The current evidence of solution-focused brief therapy: A meta-analysis of psychosocial outcomes and moderating factors

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical Psychology Review Pub Date : 2024-10-28 DOI:10.1016/j.cpr.2024.102512

E. Vermeulen-Oskam , C. Franklin , L.P.M. van’t Hof , G.J.J.M. Stams , E.S. van Vugt , M. Assink , E.J. Veltman , A.S. Froerer , J.P.C. Staaks , A. Zhang

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Abstract

Purpose

Solution Focused Brief Therapy (SFBT) focuses on the strengths and resources of clients, and is assumed to achieve positive results on various psychosocial outcomes. This meta-analysis is an extension of previous meta-analyses on SFBT, and examines if the effectiveness of SFBT is influenced by participant, intervention, study and publication characteristics.

Methods

Experimental and quasi-experimental studies were included. A three-level meta-analysis was performed on 72 studies and 489 effect sizes, accounting for within and between study differences.

Results

The overall effect of SFBT on psychosocial problems was large (g = 1.17). Moderator analyses revealed larger effects of SFBT in non-clinical samples (g = 1.50) than in clinical samples (g = 0.78). Studies with treatment-as-usual (TAU) as control condition reported smaller effects (g = 0.58) than studies with a no-treatment control condition (g = 1.59). Relatively large effects were found for couples (g = 3.02) compared to other client groups (0.41 < g < 1.70), and marital functioning (g = 3.02) compared to other outcomes (0.23 < g < 1.31). Group therapy (g = 1.64) yielded a larger effect than individual therapy (g = 0.48).

Conclusion

The findings indicate that SFBT is applicable for a variety of clients and psychosocial problems.

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以解决方案为重点的简短疗法的现有证据：社会心理成果和调节因素的荟萃分析。

目的：以解决问题为重点的简易疗法（SFBT）关注客户的优势和资源，被认为能在各种社会心理结果上取得积极效果。本荟萃分析是对之前有关 SFBT 的荟萃分析的延伸，旨在研究 SFBT 的有效性是否受参与者、干预、研究和出版特征的影响：方法：纳入实验和准实验研究。方法：纳入实验和准实验研究，对 72 项研究和 489 个效应大小进行了三级荟萃分析，并考虑了研究内部和研究之间的差异：结果：SFBT 对社会心理问题的总体影响较大（g = 1.17）。主持人分析显示，SFBT 在非临床样本中的效应（g = 1.50）大于在临床样本中的效应（g = 0.78）。将 "常规治疗"（TAU）作为对照条件的研究报告的效果（g = 0.58）小于无治疗对照条件的研究报告的效果（g = 1.59）。与其他客户群体（0.41）相比，夫妻群体（g = 3.02）的效果相对较大：研究结果表明，SFBT 适用于各种客户和社会心理问题。

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

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.