Intervention intensity and level of family involvement moderated intervention impacts on maternal depression. Finally, the content expert repeated the searches to screen titles and abstracts of references retrieved to determine if any new studies had been published that were eligible for inclusion. Studies that included the mother (pregnant and postpartum up to six months) and at least one adult family member were included. It is very likely that different subgroups respond differently to particular treatments. The evidence for the effectiveness of systemic therapy for adolescent anorexia nervosa is reasonably compelling as several reviewers have recently concluded (e.g. Statistically significant decreases in the levels of expressed emotion have, somewhat surprisingly, only been found in one single trial (Reference Tarrier, Barrowclough and VaughnTarrier et al, 1988). We defined family therapy interventions as those that addressed relationship dynamics to create changes in relational functioning. The family and therapy The term family therapy can be misleading. Our primary recommendation is for future research to expand the existing knowledge with a wider variety of women (adolescents and adults with varied ethnicities and socioeconomic statuses) that may require different types and dosages of family therapeutic interventions. Writing – original draft, Retzlaff, Rüdiger Different phases of therapy require different techniques, styles and positions of the therapist and different working contexts clearly require different responses to the patients and the problems they and their families present. After reviewing the family therapy literature concerning trauma and defining different types of trauma, the paper discusses how traumatic memories differ from ordinary memories. The current study can serve as a catalyst for future research on the effectiveness of family therapeutic interventions that aim to prevent or treat perinatal depression and improve family functioning. A randomised controlled trial. Research has shown that untreated perinatal depression can adversely affect birth outcomes [5–6], result in poor maternal-infant interaction [7–8] and increase the risk for child maltreatment [9]. The results demonstrated that adolescent patients with a short duration of their illness did significantly better with family therapy than the control treatment. This study seeks to answer the following research question: What evidence exists on the effectiveness of family therapeutic interventions for the prevention and treatment of perinatal depression? We also excluded one treatment study that was a randomized controlled trial from this analysis because the family functioning measure was only administered to mothers and not their family members. 2009. von Sydow, Kirsten Our study offers ample evidence to facilitate future research on family therapeutic interventions that aim to prevent or treat perinatal depression. All studies reported maternal age and overall, the average age of mothers was 31.1 years old (SD = 4.92). All types of intervention intensity (e.g., universal, selective and indicated prevention, treatment) were included in our searches. Recommendations for future research are addressed. By contrast, nearly half of the patients who had received individual therapy still had significant eating disorder symptoms 5 years later. The following studies were excluded from this review and meta-analyses: non-randomized trials; studies without maternal depression as a primary outcome; studies without a family functioning measure; studies focused on addiction or substance misuse/abuse; studies of mothers with medical conditions; studies of infants with medical conditions or complications at birth; studies that focused on only the mother-infant dyad without any other adult family member participation; studies of parents of children age two years old and older; studies with trauma-based interventions; studies with domestic violence interventions; studies that were not written in English; studies not published in peer-reviewed journals; and studies published prior to 1995. Research on couples and couple therapy: what do we know? The purpose of the current study is to evaluate the existing evidence on the effectiveness of family therapeutic interventions in reducing perinatal depressive symptoms and improving family functioning. family therapy in North America. Today's family therapy, they say, includes a broad range of interventions and models for clinicians to choose from, and most models no longer require all family members to be present every time. It has been demonstrated that systemic therapy can be effective for a wide range of child- and adult-focused conditions and problems (see Box 2). The content expert extracted data that aligned with the PICO criteria [52], baseline and follow up sample sizes, means, standard deviations, confidence intervals, and standard errors by study group for the primary outcome measures for all of the included studies. Formal analysis, Selection bias includes both random sequence generation and allocation concealment [56]. First, the generalizability of our results may not be applicable to diverse populations. However, the findings were inconclusive for those with a duration of illness of more than 3 years: they had mostly poor outcomes. No, Is the Subject Area "Systematic reviews" applicable to this article? Since only four studies were included, moderation analysis was not possible for this outcome. Although a limited number of controlled trials on family therapeutic interventions for this population exist, the findings show that these types of interventions are effective in both the prevention and treatment of perinatal depression. An important area for future research on this topic is the inclusion of same-sex couples. All primary outcomes were continuous. Family Therapy for Substance Use among Sexual Minority Youth: A Review of Treatment Options. Abstract | Full Text | References | PDF (1041 KB) | Permissions 114 Views; 0 CrossRef citations; Altmetric; Article. and The evidence for this is described in considerable detail in the next sections. "relatedCommentaries": true, The search syntax for each database was pilot tested, and the syntax was further refined until finalized. COFT publishes applied and basic research with implications for systemic theory, treatment, and policy. Eckert, J. Furthermore, health insurance companies may vary in level of reimbursement for family therapy by provider type. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. The end of treatment findings in the study by Robin et al (1999) showed significant improvements in both treatments, with 67% of the adolescents reaching their target weight by the end of treatment and 80% of girls regaining menstruation. family therapy practiced in Australia and elsewhere. Despland, Jean-Nicolas For this reason, we do not have data on the percentage of women who receive family therapy for the prevention or treatment of perinatal depression. e less likely to be effective if the parents are directly involved in the management of the adolescent's eating. The TIP presents the models, techniques and principles of family therapy, with special attention to the stages of motivation as well as to treatment and recovery. Given that around 30% of adults with depression seek psychotherapy [62] and less than 30% of women who screen positive for perinatal depression attend a mental health visit (for psychotherapy or psychiatric medication) [63–65] with approximately 6% completing treatment in the United States [63,65], we suspect that a lower percentage of women with perinatal depression seek family therapy for two reasons. The London Depression Intervention Trial (Reference Leff, Vearnals and WolffLeff et al, 2000) was set up to compare the effectiveness of antidepressants, individual CBT and systemic couple therapy. Relapse was defined in quite different ways, for example as the symptomatic deterioration of those patients who presented residual symptoms at baseline assessment, or as a recurrence of symptoms for patients with full remission at discharge. The theory has it that by encouraging families to amplify the solution patterns of their lives, the problem patterns can be driven into the background. The majority of the studies that met the inclusion criteria included interventions that were delivered by mental health professionals (e.g., social workers, doctoral trained Licensed Marriage and Family Therapist, psychologists, psychiatrists). THE FAMILY JOURNAL: COUNSELING AND THERAPY FOR COUPLES AND FAMILIES / January 2003Magnuson, Shaw / ADAPTATIONS OF THE GENOGRAM Article Literature Review—Practice Adaptations of the Multifaceted Genogram in Counseling, Training, and Supervision Sandy Magnuson Holly E. Shaw University of Northern Colorado This article provides a review of representative literature … Vaudan, Christel This allows not only a more detailed study of which interventions work and why, but also serves to encourage clinicians to undertake further research and to replicate existing findings. Overall, we found statistically significant reductions in perinatal depressive symptoms for mothers who participated in indicated preventive and treatment interventions. Structural family therapists intervene with the aim of making the family structure approximate this normative model. ‘Family’ is open to many interpretations, if not attacks, because it is frequently read as implying a two-parent, heterosexual couple with two children, with the woman primarily the ‘homemaker’ and the man the ‘breadwinner’, with occasional backup from the grandparents. Evaluation of the impact on relatives and patients, The treatment and outcome of anorexia nervosa in adolescents: a prospective study and five year follow-up, Behavioural family treatment for patients with bipolar affective disorder, Psychosomatic Families: Anorexia Nervosa in Context, Marital therapy: a viable treatment for depression and marital discord, Family intervention for schizophrenia (Cochrane Review), A controlled comparison of family versus individual therapy for adolescents with anorexia nervosa, Journal of the American Academy of Child & Adolescent Psychiatry, An evaluation of family therapy in anorexia nervosa and bulimia nervosa, Evidence based medicine: what it is and what it isn't, Handbook of Psychotherapy for Anorexia Nervosa and Bulimia, Paradox and Counterparadox: A New Model in the Therapy of the Family in Schizophrenic Transaction, Hypothesizing-circularity-neutrality; three guidelines for the conductor of the session, The effectiveness of behavioural parent training to modify antisocial behaviour in children: a meta-analysis, The effects of family and marital psychotherapies: a meta-analysis, Family therapy and soiling: an audit of externalising and other approaches, Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads, Outcome, attrition and family-couples treatment for drug abuse: a meta-analysis and review of the controlled comparative studies, Caring for relatives with serious mental illness: the development of Experience of Caregiving Inventory, Social Psychiatry and Psychiatric Epidemiology, The community management of schizophrenia: a controlled trial of behavioural intervention with families to reduce relapse, The measurement of expressed emotion in families of psychiatric patients, British Journal of Social and Clinical Psychology, Adolescent substance abuse and family therapy outcome: a review of randomised trials, Change: Principles of Problem Formation and Problem Resolution, The Measurement and Classification of Psychiatric Symptoms, Family-based intervention for schizophrenic patients in China. 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