Top

Gepubliceerd in:

28-11-2023

Vergelijking tussen individueelgerichte en gezinsgerichte behandelingen voor internaliserende, externaliserende en gezinssymptomen bij Latino-jongeren

Auteurs: Daniel A. Santisteban, Maite P. Mena, Brian E. McCabe, Clara Abalo, Marc Puccinelli

Gepubliceerd in: Gezinstherapie Wereldwijd | Uitgave 1/2024

Samenvatting

Er zijn gedegen, aselecte trials nodig waarin veelbelovende cultuurgerichte behandelingen voor Latino-jongeren en gezinnen kunnen worden getest. Deze studie draagt bij aan de kennis hierover, namelijk door de werkzaamheid van een cultuursensitieve en flexibele gezinstherapie voor adolescenten (Culturally Informed and Flexible Family Treatment for Adolescents [CIFFTA]) te vergelijken met een individueel gerichte reguliere behandeling (Individually Oriented Treatment-As-Usual [ITAU]); een vergelijking op de vermindering van het vermogen om Latino-jongeren en gezinnen voor therapie te behouden (therapiebehoud), vermindering van internaliserende en externaliserende symptomen van het kind en op verbetering van het gezinsfunctioneren. CIFFTA gebruikt een adaptieve/flexibele aanpak voor individuele en gezinstherapie en biedt psycho-educatieve modules aan die zijn toegesneden op de unieke klinische en culturele kenmerken van het gezin. Tweehonderd Latino-adolescenten tussen 11 en 14 jaar oud voltooiden een baseline beoordeling en werden aselect toegewezen aan CIFFTA of ITAU, om na 16 weken interventie nogmaals beoordeeld te worden. De resultaten laten zien dat CIFFTA een significant hogere retentie (83%) had dan ITAU (71%), OR = 2,05, p = 0,036. Jongeren in beide condities lieten significante afnames zien in het door de jongeren en ouders gerapporteerde internaliserende en externaliserende gedrag, en tussen beide condities waren er geen verschillen in verandering. Ouders in CIFFTA meldden significant grotere afnames in gezinsconflict, d = 0,038, p = 0,025 dan in ITAU. In CIFFTA lieten kinderen van minder geaccultureerde Latino-ouders meer verbetering zien dan de kinderen van meer geaccultureerde ouders. In ITAU gold het omgekeerde, daarin meldden kinderen van meer geaccultureerde ouders een grotere verbetering. Dit bewijs voor de invloed van CIFFTA op therapiebehoud, op gezinsconflict en voor het differentiële effect afhankelijk van culturele waarden en gedragingen heeft belangrijke implicaties voor de psychologische behandeling en gezinstherapie in de Latino-gemeenschap.

vorige artikel Ten geleide

volgende artikel Culturele reflexiviteit en de hulpvraag: een discoursanalyse van drie beginsessies van interculturele relatietherapie

Achenbach, T. M. (1991). Integrative guide for the 1991 CBCL/4-18, YSR, and TRF profiles. University of Vermont, Department of Psychiatry.

Aponte, H. J. (1994). Bread & spirit: therapy with the new poor: diversity of race, culture, and values. W W Norton.

Asarnow, J. R., Tompson, M. C., Klomhaus, A. M., Babeva, K., Langer, D. A., & Sugar, C. A. (2020). Randomized controlled trial of family-focused treatment for child depression compared to individual psychotherapy: one-year outcomes. Journal of Child Psychology and Psychiatry, 61, 662–671. https://doi.org/10.1111/jcpp.13162.CrossRefPubMed

Benish, S. G., Quintana, S., & Wampold, B. E. (2011). Culturally adapted psychotherapy and the legitimacy of myth: a direct-comparison meta-analysis. Journal of Counseling Psychology, 58(3), 279–289. https://doi.org/10.1037/a0023626.CrossRefPubMed

