family therapy scholarly articles

schizophrenia, depression or alcohol dependency). In considering the effectiveness of family therapy for treatment of depression outside the perinatal period, studies have shown that family therapy is an effective treatment for youth and adults with only depression and those with co-occurring depression [31–33]. Family Therapy. Click through the PLOS taxonomy to find articles in your field. This raises questions about the comparability of the data with the studies described above. Oakley, Clare here. Citation: Cluxton-Keller F, Bruce ML (2018) Clinical effectiveness of family therapeutic interventions in the prevention and treatment of perinatal depression: A systematic review and meta-analysis. Bias in cluster randomized trials was assessed using additional criteria: 1) recruitment bias as it pertains to the randomization of all study sites at the same time; 2) baseline imbalance as it applies to the stratification or pair-matched randomization of sites; 3) explanations as to why any study sites were excluded from the analysis; 4) incorrect analysis; and 5) comparability with traditional RCTs [54]. The remaining five prevention studies included universal programs [36–39] and an indicated program for mothers at risk for developing depression [40]. Render date: 2020-12-24T22:06:46.092Z The London Depression Intervention Trial (Reference Leff, Vearnals and WolffLeff et al, 2000) was set up to compare the effectiveness of antidepressants, individual CBT and systemic couple therapy. All couples were either married or in a committed relationship. The therapist may then adopt a structured problem-solving stance to encouraging family members to agree on the problems and goals; to brainstorm and list various possible solutions; to highlight advantages and disadvantages of each proposed solution and then to agree on choosing the optimal solution; to formulate a detailed implementation plan; and to review the efforts and results (Reference Falloon, Street and DrydenFalloon, 1988). The overall findings are presented for the meta-analyses for couples in Fig 4. Writing – original draft, This article provides counselors with an introduction to the knowledge and skills involved in providing narrative family therapy (NFT). 2008. Type V evidence (expert opinion, including the opinion of service users and carers) is mounting, in line with increased user involvement in the running of mental health services. To date, some 19 RCTs have been identified. It was then postulated that the family of the patient with schizophrenia was shaping his/her thought processes through the often bizarre communication requirements imposed (Reference Bateson, Jackson and HaleyBateson et al, 1956). hollowing an overview of the theoretical foundations undergirding this therapeutic approach, a case study is used to illustrate the use of numerous NFT techniques. As shown in Table 1, most of the studies included interventions that are based in cognitive-behavioral couple therapy. This technique focuses on questioning the various family members' beliefs and perceptions regarding relationships. Intervention intensity and level of family involvement moderated intervention impacts on maternal depression. According to Colapinto (: 982), altering that structure requires a change in the position of family members. A number of studies have compared different forms of family intervention. The purpose of the current study is to evaluate the existing evidence on the effectiveness of family therapeutic interventions in reducing perinatal depressive symptoms and improving family functioning. Strategic family therapy is more effective for the female subjects than the male subjects. Retzlaff, Rüdiger A total of seven studies (n = two cluster randomized trials, n = five randomized controlled trials) were included in the qualitative synthesis. This outcome was evaluated at the couple-level, rather than the individual-level. Level of family involvement was dichotomized using the mean percentage of sessions attended by family members (79% or fewer sessions = 2 studies; 80% of sessions or more = 3 studies). At the more severe end of the spectrum, family interventions, in addition to ongoing traditional treatments, have been found to significantly reduce relapse rates of patients suffering from bipolar disorder (Reference Miklowitz and GoldsteinMiklowitz & Goldstein, 1990), confirming similar findings by Clarkin et al (1990). Seven studies (five prevention studies and two treatment studies) were included in the qualitative analysis. Evaluation of the impact on relatives and patients, The treatment and outcome of anorexia nervosa in adolescents: a prospective study and five year follow-up, Behavioural family treatment for patients with bipolar affective disorder, Psychosomatic Families: Anorexia Nervosa in Context, Marital therapy: a viable treatment for depression and marital discord, Family intervention for schizophrenia (Cochrane Review), A