Effects of Structural Family Therapy on Child and Maternal Mental Health Symptomatology

Weaver, Addie; Greeno, Catherine G.; Marcus, Steven C.; Fusco, Rachel A.; Zimmerman, Tina; Anderson, Carol

doi:10.1177/1049731512470492

Cited by 10 publications

(8 citation statements)

References 91 publications

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“…Salvador Minuchin developed Structural Family Therapy based on Bowen's family systems theory based after his disappointing clinical experiences in treating adolescents individually in his inpatient clinic. He would see improvements in symptoms, but the adolescents regressed and symptoms returned upon their return to their home life with their families [ 78 ]. Similar to Bowen's family systems theory, problems in the adolescent's functioning was hypothesized to be rooted within the family system and not any one particular member of the family [ 78 ].…”

Section: Part Iii: Strengthening Families Interventions To Preventmentioning

confidence: 99%

“…He would see improvements in symptoms, but the adolescents regressed and symptoms returned upon their return to their home life with their families [ 78 ]. Similar to Bowen's family systems theory, problems in the adolescent's functioning was hypothesized to be rooted within the family system and not any one particular member of the family [ 78 ]. Minuchin further hypothesized that chronic relationship issues within and between the family members and inappropriate relationship boundaries within the family and not just problems resting with the adolescent were the major contributors to the teen's maladaptive behavioral patterns [ 79 ].…”

Section: Part Iii: Strengthening Families Interventions To Preventmentioning

confidence: 99%

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Family-Based Interventions for the Prevention of Substance Abuse and Other Impulse Control Disorders in Girls

Kumpfer

2014

ISRN Addiction

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Standardized family-based interventions are the most effective way of preventing or treating adolescent substance abuse and delinquency. This paper first reviews the incidence of adolescent substance abuse worldwide emphasizing gender and causes by etiological risk and protective factors. New epigenetic research is included suggesting that nurturing parenting significantly prevents the phenotypic expression of inherited genetic diseases including substance abuse. Evidence-based family interventions are reviewed including family change theories behind their success, principles and types of family-based interventions, research results, cultural adaptation steps for ethnic and international translation, and dissemination issues. The author's Strengthening Family Program is used as an example of how these principles of effective prevention and cultural adaptation can result in highly effective prevention programs not only for substance abuse, but for other impulse control disorders as well. The conclusions include recommendations for more use of computer technologies to cut the high cost of family interventions relative to youth-only prevention programs and increase the public health impact of evidence-based prevention programs. The paper recommends that to reduce health care costs these family-based approaches should be applied to the prevention and treatment of other impulse control disorders such as obesity and type 2 diabetes, sexually transmitted diseases, and delinquency.

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Section: Part Iii: Strengthening Families Interventions To Preventmentioning

confidence: 99%

Section: Part Iii: Strengthening Families Interventions To Preventmentioning

confidence: 99%

Family-Based Interventions for the Prevention of Substance Abuse and Other Impulse Control Disorders in Girls

Kumpfer

2014

ISRN Addiction

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“…SyFT undertakes a strengths-based approach to problem-solving (Agras et al, 2014), while SIFT focuses on addressing dysfunction (Trowell et al, 2007). SFT seeks to promote a healthy family structure (Weaver et al, 2013), and BSFT draws on a combination of structural and strategic theories (Horigian et al, 2013). Also drawing from SFT in combination with dialectical behaviour therapy, integrative borderline personality disorder-oriented adolescent family therapy (I-BAFT) is a manualised intervention for adolescent self-harming behaviour (Santisteban, Mena, Muir, McCabe, Abalo & Cummings, 2015).…”

Section: Family Therapy: Definitions and Typesmentioning

confidence: 99%

“…Future research could explore the influence of individual family roles to inform family therapy practice and maximise outcomes. Low socioeconomic background is a known risk factor for child and youth mental health, and Weaver et al (2013) find improved outcomes in family therapy for this population. Future research could explore variations in family needs and backgrounds to inform the continued provision of family therapy in public mental health services.…”

