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Systematic Review and Meta-Analysis of Parent and Family-Based Interventions for Children and Adolescents With Chronic Medical Conditions

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

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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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Authors: Law, E. F., Fisher, E., Fales, J., Noel, M., & Eccleston, C.
Affiliations: University of Washington (US)
ORCID: Law, Emily F.
Fisher, Emma
Fales, Jessica
Noel, Melanie
Eccleston, Christopher
Venue: Journal of Pediatric Psychology
Publisher: Oxford University Press (OUP)
Published: 2014-05-30
Volume: 39
Issue: 8
Pages: 866-886
ISSN: 0146-8693 (ISSN-L)
1465-735X
DOI: 10.1093/jpepsy/jsu032
PMC: PMC6296404
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
FWCI: 4.88
Type: journal article
Language: en
Open access: bronze
doi.org
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 › Psychology › Clinical Psychology › 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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Systematic Review and Meta-Analysis of Parent and Family-Based Interventions for Children and Adolescents With Chronic Medical Conditions

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