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青少年抑郁和自杀意念的家庭治疗：系统评价和荟萃分析。

Family therapy for adolescents with depression and suicidal ideation: A systematic review and meta-analysis.

机构信息

Division of Mental Health Services, 60483Akershus University Hospital, Lørenskog, Norway.

Department of Psychology, 6305University of Oslo, Oslo, Norway.

出版信息

Clin Child Psychol Psychiatry. 2023 Apr;28(2):831-849. doi: 10.1177/13591045221125005. Epub 2022 Sep 2.

DOI:10.1177/13591045221125005
PMID:36053279
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10018060/
Abstract

OBJECTIVE

To systematically review and meta-analyze the effectiveness of family therapy compared to other active treatments for adolescents with depressive disorders or suicidal ideation.

METHOD

We conducted a systematic search of The Cochrane Central Register of Controlled Trials, Medline, Embase, PsycINFO, AMED, CINAHL and Web of Science and performed two meta-analyses of outcomes for depressive symptoms and suicidal ideation.

RESULTS

We screened 5,940 records and identified 10 randomized controlled studies of family therapy for depressive disorder or suicidal ideation in adolescents with an active treatment comparison group. Nine studies reported outcome measures of depressive symptoms and four reported outcome measures of suicidal ideation. The meta-analysis showed no significant difference between family therapy and active comparison treatments for end-of-treatment levels of depression. For suicidal ideation our meta-analysis showed a significant effect in favour of family therapy over comparison treatments for suicidal ideation.

CONCLUSIONS

Based on the current body of research, we found that family therapy is not superior to other psychotherapies in the treatment of depressive disorder. However, family therapy leads to significantly improved outcomes for suicidal ideation, compared to other psychotherapies. The evidence for the treatment of depression is of low quality needs more research.

摘要

目的

系统评价和荟萃分析家庭治疗与其他积极治疗青少年抑郁障碍或自杀意念的疗效。

方法

我们对 Cochrane 中央对照试验注册库、Medline、Embase、PsycINFO、AMED、CINAHL 和 Web of Science 进行了系统检索，并对抑郁症状和自杀意念的结果进行了两项荟萃分析。

结果

我们筛选了 5940 条记录，确定了 10 项针对青少年抑郁障碍或自杀意念的家庭治疗的随机对照研究，其中有一个积极的治疗对照组。九项研究报告了抑郁症状的结局指标，四项研究报告了自杀意念的结局指标。荟萃分析显示，家庭治疗与积极的对照治疗在治疗结束时的抑郁水平上没有显著差异。对于自杀意念，我们的荟萃分析表明，家庭治疗与其他心理治疗相比，对自杀意念有显著的效果。

结论

根据目前的研究，我们发现家庭治疗在治疗抑郁障碍方面并不优于其他心理治疗。然而，与其他心理治疗相比，家庭治疗对自杀意念的结果有显著的改善。治疗抑郁症的证据质量较低，需要更多的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/1161ab609e42/10.1177_13591045221125005-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/6818cef4b4c4/10.1177_13591045221125005-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/31765695689d/10.1177_13591045221125005-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/021aa500c14e/10.1177_13591045221125005-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/8c6244be338d/10.1177_13591045221125005-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/608bf998f024/10.1177_13591045221125005-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/1161ab609e42/10.1177_13591045221125005-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/6818cef4b4c4/10.1177_13591045221125005-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/31765695689d/10.1177_13591045221125005-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/021aa500c14e/10.1177_13591045221125005-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/8c6244be338d/10.1177_13591045221125005-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/608bf998f024/10.1177_13591045221125005-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3b4/10018060/1161ab609e42/10.1177_13591045221125005-fig6.jpg

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Effectiveness of attachment-based family therapy compared to treatment as usual for depressed adolescents in community mental health clinics.在社区心理健康诊所中，基于依恋的家庭治疗与常规治疗相比对抑郁青少年的疗效。
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