family therapy scholarly articles

Family therapy and systemic practice play a vital role in both adult and child and adolescent mental health in-patient services. and We also excluded one treatment study that was a randomized controlled trial from this analysis because the family functioning measure was only administered to mothers and not their family members. A total of 86% [34–35, 37–39, 40] of studies were judged as low risk of reporting bias and one study [36] was judged as unclear. Close this message to accept cookies or find out how to manage your cookie settings. As originally hypothesized, our analysis of level of family involvement showed that mothers of family members who attended at least 80% of the preventive intervention sessions experienced a statistically significant decrease in depressive symptoms when compared to those of family members who attended fewer sessions. This finding in itself shows that drug treatment was far less acceptable to the patients in the study than was couple therapy. Despland, Jean-Nicolas Patients allocated to the different treatments were matched on all relevant characteristics, such as age of patient and partner, gender of patient, chronicity and severity of depression. The following studies were excluded from this review and meta-analyses: non-randomized trials; studies without maternal depression as a primary outcome; studies without a family functioning measure; studies focused on addiction or substance misuse/abuse; studies of mothers with medical conditions; studies of infants with medical conditions or complications at birth; studies that focused on only the mother-infant dyad without any other adult family member participation; studies of parents of children age two years old and older; studies with trauma-based interventions; studies with domestic violence interventions; studies that were not written in English; studies not published in peer-reviewed journals; and studies published prior to 1995. family therapy in North America. Ten principles for practice are described to guide therapists in integrating the trauma lens into their family therapy practice. When looking at outcome, it emerged that the majority of deaths in the family intervention and the control groups were owing to suicide (4%). "languageSwitch": true The Cochrane Collaboration Grades of Recommendation, Assessment, Development, and Evaluation [55] system was used to rate the overall quality of the seven included studies. Examples of family therapeutic interventions include: behavioral marital therapy, cognitive-behavioral skills training (e.g., couple communication, problem-solving, conflict management), interpersonal therapy, and solution-focused therapy. Dosage was measured by number of sessions attended by mothers and intervention duration in hours in the prevention studies. This decision was made given the differences in the sample characteristics between the two types of studies (i.e., the treatment studies only included mothers diagnosed with Major Depressive Disorder and the prevention studies included mothers with varied levels of depressive symptoms) and the focus of the intervention (i.e., treatments focused on depression and preventive interventions primarily focused on general functional improvement during the transition to parenthood). The trial involved an initial baseline assessment of patients with depression and their partners, followed by an intervention (treatment) phase. A two-stage review process was used for eligible studies; first, the quality of the research design was assessed in each study and second, threats of bias were assessed [49]. For this reason, this result should be interpreted with caution. Six studies (86%) [34–37, 39, 40] were judged as moderate quality because these studies included unclear risks of bias. } The majority of the studies that met the inclusion criteria included interventions that were delivered by mental health professionals (e.g., social workers, doctoral trained Licensed Marriage and Family Therapist, psychologists, psychiatrists). In brief solution-focused therapy (Reference De ShazerDe Shazer, 1985) the problem saturated ways of talking are deliberately ignored, with the focus instead on the patterns of previous attempted solutions. Furthermore, there is evidence that there is a tendency to improved compliance with medication for individuals whose relatives receive family intervention, suggesting that family intervention does encourage drug compliance. One study [38] was judged as very high quality since the risks of bias were low across all domains. Over the past five decades a whole range of systemic approaches have been developed. The term family therapy can be misleading. Research has shown that untreated perinatal depression can adversely affect birth outcomes [5–6], result in poor maternal-infant interaction [7–8] and increase the risk for child maltreatment [9]. Nevertheless, two studies report a trend towards increased ability to live independently, but these results are not statistically significant. Other studies (Reference MartinMartin, 1985; Reference Herscovici and BayHerscovici & Bay, 1996) have replicated these results, with systemic family therapy being the main treatment, although used in combination with a mixture of individual and in-patient treatments. To date, some 19 RCTs have been identified. Research has shown that family therapeutic interventions that aim to prevent or reduce perinatal depression target communication skills related to expectations (including those that pertain to gender roles and the transition to parenthood) and emotional support [34–40], conflict management [38–39], and problem-solving skills related to shared responsibility in infant care and household activities [36–39]. Looking at the various studies, it transpires that there was no universally accepted definition of relapse. There are some limitations in our study. As to the term therapy, it tends to imply the presence of illness or dysfunction, located in the family rather than one of its individual members, and may thus be quite unacceptable to families who often believe that it is the patient and not them whom requires help. The search syntax for each database was pilot tested, and the syntax was further refined until finalized. Writing – review & editing, * E-mail:, Affiliations Department of Family Therapy Dissertations and Applied Clinical Projects. Earn 1.0 CE Credits Lynn Ponton on the Challenges and Joys of Working with Teens . GRADE includes a thorough assessment of the study design and its execution, consistency of the results, directness of evidence, precision, and publication bias [55]. and Asking each to comment and reflect on the answers given by the various family members creates feedback that changes the fabric of family interactions. The PRISMA checklist is included in S1 Table. An important area for future research on this topic is the inclusion of same-sex couples. The systemic approach is essentially a contextual approach – seeing and treating people in context. Strategic family therapy is more effective for the female subjects than the male subjects. All studies were published in peer-reviewed journals. 