ORIGINAL ARTICLE
Effectiveness of Scene-Based Psychodramatic Family Therapy (SB-PFT) in adolescents with behavioural problems
Jesús Maya,
Victoria Hidalgo,
Lucía Jiménez,
Bárbara Lorence,
Jesús Maya
Department of Psychology, University of Jaen, Jaén, Spain
Search for more papers by this authorCorresponding Author
Victoria Hidalgo
Department of Developmental and Educational Psychology, University of Seville, Seville, Spain
Correspondence
Victoria Hidalgo, Department of Developmental and Educational Psychology, C/ Camilo José Cela s/n 41018, Seville, Spain.
Email: [email protected]
Search for more papers by this authorLucía Jiménez
Department of Developmental and Educational Psychology, University of Seville, Seville, Spain
Search for more papers by this authorBárbara Lorence
Department of Developmental and Educational Psychology, University of Seville, Seville, Spain
Search for more papers by this authorJesús Maya,
Victoria Hidalgo,
Lucía Jiménez,
Bárbara Lorence,
Jesús Maya
Department of Psychology, University of Jaen, Jaén, Spain
Search for more papers by this authorCorresponding Author
Victoria Hidalgo
Department of Developmental and Educational Psychology, University of Seville, Seville, Spain
Correspondence
Victoria Hidalgo, Department of Developmental and Educational Psychology, C/ Camilo José Cela s/n 41018, Seville, Spain.
Email: [email protected]
Search for more papers by this authorLucía Jiménez
Department of Developmental and Educational Psychology, University of Seville, Seville, Spain
Search for more papers by this authorBárbara Lorence
Department of Developmental and Educational Psychology, University of Seville, Seville, Spain
Search for more papers by this authorAbstract
Scene-Based Psychodramatic Family Therapy (SB-PFT) is a multiple-family intervention for adolescents with behavioural problems implemented by Child Welfare Services in Spain. This intervention is aimed at promoting adolescent well-being. The aim of this study was to evaluate the effectiveness of SB-PFT in 17 trials, measuring its impact on the emotional intelligence, parental attachment, peer attachment and antisocial behaviour of 216 adolescents (109 participating in the intervention and 107 in the control group). Repeated measures ANOVAs for pretest/posttest differences and long-term growth models were estimated. In the short term, the intervention had a positive impact on emotional intelligence and had a stabilising effect on parental attachment, whereas the long-term results showed significant logarithmic growth in emotional intelligence and exponential growth in parental attachment and a decrease in antisocial behaviour. However, no changes in peer attachment were shown. This study demonstrates SB-PFT to be a potentially effective intervention for adolescents with behavioural problems and emphasises the importance of fostering emotional intelligence.
CONFLICT OF INTEREST
The authors declare that they have no conflict of interest.
REFERENCES
- Alexander, J. F., Waldron, H. B., Robbins, M. S., & Neeb, A. A. (2013). Functional family therapy for adolescent behavior problems. Washington, DC: American Association.
10.1037/14139-000 Google Scholar
- Allen, J. P., Porter, M., McFarland, C., McElhaney, K. B., & Marsh, P. (2007). The relation of attachment security to adolescents' paternal and peer relationships, depression, and externalizing behavior. Child Development, 78(4), 1222–1239. https://doi.org/10.1111/j.1467-8624.2007.01062.x
- American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders ( 5th ed.). Washington, DC: Author.
10.1176/appi.books.9780890425596 Google Scholar
- Andretta, J. R., McKay, M. T., Harvey, S. A., & Perry, J. L. (2017). Inventory of parent and peer attachment-revised scores in adolescents: A psychometric and person-oriented study. Family Relations, 66(3), 527–540. https://doi.org/10.1111/fare.12252
- Armsden, G., & Greenberg, M. (1987). The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence. Journal of Youth and Adolescence, 16, 427–454. https://doi.org/10.1007/BF02202939
- Bar-On, R. (2006). The Bar-On model of emotional-social intelligence (ESI). Psicothema, 18, 13–25.
- Bar-On, R., & Parker, J. D. A. (2000). The Bar-On EQ-i:YV: Technical manual. Toronto, Canada: Multi-Health Systems.
- Bhaumik, D. K., Roy, A., Aryal, S., Hur, K., Duan, N., Normand, S.-L., … Gibbons, R. D. (2008). Sample size determination for studies with repeated continuous outcomes. Psychiatric Annals, 38(12), 765–771. https://doi.org/10.3928/00485713-20081201-01
- Bonate, P. L. (2000). Analysis of pretest-posttest designs. Boca Raton, FL: Chapman and Hall/CRC.
10.1201/9781420035926 Google Scholar
- Carr, A. (2019). Family therapy and systemic interventions for child-focused problems: The current evidence base. Journal of Family Therapy, 41(2), 153–213. https://doi.org/10.1111/1467-6427.12226
- Celinska, K., Furrer, S., & Cheng, C. C. (2013). An outcome-based evaluation of functional family therapy for youth with behavioral problems. OJJDP Journal of Juvenile Justice, 2(2), 23–36.
- Cobos, L., Flujas, J. M., & Gómez, I. (2017). The role of emotional intelligence in psychological adjustment among adolescents. Annals of Psychology, 33(1), 66–73. https://doi.org/10.6018/analesps.33.1.240181
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences ( 2nd ed.). Hillsdale, NJ: Erlbaum.
10.1046/j.1526-4610.2001.111006343.x Google Scholar
- Cruz, A., Sales, C. M. D., Alves, P., & Moita, G. (2018). The core techniques of morenian psychodrama: A systematic review of literature. Frontiers in Psychology, 9, 1263. https://doi.org/10.3389/fpsyg.2018.01263
- Darling Rasmussen, P., Storebø, O. J., Løkkeholt, T., Voss, L. G., Shmueli-Goetz, Y., Bojesen, A. B., … Bilenberg, N. (2019). Attachment as a core feature of resilience: A systematic review and meta-analysis. Psychological Reports, 122(4), 1259–1296. https://doi.org/10.1177/0033294118785577
- Davis, S. K., & Wigelsworth, M. (2018). Structural and predictive properties of the Emotional Quotient Inventory Youth Version-Short Form (EQ-i:YV[S]). Journal of Personality Assessment, 100(2), 197–206. https://doi.org/10.1080/00223891.2017.1280502
- Dishion, T. J., & Owen, L. D. (2002). A longitudinal analysis of friendships and substance use: Bidirectional influence from adolescence to adulthood. Developmental Psychology, 38(4), 480–491. https://doi.org/10.1037//0012-1649.38.4.480
- Dishion, T. J., & Stormshak, E. A. (2007). Intervening in children's lives: An ecological, family-centered approach to mental health care. Washington, DC: American Psychological Association.
10.1037/11485-000 Google Scholar
- Ellis, C. (2007). Telling secrets, revealing lives: Relational ethics in research with intimate others. Qualitative Inquiry, 13(1), 3–29. https://doi.org/10.4135/9781446286463
- Fosco, G. M., Lippold, M., & Feinberg, M. E. (2014). Interparental boundary problems, parent-adolescent hostility, and adolescent-parent hostility: A family process model for adolescent aggression problems. Couple and Family Psychology, Research and Practice, 3(3), 141–155. https://doi.org/10.1037/cfp0000025
- Gottfredson, D. C., Cook, T. D., Gardner, F. E., Gorman-Smith, D., Howe, G. W., Sandler, I. N., & Zafft, K. M. (2015). Standards of evidence for efficacy, effectiveness, and scale-up research in prevention science: Next generation. Prevention Science, 16(7), 893–926. https://doi.org/10.1007/s11121-015-0555-x
- Henggeler, S., Halliday-Boykins, C., Cunningham, P. B., Randall, J., Shapiro, S. B., & Chapman, J. E. (2006). Juvenile drug court: Enhancing outcomes by integrating evidence-based treatments. Journal of Consulting and Clinical Psychology, 74(1), 42–54. https://doi.org/10.1037/0022-006X.74.1.42
- Henggeler, S., Schoenwald, S., Bordin, C., Rowland, M., & Cunningham, P. (2009). Multisystemic therapy for antisocial behavior in children and adolescents. New York, NY: Guilford.
