Efficacy of systemic therapy on adults with depressive disorders: A meta-analysis.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-05-22 DOI:10.1080/10503307.2024.2352741

Andreas Vossler, Martin Pinquart, Liz Forbat, Peter Stratton

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引用次数: 0

Abstract

Objective: This meta-analysis evaluates the efficacy of systemic therapy approaches on adult clients with depressive disorders.

Methods: The illness-specific systematic review updates a previous meta-analysis on the efficacy of systemic therapy on psychiatric disorders in adulthood. It integrates the results of 30 randomized controlled trials (RCTs) comparing systemic psychotherapy for depression with an untreated control group or alternative treatments. Studies were identified through systematic searches in relevant electronic databases and cross-referencing. A random-effects model calculated weighted mean effect sizes for each type of comparison (alternative treatments, control group with no alternative treatment/waiting list) on two outcomes (depressive symptoms change, drop-out rates).

Results: On average, systemic interventions show larger improvements in depressive symptoms compared to no-treatment controls at post-test (g = 1.09) and follow-up (g = 1.23). Changes do not significantly differ when comparing systemic interventions with alternative treatments (post-test g = 0.25; follow-up g = 0.09). Results also vary, in part, by participant age, publication year, and active control condition.

Conclusion: This meta-analysis indicates the potential benefits of systemic interventions for adult patients with depression. Future randomized clinical trials in this area should enhance study quality and include relational and other relevant outcome measures.

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系统疗法对成人抑郁症患者的疗效：荟萃分析

目的本荟萃分析评估了系统疗法对成年抑郁障碍患者的疗效：这项针对特定疾病的系统综述更新了之前关于系统疗法对成年期精神障碍疗效的荟萃分析。它整合了30项随机对照试验（RCT）的结果，这些试验对抑郁症的系统心理疗法与未经治疗的对照组或替代疗法进行了比较。研究是通过在相关电子数据库中进行系统检索和交叉引用而确定的。随机效应模型计算了每种对比类型（替代治疗、无替代治疗的对照组/候补名单）对两种结果（抑郁症状变化、辍学率）的加权平均效应大小：平均而言，与未接受治疗的对照组相比，系统性干预措施在测试后（g = 1.09）和随访（g = 1.23）的抑郁症状改善幅度更大。在比较系统干预与其他治疗方法时，两者的变化没有明显差异（测试后 g = 0.25；随访 g = 0.09）。部分结果还因参与者年龄、出版年份和积极对照条件而异：这项荟萃分析表明了系统干预对成年抑郁症患者的潜在益处。未来该领域的随机临床试验应提高研究质量，并纳入关系和其他相关结果测量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.