症状结果是整个故事吗? - - 一个多层次的系统性治疗对成人多层次的元分析,包括家庭系统的功能
Niels Braus1, Christoph Flückiger2, Johanna Wichmann1
1School of Psychology and Psychotherapy, Chair of Clinical Psychology and Psychotherapy III, Witten/Herdecke University, Witten, Germany.
概括
系统疗法对患者的症状和家庭功能产生积极影响. 这一元分析强调了家庭系统作为这一治疗方法的关键结果指标的重要作用.
科学领域:
- 心理学和精神病学 心理学和精神病学
- 家庭系统理论 家庭系统理论
- 基于证据的实践.
背景情况:
- 系统疗法将心理健康视为社会和家庭背景中的心理健康.
- 以前的元分析主要集中在减轻症状上.
- 这项研究扩大了范围,包括了家庭系统的功能.
研究的目的:
- 对系统治疗的随机对照试验 (RCT) 进行元分析.
- 评估系统治疗对患者症状和家庭系统功能的影响.
- 包括所有类型的结果,特别关注家庭系统的运作.
主要方法:
- 在PsycInfo,PubMed,Embase和Cochrane Central进行系统的文献搜索.
- 包括对系统疗法与成人精神病诊断的积极心理社会对照进行比较的RCT.
- 来自32个RCT的171个效果大小的随机效应三级元分析.
主要成果:
- 在所有结果中发现了一个小而显著的整体效应大小 (g = .30).
- 系统疗法对家庭系统功能 (g = .34),患者症状 (g = .30) 和患者二次结果 (g = .32) 显示了小效果大小.
- 对家庭成员精神病理学的效应大小的报道较少.
结论:
- 系统疗法在多个结果领域产生了显著的积极影响.
- 这些发现强调了家庭系统作为系统治疗研究的主要结果的相关性.
- 进一步调查家庭系统运行结果是有必要的.
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