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The transportability of multisystemic therapy to Sweden: Short-term results from a randomized trial of conduct-disordered youths

Sundell, Knut; Lofholm, Cecilia Andree; Gustle, Lars-Henry LU ; Hansson, Kjell LU ; Olsson, Tina and Kadesjoe, Christina (2008) In Journal of Family Psychology 22(4). p.550-560
Abstract
This randomized clinical trial assessed the effectiveness of multisystemic therapy (MST) for 156 youths who met the diagnostic criteria for conduct disorder. Sweden's 3 largest cities and I small town served as the recruiting area for the study. A mixed factorial design was used, with random allocation between MST and treatment as usual groups. Assessments were conducted at intake and 7 months after referral. With an intention-to-treat approach, results from multiagent and multimethod assessment batteries showed a general decrease in psychiatric problems and antisocial behaviors among participants across treatments. There were.no significant differences in treatment effects between the 2 groups. The lack of treatment effect did not appear... (More)
This randomized clinical trial assessed the effectiveness of multisystemic therapy (MST) for 156 youths who met the diagnostic criteria for conduct disorder. Sweden's 3 largest cities and I small town served as the recruiting area for the study. A mixed factorial design was used, with random allocation between MST and treatment as usual groups. Assessments were conducted at intake and 7 months after referral. With an intention-to-treat approach, results from multiagent and multimethod assessment batteries showed a general decrease in psychiatric problems and antisocial behaviors among participants across treatments. There were.no significant differences in treatment effects between the 2 groups. The lack of treatment effect did not appear to be caused by site differences or variations in program maturity. MST treatment fidelity was lower than that of other studies, although not clearly related to treatment outcomes in this study. The results are discussed in terms of differences between Sweden and the United States. One difference is the way in which young offenders are processed (a child welfare approach vs. a juvenile justice system approach). Sociodemographic differences (e.g., rates of poverty, crime, and substance abuse) between the 2 countries may also have moderating effects on the rates of rehabilitation among young offenders. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
behavior, child, randomized trial, multisystemic therapy, conduct disorder, checklist, cultural context
in
Journal of Family Psychology
volume
22
issue
4
pages
550 - 560
publisher
American Psychological Association (APA)
external identifiers
  • wos:000258582500007
  • scopus:51249121345
ISSN
0893-3200
DOI
10.1037/a0012790
language
English
LU publication?
yes
id
29163136-0a8f-4ab5-81c7-cf462eec2326 (old id 1251873)
date added to LUP
2008-11-04 14:38:59
date last changed
2017-09-03 04:25:37
@article{29163136-0a8f-4ab5-81c7-cf462eec2326,
  abstract     = {This randomized clinical trial assessed the effectiveness of multisystemic therapy (MST) for 156 youths who met the diagnostic criteria for conduct disorder. Sweden's 3 largest cities and I small town served as the recruiting area for the study. A mixed factorial design was used, with random allocation between MST and treatment as usual groups. Assessments were conducted at intake and 7 months after referral. With an intention-to-treat approach, results from multiagent and multimethod assessment batteries showed a general decrease in psychiatric problems and antisocial behaviors among participants across treatments. There were.no significant differences in treatment effects between the 2 groups. The lack of treatment effect did not appear to be caused by site differences or variations in program maturity. MST treatment fidelity was lower than that of other studies, although not clearly related to treatment outcomes in this study. The results are discussed in terms of differences between Sweden and the United States. One difference is the way in which young offenders are processed (a child welfare approach vs. a juvenile justice system approach). Sociodemographic differences (e.g., rates of poverty, crime, and substance abuse) between the 2 countries may also have moderating effects on the rates of rehabilitation among young offenders.},
  author       = {Sundell, Knut and Lofholm, Cecilia Andree and Gustle, Lars-Henry and Hansson, Kjell and Olsson, Tina and Kadesjoe, Christina},
  issn         = {0893-3200},
  keyword      = {behavior,child,randomized trial,multisystemic therapy,conduct disorder,checklist,cultural context},
  language     = {eng},
  number       = {4},
  pages        = {550--560},
  publisher    = {American Psychological Association (APA)},
  series       = {Journal of Family Psychology},
  title        = {The transportability of multisystemic therapy to Sweden: Short-term results from a randomized trial of conduct-disordered youths},
  url          = {http://dx.doi.org/10.1037/a0012790},
  volume       = {22},
  year         = {2008},
}