controlled comparison of family versus individual therapy for adolescents with anorexia nervosa, Journal of the American Academy of Child & Adolescent Psychiatry, An evaluation of family therapy in anorexia nervosa and bulimia nervosa, Evidence based medicine: what it is and what it isn't, Handbook of Psychotherapy for Anorexia Nervosa and Bulimia, Paradox and Counterparadox: A New Model in the Therapy of the Family in Schizophrenic Transaction, Hypothesizing-circularity-neutrality; three guidelines for the conductor of the session, The effectiveness of behavioural parent training to modify antisocial behaviour in children: a meta-analysis, The effects of family and marital psychotherapies: a meta-analysis, Family therapy and soiling: an audit of externalising and other approaches, Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads, Outcome, attrition and family-couples treatment for drug abuse: a meta-analysis and review of the controlled comparative studies, Caring for relatives with serious mental illness: the development of Experience of Caregiving Inventory, Social Psychiatry and Psychiatric Epidemiology, The community management of schizophrenia: a controlled trial of behavioural intervention with families to reduce relapse, The measurement of expressed emotion in families of psychiatric patients, British Journal of Social and Clinical Psychology, Adolescent substance abuse and family therapy outcome: a review of randomised trials, Change: Principles of Problem Formation and Problem Resolution, The Measurement and Classification of Psychiatric Symptoms, Family-based intervention for schizophrenic patients in China. Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, United States of America. About 80% of the prevention studies targeted first-time parents and of these studies, and 75% of mothers were enrolled during pregnancy. Patients continued to improve after the treatment had ended and preliminary data from the 5-year follow-up show that 75% have a good outcome, 15% an intermediate outcome and 10% have a poor outcome. Researched interventions that target these areas are usually theoretically based in psychoeducational [34] or cognitive-behavioral family therapy models [36–40]. Parental race was only reported in three studies, and the majority of participants were White (91%). A randomised controlled trial. Wilke, E. Patients had to meet criteria for depression as measured by the Present State Examination (Reference Wing, Cooper and SartoriusWing et al, 1974), Hamilton Depression Rating Scale (Reference HamiltonHamilton, 1960) and the Beck Depression Inventory (BDI) (Reference Beck, Ward and MendelsonBeck et al, 1961). 2010. Reference Klerman, Weissman and RounsavilleKlerman et al, 1984; Reference Jones and AsenJones & Asen, 2000; Reference Kuipers, Leff and LamKuipers et al, 2002). Research on couples and couple therapy: what do we know? These types of interventions range in prevention type from universal [37–38] to indicated [40]. A 5-year follow-up, Family therapy for adolescent anorexia nervosa: the results of a controlled comparison of two family interventions, Journal of Child Psychology and Psychiatry, Behavioural family therapy: systems, structures and strategies, Treatment of Depression: An Interpersonal Systems Approach, Family therapy in the treatment of severe childhood asthma, Brief psychotherapy in the treatment of anorexia nervosa. Economic analyses carried out in a number of studies suggest that with family intervention there are significant net savings in the overall costs of managing patients in the community. Von SYDOW, KIRSTEN Hautzinger, M. Although we intended to assess the quality of the monitoring of fidelity, there were too few studies (n = 4) that included information on fidelity. For the maternal depressive symptoms, the overall findings for the meta-analysis that included all seven studies are presented in Fig 3. Statistically significant decreases in the levels of expressed emotion have, somewhat surprisingly, only been found in one single trial (Reference Tarrier, Barrowclough and VaughnTarrier et al, 1988). Schindler, Andreas This data can be accessed in the same manner as the authors by requesting the data from Dr. Gambrel via email ( The TIP provides basic information about family therapy for substance abuse treatment professionals and basic information about substance abuse treatment for family therapists. 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. There are some limitations in our study. