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Intensive specialised multi-family therapy for multi-stressed families:Therapeutic alliance as predictor for effectiveness

Title: Intensive specialised multi-family therapy for multi-stressed families:Therapeutic alliance as predictor for effectiveness
Authors: van Beek, Yolanda; Hessen, David; Levelt, Lisa; Beijer, Daniëla; Rijnberk, Corine; Maras, Athanasios; Overbeek, Mathilde M.
Source: van Beek, Y, Hessen, D, Levelt, L, Beijer, D, Rijnberk, C, Maras, A & Overbeek, M M 2023, 'Intensive specialised multi-family therapy for multi-stressed families : Therapeutic alliance as predictor for effectiveness', Journal of Family Therapy, vol. 45, no. 3, pp. 271-290. https://doi.org/10.1111/1467-6427.12434
Publication Year: 2023
Subject Terms: family functioning; multi-family therapy; multi-stressed family; parenting stress; solution-focused therapy; therapeutic alliance
Description: The effectiveness of intense specialised multi-family therapy (ISMFT) for 111 multi-stressed families, and the therapeutic alliance as a possible predictor of outcome, were examined. A repeated measures design was used, where changes in all ISMFT phases (preparation, multi-family therapy and follow-up) were assessed and compared for both mothers and fathers. Evidence was found for improved family functioning after the therapy period, which was maintained at 3 months follow-up, although the multi-stressed families still functioned in the problematic range. The therapy did however not decrease parenting stress, or did so only temporarily. Observations of the therapeutic alliance with the System for Observing Family Therapy Alliances (SOFTA) scales indicated that high therapist engagement was related to positive therapy outcomes, both at the start of therapy and later. High family engagement also predicted therapy effectiveness, but only at the start of therapy. The present study shows that solution-focused multi-family therapy at least seems to provide the first step in alleviating problems in multi-stressed families.
Document Type: article in journal/newspaper
Language: English
ISSN: 0163-4445
Relation: info:eu-repo/semantics/altIdentifier/hdl/https://hdl.handle.net/1871.1/9fd80379-1330-4cf6-9f5a-a000e9b50dc7; info:eu-repo/semantics/altIdentifier/pissn/0163-4445
DOI: 10.1111/1467-6427.12434
Availability: https://research.vu.nl/en/publications/9fd80379-1330-4cf6-9f5a-a000e9b50dc7; https://doi.org/10.1111/1467-6427.12434; https://hdl.handle.net/1871.1/9fd80379-1330-4cf6-9f5a-a000e9b50dc7; https://www.scopus.com/pages/publications/85161458910; https://www.scopus.com/pages/publications/85161458910#tab=citedBy
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.F0E7D090
Database: BASE