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

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-09-09 DOI:10.1080/10503307.2024.2394192

Niels Braus, Christoph Flückiger, Johanna Wichmann, Christian Frankman, Antonia Lang, Christina Hunger-Schoppe

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引用次数: 0

Abstract

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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包括家庭系统功能在内的成人系统疗法的多层次荟萃分析。

目的：系统疗法从社会系统的角度来看待心理健康症状。以往关于系统疗法的荟萃分析侧重于症状。本荟萃分析旨在关注家庭系统功能，同时包括所有类型的结果：我们在多个数据库（PsycInfo、PubMed、Embase、Cochrane Central）中进行了系统的文献研究。我们纳入了对患有精神疾病的成人进行系统治疗与积极心理控制比较的 RCT 研究。文献研究得出了 32 项 RCT 的 171 个编码效应大小。我们进行了随机效应三级荟萃分析。我们将结果分为患者症状、家庭系统功能、患者的其他次要结果以及家庭成员的精神病理学：结果显示，所有结果的总体效应大小为 g = .30 （CI：.15-.45，p k = 171，s = 32）。系统疗法在家庭系统功能（g = .34，z = 3.51，p = .0004，k = 26，s = 12）、症状（g = .30，z = 3.74，p = .0002，k = 73，s = 29）和其他次要结果（g = .32，z = 3.83，p = .0001，k = 63，s = 19）方面显示出较小的效应量。家庭系统成员精神病理学的效应大小很少报道（k = 9，s = 6）：这项荟萃分析表明，将家庭系统功能作为系统疗法的主要结果进行调查具有潜在的相关性。

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.