- Henggeler, S., & Sheidow, A. J. (2012). Empirically supported family-based treatments for conduct disorder and delinquency in adolescents. Journal of Marital and Family Therapy, 38(1), 30–58. https://doi.org/10.1111/j.1752-0606.2011.00244.x
- Hessler, D. M., & Katz, L. F. (2010). Brief report: Associations between emotional competence and adolescents risky behavior. Journal of Adolescence, 33(1), 241–246. https://doi.org/10.1016/j.adolescence.2009.04.007
- Jelicic, H., Bobek, D., Phelps, E., Bobek, D., Lerner, J. V., & Lerner, R. M. (2007). Using positive youth development to predict contribution and risk behaviors in early adolescence: Findings from the first two waves of the 4-H Study of Positive Youth Development. International Journal of Behavioral Development, 31(3), 263–273. https://doi.org/10.1177/0165025407076439
- Jiménez, L., Antolín, L., Lorence, B., & Hidalgo, V. (2019). Family education and support for families at psychosocial risk in Europe: Evidence from a survey of international experts. Health & Social Care in the Community, 29(2), 437–448. https://doi.org/10.1111/hsc.12665
- Keijsers, L., & Poulin, F. (2013). Developmental changes in parent–child communication throughout adolescence. Developmental Psychology, 49, 2301–2308. https://doi.org/10.1037/a0032217
- Keiley, M. K., Zaremba-Morgan, A., Datubo-Brown, C., Pyle, R., & Cox, M. (2015). Multiple-family group intervention for incarcerated male adolescents who sexually off end and their families: Change in maladaptive emotion regulation predicts adaptive change in adolescent behaviors. Journal of Marital and Family Therapy, 41(3), 324–339. https://doi.org/10.1111/jmft.12078
- Kellermann, P. F. (1984). The place of catharsis in psychodrama. Journal of Group Psychotherapy, Psychodrama and Sociometry, 37(1), 1–13. Retrieved from http://peterfelix.tripod.com/home/Catharsis.pdf
- Kipper, D. A., & Ritchie, T. D. (2003). The effectiveness of psychodramatic techniques: A meta-analysis. Group Dynamics: Theory, Research and Practice, 7(1), 13–25. https://doi.org/10.1037/1089-2699.7.1.13
- Kline, R. B. (2016). Principles and practice of structural equation modeling ( 4th ed.). New York, NY: The Guilford Press.
- Laghi, F., Pallini, S., Baumgartner, E., Guarino, A., & Baiocco, R. (2016). Parent and peer attachment relationships and time perspective in adolescence: Are they related to satisfaction with life? Time & Society, 25(1), 24–39. https://doi.org/10.1177/0961463X15577282
- Laible, D. (2007). Attachment with parents and peers in late adolescence: Links with emotional competence and social behavior. Personality and Individual Differences, 43, 1185–1197. https://doi.org/10.1016/j.paid.2007.03.010
- Letourneau, E. J., Henggeler, S. W., Borduin, C. M., Schewe, P. A., McCart, M. R., Chapman, J. E., & Saldana, L. (2009). Multisystemic therapy for juvenile sexual offenders: 1-year results from a randomized effectiveness trial. Journal of Family Psychology, 23(1), 89–102. https://doi.org/10.1037/a0014352
- Liu, J. (2004). Childhood externalizing behavior: Theory and implications. Journal of Child and Adolescent Psychiatric Nursing, 17(3), 93–103. https://doi.org/10.1111/j.1744-6171.2004.tb00003.x
- Maya, J., Jiménez, L., Lorence, B., del Moral, G., & Hidalgo, V. (2018a). Scene-based psychodramatic family therapy with troubled adolescents and parents. A pilot sudy. Family Process. https://doi.org/10.1111/famp.12401
- Maya, J., Lorence, B., Hidalgo, V., & Jiménez, L. (2018b). The role of psychosocial stress on a family-based treatment for adolescents with problematic behaviors. International Journal of Environmental Research and Public Health, 15(9), 1867. https://doi.org/10.3390/ijerph15091867
- Minuchin, S., & Fishman, H. C. (1981). Family therapy techniques. Cambridge, MA: Harvard University Press.
