Cited by 92Counseling, Therapy, and Family DynamicsPsychotherapy Techniques and ApplicationsSubstance Abuse Treatment and Outcomes

Couple and family involvement in adult mental health treatment: a systematic review

Meis, Laura A., Griffin, Joan M., Greer, Nancy, Jensen, Agnes C., MacDonald, Roderick, Carlyle, Maureen, Rutks, Indulis, Wilt, Timothy J.·2013·Clinical Psychology Review

Abstract

We reviewed randomized controlled trials conducted in the United States from January, 1996 through December, 2011 that examined family interventions for adult mental health conditions. We identified 51 articles (39 trials) evaluating 21 different family interventions. Findings for behavioral couple or family therapy (BCT/BFT) and community reinforcement and training (CRAFT) for substance use disorders were each pooled separately for examination in meta-analyses. Findings suggest BCT/BFT reduced substance use (small-to-moderate effects) and improved relationship adjustment (large effects) compared to individually-oriented treatments. CRAFT increased treatment initiation three-fold but did not improve substance use or family functioning over alternative family interventions. Family focused therapy for bipolar disorder improved symptoms over less intensive treatments with mixed findings when compared to equally intensive treatments. For both bipolar disorder and schizophrenia spectrum disorders, the few trials meeting our search criteria and heterogeneity among trials precluded generating broader conclusions regarding which family interventions are most effective for US populations. Overall, trials were limited in their methodological quality, and many interventions were evaluated in one trial. Future research is needed to replicate findings for these single trials, examine relationship distress as a moderator of outcome, and examine BCT/BFT among dual substance using couples and outside the research group frequently represented.

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Crossref · 10.1016/j.cpr.2012.12.003

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Authors
Meis, L. A., Griffin, J. M., Greer, N., Jensen, A. C., MacDonald, R., Carlyle, M., Rutks, I., & Wilt, T. J.
Affiliations
  • University of Minnesota (US)
  • Minneapolis VA Health Care System (US)
Corresponding author
Meis, Laura A.
Venue
Clinical Psychology Review
Publisher
Elsevier BV
Published
2013-03
Volume
33
Issue
2
Pages
275-286
ISSN
0272-7358 (ISSN-L)
OpenAlex
W2072038878
Cited by
92
References
84
Citations by year
2026: 5 · 2025: 6 · 2024: 9 · 2023: 9 · 2022: 7 · 2021: 8 · 2020: 7 · 2019: 10 · 2018: 7 · 2017: 4 · 2016: 8 · 2015: 6 · 2014: 5 · 2013: 1
FWCI
0.56
Type
journal article
Language
en
Open access
closed
Locations
  • Clinical Psychology Review (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
family intervention, couple therapy, adult mental health, behavioral couples therapy, behavioral family therapy, substance use disorders, family-focused therapy, bipolar disorder, schizophrenia spectrum disorders, relationship adjustment, treatment initiation, dual substance use
MeSH terms
Adult, Mental Disorders, Bipolar Disorder, Family Therapy, Humans, Marital Therapy, Schizophrenia, Substance-Related Disorders

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