Section: Future Research Directionsmentioning

confidence: 99%

Family Therapy for Child and Youth Mental Health: A Scoping Literature Review

Berry

Bruce

Oprescu

2019

ANZ J of Family Therapy

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Early intervention in childhood years is an important part of successful therapies for children and adolescents living with or at risk of mental illness. Family therapy acknowledges the role of family relationships, interactions, and family systems in child and youth mental health. To explore the effectiveness and delivery of family therapy in order to inform current family therapy practice in Australian public mental health services, a scoping literature review mapped key concepts of the past 11 years of family therapy research. Current gaps were noted within the following key concepts: family therapy settings and definitions, the influence of family factors on outcomes, transparency of intervention methods, and the training of family therapists. Further research could be undertaken to address current gaps in the literature, specifically: assessment and intervention processes; typical length of time for a series of family sessions; frequency of sessions; and theoretical foundations linked with most effective outcomes, as identified by clinicians, children, and their families. This research would provide a better understanding of best practice and evidence‐based family therapy practices that work for children and their families to inform family therapy practice in Australia and beyond. This scoping literature review identified that there is a noteworthy variation in the way brief family therapy is provided, both in terms of the duration and frequency of sessions, as well as the theoretical underpinnings employed. Further research is warranted to explore different service contexts and brief versions of family therapy delivery and the outcomes for the children and their families.

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“…Despite these advances, most of the literature has focused on either systemic family therapy as a whole, without taking into account the different approaches embedded within this framework, or on the effectiveness of more manualized approaches, such as multisystemic family therapy (e.g., [37]) or functional family therapy (e.g., [34,38]). Few studies have examined the effectiveness of more classical and widely used approaches, such as structural and strategic family therapy [39]. Hence, more research is needed to be able to draw more definite conclusions regarding the use of these types of family therapy approaches.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Structural–Strategic Family Therapy in the Treatment of Adolescents with Mental Health Problems and Their Families

García

Hidalgo

Baena

et al. 2019

IJERPH

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Mental health problems during adolescence constitute a major public health concern today for both families and stakeholders. Accordingly, different family-based interventions have emerged as an effective treatment for adolescents with certain disorders. Specifically, there is evidence of the effectiveness of concrete approaches of systemic family therapy on the symptoms of adolescents and family functioning in general. However, few studies have examined the effectiveness of other relevant approaches, such as structural and strategic family therapy, incorporating parent–child or parental dyadic measurement. The purpose of this study was to test the effectiveness of a structural–strategic family therapy with adolescents involved in mental health services and their families. For this purpose, 41 parents and adolescents who participated in this treatment were interviewed at pre-test and post-test, providing information on adolescent behavior problems, parental sense of competence, parental practices, parenting alliance, and family functioning. Regardless of participants’ gender, adolescents exhibited fewer internalizing and externalizing problems after the treatment. Parents reported higher family cohesion, higher satisfaction and perceived efficacy as a parent, and healthier parental practices (less authoritarian and permissive practices, as well as more authoritative ones). An interaction effect between parenting alliance and gender was found, with more favorable results for the mothers. In conclusion, this paper provides evidence of the usefulness of structural–strategic family therapy for improving family, dyadic, and individual facets in families with adolescents exhibiting mental health problems.

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Effects of Structural Family Therapy on Child and Maternal Mental Health Symptomatology

Cited by 10 publications

References 91 publications

Family-Based Interventions for the Prevention of Substance Abuse and Other Impulse Control Disorders in Girls

Family-Based Interventions for the Prevention of Substance Abuse and Other Impulse Control Disorders in Girls

Family Therapy for Child and Youth Mental Health: A Scoping Literature Review

Effectiveness of Structural–Strategic Family Therapy in the Treatment of Adolescents with Mental Health Problems and Their Families

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