Brigham Young University, Provo, Utah 84460, USA.
J Marital Fam Ther. 2012 Jan;38(1):281-304. doi: 10.1111/j.1752-0606.2011.00248.x. Epub 2011 Sep 6.
This meta-analysis summarizes results from k = 24 studies comparing either Brief Strategic Family Therapy, Functional Family Therapy, Multidimensional Family Therapy, or Multisystemic Therapy to either treatment-as-usual, an alternative therapy, or a control group in the treatment of adolescent substance abuse and delinquency. Additionally, the authors reviewed and applied three advanced meta-analysis methods including influence analysis, multivariate meta-analysis, and publication bias analyses. The results suggested that as a group the four family therapies had statistically significant, but modest effects as compared to treatment-as-usual (d = 0.21; k = 11) and as compared to alternative therapies (d = 0.26; k = 11). The effect of family therapy compared to control was larger (d = 0.70; k = 4) but was not statistically significant probably because of low power. There was insufficient evidence to determine whether the various models differed in their effectiveness relative to each other. Influence analyses suggested that three studies had a large effect on aggregate effect sizes and heterogeneity statistics. Moderator and multivariate analyses were largely underpowered but will be useful as this literature grows.
这项荟萃分析总结了 24 项研究的结果，这些研究比较了短期策略家庭治疗、功能家庭治疗、多维家庭治疗或多系统治疗与常规治疗、替代治疗或对照组在治疗青少年药物滥用和犯罪方面的效果。此外，作者还审查并应用了三种高级荟萃分析方法，包括影响分析、多变量荟萃分析和发表偏倚分析。结果表明，这四种家庭治疗方法与常规治疗（d = 0.21；k = 11）和替代治疗（d = 0.26；k = 11）相比，总体上具有统计学意义但适度的效果。与对照组相比，家庭治疗的效果更大（d = 0.70；k = 4），但由于效力较低，并不具有统计学意义。没有足够的证据来确定各种模式在彼此的有效性方面是否存在差异。影响分析表明，有三项研究对综合效应大小和异质性统计数据有较大影响。调节因子和多变量分析的效力普遍较低，但随着文献的增加，它们将很有用。
