The objective of the study was to identify factors related to the number of solution-focused brief therapy sessions required to solve adolescents' problems. The study was conducted at the foster care and health care institutions. The sample consisted of 73 adolescents (41% of males, 59% of females), aged 12 to 18 years, who achieved high level of therapeutic progress during solution-focused brief therapy. Respondents from foster care institutions made up 47% and from health care institutions--53%. The study design included: (1) an initial evaluation, where adolescents' psychosocial adjustment and personality traits were evaluated as well as information on demographic characteristics and type of referral for therapy was collected; (2) solution-focused brief therapy was carried out. In the first session, information on the type and severity of the problem presented for the therapy and motivation to solve the problem was collected; (3) the effectiveness of solution-focused brief therapy was evaluated. Standardized interview for the evaluation of psychosocial adjustment of adolescents was used to evaluate the difficulties of adolescents' psychosocial functioning. Eysenck Personality Questionnaire was administered to evaluate adolescents' personality traits. Therapist's evaluation of improvement was used to evaluate the effectiveness of solution-focused brief therapy. The analysis of results showed that 60.3% of adolescents needed two to three solution-focused brief therapy sessions to solve their problems. Lower number of sessions needed to achieve a solution was related to lower level of psychoticism, lower level of subjectively evaluated problem severity, and living with parents (as the opposite of living in foster care institutions). Ordinal regression analysis revealed that living with parents, self-referral to the therapy, lower level of subjectively evaluated problem severity, and higher self-confidence were significant predictors of lower number of sessions needed to achieve solution.
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J Clin Psychol Med Settings
January 2025
Department of Family and Preventative Medicine, School of Medicine, Emory University, Atlanta, GA, USA.
Integrated Care (IC) models have increased, but the current mechanisms to analyze the efficacy and fidelity of behavioral interventions within IC models are limited. A mixed methods concurrent process evaluation was used within the context of a randomized clinical trial to assess intervention fidelity for a Solution-focused brief therapy (SFBT) intervention implemented within an IC model. A qualitative content analysis was conducted to develop a participant survey and charting template for the SFBT intervention.
View Article and Find Full Text PDFBMJ Open
December 2024
North Region and Department of Psychosis, Institute of Mental Health, Singapore.
Introduction: There are insufficient scalable, evidence-based treatments to meet increasing mental health needs of young people. Offering interim, brief interventions for young persons with psychological distress can improve access to care and mitigate adverse effects of long waiting times. This study tests the efficacy of solution-focused brief therapy (SFBT), a strength-based, goal-directed intervention, in adolescents and young adults at a community-based youth mental health service in Singapore.
View Article and Find Full Text PDFBMJ Open
January 2025
Unit for Social and Community Psychiatry, Queen Mary University of London Faculty of Medicine and Dentistry, London, UK.
Background: Approximately 69%-89% of people with severe mental illnesses, particularly psychosis, experience a treatment gap in low- and middle-income countries (LMICs) due to factors such as low public spending on health and weak healthcare systems. The PIECEs project aims to assess the effectiveness and cost-effectiveness of a solution-focused resource-oriented approach (DIALOG+) for improving the quality of life and mental well-being of people with psychosis in India and Pakistan.
Methods: The research design of this analysis is an economic evaluation piggybacked on the PIECEs randomised control trial to test the feasibility of DIALOG+ in India and Pakistan.
J Marital Fam Ther
January 2025
School of Social Work, Wayne State University, Detroit, Michigan, USA.
Despite the popularity of Solution-Focused Brief Therapy (SFBT) in Iran, the existing literature synthesis has limitations due to the reliance on studies published primarily in Farsi. This systematic review addresses these gaps by synthesizing and evaluating the effectiveness of SFBT on the marital outcomes of couples in Iran, incorporating both Farsi and English sources. The search for this review yielded 1523 records, from which 26 randomized controlled trials were included.
View Article and Find Full Text PDFJ Marital Fam Ther
January 2025
School of Social Work, University of Michigan, Ann Arbor, Michigan, USA.
This meta-analysis synthesized randomized and non-randomized controlled trials of solution-focused brief therapy (SFBT) in Iranian populations, examining the effectiveness and the applications of SFBT in all Iranian settings and evaluated if the various outcomes being studied, research intervention modality, or therapy delivery format made statistical differences in outcomes. A comprehensive search strategy across three Iranian and four US databases, one Iranian conference website, and three professional websites resulted in the inclusion of 34 included studies for meta-analytic analysis. The outcomes reported an overall large significant treatment effect size (d = 0.
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