Predicting Treatment Response and Nonresponse in Multisystemic Therapy

This study examined whether physiological and behavioral indicators of emotion dysregulation assessed over the course of multisystemic therapy (MST) were related to treatment response. Participants were 180 ethnically diverse adolescents ( n = 120 males), ranging in age from 12 to 17 years. Treatment response was assessed through therapist report and official arrest records. Changes in cortisol reactivity and changes in scores on a Behavioral Dysregulation subscale of the Child Behavior Checklist were used as indicators of emotion dysregulation. Hierarchical linear modeling analyses examined whether a less favorable treatment response was associated with cortisol reactivity measures collected (a) early in treatment and (b) over the course of treatment as well as with behavioral reports of emotion dysregulation reported (c) early in treatment and (d) over the course of treatment. Sex was explored as a moderator of these associations. Results indicated that both cortisol and behavioral indices of emotion dysregulation early in treatment and over the course of therapy predicted treatment responsiveness. This relationship was moderated by sex: Girls were more likely to evidence a pattern of increasing emotion regulation prior to successful therapy response. The results lend further support to the notion of incorporating emotion regulation techniques into treatment protocols for delinquent behavior.

Download Full-text

Biosocial processes predicting multisystemic therapy treatment response

Biological Psychology ◽

10.1016/j.biopsycho.2012.12.002 ◽

2013 ◽

Vol 92 (2) ◽

pp. 373-379 ◽

Cited By ~ 8

Author(s):

Stacy R. Ryan ◽

Patricia A. Brennan ◽

Phillippe B. Cunningham ◽

Sharon L. Foster ◽

Rebecca L. Brock ◽

...

Keyword(s):

Treatment Response ◽

Multisystemic Therapy ◽

Therapy Treatment

Download Full-text

Genes Predict Treatment Response in Hepatitis C

Internal Medicine News ◽

10.1016/s1097-8690(08)70929-6 ◽

2008 ◽

Vol 41 (16) ◽

pp. 33

Author(s):

KATE JOHNSON

Keyword(s):

Hepatitis C ◽

Treatment Response ◽

Predict Treatment Response

Download Full-text

A Case of Catatonia in a 14-Year-Old Girl with Schizophrenia Treated with Electroconvulsive Therapy

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie ◽

10.1024/1422-4917/a000211 ◽

2013 ◽

Vol 41 (1) ◽

pp. 69-74 ◽

Cited By ~ 10

Author(s):

Frank Häßler ◽

Olaf Reis ◽

Steffen Weirich ◽

Jacqueline Höppner ◽

Birgit Pohl ◽

...

Keyword(s):

Case Report ◽

Treatment Response ◽

Electroconvulsive Therapy ◽

Rating Scale ◽

Combined Treatment ◽

Adolescent Patient

This article presents a case of a 14-year-old female twin with schizophrenia who developed severe catatonia following treatment with olanzapine. Under a combined treatment with amantadine, electroconvulsive therapy (ECT), and (currently) ziprasidone alone she improved markedly. Severity and course of catatonia including treatment response were evaluated with the Bush-Francis Catatonia Rating Scale (BFCRS). This case report emphasizes the benefit of ECT in the treatment of catatonic symptoms in an adolescent patient with schizophrenic illness.

Download Full-text

Evidenzbasierte psychotherapeutische Interventionen für Kinder und Jugendliche mit aggressivem Verhalten

Kindheit und Entwicklung ◽

10.1026/0942-5403/a000032 ◽

2010 ◽

Vol 19 (4) ◽

pp. 245-254 ◽

Cited By ~ 17

Author(s):

Christian J. Bachmann ◽

Gerd Lehmkuhl ◽

Franz Petermann ◽

Stephen Scott

Keyword(s):

Family Therapy ◽

Kinder Und Jugendliche ◽

Multisystemic Therapy ◽

Incredible Years ◽

Functional Family Therapy ◽

Functional Family ◽

The Incredible Years

Bei der Behandlung von Kindern und Jugendlichen mit aggressivem Verhalten ist in den vergangenen Jahren vor allem im englischsprachigen Ausland ein Trend zum Einsatz evidenzbasierter psychotherapeutischer Interventionen zu verzeichnen. In diesem Beitrag werden–getrennt für Kindes- und Jugendalter–die am besten evaluierten Therapieprogramme (u. a. Multisystemic Therapy, Functional Family Therapy, The Incredible Years) für diese Indikation dargestellt. Es werden aktuelle Fragen der Implementation und Disseminierung evidenzbasierter Interventionen für aggressive Kinder und Jugendliche diskutiert (z. B. Qualitätssicherung, Therapietreue). Abschließend werden Perspektiven für eine Implementation evidenzbasierter Interventionen in Deutschland aufgezeigt.

Download Full-text

Factorial Structure of the Therapist Adherence Measure-Revised (TAM-R) Within Multisystemic Therapy

European Journal of Psychological Assessment ◽

10.1027/1015-5759/a000505 ◽

2020 ◽

Vol 36 (2) ◽

pp. 427-431

Author(s):

Aurelie M. C. Lange ◽

Marc J. M. H. Delsing ◽

Ron H. J. Scholte ◽

Rachel E. A. van der Rijken

Keyword(s):

Factor Analysis ◽

Factor Structure ◽

Factor Model ◽

Multisystemic Therapy ◽

Model Fit ◽

Validity And Reliability ◽

Adherence Measure ◽

Therapist Adherence ◽

Confirmatory Factor ◽

The Us

Abstract. The Therapist Adherence Measure (TAM-R) is a central assessment within the quality-assurance system of Multisystemic Therapy (MST). Studies into the validity and reliability of the TAM in the US have found varying numbers of latent factors. The current study aimed to reexamine its factor structure using two independent samples of families participating in MST in the Netherlands. The factor structure was explored using an Exploratory Factor Analysis (EFA) in Sample 1 ( N = 580). This resulted in a two-factor solution. The factors were labeled “therapist adherence” and “client–therapist alliance.” Four cross-loading items were dropped. Reliability of the resulting factors was good. This two-factor model showed good model fit in a subsequent Confirmatory Factor Analysis (CFA) in Sample 2 ( N = 723). The current finding of an alliance component corroborates previous studies and fits with the focus of the MST treatment model on creating engagement.

Download Full-text