[Treatment of parent-adolescent conflicts with the therapy program for adolescents with disturbances of self-esteem, performance and relationships (SELBST) – concept and results of a pilot study].
Parent-adolescent conflicts often comprise the reasons for the referral of adolescents in treatment facilities. However, studies on the effects of behavioral interventions with this indication are rarely published, even in the international literature. In an explorative study, we assessed the efficacy and the acceptance of systemic-behavioral treatment modules of the treatment program for adolescents with disturbances of self-esteem, performance and relationships (SELBST).



Ten adolescents aged 12 to 18 years (mean age 14,7 years) and their parents with severe parent-adolescents conflicts according to clinical judgment and with increased parent and adolescent ratings of conflicts on the Conflict-Behavior-Questionnaire-Cologne were included in the study.



Analyses of pre to post changes showed a reduction in conflicts and/or an increase in conflict-solving skills as rated by the parents on various outcome measures. However, parents had problems attending the family sessions regularly and to implement therapeutic tasks in the daily family routine which may have limited the effects of the intervention.



There is preliminary evidence that SELBST is a useful program for the treatment of parent-adolescent conflicts. To further increase the effectiveness of the program, knowledge from this trial has been considered in the development of the manual.
1 Klinik und Poliklinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Klinikum der Universität zu Köln.
Christiane
C
Rademacher
2 Ausbildungsinstitut für Kinder- und Jugendlichenpsychotherapie, Klinikum der Universität zu Köln (AKiP).
Christopher
C
Hautmann
1 Klinik und Poliklinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Klinikum der Universität zu Köln.|2 Ausbildungsinstitut für Kinder- und Jugendlichenpsychotherapie, Klinikum der Universität zu Köln (AKiP).
Manfred
M
Döpfner
D000124:Achievement; D000293:Adolescent; D001521:Behavior Therapy; D003131:Combined Modality Therapy; D004505:Education, Nonprofessional; D054541:Family Conflict / Q000523:psychology*; D005196:Family Therapy; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D010287:Parent-Child Relations; D010865:Pilot Projects; D011594:Psychometrics / Q000706:statistics & numerical data; D019962:Reactive Attachment Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D012649:Self Concept; D011795:Surveys and Questionnaires
effectiveness; parent-adolescent conflicts; psychotherapy program SELBST; systemic-behavioral intervention; systemisch-behaviorale Interventionen; treatment satisfaction