Who determines the outcome? A three-level meta-analysis on systemic therapy in children and adolescents.

IF 3 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-10-06 DOI:10.1080/10503307.2025.2565236

Niels Braus, Christoph Flückiger, Johanna Wichmann, Christian Frankman, Robin Gräfenkämper, Martina Zemp, Christina Hunger-Schoppe

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引用次数: 0

Abstract

Objective: Systemic therapy (ST) is a well-established treatment approach to reduce symptoms, yet its effects across outcome domains, informants, and assessment methods remain underexplored.

Method: We conducted a systematic literature review in multiple databases (PsycINFO, Pubmed, Embase, Cochrane CENTRAL), including RCT-studies comparing ST with a psychosocial control treatment for diagnosed children or adolescents. We conducted a three-level meta-analysis. Risk of bias was assessed using an adaptation for psychotherapy.

Results: Overall, we included 44 studies, 370 effect sizes, and 4617 families. The overall effect size was small but significant (g = .16, CI [.09, .23], p < .0001). Contrary to expectations, informants and assessment methods were no significant moderators. Effects were comparable across outcome domains including family functioning (g = .12), caregivers' psychopathology (g = .12) and patient symptoms (g = .19). Outcomes were mostly based on self-report symptom questionnaires, limiting interpretability.

Conclusion: Findings support that ST improves family functioning and caregivers' psychopathology, underscoring the need for more diverse outcomes.

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谁决定结果？儿童和青少年全身治疗的三水平荟萃分析。

目的：全身治疗（ST）是一种公认的减轻症状的治疗方法，但其在结果域、信息提供者和评估方法上的效果仍未得到充分探讨。方法：我们在多个数据库（PsycINFO, Pubmed, Embase, Cochrane CENTRAL）中进行了系统的文献综述，包括比较ST与诊断儿童或青少年心理社会控制治疗的随机对照研究。我们进行了一个三层次的荟萃分析。使用心理治疗适应症评估偏倚风险。结果：总的来说，我们纳入了44项研究，370个效应量，4617个家庭。总体效应值虽小但显著(g =。[qh]09年。[23], p =。12)、照顾者精神病理（g = .12）和患者症状（g = .19）。结果大多基于自我报告症状问卷，限制了可解释性。结论：研究结果支持ST改善家庭功能和照顾者的精神病理，强调需要更多样化的结果。

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.