Family therapy and systemic interventions for child‐focused problems: the current evidence base

Carr, Alan

doi:10.1111/1467-6427.12226

Cited by 171 publications

(108 citation statements)

References 243 publications

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“…The challenge remains though in that individual treatment models presuppose the willingness of a depressed adolescent to recognize problems, engage with services and comply with the treatment, which is often not the case. Thus, researchers are increasingly recommending the development of adolescent depression prevention and early intervention programs that involve creating a supportive family engagement and monitoring (Carr, 2018;Cassels et al, 2018;Dardas, van de Water, & Simmons, 2018;Diamond & Josephson, 2005;Diamond et al, 2010;Ewing, Diamond, & Levy, 2015;Lewis et al, 2013;Poole et al, 2018;Yuen, Fuligni, Gonzales, & Telzer, 2018).…”

Section: Introductionmentioning

confidence: 99%

Family functioning moderates the impact of depression treatment on adolescents’ suicidal ideations

Dardas

2019

Child Adoles Ment Health

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Purpose The purpose of this study was to explore whether adolescent‐perceived family functioning moderates the depression treatment effects on suicidal ideations. Methods This is a nonpreregistered exploratory secondary analysis of the TADS RCT, which included four treatment groups: fluoxetine, CBT, their combination, and placebo. A random coefficients regression model with posteriori CONTRAST statements was conducted to examine the effects of depression treatment on adolescents’ suicidal ideations over time (N = 439). Baron and Kenny's (1986) and Kraemer et al.'s (2002) approach was followed to explore family functioning as a potential moderator of the treatment effects on suicidal ideations over time. Results Adolescents in the four treatment groups did not differ significantly in their suicidal ideations at initial status; however, those in the combination group had faster reduction in suicidality. Family functioning moderated the relationship between depression treatment and adolescents’ suicidal ideations. In particular, the results revealed that for adolescents who reported positive family functioning (n = 249), treatment had a significant impact on their suicidal ideations over time. However, for adolescents who reported negative family functioning (n = 190), type of treatment did not have a differential effect on improvement in severity of suicidal ideation over time. Conclusion Findings provided evidence that the process by which depression treatment impacts adolescents’ suicidality is contingent upon their family environment. Family‐centered approaches to adolescent depression treatment are recommended.

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Section: Introductionmentioning

confidence: 99%

Family functioning moderates the impact of depression treatment on adolescents’ suicidal ideations

Dardas

2019

Child Adoles Ment Health

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“…As such, familybased interventions have been promising for advancing both PMH and CMH (Cluxton-Keller, Riley, Noazin, & Umoren, 2015;Galbally & Lewis, 2017;Poole et al, 2018). Using a family systems approach, family interventions can address a range of risk factors that may reciprocally undermine family mental health (Carr, 2018;Kazdin, 2015), such as hostile parenting (e.g., Chang, Schwartz, Dodge, & McBride- Chang, 2003;Edwards & Maguire, 2011) and family conflict (e.g., Herrenkohl, Lee, Kosterman, & Hawkins, 2012;Lewis et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Family-based interventions are considered one of the most effective treatments in supporting the reduction of CMH disorders (Carr, 2018). Meta-analytic and systematic reviews have found family and parenting interventions are effective in treating a broad range of emotional (e.g., anxiety disorders; Creswell & Cartwright-Hatton, 2007), behavioural (e.g., delinquency; Maughan, Christiansen, Jenson, Olympia, & Clark, 2005), and substance use problems (United Nations Office on Drugs and Crime [UNODC], 2010).…”

Section: Introductionmentioning

confidence: 99%

An Australian adaptation of the Strengthening Families Program: Parent and child mental health outcomes from a pilot study

Burn

Lewis

McDonald³

et al. 2019

Australian Psychologist

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Objective: This is the first pilot study to examine the Australian adaptation of the Strengthening Families Program (SFP), a manualised family intervention recommended internationally in evidence reviews to improve family functioning and child mental health. The study compared two versions (8 vs. 14-session) and longitudinally evaluated outcomes for child emotional and behavioural difficulties, and parental psychological distress. Method: Fifty-eight families from disadvantaged primary schools in regional Victoria with children 8-12 years (80.6% of initially enrolled families, 62 parents and 74 children) completed the program and evaluation measures. Measures were repeated at pre-, post-, and 3-month follow-up and included the Kessler 6, the Strengths and Difficulties Questionnaire, and subscales adapted from the Longitudinal Study of Australian Children and Communities that Care Youth Survey. Results: The program showed significant reductions in child difficulties and parental psychological distress from pre-to post-measurements that were sustained at follow-up. Reductions in parental psychological distress were significantly associated with reductions in child difficulties at follow-up. The 8-and 14-session formats were not found to be significantly different in reducing child difficulties or parental psychological distress. Effect sizes for the Australian version were similar to those reported in previous U.S. trials. Conclusions: Findings support the feasibility and effectiveness of an Australian adaptation of the SFP. The current study is unique in identifying similar outcomes for shorter and longer versions of the intervention. It is recommended that the 8-session Australian version is examined in a larger randomised controlled trial where children present with behavioural and emotional problems.K E Y W O R D S child behavioural problems, child emotional problems, family-based intervention, mental health, parental psychological distress, prevention

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“…This paper summarizes the evidence base for systemic therapy with adult‐focused problems, and updates previous reviews (Carr, ). It is also a companion paper to a review of research on the effectiveness of systemic interventions for child‐focused problems (Carr, ). The overall effectiveness of systemic therapy is now well established.…”

Section: Introductionmentioning

confidence: 99%

Couple therapy, family therapy and systemic interventions for adult‐focused problems: the current evidence base

Carr

2018

Journal of Family Therapy

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This paper updates previous similar reviews published in JFT in 2000, 2009 and 2014. It presents evidence from meta‐analyses, systematic literature reviews and controlled trials for the effectiveness of couple therapy, family therapy, and systemic interventions for adults with a range or relationship and mental health problems. The evidence supports the effectiveness of systemic interventions, either alone or as part of multimodal programmes, for relationship distress, psychosexual problems, intimate partner violence, anxiety disorders, mood disorders, alcohol problems, psychosis and adjustment to chronic physical illness.

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Family therapy and systemic interventions for child‐focused problems: the current evidence base

Cited by 171 publications

References 243 publications

Family functioning moderates the impact of depression treatment on adolescents’ suicidal ideations

Family functioning moderates the impact of depression treatment on adolescents’ suicidal ideations

An Australian adaptation of the Strengthening Families Program: Parent and child mental health outcomes from a pilot study

Couple therapy, family therapy and systemic interventions for adult‐focused problems: the current evidence base

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