Niels Braus, Christoph Flückiger, Johanna Wichmann, Christian Frankman, Antonia Lang, Christina Hunger-Schoppe
{"title":"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。","authors":"Niels Braus, Christoph Flückiger, Johanna Wichmann, Christian Frankman, Antonia Lang, Christina Hunger-Schoppe","doi":"10.1080/10503307.2024.2394192","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>The results show a small significant overall effect size of <i>g </i>= .30 (<i>CI:</i> .15-.45<i>, p </i>< .001, <i>k</i> = 171, <i>s</i> = 32) for all outcomes. Systemic Therapy revealed small effect sizes with regard to family system functioning (<i>g </i>= .34, <i>z</i> = 3.51, <i>p </i>= .0004, <i>k</i> = 26, <i>s</i> = 12), symptoms (<i>g </i>= .30, <i>z</i> = 3.74, <i>p </i>= .0002, <i>k</i> = 73, <i>s</i> = 29), and further secondary outcomes (<i>g </i>= .32, <i>z </i>= 3.83, <i>p </i>= .0001, <i>k</i> = 63, <i>s</i> = 19). The effect sizes for psychopathology of family system members were reported rarely (<i>k </i>= 9, <i>s </i>= 6).</p><p><strong>Conclusion: </strong>This meta-analysis shows the potential relevance of investigating family system functioning as a primary outcome for Systemic Therapy.</p>","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Is symptom outcome the whole story?-A multilevel meta-analysis of systemic therapy for adults including family system functioning.\",\"authors\":\"Niels Braus, Christoph Flückiger, Johanna Wichmann, Christian Frankman, Antonia Lang, Christina Hunger-Schoppe\",\"doi\":\"10.1080/10503307.2024.2394192\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>The results show a small significant overall effect size of <i>g </i>= .30 (<i>CI:</i> .15-.45<i>, p </i>< .001, <i>k</i> = 171, <i>s</i> = 32) for all outcomes. Systemic Therapy revealed small effect sizes with regard to family system functioning (<i>g </i>= .34, <i>z</i> = 3.51, <i>p </i>= .0004, <i>k</i> = 26, <i>s</i> = 12), symptoms (<i>g </i>= .30, <i>z</i> = 3.74, <i>p </i>= .0002, <i>k</i> = 73, <i>s</i> = 29), and further secondary outcomes (<i>g </i>= .32, <i>z </i>= 3.83, <i>p </i>= .0001, <i>k</i> = 63, <i>s</i> = 19). The effect sizes for psychopathology of family system members were reported rarely (<i>k </i>= 9, <i>s </i>= 6).</p><p><strong>Conclusion: </strong>This meta-analysis shows the potential relevance of investigating family system functioning as a primary outcome for Systemic Therapy.</p>\",\"PeriodicalId\":48159,\"journal\":{\"name\":\"Psychotherapy Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-09-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychotherapy Research\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1080/10503307.2024.2394192\",\"RegionNum\":1,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychotherapy Research","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/10503307.2024.2394192","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Is symptom outcome the whole story?-A multilevel meta-analysis of systemic therapy for adults including family system functioning.
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.
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.
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