Is symptom outcome the whole story?-A multilevel meta-analysis of systemic therapy for adults including family system functioning

被引:0
作者
Braus, Niels [1 ]
Flueckiger, Christoph [2 ]
Wichmann, Johanna [1 ]
Frankman, Christian [1 ]
Lang, Antonia [1 ]
Hunger-Schoppe, Christina [1 ]
机构
[1] Witten Herdecke Univ, Chair Clin Psychol & Psychotherapy 3, Sch Psychol & Psychotherapy, Witten, Germany
[2] Univ Kassel, Inst Psychol, Chair Clin Psychol 2, Kassel, Germany
关键词
systemic therapy; meta-analysis; family system functioning; couple and family therapy; outcome research; RANDOMIZED CONTROLLED-TRIAL; COGNITIVE-BEHAVIORAL THERAPY; BRIEF STRATEGIC THERAPY; HOSPITALIZED-PATIENTS; BIPOLAR DISORDER; CLINICAL-TRIAL; EFFECT SIZE; FOLLOW-UP; EFFICACY; PSYCHOTHERAPY;
D O I
10.1080/10503307.2024.2394192
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: Systemic Therapy conceives mental health symptoms in the context of social systems. Previous meta-analyses on Systemic Therapy focused on symptoms. This meta-analysis aims to focus on family system functioning while including all types of outcomes. Method: We conducted a systematic literature research in multiple databases (PsycInfo, PubMed, Embase, Cochrane Central). We included RCT-studies on adults with psychiatric diagnoses, which compared Systemic Therapy with active psychosocial control. The literature research resulted in 171 coded effect sizes of 32 RCTs. We conducted a random-effects three-level meta-analysis. We categorized outcomes into symptoms of patients, family system functioning, further secondary outcomes of patients, and psychopathology of family members. Results: The results show a small significant overall effect size of g = .30 (CI: .15-.45, p < .001, k = 171, s = 32) for all outcomes. Systemic Therapy revealed small effect sizes with regard to family system functioning (g = .34, z = 3.51, p = .0004, k = 26, s = 12), symptoms (g = .30, z = 3.74, p = .0002, k = 73, s = 29), and further secondary outcomes (g = .32, z = 3.83, p = .0001, k = 63, s = 19). The effect sizes for psychopathology of family system members were reported rarely (k = 9, s = 6). Conclusion: This meta-analysis shows the potential relevance of investigating family system functioning as a primary outcome for Systemic Therapy.
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页数:14
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