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Rätt innehåll, rätt process och rätt affekt: en systematisk litteraturstudie om anknytningsbaserad familjeterapi

Oscarsson, Magnus LU and Danlarén, Ann-Louise LU (2021) PPTR06 20211
Department of Psychology
Abstract
This study was a literature review with the aim of examining the empirical evidence for attachment-based family therapy as a treatment for adeolescents with depression and suicidal ideation regarding both treatment efficacy as well as suggested change-driving processes. Nine articles were assessed for their scientific quility. Regarding the evidence for treatment efficacy older articles were found to be lacking in scientific quality and only one recent article was found to provide strong support for the treatment. The need for more randomized, controlled trials where the treatment could be compared to other evidence-based treatments was discussed. Regarding the evidence for change-driving processes the articles supported a link between the... (More)
This study was a literature review with the aim of examining the empirical evidence for attachment-based family therapy as a treatment for adeolescents with depression and suicidal ideation regarding both treatment efficacy as well as suggested change-driving processes. Nine articles were assessed for their scientific quility. Regarding the evidence for treatment efficacy older articles were found to be lacking in scientific quality and only one recent article was found to provide strong support for the treatment. The need for more randomized, controlled trials where the treatment could be compared to other evidence-based treatments was discussed. Regarding the evidence for change-driving processes the articles supported a link between the quality of the therapeutic alliance and both parental attitude towards the adolescent as well as the adolescent’s ability to process primary emotions. The relational reframe was found to be an intervention of central importance. However, a direct link between treatment processes and reduced symtoms of depression in the adoloescent could not be established. The need for research further examining for which populations and through which processes the treatment is effective was suggested. The need for studies carried out by scientists other than the developers of the treatment was also suggested. (Less)
Abstract (Swedish)
Studien var en systematisk litteraturstudie med syftet att undersöka evidensen för anknytningsbaserad familjeterapi som behandlingsform vid depression och suicidalitet hos ungdomar utifrån behandlingseffektivitet och verksamma processer inom behandlingen. Nio artiklar granskades utifrån sin vetenskapliga kvalitet. Avseende evidensen för metodens behandlingseffektivitet konstaterades att flera äldre studier hade en bristande vetenskaplig kvalitet och att endast en, mer sentida, studie kunde påvisa tydlig evidens för metoden. Därför konstaterades ett behov av fler randomiserade, kontrollerade studier där metoden också jämförs med andra redan konstaterat effektiva behandlingsmodeller. Avseende evidensen för metodens verksamma processer... (More)
Studien var en systematisk litteraturstudie med syftet att undersöka evidensen för anknytningsbaserad familjeterapi som behandlingsform vid depression och suicidalitet hos ungdomar utifrån behandlingseffektivitet och verksamma processer inom behandlingen. Nio artiklar granskades utifrån sin vetenskapliga kvalitet. Avseende evidensen för metodens behandlingseffektivitet konstaterades att flera äldre studier hade en bristande vetenskaplig kvalitet och att endast en, mer sentida, studie kunde påvisa tydlig evidens för metoden. Därför konstaterades ett behov av fler randomiserade, kontrollerade studier där metoden också jämförs med andra redan konstaterat effektiva behandlingsmodeller. Avseende evidensen för metodens verksamma processer bedömdes studierna påvisa att kvaliteten på den terapeutiska alliansen påverkade både föräldrarnas attityd till sin ungdom och ungdomens förmåga att bearbeta sina primära känslor. Studierna visade att den relationella omformuleringen är en intervention av särskild betydelse. En tydlig koppling mellan specifika behandlingsprocesser och minskad nivå av depression hos ungdomen kunde dock inte påvisas. Behov av framtida forskning som ytterligare undersöker för vilka grupper och genom vilka processer metoden är effektiv bedömdes föreligga. Det bedömdes även föreligga ett behov av studier genomförda av forskare utan direkt koppling till utvecklingen av metoden. (Less)
Please use this url to cite or link to this publication:
author
Oscarsson, Magnus LU and Danlarén, Ann-Louise LU
supervisor
organization
course
PPTR06 20211
year
type
H2 - Master's Degree (Two Years)
subject
keywords
anknytningsbaserad familjeterapi, depression, suicidalitet, evidens, förändring, attachment-based family therapy, suicidal ideation, empirical evidence, change
language
Swedish
id
9049840
date added to LUP
2021-06-07 12:43:09
date last changed
2021-06-07 12:43:09
@misc{9049840,
  abstract     = {{This study was a literature review with the aim of examining the empirical evidence for attachment-based family therapy as a treatment for adeolescents with depression and suicidal ideation regarding both treatment efficacy as well as suggested change-driving processes. Nine articles were assessed for their scientific quility. Regarding the evidence for treatment efficacy older articles were found to be lacking in scientific quality and only one recent article was found to provide strong support for the treatment. The need for more randomized, controlled trials where the treatment could be compared to other evidence-based treatments was discussed. Regarding the evidence for change-driving processes the articles supported a link between the quality of the therapeutic alliance and both parental attitude towards the adolescent as well as the adolescent’s ability to process primary emotions. The relational reframe was found to be an intervention of central importance. However, a direct link between treatment processes and reduced symtoms of depression in the adoloescent could not be established. The need for research further examining for which populations and through which processes the treatment is effective was suggested. The need for studies carried out by scientists other than the developers of the treatment was also suggested.}},
  author       = {{Oscarsson, Magnus and Danlarén, Ann-Louise}},
  language     = {{swe}},
  note         = {{Student Paper}},
  title        = {{Rätt innehåll, rätt process och rätt affekt: en systematisk litteraturstudie om anknytningsbaserad familjeterapi}},
  year         = {{2021}},
}