Bernal, G., & Rodriguez, D. M. M. (2012). Cultural adaptations: tools for evidence-based practice with diverse populations. American Psychological Association.CrossRef

Bernal, G., Bonilla, J., & Bellido, C. (1995). Ecological validity and cultural sensitivity for outcome research: Issues for the cultural adaptation and development of psychosocial treatments with Hispanics. Journal of Abnormal Child Psychology, 23(1), 67–82. https://doi.org/10.1007/BF01447045.CrossRefPubMed

Brody, G. H., Chen, Y., Kogan, S. M., Yu, T., Molgaard, V. K., DiClemente, R. J., & Wingood, G. M. (2012). Family-centered program deters substance use, conduct problems, and depressive symptoms in black adolescents. Pediatrics, 129(1), 108–115. https://doi.org/10.1542/peds.2011-0623.CrossRefPubMedPubMedCentral

Bronfenbrenner, U. (1979). The ecology of human development: experiments by nature and design. Harvard University Press.CrossRef

Carroll, K. M., & Rounsaville, B. J. (2007). A vision of the next generation of behavioral therapies research in the addictions. Addiction, 102, 850–869. https://doi.org/10.1111/j.1360-0443.2007.01798.x.CrossRefPubMedPubMedCentral

Carroll, K. M., Connors, G. J., Cooney, N. L., DiClemente, C. C., Donovan, D. M., Kadden, R. R., Longabaugh, R. L., Rounsaville, B. J., Wirtz, P. W., & Zweben, A. (1998). Internal validity of project MATCH treatments: Discriminability and integrity. Journal of Consulting and Clinical Psychology, 66(2), 290–303. https://doi.org/10.1037/0022-006X.66.2.290.CrossRefPubMed

Chorpita, B. F., Becker, K. D., & Daleiden, E. L. (2007). Understanding the common elements of evidence-based practice: Misconceptions and clinical examples. Journal of the American Academy of Child & Adolescent Psychiatry, 46(5), 647–652. https://doi.org/10.1097/chi.0b013e318033ff71.CrossRef

Collins, L. M., Murphy, S. A., & Bierman, K. L. (2004). A conceptual framework for adaptive preventive interventions. Prevention Science, 5, 185–196. https://doi.org/10.1023/B:PREV.0000037641.26017.00.CrossRefPubMedPubMedCentral

Dalgleish, T., Black, M., Johnston, D., & Bevan, A. (2020). Transdiagnostic approaches to mental health problems: current status and future directions. Journal of Consulting and Clinical Psychology, 88(3), 179–195. https://doi.org/10.1037/ccp0000482.CrossRefPubMedPubMedCentral

Dennis, M., Godley, S. H., Diamond, G., Tims, F. M., Babor, T., Donaldson, J., Liddle, H., Titus, J. C., Kaminer, Y., Webb, C., Hamilton, N., & Funk, R. (2004). The cannabis youth treatment (CYT) study: main findings from two randomized trials. Journal of Substance Abuse Treatment, 27(3), 197–213. https://doi.org/10.1016/j.jsat.2003.09.005.CrossRefPubMed

Diggle, P., Liang, K., & Zeger, S. L. (1994). Analysis of longitudinal data. Clarendon Press.

Griner, D., & Smith, T. B. (2006). Culturally adapted mental health intervention: a meta-analytic review. Special issue: culture, race, and ethnicity in psychotherapy. Psychotherapy, 43(4), 531–548. https://doi.org/10.1037/0033-3204.43.4.531.CrossRefPubMed

Kaslow, N. J., Broth, M. R., Smith, C. O., & Collins, M. H. (2012). Family-based interventions for child and adolescent disorders. Journal of Marital and Family Therapy, 38(1), 82–100. https://doi.org/10.1111/j.1752-0606.2011.00257.x.CrossRefPubMed

Koss-Chioino, J., & Vargas, L. A. (1999). Working with latino youth: culture, development, and context (1e druk.). Jossey-Bass.

