The effect of multiple family therapy on mental health problems and family functioning: A systematic review and meta-analysis.

Autor: van Es CM; ARQ Centrum'45, Nienoord 13, 1112 XE, Diemen, The Netherlands.; ARQ National Psychotrauma Centre, 1112 XE, Diemen, The Netherlands.; Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands., El Khoury B; Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.; Borderless NGO, Saida Hwy, Beirut, 1001, Lebanon., van Dis EAM; Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands., Te Brake H; ARQ National Psychotrauma Centre, 1112 XE, Diemen, The Netherlands.; ARQ Centre of Expertise for the Impact of Disasters and Crises, Nienoord 13, 1112 XE, Diemen, The Netherlands., van Ee E; Psychotraumacentrum Zuid Nederland, Reinier van Arkel, Bethaniestraat 10, 5211 LJ, 's-Hertogenbosch, The Netherlands.; Faculteit der Sociale Wetenschappen, Radboud Universiteit, Thomas van Aquinostraat 4, Nijmegen, 6525, Gelderland, The Netherlands., Boelen PA; ARQ Centrum'45, Nienoord 13, 1112 XE, Diemen, The Netherlands.; ARQ National Psychotrauma Centre, 1112 XE, Diemen, The Netherlands.; Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands., Mooren T; ARQ Centrum'45, Nienoord 13, 1112 XE, Diemen, The Netherlands.; ARQ National Psychotrauma Centre, 1112 XE, Diemen, The Netherlands.; Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.
Jazyk: angličtina
Zdroj: Family process [Fam Process] 2023 Jun; Vol. 62 (2), pp. 499-514. Date of Electronic Publication: 2023 Mar 27.
DOI: 10.1111/famp.12876
Abstrakt: The aim of this systematic review and meta-analysis was to provide an overview of existing controlled trials focusing on the impact of multiple family therapy (MFT) on mental health problems and family functioning, and to examine the efficacy of MFT. Relevant studies were selected following a screening of 3376 studies identified by a systematic search of seven databases. The following data were extracted: participant characteristics, program characteristics, study characteristics, and information of mental health problems and/or family functioning. A total of 31 peer-reviewed, English, controlled studies evaluating the effect of MFT were included in the systematic review. Sixteen studies presenting 16 trials were included in the meta-analysis. All but one of the studies was at risk of bias, with problems concerning confounding, selection of participants and missing data. The findings confirm that MFT is offered in diverse settings, with studies presenting a variety of therapeutic modalities, focal problems, and populations. Individual studies reported some positive findings, including improvements in mental health, vocational outcomes, and social functioning. The findings of the meta-analysis suggest that MFT is associated with improvements in symptoms of schizophrenia. However, this effect was found not to be significant due to the large amount of heterogeneity. In addition, MFT was associated with small improvements in family functioning. We found little evidence to suggest that MFT successfully alleviates mood and conduct problems. To conclude, more methodologically rigorous research is needed to further examine the potential benefits of MFT, as well as the working mechanisms and core components of MFT.
(© 2023 The Authors. Family Process published by Wiley Periodicals LLC on behalf of Family Process Institute.)
Databáze: MEDLINE
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