Abstract:
BACKGROUND:Families can have considerable influence on the health of a patient with a chronic physical disease, and attempts have been made to optimise treatment by involving family members. This meta-analysis aimed to systematically assess the effects of family-oriented interventions on adults with chronic physical diseases. METHODS:A systematic literature search was conducted to identify randomised clinical trials that have evaluated the effects of family-based interventions for adult patients compared to standard treatment. Interventions were classified as psychoeducation or addressing family relationships. The outcomes studied were the patient's physical and mental health and the health of the family members. The effect sizes were calculated as Hedges' g and combined using random-effects models. RESULTS:Fifty-two relevant randomised controlled trials (including 8,896 patients) were extracted. The main disease groups were cardiovascular diseases including stroke, cancer and arthritis. Meta-analysis showed that family involvement resulted in significantly better health than standard treatment for all outcomes. The mean overall effect sizes were 0.32 for the patients' physical health, 0.28 for the patients' mental health and 0.35 for the family members' health. Overall, the effects were not large, but they were broad, significant and stable over a long period of time. There was a tendency towards higher effects in favour of relationship-focused family interventions compared to educational interventions. CONCLUSIONS:Psychosocial interventions involving family members in the treatment of chronic physical diseases have positive effects on the health outcome for both the patient and his/her family. Further high-quality research is necessary to investigate differential effects.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Hartmann M,Bäzner E,Wild B,Eisler I,Herzog Wdoi
10.1159/000286958subject
Has Abstractpub_date
2010-01-01 00:00:00pages
136-48issue
3eissn
0033-3190issn
1423-0348pii
000286958journal_volume
79pub_type
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journal_title:Psychotherapy and psychosomatics
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journal_title:Psychotherapy and psychosomatics
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journal_title:Psychotherapy and psychosomatics
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journal_title:Psychotherapy and psychosomatics
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journal_title:Psychotherapy and psychosomatics
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journal_title:Psychotherapy and psychosomatics
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journal_title:Psychotherapy and psychosomatics
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journal_title:Psychotherapy and psychosomatics
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更新日期:2004-09-01 00:00:00
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journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:Psychotherapy and psychosomatics
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pub_type: 临床试验,杂志文章
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