聚焦解决短期疗法的现有证据：心理社会结果和调节因素的荟萃分析。

The current evidence of solution-focused brief therapy: A meta-analysis of psychosocial outcomes and moderating factors.

机构信息

Mental Care Group, Mentaal Beter, the Netherlands.

Steve Hicks School of Social Work, The University of Texas at Austin, Austin, USA.

出版信息

Clin Psychol Rev. 2024 Dec;114:102512. doi: 10.1016/j.cpr.2024.102512. Epub 2024 Oct 28.

DOI:10.1016/j.cpr.2024.102512

PMID:39489144

Abstract

PURPOSE

Solution Focused Brief Therapy (SFBT) focuses on the strengths and resources of clients, and is assumed to achieve positive results on various psychosocial outcomes. This meta-analysis is an extension of previous meta-analyses on SFBT, and examines if the effectiveness of SFBT is influenced by participant, intervention, study and publication characteristics.

METHODS

Experimental and quasi-experimental studies were included. A three-level meta-analysis was performed on 72 studies and 489 effect sizes, accounting for within and between study differences.

RESULTS

The overall effect of SFBT on psychosocial problems was large (g = 1.17). Moderator analyses revealed larger effects of SFBT in non-clinical samples (g = 1.50) than in clinical samples (g = 0.78). Studies with treatment-as-usual (TAU) as control condition reported smaller effects (g = 0.58) than studies with a no-treatment control condition (g = 1.59). Relatively large effects were found for couples (g = 3.02) compared to other client groups (0.41 < g < 1.70), and marital functioning (g = 3.02) compared to other outcomes (0.23 < g < 1.31). Group therapy (g = 1.64) yielded a larger effect than individual therapy (g = 0.48).

CONCLUSION

The findings indicate that SFBT is applicable for a variety of clients and psychosocial problems.

摘要

目的

聚焦解决短期疗法（SFBT）关注客户的优势和资源，并假定在各种社会心理结果上取得积极成果。本荟萃分析是对 SFBT 先前荟萃分析的扩展，考察了 SFBT 的有效性是否受参与者、干预、研究和出版特征的影响。

方法

纳入实验和准实验研究。对 72 项研究和 489 个效应量进行了三级荟萃分析，考虑了研究内和研究间的差异。

结果

SFBT 对社会心理问题的总体效果较大（g=1.17）。调节分析显示，SFBT 在非临床样本中的效果更大（g=1.50），而在临床样本中的效果较小（g=0.78）。以常规治疗（TAU）作为对照条件的研究报告的效果较小（g=0.58），而无治疗对照条件的研究报告的效果较大（g=1.59）。与其他客户群体（0.41<g<1.70）相比，夫妻组（g=3.02）的效果相对较大，与其他结果（0.23<g<1.31）相比，婚姻功能组（g=3.02）的效果较大。与个体治疗（g=0.48）相比，团体治疗（g=1.64）的效果更大。