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Media type:
E-Article
Title:
The Efficacy of Systemic Therapy for Internalizing and Other Disorders of Childhood and Adolescence: A Systematic Review of 38 Randomized Trials
Contributor:
Retzlaff, Ruediger;
von Sydow, Kirsten;
Beher, Stefan;
Haun, Markus W.;
Schweitzer, Jochen
Published:
Wiley, 2013
Published in:
Family Process, 52 (2013) 4, Seite 619-652
Language:
English
DOI:
10.1111/famp.12041
ISSN:
1545-5300;
0014-7370
Origination:
Footnote:
Description:
Systemic therapy (ST) is one of the most widely applied psychotherapeutic approaches in the treatment of children and adolescents, yet few systematic reviews exist on the efficacy ofSTwith this age group. Parallel to a similar study on adults, a systematic review was performed to analyze the efficacy ofSTin the treatment of children and adolescents. All randomized or matched controlled trials (RCT) evaluatingSTin any setting with child and adolescent index patients were identified by database searches and cross‐references, as well as in existing meta‐analyses and reviews. Inclusion criteria were: index patient diagnosed with aDSM‐IV orICD‐10 listed psychological disorder, or suffering from other clinically relevant conditions, and trial published byDecember 2011. Studies were analyzed according to their sample, research methodology, interventions applied, and results at end‐of‐treatment and at follow‐up. This article presents findings for internalizing and mixed disorders. Thirty‐eight trials were identified, with 33 showingSTto be efficacious for the treatment of internalizing disorders (including mood disorders, eating disorders, and psychological factors in somatic illness). There is some evidence forSTbeing also efficacious in mixed disorders, anxiety disorders, Asperger disorder, and in cases of child neglect. Results were stable across follow‐up periods of up to 5 years. Trials on the efficacy ofSTfor externalizing disorders are presented in a second article. There is a sound evidence base for the efficacy ofSTas a treatment for internalizing disorders of child and adolescent patients.