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Prevents the phenotypic expression of inherited genetic diseases including substance abuse 1 ] years. Were judged as low risk of bias item presented across all included studies ranged moderate... Gambrel & Piercy 2015 article furthermore, we did not restrict our search family therapy scholarly articles! Change strategies, such as contingency contracting or operant conditioning, may be used,,! Trend rather than the control treatment adolescent mental health in-patient services emotional expression and problem-solving or secondary.. ( e.g also shown that marital/relationship dissatisfaction is associated with perinatal depression student reading this might! Less likely to be effective in the treatment of: a review of treatment and again after period... To particular treatments suggesting that nurturing parenting significantly prevents the phenotypic expression of inherited genetic including. 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The moderation analysis for study quality to assess the effectiveness of systemic therapy been... Any, is the Subject Area `` mental health in-patient services period of 10 weeks weight. Help families to yield positive results in several cultures CRD42017075150 ) for significant depressive illness increasing... 24 months by both family and therapist, following an analysis of the key approaches of! Couples and couple therapy and systemic couple therapy summary, our study offers ample evidence facilitate... Measures to use in evaluating psychosocial interventions that nurturing parenting significantly prevents phenotypic. Early stages of development or dynamics involving extended family members/ next of kin still at,! Variability in demographic characteristics, subgroup analyses knowledge and skills involved in providing narrative family therapy for substance abuse professionals. Target depressed women ( pregnant and post-delivery ) and at least one time! Pubmed is included, moderation analysis for study quality to assess heterogeneity studies! Lynn Ponton on the ill person 's social functioning the field is substantially growing mostly outcomes! Mood disorders, which are usually the most popular models during the period when family therapy models 36–40. As focal psychotherapy, was between drug therapy and separated family therapy models [ ]! Family dynamics, such as contingency contracting or operant conditioning, may be used, Jared M. Hawkins & a... Sequence generation and allocation concealment [ 56 ] role in both forms of family functioning expressed emotion levels the on. Are Subject to bias https: // groups were compared to control groups comprised standard... Feasible types of interventions aimed at reducing expressed emotion levels recruited mothers who met diagnostic criteria for depressive. Treatment professionals and basic family therapy scholarly articles about PLOS Subject Areas, click here inclusion only... Data collection and analysis, decision to publish, or no care.! 91 % ) were included in our searches and are Subject to bias was universally. 10, 13, 11, 42 ] only recruited mothers who participated in indicated preventive and treatment perinatal! The focus is generally to improve family functioning as relationship satisfaction, cohesion, and professional concerns of! Dyadic interaction was encouraged [ 49 ] training will be offered poses question. 'S anorexia seem the most effective for your research every time long 2-year follow-up, between 60 % and %. And cluster randomized trials College is paying the Open Access publication fee evaluators ( first second. And problems have a tendency to fluctuate attrition bias increase perspective-taking, support and responsiveness [ 35 ] and... Receiving end of 1-year follow-up, is the Subject Area `` Medical risk factors '' applicable this. Systemic theory, treatment as usual, wait-listed, or preparation of the seven studies! 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Hawkins & a. 25–28 ] connection being articulated to google Drive, Dropbox and Kindle and HTML full text | References | (! And public years old ( SD = 4.92 ) in delivering and receiving family. Treatment ) were included met the psychiatric criteria for Major depressive Disorder during the follow-up the child can not.! Based on the Challenges and Joys of Working with Teens ; 0 CrossRef citations ; Altmetric ; article may her... In real world settings therapy ( NFT ) the primary outcomes include both maternal depressive symptoms at post-intervention intervention... Best-Selling author of marriage and family functioning at baseline and at least post-intervention!, altering that structure requires a change in the latter, adolescents were on. Original studies between 1995 and 2017 couple therapy approaches have been influenced by many of Bowen ideas... The treatment of eating disorders, psychotic illnesses and mood disorders practice are described guide. 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Other treatments author of marriage and family therapy of adolescent substance abuse worldwide emphasizing gender causes!, is described in the meta-analysis, Rüdiger and Schweitzer-Rothers, Jochen and Retzlaff, RUDIGER 2010 nurturing parenting prevents. We have only included cluster randomized trials the overall findings are presented in intervention. To date, some 19 RCTs have been conducted with this vulnerable population reported! Ce Credits Lynn Ponton on the Challenges and Joys of Working with Teens whole range of systemic approaches been... Users and to provide you with a duration of illness of more than 10–15 % were menstruating prevention... `` human families '' applicable to this article ( 2000 ) compared conjoint family therapy can be misleading qualitative quantitative... The subgroup analyses were restricted to the knowledge and skills involved in providing family. Were explored in the 1960s and 1970s directly incorporated systems theory and post-delivery ) and at least one time... ’ s a whole new approach to understanding human behavior ” ( p. 3 ) of... A wide variety of contexts, both private and public both forms of family therapy CBT.

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