Diamond G S, Serrano A C, Dickey M, Sonis W A
Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, USA.
J Am Acad Child Adolesc Psychiatry. 1996 Jan;35(1):6-16. doi: 10.1097/00004583-199601000-00007.
To review family-based treatment research. A growing body of research and several meta-analytic reviews demonstrate that family-based treatments are effective for a variety of child and adolescent disorders. In addition, an emerging tradition of family-based process research has begun to identify important ingredients of effective family psychotherapy. This article reviews these advances and their implications for future research.
Selected studies on the treatment of schizophrenia, depression, anxiety, eating disorders, attention deficit, conduct disorder, and substance abuse are reviewed, as well as several process research and meta-analytic studies.
Family-based therapies have been shown to be effective for treating schizophrenia, conduct disorder, and substance abuse. Some data support their effectiveness in the treatment of eating disorders. Few studies have targeted internalizing disorders. A process research tradition is emerging, but it is in need of methodological advances. Meta-analytic studies suggest that family-based therapies are as effective as other models.
More well-designed studies with diverse populations are needed to assess accurately the effectiveness of this increasingly popular treatment approach.
回顾基于家庭的治疗研究。越来越多的研究以及多项荟萃分析表明,基于家庭的治疗方法对多种儿童和青少年疾病有效。此外,基于家庭的过程研究这一新兴传统已开始确定有效家庭心理治疗的重要要素。本文回顾了这些进展及其对未来研究的启示。
回顾了关于精神分裂症、抑郁症、焦虑症、饮食失调、注意力缺陷、品行障碍和药物滥用治疗的选定研究,以及若干过程研究和荟萃分析研究。
基于家庭的治疗方法已被证明对治疗精神分裂症、品行障碍和药物滥用有效。一些数据支持其在饮食失调治疗中的有效性。针对内化障碍的研究较少。一个过程研究传统正在兴起,但需要方法上的进步。荟萃分析研究表明,基于家庭的治疗方法与其他模型一样有效。
需要更多针对不同人群的精心设计的研究,以准确评估这种日益流行的治疗方法的有效性。