Lau, A. S., Chang, D. F., Okazaki, S., & Bernal, G. (2016). Psychotherapy outcome research with ethnic minorities: What is the agenda? In N. W. S. Zane, G. Bernal & F. T. L. Leong (red.), Evidence-based psychological practice with ethnic minorities: culturally informed research and clinical strategies. APA Press.

Liddle, H. A. (2016). Multidimensional family therapy: evidence base for transdiagnostic treatment outcomes, change mechanisms, and implementation in community settings. Family Process, 55(3), 558–576. https://doi.org/10.1111/famp.12243.CrossRefPubMed

Linehan, M. (1993). Cognitive behavioral treatment of borderline personality disorder. Guilford.

Lucas, C. P., Zhang, H., Fisher, P. W., Shaffer, D., Regier, D. A., Narrow, W. E., Bourdon, K., Dulcan, M. K., Canino, G., Rubio-stipec, M., Lahey, B. B., & Friman, P. (2001). The DISC predictive scales (DPS): Efficiently screening for diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 40(4), 443–449. https://doi.org/10.1097/00004583-200104000-00013.CrossRefPubMed

Marin, G., & Gamba, R. J. (1996). A new measurement of acculturation for Hispanics: The bidimensional acculturationscale for Hispanics (BAS). Hispanic Journal of Behavioral Sciences, 18(3), 297–316. https://doi.org/10.1177/07399863960183002.CrossRef

Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: preparing people for change (2e druk.). Guilford.

Minuchin, S., & Fishman, H. C. (1981). Family therapy techniques. Harvard University Press.CrossRef

Moos, R., & Moos, B. (1994). Family environment scale manual: development, applications, research (3e druk.). Consulting Psychologists Press.

Ng, M. Y., & Weisz, J. R. (2016). Annual research review: building a science of personalized intervention for youth mental health. Journal of Child Psychology & Psychiatry, 57(3), 216–236. https://doi.org/10.1111/jcpp.12470.CrossRef

Patel, S., Bakken, S., & Ruland, C. (2008). Recent advances in shared decision making for mental health. Current Opinion in Psychiatry, 21(6), 606–612. https://doi.org/10.1097/YCO.0b013e32830eb6b4.CrossRefPubMedPubMedCentral

Resnicow, K., Soler, R., Braithwaite, R. L., Ahluwalia, J. S., & Butler, J. (2002). Cultural sensitivity in substance use prevention: Bridging the gap between research and practice in community-based substance abuse prevention. Journal of Community Psychology, 28, 271–290.CrossRef

Ryzin, V., Mark, J., Roseth, C. J., Fosco, G. M., Lee, Y.-K., & Chen, I.-C. (2016). A component-centered meta-analysis of family-based prevention programs for adolescent substance use. Clinical Psychology Review, 45, 72–80. https://doi.org/10.1016/j.cpr.2016.03.007.CrossRefPubMedPubMedCentral

Santisteban, D. A., & Szapocznik, J. (1994). Bridging theory, research and practice to more successfully engage substance abusing youth and their families into therapy. Journal of Child and Adolescent Substance Abuse, 3(2), 9–24. https://doi.org/10.1300/J029v03n02_02.CrossRef

Santisteban, D. A., Szapocznik, J., Perez-Vidal, A., Kurtines, W. M., Murray, E. J., & LaPerriere, A. (1996). Efficacy of intervention for engaging youth and families into treatment and some variables that may contribute to differential effectiveness. Journal of Family Psychology, 10(1), 35–44. https://doi.org/10.1037/0893-3200.10.1.35.CrossRef

Santisteban, D. A., Coatsworth, D., Perez-Vidal, A., Kurtines, W. M., Schwartz, S. J., LaPerriere, A., & Szapocznik, J. (2003). The efficacy of brief strategic/structural family therapy in modifying behavior problems and an exploration of the mediating role that family functioning plays in behavior change. Journal of Family Psychology, 17(1), 121–133.CrossRefPubMedPubMedCentral