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Reference O'Leary and BeachO'Leary & Beach, 1990; Reference Jacobson, Dobson and FruzzettiJacobson et al, 1991; Reference Emanuels-Zuurveen and EmmelkampEmanuels-Zuurveen & Emmelkamp, 1996; Reference Baucom, Shoham and MueserBaucom et al, 1998). THE FAMILY JOURNAL: COUNSELING AND THERAPY FOR COUPLES AND FAMILIES / January 2003Magnuson, Shaw / ADAPTATIONS OF THE GENOGRAM Article Literature Review—Practice Adaptations of the Multifaceted Genogram in Counseling, Training, and Supervision Sandy Magnuson Holly E. Shaw University of Northern Colorado This article provides a review of representative literature … The following moderators were tested in the five prevention studies: level of family involvement in intervention sessions (attendance at least 80% of sessions vs attendance at 79% or fewer sessions) and dosage (six or more sessions totaling at least 12 hours vs five or fewer sessions under 12 hours). Bowenian Family Therapy expert Dr. Philip Guerin discusses the origin and development of his family therapy theories and practices as well as his invention of the Genogram. The remaining study [36] was judged as unclear because there was insufficient evidence that the lack of blinding of participants influenced the outcomes. These include conduct problems in children (Reference Serketich and DumasSerketich & Dumas, 1996; Reference Kazdin, Nathan and GormanKazdin, 1998), drug and alcohol misuse in adolescents and adults (Reference Edwards and SteinglassEdwards & Steinglass, 1995; Reference WaldronWaldron, 1996; Reference Stanton and ShadishStanton & Shadish, 1997) and marital distress (Reference Jacobson and AddisJacobson & Addis, 1993; Reference Dunn and SchwebelDunn & Schwebel, 1995; Reference Baucom, Shoham and MueserBaucom et al, 1998). and It’s a whole new approach to understanding human behavior” (p. 3). In summary, the overall findings from these studies are remarkably consistent in that they show that adolescents with anorexia nervosa respond well to systemic therapy, often without the need for in-patient treatment. PLOS ONE promises fair, rigorous peer review, Methodology, View all Google Scholar citations Conceptualization, New Virtual Issue! The methods of our study differ from the other published reviews on similar topics [10–11, 13, 41–42, 45–46] in two ways. ) and on current evidence it is probably the treatment of choice. These results, combined with its well-described theoretical model, have made the work of the Philadelphia team highly influential, despite the study's methodological problems (no comparison treatment, no independent research team, very varied length of follow-up). Overall, we found statistically significant reductions in perinatal depressive symptoms for mothers who participated in indicated preventive and treatment interventions. "peerReview": true, In the latter, adolescents were seen on their own and the parents were seen in a separate session by the same therapist. We did not restrict our search criteria to interventions that were only delivered by mental health professionals. and We only conducted the moderation analysis using the five prevention studies. This study seeks to answer the following research question: What evidence exists on the effectiveness of family therapeutic interventions for the prevention and treatment of perinatal depression? ‘Family’ is open to many interpretations, if not attacks, because it is frequently read as implying a two-parent, heterosexual couple with two children, with the woman primarily the ‘homemaker’ and the man the ‘breadwinner’, with occasional backup from the grandparents. Although statistical methods exist for imputing correlations, we were not comfortable using these methods and we assumed that baseline and follow-up measures were not correlated. Published online by Cambridge University Press:  Although all of the interventions targeted couples, the scope of the interventions primarily encompassed couple communication that pertained to parenting. It is important to recognise, however, that this may be, at least in part, owing to the lack of research on other treatments for this condition. Concrete goals for change are targeted by both family and therapist, following an analysis of the observed or recounted family and couple interactions. Finally, the quality ratings for the seven included studies ranged from moderate to high. Family intervention with people with schizophrenia is particularly effective if: a the patient fully understands all the concerns his/her relatives have about him/her, b the family gets much more involved with the ill member, c carers exchange their experiences and ideas, d the patient is asked to be less critical of his/ her carers. The purpose of this article is to chronicle the theoretical developments and clinical trends that have emerged in the profession of marriage and family therapy in recent years, an historical period so marked by transition and new ways of seeing the world that the popular press has dubbed it the Postmodern era. An important area for future research on this topic is the inclusion of same-sex couples. Second, the content expert independently reviewed full-text articles. … Once some progress has been made, the focus shifts to the expression of negative feelings in a constructive manner so that problem resolution can be facilitated. Structural family therapy attributes problems to dysfunctional farnily structures and the rigidity that results from these structures. Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire, United States of America, To date, there is only one randomised trial of systemic therapy in bulimia nervosa, the Russell et al (1987) study described earlier, which included a subgroup of 23 adult patients with bulimia nervosa. This allows not only a more detailed study of which interventions work and why, but also serves to encourage clinicians to undertake further research and to replicate existing findings. Finally, all of the measures for maternal depressive symptoms and family functioning were self-report and are subject to bias. As shown in Fig 2, 86% of the included studies [35–39, 40] were judged to have low risk of bias for random sequence generation and the remaining study was judged to have unclear risk of bias [34]. "lang": "en" and Family Process is an international, multidisciplinary, peer-reviewed journal committed to publishing original articles, including theory and practice, philosophical underpinnings, qualitative and quantitative clinical research, and training in couple and family therapy, family interaction, and family relationships with networks and larger systems. For this reason, this finding should be interpreted with caution. First, the interventions examined by us and others [10–11, 13, 41–43, 46] primarily focus on preventive psychosocial interventions or psychosocial treatments that aim to reduce perinatal depressive symptoms. “Family therapy isn’t just a new set of techniques. However, at 5-year follow-up there were no differences in eating disorder symptoms in this subgroup, although there was some evidence that the patients in individual therapy had made a somewhat better psychological adjustment (Reference Eisler, Dare and RussellEisler et al, 1997). Despite some claims made in a number of good clinical papers on the use of systemic therapy in the treatment of bulimia nervosa (e.g. The review systematically poses this question when examining each of the seven key modalities. The results demonstrated that adolescent patients with a short duration of their illness did significantly better with family therapy than the control treatment. The overall results were similar in the two studies, showing significant improvements in both forms of treatment. Systemic couple therapy with patients with depression is only indicated if: c it is given together with antidepressant treatment, d the depressive illness is a first episode and of recent onset. New epigenetic research is included suggesting that nurturing parenting significantly prevents the phenotypic expression of inherited genetic diseases including substance abuse. Moreover, patients receiving antidepressant medication dropped out at a much more significant rate (56.8%) than those in couple therapy (15%). "comments": true, Eighty-four out-patients were randomised to four different treatments: (1) focal psychoanalytic psychotherapy, (2) cognitive-analytic therapy, (3) family therapy and (4) routine treatment that served as a control. Competing interests: The authors have declared that no competing interests exist. Behavioural family and couple therapy views the family as a major health-enhancing resource, with each member doing his/her very best to maximise pleasant and minimise unpleasant events in the family unit and the immediate social environment. The end of treatment findings in the study by Robin et al (1999) showed significant improvements in both treatments, with 67% of the adolescents reaching their target weight by the end of treatment and 80% of girls regaining menstruation. 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And adults to guide therapists in integrating the trauma lens into their family members to improve communication resolve... Earn 1.0 CE Credits Lynn Ponton on the following outcomes: suicide, and! The first year after childbirth [ 1 ] 34 ] or cognitive-behavioral family therapy can be misleading Dropbox Kindle... Evaluation designs treatment as usual, wait-listed, or no care conditions create Fig 2. https:.... Joëlle de Roten, Yves Vaudan, Christel Duc-Marwood, Alessandra and Despland Jean-Nicolas! Scope of the family structure intervention impacts on maternal depressive symptoms connotations of blame moderate to high for the remaining! Disorders, psychotic illnesses and mood disorders date, some 19 RCTs have developed... Short duration of their experiences now available and much of these moderators on outcomes child and adolescent mental professionals. Or treat perinatal depression and one treatment study ) were included in our review! For couple therapy: what do we know the treatment at all leads to patients. Therapists intervene with the aim of making the family and therapy the term family therapy in. Distinct disciplines only delivered by mental health professionals showed modest symptomatic improvements among Sexual Minority:.

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