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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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Published in: | Psychotherapy research 2024-09, p.1-14 |
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creator | Braus, Niels Flückiger, Christoph Wichmann, Johanna Frankman, Christian Lang, Antonia Hunger-Schoppe, Christina |
description | 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 |
doi_str_mv | 10.1080/10503307.2024.2394192 |
format | article |
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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
< .001,
= 171,
= 32) for all outcomes. Systemic Therapy revealed small effect sizes with regard to family system functioning (
= .34,
= 3.51,
= .0004,
= 26,
= 12), symptoms (
= .30,
= 3.74,
= .0002,
= 73,
= 29), and further secondary outcomes (
= .32,
= 3.83,
= .0001,
= 63,
= 19). The effect sizes for psychopathology of family system members were reported rarely (
= 9,
= 6).
This meta-analysis shows the potential relevance of investigating family system functioning as a primary outcome for Systemic Therapy.</description><identifier>ISSN: 1050-3307</identifier><identifier>ISSN: 1468-4381</identifier><identifier>EISSN: 1468-4381</identifier><identifier>DOI: 10.1080/10503307.2024.2394192</identifier><identifier>PMID: 39248794</identifier><language>eng</language><publisher>England</publisher><ispartof>Psychotherapy research, 2024-09, p.1-14</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c234t-2e303105b9af1af357e9b2a0d5d59a863b603d87b1ea2a79e653a4239b65c7c53</cites><orcidid>0000-0002-7762-6859 ; 0000-0003-3058-5815 ; 0000-0002-5741-2538</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39248794$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Braus, Niels</creatorcontrib><creatorcontrib>Flückiger, Christoph</creatorcontrib><creatorcontrib>Wichmann, Johanna</creatorcontrib><creatorcontrib>Frankman, Christian</creatorcontrib><creatorcontrib>Lang, Antonia</creatorcontrib><creatorcontrib>Hunger-Schoppe, Christina</creatorcontrib><title>Is symptom outcome the whole story?-A multilevel meta-analysis of systemic therapy for adults including family system functioning</title><title>Psychotherapy research</title><addtitle>Psychother Res</addtitle><description>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
< .001,
= 171,
= 32) for all outcomes. Systemic Therapy revealed small effect sizes with regard to family system functioning (
= .34,
= 3.51,
= .0004,
= 26,
= 12), symptoms (
= .30,
= 3.74,
= .0002,
= 73,
= 29), and further secondary outcomes (
= .32,
= 3.83,
= .0001,
= 63,
= 19). The effect sizes for psychopathology of family system members were reported rarely (
= 9,
= 6).
This meta-analysis shows the potential relevance of investigating family system functioning as a primary outcome for Systemic Therapy.</description><issn>1050-3307</issn><issn>1468-4381</issn><issn>1468-4381</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNo9kMtKxDAUQIMozjj6CUqWbjrm0edKhsEXDLjRdUnTWyeSNLVJlS79c1Om4yqBnHPDPQhdU7KmJCd3lCSEc5KtGWHxmvEipgU7QUsap3kU85yehntgoglaoAvnPgmhWU7IOVrwgsV5VsRL9PvisBtN563BdvDSGsB-D_hnbzVg520_3kcbbAbtlYZv0NiAF5FohR6dctg2QXcejJKT14tuxI3tsaiD4bBqpR5q1X7gRhilxxnGzdBKr2wbXi7RWSO0g6v5XKH3x4e37XO0e3162W52kWQ89hEDTnhYqCpEQ0XDkwyKiglSJ3VSiDzlVUp4nWcVBcFEVkCacBGHLlWayEwmfIVuD3O73n4N4HxplJOgtWjBDq4MwxnJUsYnNDmgsrfO9dCUXa-M6MeSknKqXx7rl1P9cq4fvJv5i6EyUP9bx9z8D-VGglg</recordid><startdate>20240909</startdate><enddate>20240909</enddate><creator>Braus, Niels</creator><creator>Flückiger, Christoph</creator><creator>Wichmann, Johanna</creator><creator>Frankman, Christian</creator><creator>Lang, Antonia</creator><creator>Hunger-Schoppe, Christina</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7762-6859</orcidid><orcidid>https://orcid.org/0000-0003-3058-5815</orcidid><orcidid>https://orcid.org/0000-0002-5741-2538</orcidid></search><sort><creationdate>20240909</creationdate><title>Is symptom outcome the whole story?-A multilevel meta-analysis of systemic therapy for adults including family system functioning</title><author>Braus, Niels ; Flückiger, Christoph ; Wichmann, Johanna ; Frankman, Christian ; Lang, Antonia ; Hunger-Schoppe, Christina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c234t-2e303105b9af1af357e9b2a0d5d59a863b603d87b1ea2a79e653a4239b65c7c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Braus, Niels</creatorcontrib><creatorcontrib>Flückiger, Christoph</creatorcontrib><creatorcontrib>Wichmann, Johanna</creatorcontrib><creatorcontrib>Frankman, Christian</creatorcontrib><creatorcontrib>Lang, Antonia</creatorcontrib><creatorcontrib>Hunger-Schoppe, Christina</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Psychotherapy research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Braus, Niels</au><au>Flückiger, Christoph</au><au>Wichmann, Johanna</au><au>Frankman, Christian</au><au>Lang, Antonia</au><au>Hunger-Schoppe, Christina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is symptom outcome the whole story?-A multilevel meta-analysis of systemic therapy for adults including family system functioning</atitle><jtitle>Psychotherapy research</jtitle><addtitle>Psychother Res</addtitle><date>2024-09-09</date><risdate>2024</risdate><spage>1</spage><epage>14</epage><pages>1-14</pages><issn>1050-3307</issn><issn>1468-4381</issn><eissn>1468-4381</eissn><abstract>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
< .001,
= 171,
= 32) for all outcomes. Systemic Therapy revealed small effect sizes with regard to family system functioning (
= .34,
= 3.51,
= .0004,
= 26,
= 12), symptoms (
= .30,
= 3.74,
= .0002,
= 73,
= 29), and further secondary outcomes (
= .32,
= 3.83,
= .0001,
= 63,
= 19). The effect sizes for psychopathology of family system members were reported rarely (
= 9,
= 6).
This meta-analysis shows the potential relevance of investigating family system functioning as a primary outcome for Systemic Therapy.</abstract><cop>England</cop><pmid>39248794</pmid><doi>10.1080/10503307.2024.2394192</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-7762-6859</orcidid><orcidid>https://orcid.org/0000-0003-3058-5815</orcidid><orcidid>https://orcid.org/0000-0002-5741-2538</orcidid><oa>free_for_read</oa></addata></record> |
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source | Taylor & Francis |
title | Is symptom outcome the whole story?-A multilevel meta-analysis of systemic therapy for adults including family system functioning |
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