von Sydow Kirsten, Beher Stefan, Schweitzer Jochen, Retzlaff Rudiger
Department of Sociology, University of Bielefeld.
Fam Process. 2010 Dec;49(4):457-85. doi: 10.1111/j.1545-5300.2010.01334.x.
Systemic therapy is a widely used psychotherapy approach. Yet there exist few systematic reviews on its efficacy. A meta-content analysis was performed to analyze the efficacy of systemic therapy for the treatment of mental disorders in adulthood. All randomized (or matched) controlled trials (RCT) evaluating systemic/systems oriented therapy in various settings (family, couple, individual, group, multifamily group therapy) with adult index patients suffering from mental disorders were identified by database searches and cross-references in other reviews. Inclusion criteria were: index patient diagnosed with a DSM or ICD listed mental disorder, trial published in any language up to the end of 2008. The RCTs were content analyzed according to their research methodology, interventions applied, and results. Thirty-eight trials published in English, German, Spanish, and Chinese were identified, 34 of them showing systemic therapy to be efficacious for the treatment of mood disorders, eating disorders, substance use disorders, mental and social factors related to medical conditions and physical disorders, and schizophrenia. Systemic therapy may also be efficacious for anxiety disorders. Results were stable across follow-up periods of up to 5 years. There is a sound evidence-base for the efficacy of systemic therapy for adult index patients with mental disorders in at least five diagnostic groups.
系统治疗是一种广泛应用的心理治疗方法。然而，关于其疗效的系统性综述却很少。进行了一项元内容分析，以分析系统治疗对成年期精神障碍的治疗效果。通过数据库检索和其他综述中的交叉引用，确定了所有评估系统/系统导向治疗在各种环境（家庭、夫妻、个体、团体、多家庭团体治疗）中对患有精神障碍的成年索引患者的随机（或匹配）对照试验（RCT）。纳入标准为：索引患者被诊断患有DSM或ICD列出的精神障碍，试验截至2008年底以任何语言发表。根据其研究方法、应用的干预措施和结果对RCT进行内容分析。共确定了38项以英文、德文、西班牙文和中文发表的试验，其中34项表明系统治疗对治疗情绪障碍、饮食障碍、物质使用障碍、与医疗状况和身体疾病相关的心理和社会因素以及精神分裂症有效。系统治疗对焦虑症也可能有效。在长达5年的随访期内结果稳定。至少在五个诊断组中，有充分的证据支持系统治疗对患有精神障碍的成年索引患者的疗效。
