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Positive and Negative Family Relationships Correlate With Mental Health Conditions -a Systematic Review and
Jutta Lindert1,2, Sarah Arndt1, Natalie Cook2
1Department of Social Work and Health, University of Applied Sciences Emden/Leer, Emden, Germany.
Public Health Reviews
|August 5, 2025
Summary
Positive family relationships did not significantly impact depression or anxiety. However, negative family ties were strongly linked to increased anxiety and depression in adults.
Area of Science:
- Psychology
- Public Health
- Sociology
Background:
- Family relationships significantly influence adult mental well-being.
- Understanding these associations is crucial for developing effective mental health interventions.
Purpose of the Study:
- To systematically review and synthesize evidence on the association between family relationships and mental health conditions in adults.
- To quantify the relationship between positive and negative family dynamics and specific mental health outcomes.
Main Methods:
- A systematic review was conducted across multiple databases (MEDLINE, Embase, Web of Science, PsycINFO, Sociological Abstracts, PTSDPubs).
- Pearson correlation coefficients and I2 statistics were calculated using a random-effects model.
- Publication bias was assessed using funnel plots.
Main Results:
- Positive family relationships showed no significant association with depression, anxiety, or alcohol abuse.
- A significant positive association was found between positive family relationships and illicit drug use.
- Negative family relationships were significantly associated with increased anxiety and depression.
Conclusions:
- Interventions aimed at reducing negative family relationships may improve overall mental health.
- Strengthening positive family dynamics could be a target for mental health promotion.
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