10.4159/9780674041110 Google Scholar
- Moreno, J. L. (1946). Psychodrama (Vol. 1). Beacon, NY: Beacon House.
10.1037/11506-000 Google Scholar
- Muthén, L. K., & Muthén, B. O. (1998–2012). Mplus user’s guide ( 7th ed.). Los Angeles, CA: Muthen & Muthen.
- National Institute of Statistics. (2019). INEBase: Conviction Statistics: Minors. Spain. Retrieved from http://www.ine.es/dynt3/inebase/es/index.htm?padre=4746&capsel=4022
- Phelps, E., Balsano, A. B., Fay, K., Peltz, J. S., Zimmerman, S. M., Lerner, R. M., & Lerner, J. V. (2007). Nuances in early adolescent developmental trajectories of positive and problematic/risk behaviors: Findings from the 4-H study of positive youth development. Child and Adolescent Psychiatric Clinics of North America, 16(2), 473–496. https://doi.org/10.1016/j.chc.2006.11.006
- Pinquart, M. (2017). Associations of parenting dimensions and styles with externalizing problems of children and adolescents: An updated meta-analysis. Developmental Psychology, 53(5), 873–932. https://doi.org/10.1037/dev0000295
- Robbins, M. S., Alexander, J. F., Turner, C. W., & Hollimon, A. (2016). Evolution of Functional Family Therapy as an evidence-based practice for adolescents with disruptive behavior problems. Family Process, 55(3), 543–557. https://doi.org/10.1080/17571472.2017.1362713
- Salguero, J. M., Palomera, R., & Fernández-Berrocal, P. (2012). Perceived emotional intelligence as predictor of psychological adjustment in adolescents: A 1-year prospective study. European Journal of Psychology of Education, 27(1), 21–34. https://doi.org/10.1007/s10212-011-0063-8
- Seisdedos, N. (1995). A-D: Cuestionario de conductas antisociales-delictivas. Madrid: TEA.
- Sexton, T. (2011). Functional family therapy in clinical practice: An evidence-based treatment model for working with troubled adolescents. New York, NY: Routledge.
10.4324/9780203882665 Google Scholar
- Sexton, T., Gordon, K. C., Gurman, A., Lebow, J., Holtzworth-Munroe, A., & Johnson, S. (2011). Guidelines for classifying evidence-based treatments in couple and family therapy. Family Process, 50(3), 377–392. https://doi.org/10.1111/j.1545-5300.2011.01363.x
- Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics ( 5th ed.). Boston, MA: Pearson Education.
- Tambelli, R., Laghi, F., Odorisio, F., & Notari, V. (2012). Attachment relationships and internalizing and externalizing problems among Italian adolescents. Children and Youth Services Review, 34(8), 1465–1471. https://doi.org/10.1016/j.childyouth.2012.04.004
- Tan, J. X., & Fajardo, M. L. R. (2017). Efficacy of multisystemic therapy in youths aged 10–17 with severe antisocial behaviour and emotional disorders: Systematic review. London Journal of Primary Care, 9(6), 95–103. https://doi.org/10.1080/17571472.2017.1362713
- Watzlawick, P., Beavin, J., & Jackson, D. (1967). Pragmatics of human communication: A study of interactional patterns, pathologies, and paradoxes. New York, NY: Norton.
- Wilson, J. M., & Wilkinson, R. B. (2012). The self-report assessment of adolescent attachment: A systematic review and critique. Journal of Relationships Research, 3, 81–94. https://doi.org/10.1017/jrr.2012.7
10.1017/jrr.2012.7 Google Scholar
- Yalom, I. D., & Leszcz, M. (2005). The theory and practice of group psychotherapy ( 5th ed.). New York, NY: Basic Book.
- Zavala, M. A., & López, I. (2012). Adolescentes en situación de riesgo psicosocial: ¿Qué papel juega la inteligencia emocional? Behavioral Psychology, 20(1), 59–75.
- Zimmerman, S. M., Phelps, E., & Lerner, R. M. (2008). Positive and negative developmental trajectories in U.S. adolescents: Where the positive youth development perspective meets the deficit model. Research in Human Development, 5(3), 153–165. https://doi.org/10.1080/15427600802274001
