Purdue University, Human Development and Family Studies Department, Marriage and Family Therapy Program.
J Marital Fam Ther. 2012 Jan;38(1):265-80. doi: 10.1111/j.1752-0606.2011.00269.x.
Intervention research for couples and families managing chronic health problems is in an early developmental stage. We reviewed randomized clinical trials of family interventions for common neurological diseases, cardiovascular diseases, cancer, and diabetes, which is similar to the content of previous reviews discussed later. One overriding theme of these studies is that patients with chronic illnesses and their families face a variety of challenges to which researchers have responded with an array of treatment modalities. Very few of the interventions reviewed, with the exception of treatment for adolescents with diabetes, tested family psychotherapy models. Most interventions were time-limited therapeutic interventions that trained families to improve their communication and problem-solving skills, individual and family coping skills, and medical management. Researchers more clearly described mechanisms of change in intervention studies with cancer and diabetes than with other diseases, and not surprisingly, they found greater empirical support for their interventions. Family interventions show promise to help patients and family members manage chronic illnesses. To develop an empirical base for family approaches to managing chronic illnesses, interventions must be based on theories that delineate mechanisms of change in family processes and skills in medical management necessary to maintain patients' and family members' health.
干预研究夫妇和家庭管理慢性健康问题处于早期发展阶段。我们回顾了随机临床试验的家庭干预常见的神经系统疾病、心血管疾病、癌症和糖尿病，这类似于后面讨论的以前的审查的内容。这些研究的一个首要主题是患有慢性疾病的患者及其家属面临着各种各样的挑战，研究人员对此做出了一系列的治疗模式回应。很少有被审查的干预措施，除了治疗青少年糖尿病，测试家庭心理治疗模式。大多数干预措施是有限的治疗干预，培训家庭改善他们的沟通和解决问题的能力，个人和家庭应对技能，和医疗管理。研究人员在癌症和糖尿病的干预研究中更清楚地描述了变化的机制，而不是其他疾病，毫不奇怪，他们发现了更大的实证支持他们的干预措施。家庭干预有希望帮助患者和家庭成员管理慢性疾病。为了为家庭管理慢性疾病的方法建立一个经验基础，干预措施必须基于能够描述家庭过程中变化机制的理论，以及在医疗管理中保持患者和家庭成员健康所需的技能。
