Cited by 159Family Support in IllnessFamily and Disability Support ResearchCounseling, Therapy, and Family Dynamics

Systematic review and meta-analysis of parent and family-based interventions for children and adolescents with chronic medical conditions

Open access
Law, Emily F., Fisher, Emma, Fales, Jessica, Noel, Melanie, Eccleston, Christopher·2014·Journal of Pediatric Psychology

Abstract

OBJECTIVE: To quantify the effects of parent- and family-based psychological therapies for youth with common chronic medical conditions on parent and family outcomes (primary aim) and child outcomes (secondary aim). METHODS: MEDLINE, EMBASE, and PsycINFO were searched from inception to April 2013. 37 randomized controlled trials were included. Quality of the evidence was evaluated using GRADE criteria. Data were extracted on parent, family, and child outcomes. RESULTS: Pooled psychological therapies had a positive effect on parent behavior at posttreatment and follow-up; no significant improvement was observed for other outcome domains. Problem-solving therapy (PST) improved parent mental health and parent behavior at posttreatment and follow-up. There was insufficient evidence to evaluate cognitive-behavioral and systems therapies for many outcome domains. CONCLUSIONS: Parent- and family-based psychological therapies can improve parent outcomes, with PST emerging as particularly promising. Future research should incorporate consensus statements for outcomes assessment, multisite recruitment, and active comparator conditions.

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  • Law et al. completed a review of parent- and family pain treatments, including those targeting interactions within social, work, and medical contexts.

    “Law et al. [7] completed a review of parent- and family pain treatments, including those targeting interactions within social, work, and medical contexts.”

    From Multi-family pediatric pain group therapy: Capturing acceptance and cultivating change (2017) · cites this paper as [7]

    The Characteristics of Included Studies section reports a review of parent- and family-based interventions that included seven studies of painful conditions, but also studies of several other chronic medical conditions. The Existing Psychological Interventions section describes systemic therapies as addressing family interactions and collaboration with schools, workplaces, or medical teams. Calling the review one of pain treatments alone narrows its scope. (LLM, conf=0.87)

    Experimental — accuracy not yet measured
  • Evidence-based pediatric pain interventions include individual and group CBT and ACT, peer support, and parent/family treatment.

    “Evidence-based pediatric pain interventions include individual and group cognitive behavioral (CBT) and acceptance and commitment therapies (ACT), peer support [6], and parent/family [7] treatment.”
  • Evidence for family pain interventions is limited.

    “Though evidence for family pain interventions is limited [7]”
  • As with this study, Law et al. found small parenting enhancements, but interventions did not lead to quantitatively captured improvements in family functioning.

    “As with this study they found small parenting enhancements, but interventions did not lead to quantitatively captured improvements in family functioning.”

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Research works printed but not linked: 1

  1. Kendall, P. C. (Ed.). (2011). Child and adolescent therapy: Cognitive-behavioral procedures. (4th ed.). New York, NY: Guilford Press.

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Authors
Law, E. F., Fisher, E., Fales, J., Noel, M., & Eccleston, C.
Affiliations
University of Washington (US)
Venue
Journal of Pediatric Psychology
Published
2014-05-30
Volume
39
Issue
8
Pages
866-886
ISSN
  • 0146-8693 (ISSN-L)
  • 1465-735X
OpenAlex
W2145844117
Cited by
159
References
100
Citations by year
2026: 8 · 2025: 9 · 2024: 7 · 2023: 12 · 2022: 14 · 2021: 12 · 2020: 14 · 2019: 17 · 2018: 21 · 2017: 12 · 2016: 19 · 2015: 9 · 2014: 4 · 2012: 1
FWCI
4.88
Type
journal article
Language
en
Open access
Locations
  • Journal of Pediatric Psychology (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Pure (University of Bath) (acceptedVersion, other-oa)
  • The University of Bath Online Publications Store (The University of Bath) (submittedVersion)
Funders
  • National Institute for Health and Care Research (13/89/29)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (K24HD060068)
Topics
  • Social Sciences › Sociology and Political Science › Family Support in Illness
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
  • Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
Keywords
psychotherapy, chronic disease, children and adolescents, problem-solving therapy, parental mental health, parental behavior, family outcomes, cognitive behavioral therapy, systems therapy
MeSH terms
Adolescent, Child, Chronic Disease, Family Therapy, Humans, Parents, Cognitive Behavioral Therapy, Treatment Outcome

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