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Systemische Therapie bei Störungen des Erwachsenenalters

Eine Metainhaltsanalyse von 28 randomisierten Primärstudien

Systemic therapy for adult index patients

A meta-content analysis of 28 randomized, controlled trials

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Zusammenfassung

Hintergrund

Systemische Paar- und Familientherapie ist in den USA und in vielen europäischen Ländern ein wissenschaftlich anerkanntes Psychotherapieverfahren, bisher jedoch in Deutschland nicht offiziell anerkannt.

Methode

Über Datenbankrecherchen und Querverweise in Metaanalysen und Reviews wurden alle bis Ende 2004 auf Englisch, Deutsch oder Spanisch publizierten kontrollierten, randomisierten (oder parallelisierten) Outcome-Studien zur systemischen Paar- (PT), Familien- (FT) und Einzeltherapie (ET) bei klinischen Störungen des Erwachsenenalters [nach International Classification of Diseases- (ICD-)10] identifiziert und diese systematisch inhaltsanalytisch ausgewertet (Metainhaltsanalyse).

Ergebnisse

Es wurden 28 „randomized controlled trials“ (RCTs; 43 Publikationen) zur systemischen Therapie bei klinischen Störungen erwachsener Indexpatienten identifiziert. Gut belegt ist die Wirksamkeit von systemischer Therapie bei Substanzstörungen, psychischen und sozialen Faktoren bei somatischen Krankheiten, Schizophrenie sowie Depressionen und Essstörungen. Die Ergebnisse sind meist zeitlich stabil über Katamnesezeiträume von bis zu 5 Jahren.

Schlussfolgerungen

Die Wirksamkeit systemischer Therapie scheint derzeit für mindestens 4 Teilbereiche der Erwachsenenpsychotherapie auch nach den deutschen Standards des Wissenschaftlichen Beirats Psychotherapie gut nachweisbar.

Abstract

Background

Systemic therapy is a scientifically acknowledged form of psychotherapy in the US and many European countries, but not yet in Germany.

Method

All randomized (or parallelized) controlled trials (RCT) evaluating systemic couples/family/individual therapy with adult index patients published in English, German or Spanish up to the end of 2004 were identified via data base searches and cross-references in other meta-analyses and reviews. A meta-analysis of the identified RCT was performed.

Results

28 RCT (43 publications) evaluating systemic therapy with adult index patients suffering from clinical disorders (ICD-10) were identified. Systemic therapy is efficacious with regard to substance disorders, mental/social factors interacting with somatic disorders, schizophrenia, depression and eating disorders. The results are stable across follow-up periods of up to 5 years.

Conclusion

According to the criteria of the German Scientific Advisory Board Psychotherapy (Wissenschaftlicher Beirat Psychotherapie) there seems to be good evidence for the efficacy of systemic therapy in at least four fields of application of adult psychotherapy.

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Notes

  1. Da nur eine von 27 Primärstudien gematched statt randomisiert ist (s. Tabelle 2), sprechen wir im Titel und im Text verallgemeinernd von randomisierten Studien.

  2. Eine Liste der ausgeschlossenen Studien mit der Begründung für den Ausschluss ist bei der Erstautorin erhältlich.

  3. *Primärstudie: wird in Tabelle 2 dargestellt und im Ergebnisteil berücksichtigt; ** Metaanalyse (einschließlich Cochrane-Review): wurde im Ergebnisteil berücksichtigt.

Literatur

*Primärstudie: wird in Tabelle 2 dargestellt und im Ergebnisteil berücksichtigt; ** Metaanalyse (einschließlich Cochrane-Review): wurde im Ergebnisteil berücksichtigt.

  • Alexander JF, Holzworth-Munroe A, Jameson PB (1994) Research on the process and outcome of marriage and family therapy. In: Bergin AE, Garfield SL (eds) Handbook of psychotherapy and behavior change. Wiley, New York, pp 595–603

  • Alexander JF, Sexton TL, Robbins MS (2002) The developmental status of family therapy in family psychology intervention science. In: Liddle HS, Santisteban D, Levant R, Bray J (eds) Family psychology intervention science. American Psychological Association, Washington DC

  • Anderson CM, Reiss DJ, Hogarty GE (1986) Schizophrenia and the family. Guilford, New York

  • Asen E (2002) Outcome research in family therapy. Adv Psychiatr Treat 8:230–238

    Article  Google Scholar 

  • Barbato A, D’Avenzo B (2000)** Family interventions in schizophrenia and related disorders: a critical review of clinical trials. Acta Psychiatr Scand 102(2):81–97

    Article  PubMed  Google Scholar 

  • Baucom DH, Shoham V, Mueser KT, Daiuto AD, Stickle TR (1998) Empirically supported couple and family interventions for marital distress and adult mental health. J Consult Clin Psychol 66:53–88

    Article  PubMed  Google Scholar 

  • Beach SRH, Fincham FD, Katz J (1998) Marital therapy in the treatment of depression: toward a third generation of therapy and research. Clin Psychol Rev 18(6):635–661

    Article  PubMed  Google Scholar 

  • Bennun I (1988)* Treating the system or the symptom: investigating family therapy for alcohol problems. Behav Psychother 16:165–176

    Google Scholar 

  • Beutler LE, Patterson K, Jacob T, Shoham V, Yost E, Rohrbaugh M (1993)* Matching treatment to alcoholism subtypes. Psychotherapy 30:463–472

    Google Scholar 

  • Borduin CM, Mann BJ, Cone LT, Henggeler SW, Fucci BR, Blaske DM, Williams RA (1995) Multisystemic treatment of serious juvenile offenders: long-term prevention of criminality and violence. J Consult Clin Psychol 63:569–578

    Article  PubMed  Google Scholar 

  • Bundesministerium für Gesundheit (1990) Verordnung über Maßstäbe und Grundsätze für den Personalbedarf in der stationären Psychiatrie (Psychiatrie-Personalverordnung-Psych-PV). Bundesgesetzbl l. 18.12.1990

  • Campbell TL, Patterson J (1995) The effectiveness of family interventions in the treatment of physical illness. J Marital Fam Ther 21:545–583

    Google Scholar 

  • Carr A (2000) Evidence-based practice in family therapy and systemic consultation: II Adult focused problems. J Fam Ther 22:278–295

    Google Scholar 

  • Chambless DL, Baker MJ, Baucom DH et al. (1998) Update on empirically validated therapies II. Clin Psychol 51:3–15

    Google Scholar 

  • Chambless DL, Hollon SD (1998) Defining empirically supported therapies. J Consult Clin Psychol 66:7–18

    Article  PubMed  Google Scholar 

  • Chambless DL, Ollendick TH (2001) Empirically supported psychological interventions: controversies and evidence. Ann Rev Psychol 52:685–716

    Article  Google Scholar 

  • Cierpka M (Hrsg) (1996) Handbuch der Familiendiagnostik. Springer, Berlin Heidelberg New York Tokyo

  • Cockburn JT, Thomas FN, Cockburn OJ (1997)* Solution-focused therapy and psychosocial adjustment to orthopedic rehabilitation in a work hardening program. J Occup Rehabil 7:97–106

    Google Scholar 

  • Conen ML (2002) Zur Situation systemischer Therapie in Europa. Z System Ther 20:88–100

    Google Scholar 

  • Cottrell D, Boston P (2002) Practitioner review: the effectiveness of systemic family therapy for children and adolescents. J Child Psychol Psychiatry 43:573–586

    Article  PubMed  Google Scholar 

  • Crisp AH, Norton K, