptive behavior during adolescence is linked to severe problems for the youths later in life and poses challenges to the families, schools, and treatment systems these youths meet. This randomized controlled trial was conducted to examine the short- and long-term effectiveness of functional family therapy (FFT) for adolescents aged 11-17 referred for disruptive behavior to Child Welfare Services in Norway. One hundred sixty-one youths (Mage = 14.7, 45.9% female) were randomly assigned to FFT (n = 88) or treatment as usual (TAU, n = 73). Primary outcomes were parent- and teacher-reported youth aggressive behavior, rule-breaking behavior, internalizing problems, and social skills; youth self-reported delinquency (SRD) and negative peer involvement; and teacher-reported academic performance and adaptive functioning. Outcomes were collected before treatment (pretest), 6 months after pretest (posttest), and 18 months after pretest (follow-up). The results showed no intervention effect for FFT compared to TAU between pretest and posttest (p > .05). Significant improvements between pretest and posttest were found for youth receiving both FFT and TAU on parent-reported aggressive and rule-breaking behavior, internalizing problems, and social skills (ranging from d = 0.56 to -0.45) and youth SRD (d = 0.29). Between posttest and follow-up, however, a significant intervention effect in favor of TAU was found for parent-reported youth internalizing (d = 0.27). Significant improvements between posttest and follow-up were also found for youth receiving both FFT and TAU on parent- and teacher-reported aggressive behavior. Findings did not support the hypothesized superiority of FFT over TAU. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
期刊介绍:
Journal of Family Psychology offers cutting-edge, groundbreaking, state-of-the-art, and innovative empirical research with real-world applicability in the field of family psychology. This premiere family research journal is devoted to the study of the family system, broadly defined, from multiple perspectives and to the application of psychological methods to advance knowledge related to family research, patterns and processes, and assessment and intervention, as well as to policies relevant to advancing the quality of life for families.