Santisteban, D. A., Mena, M. P., & Mccabe, B. E. (2011). Preliminary results for an adaptive family treatment for drug abuse in Hispanic youth. Journal of Family Psychology, 25(4), 610–614. https://doi.org/10.1037/a0024016.CrossRefPubMedPubMedCentral

Santisteban, D. A., Mena, M. P., & Abalo, C. (2013). Bridging diversity and family systems: culturally informed and flexible family-based treatment for hispanic adolescents. Couple and Family Psychology, 2(4), 246–263. https://doi.org/10.1037/cfp0000013.CrossRef

Santisteban, D. A., Czaja, S. J., Nair, S. N., Mena, M. P., & Tulloch, A. R. (2017). Computer assisted culturally informed flexible family based treatment for adolescents: A randomized clinical trial for at-risk racial/ethnicminority adolescents. Behavior Therapy, 48(4), 474–489.CrossRefPubMed

Smith, T. B., Rodriguez, M. D., & Bernal, G. (2011). Culture: adapting psychotherapy to the individual patient. Journal of Clinical Psychology, 67(2), 166–175. https://doi.org/10.1002/jclp.20757.CrossRefPubMed

Stein, G. L., & Guzman, L. E. (2015). Prevention and intervention research with Latino families: a translational approach. Family Process, 54(2), 280–292. https://doi.org/10.1111/famp.12143.CrossRefPubMed

Sue, S. (2006). Cultural competency: from philosophy to research and practice. Journal of Community Psychology, 34(2), 237–245. https://doi.org/10.1002/jcop.20095.CrossRef

Unger, J. B. (2014). Cultural influences on substance use among Hispanic adolescents and young adults: findings from Project RED. Child Development Perspectives, 8, 48–53. https://doi.org/10.1111/cdep.12060.CrossRefPubMedPubMedCentral

Vermeulen-Smit, E., Verdurmen, J. E., & Engels, R. C. (2015). The effectiveness of family interventions in preventing adolescent illicit drug use: a systematic review and meta-analysis of randomized controlled trials. Clinical Child and Family Psychology Review, 18(3), 218–239. https://doi.org/10.1007/s10567-015-0185-7.CrossRefPubMed

Yasui, M., & Dishion, T. J. (2007). The ethnic context of child and adolescent problem behavior: Implications for child and family interventions. Clinical Child and Family Psychology, 10, 137–176. https://doi.org/10.1007/s10567-007-0021-9.CrossRef

Zane, N., Bernal, G., & Leong, F. T. L. (2016). Culturally-informed evidence-based practices for ethnic minorities: challenges and solutions. In N. W. S. Zane, G. Bernal & F. T. L. Leong (red.), Evidence-based psychological practice with ethnic minorities: culturally informed research and clinical strategies. APA Press.CrossRef

Titel: Vergelijking tussen individueelgerichte en gezinsgerichte behandelingen voor internaliserende, externaliserende en gezinssymptomen bij Latino-jongeren
Auteurs: Daniel A. Santisteban
Maite P. Mena
Brian E. McCabe
Clara Abalo
Marc Puccinelli
Publicatiedatum: 28-11-2023
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Gezinstherapie Wereldwijd / Uitgave 1/2024
Print ISSN: 1566-0206
Elektronisch ISSN: 1876-5874
DOI: https://doi.org/10.1007/s12440-023-00210-7

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Samenvatting

Log in om toegang te krijgen

Andere artikelen Uitgave 1/2024

Ten geleide

Zelfcompassie voor verzorgers van kinderen in gezinnen met een overleden ouder: een theoretisch model en een voorbeeldinterventie

Culturele reflexiviteit en de hulpvraag: een discoursanalyse van drie beginsessies van interculturele relatietherapie

Zorgverlening door kinderen en adolescenten aan familieleden: risico’s op emotioneel, sociaal, fysiek en onderwijsgebied, en individuele verschillen