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Child and Adolescent Psychiatry and Mental Health
Published in: Child and Adolescent Psychiatry and Mental Health 1/2018

Open Access 01-12-2018 | Research article

Multidimensional family therapy in adolescents with a cannabis use disorder: long-term effects on delinquency in a randomized controlled trial

Authors: Thimo M. van der Pol, Vincent Hendriks, Henk Rigter, Moran D. Cohn, Theo A. H. Doreleijers, Lieke van Domburgh, Robert R. J. M. Vermeiren

Published in: Child and Adolescent Psychiatry and Mental Health | Issue 1/2018

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Abstract

Background

Substance use and delinquency are considered to be mutual risk factors. Previous studies have shown that multidimensional family therapy (MDFT) is effective in tackling both conditions on the short term. The current study examines the long-term effects of MDFT on criminal offending.

Methods

109 adolescents with cannabis use disorder and comorbid problem behavior were randomly assigned to either MDFT or cognitive behavioral therapy (CBT). Police arrest data were collected for 6 years: 3 years prior to and 3 years after treatment entry. Using survival analysis and repeated measure General Linear Models (rmGLM), the two treatment groups were compared on number of arrests, type of offence, and severity of offence. Moderator analyses looking at age, disruptive behavior disorders, history of crimes, family functioning, and (severe) cannabis use were conducted (rmGLM).

Results

While police arrest rates increased in the 3 years before treatment, the rates decreased substantially after the start of both treatments. No differences were found between the treatment groups with respect to either time to first offence from the start of the treatment or changes in frequency or severity of offending over time. A treatment effect trend favoring MDFT was found for property offending in the subgroup of adolescents with high baseline-severity of cannabis use.

Conclusions

Across a follow-up period of 3 years, MDFT and CBT were similarly effective in reducing delinquency in adolescents with a cannabis use disorder.
Trial registration ISRCTN51014277, Registered 17 March 2010—Retrospectively registered, http://​www.​isrctn.​com/​ISRCTN51014277
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Metadata
Title
Multidimensional family therapy in adolescents with a cannabis use disorder: long-term effects on delinquency in a randomized controlled trial
Authors
Thimo M. van der Pol
Vincent Hendriks
Henk Rigter
Moran D. Cohn
Theo A. H. Doreleijers
Lieke van Domburgh
Robert R. J. M. Vermeiren
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Child and Adolescent Psychiatry and Mental Health / Issue 1/2018
Electronic ISSN: 1753-2000
DOI
https://doi.org/10.1186/s13034-018-0248-x

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