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A randomized controlled trial of the effectiveness of multisystemic therapy in the Netherlands: post-treatment changes and moderator effects

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Abstract

Objective

In the present randomized controlled trial, the effectiveness of multisystemic therapy (MST) in The Netherlands was examined. Moderator tests were conducted for ethnicity, age and gender.

Methods

The sample consisted of N = 256 adolescents, referred because of conduct problems, and randomized to MST or treatment as usual (TAU). Assessments (questionnaires and observational ratings) took place before and immediately after the treatment.

Results

MST was more effective than TAU in decreasing externalizing behavior, ODD, CD and property offences, but not for violence. Findings were mixed for adolescents’ and parental cognitions: the MST group, compared to TAU, showed an improvement in parental sense of competence, and a decrease in adolescents’ hostility, but no change in self-esteem and an increase in personal failure. MST was effective for positive dimensions of parenting and associations with prosocial peers, but not for relationships with deviant peers. MST was equally effective for adolescents of different ages and with different ethnicities. However, MST showed larger (and more positive) effects for adolescent cognitions for boys than for girls.

Conclusions

Effects of MST in The Netherlands are generally comparable to the positive findings reported in American and Norwegian trials. MST seems equally effective across age and ethnic minority groups, but some gender moderator effects were found for adolescent cognitions.

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Acknowledgments

This work was supported by grants from the Netherlands Organisation for Scientific Research (NWO) and The Netherlands Organisation for Health Research and Development (ZonMW). We thank the therapists and staff of De Waag and Yorneo for their cooperation, and the adolescents and families who participated in the project.

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Authors and Affiliations

  1. Forensic Child and Youth Care Sciences, University of Amsterdam, Nieuwe Prinsengracht 130, 1018 VZ, Amsterdam, Netherlands

    Jessica J. Asscher

  2. Utrecht University, Utrecht, Netherlands

    Maja Deković & Willeke A. Manders

  3. Free University Amsterdam/NSCR, Amsterdam, Netherlands

    Peter H. van der Laan

  4. Child Clinical Psychology, University of Amsterdam, Amsterdam, Netherlands

    Pier J. M. Prins

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  1. Jessica J. Asscher
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  2. Maja Deković
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  3. Willeke A. Manders
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  4. Peter H. van der Laan
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  5. Pier J. M. Prins
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Consortia

Dutch MST Cost-Effectiveness Study Group4

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Correspondence to Jessica J. Asscher.

Additional information

Members are: D.E.M.C. Jansen, K.M. Vermeulen, A.H Schuurman-Luinge, E. Buskens, E. J. Knorth, and S.A. Reijneveld

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Asscher, J.J., Deković, M., Manders, W.A. et al. A randomized controlled trial of the effectiveness of multisystemic therapy in the Netherlands: post-treatment changes and moderator effects. J Exp Criminol 9, 169–187 (2013). https://doi.org/10.1007/s11292-012-9165-9

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  • DOI: https://doi.org/10.1007/s11292-012-9165-9

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