Bussum

Researchers are evaluating the effectiveness and feasibility of a new structured Emotionally Focused Family Therapy (EFFT) designed for parents and adolescents aged 12 to 18 years who are experiencing mild problems. The study addresses mental health challenges in children and adolescents, focusing on attachment-related emotion regulation as a key factor in these issues. EFFT aims to build secure attachment bonds between parents and their children to reduce vulnerability to mental health problems and promote resilience. The therapy follows a structured protocol consisting of four phases and 16 to 21 sessions. Phase 1 involves 1-2 sessions with the whole family to reframe the adolescent's problem as related to insecure attachment. Phases 2A and 2B run in parallel, with 4-6 sessions for parents and 3 sessions for the adolescent, focusing on exploring insecure attachments and unmet needs. Phase 3 includes 3 sessions with both parents and adolescent to develop secure attachments. Phase 4 consists of 3 whole-family sessions to consolidate secure attachments and address remaining issues, followed by a booster session. Treatment adherence is monitored through independent ratings of recorded sessions. Participants will complete questionnaires at multiple points: before the waiting period, before treatment, after phases of treatment, post-treatment, and before the booster session, spanning about one year. Researchers will assess changes in family interaction patterns, attachment, parenting discipline, couple satisfaction, and adolescent complaints. The study includes a 2-month waiting period, a 3-4 month treatment phase, and a 2-month follow-up. Feasibility will be explored through semi-structured interviews, and safety and treatment adherence are closely monitored throughout.