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Systematic Review and Meta-Analysis of Parent and Family-Based Interventions for Children and Adolescents With Chronic Medical Conditions
Open accessAbstract
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. [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]
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“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.”
From Multi-family pediatric pain group therapy: Capturing acceptance and cultivating change (2017) · cites this paper as [7]
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“Though evidence for family pain interventions is limited [7]”
From Multi-family pediatric pain group therapy: Capturing acceptance and cultivating change (2017) · cites this paper as [7]
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“As with this study they found small parenting enhancements, but interventions did not lead to quantitatively captured improvements in family functioning.”
From Multi-family pediatric pain group therapy: Capturing acceptance and cultivating change (2017) · cites this paper as [7]
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Metadata
- Authors
- Law, E. F., Fisher, E., Fales, J., Noel, M., & Eccleston, C.
- Affiliations
- University of Washington (US)
- 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
- 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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