Rigorous randomized trials that test promising culturally centered treatments for Latino youth and families are needed. This study adds to the knowledge base by comparing the efficacy of Culturally Informed and Flexible Family Treatment for Adolescents (CIFFTA) to an Individually Oriented Treatment-As-Usual (ITAU) in its ability to retain Latino youth and families in treatment, reduce internalizing and externalizing child symptoms, and improve family functioning. CIFFTA uses an adaptive/flexible approach to deliver individual therapy, family therapy, and psycho-educational modules tailored to each family's unique clinical and cultural characteristics. Two hundred Latino adolescents 11-14 years of age completed a baseline assessment, were randomly assigned to CIFFTA or ITAU, then were assessed again after 16 weeks of intervention. Results show that CIFFTA had significantly higher retention (83%) than ITAU (71%), OR = 2.05, p = .036. Youth in both conditions showed significant reductions in youth and parent reported externalizing and internalizing behaviors, and there were no differences in change between conditions. Parents in CIFFTA reported significantly greater reductions in family conflict, d = 0.38, p = .025 than in ITAU. In CIFFTA, children of less acculturated Latino parents showed more improvement than the children of more acculturated parents. In ITAU, the reverse was true, children of more acculturated parents reported more improvement. This evidence of CIFFTA's impact on retention, family conflict, and differential effect depending on cultural values and behaviors, has important implications for the field of Latino psychology and family treatment.
针对拉丁裔青年和家庭的以文化为中心的治疗方案比较有前途, 对此方案进行严格的随机试验很有必要。本研究对两种方案的能力进行了比较, 主要考察的方面是拉丁裔青少年和家庭如何被挽留住一直接收治疗, 还有如何减少年轻孩子们的内化和外化症状以及改善家庭功能方面的效果。这两个方案一个是文化相关的且灵活变通的青少年家庭治疗(CIFFTA), 另一个是与以个体为导向的常用治疗方案 (ITAU), 本研究拓展了原有该领域的知识基础。CIFFTA采用适应性/灵活性的方法, 根据每个家庭独特的临床和文化特点, 提供个性化治疗、家庭治疗和心理教育模块。参与者是200名11-14岁的拉丁裔青少年, 他们完成了基线评估, 被随机分配到CIFFTA或ITAU, 然后在接收16周干预后再次对他们进行评估。结果显示, CIFFTA的保留率(83%) 显著高于ITAU (71%), OR = 2.05, p = 0.036。在这两种方案的情况下, 青少年和父母报告的外化和内化行为都有显著减少, 而且在不同情况下的变化没有差异。与ITAU相比, CIFFTA的父母报告家庭冲突的减少显著高于ITAU的父母, D = 0.38, p = .025。在CIFFTA中, 文化调适不够好的拉丁族裔的父母其孩子们比调适得较好的拉丁族裔父母的孩子们表现出更大的进步。在ITAU中, 情况正好相反, 父母的文化调适程度越高, 孩子的进步就越大。CIFFTA对帮助青少年和家庭留下继续治疗、家庭冲突和不同文化价值观和行为的差异效应的影响的证据, 对拉丁裔心理学和家庭治疗领域具有重要意义。.
Keywords: CIFFTA; culturally sensitive treatment; externalizing; family conflict; internalizing; youth; 内化; 外化; 家庭冲突; 对文化敏感的治疗方案; 青少年.
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