Is symptom outcome the whole story?-A multilevel meta-analysis of systemic therapy for adults including family system functioning

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. We conducted a systematic literature research in mu...

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Bibliographic Details
Published in:Psychotherapy research 2024-09, p.1-14
Main Authors: Braus, Niels, Flückiger, Christoph, Wichmann, Johanna, Frankman, Christian, Lang, Antonia, Hunger-Schoppe, Christina
Format: Article
Language:English
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Summary: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. 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. The results show a small significant overall effect size of = .30 ( .15-.45
ISSN:1050-3307
1468-4381
1468-4381
DOI:10.1080/10503307.2024.2394192