title: The Effectiveness of Functional Family Therapy for Adolescent Behavioral and Substance Misuse Problems: A Meta-Analysis.
abstract: A systematic review of published and unpublished English language articles identified 14 studies containing 18 comparisons between functional family therapy (FFT) and another condition in the treatment of adolescent disruptive behavior and substance use disorders. In 11 of these comparisons, assignment to conditions was random, while nonrandom assignment occurred in seven studies. For both random and nonrandom comparisons, separate meta-analyses were conducted for subgroups of studies depending on the type of comparison group used. Data from studies of untreated control groups (CTL), treatment as usual (TAU), and well-defined alternative treatments (ALTs) were analyzed separately. Effect sizes from these six meta-analyses were as follows: random assignment FFT versus CTL (k = 3, d = 0.48, p < .01); random assignment FFT versus TAU (k = 3, d = .20, ns); random assignment FFT versus ALT (k = 5, d = .35, p < .05); nonrandom assignment FFT versus CTL (k = 2, d = .90, ns); nonrandom assignment FFT versus TAU (k = 2, d = .08, ns); and nonrandom assignment FFT versus ALT (k = 3, d = .75, p < .001). These results provide support for the effectiveness of FFT compared with untreated controls and well-defined ALTs, such as cognitive behavior therapy, other models of family therapy, and individual and group therapy for adolescents.
authors.affiliation: School of Psychology, University College Dublin, Dublin, Ireland.
authors.forename: Dan
authors.initials: D
authors.lastname: Hartnett
authors.affiliation: School of Psychology, University College Dublin, Dublin, Ireland.
authors.forename: Alan
authors.initials: A
authors.lastname: Carr
authors.affiliation: School of Psychology, University College Dublin, Dublin, Ireland.
authors.forename: Elena
authors.initials: E
authors.lastname: Hamilton
authors.affiliation: School of Psychology, University College Dublin, Dublin, Ireland.
authors.forename: Gary
authors.initials: G
authors.lastname: O'Reilly
mesh_terms: D000293:Adolescent; D005196:Family Therapy; D006801:Humans; D000066553:Problem Behavior / Q000523:psychology*; D019966:Substance-Related Disorders / Q000628:therapy*; D016896:Treatment Outcome
keywords: Evidence-Based Practice; Family Therapy; Functional Family Therapy; Meta-Analysis; metanálisis; práctica factual; terapia familiar; terapia familiar funcional; 元分析; 功能家庭心理治疗; 家庭心理治疗; 证据为基础的实践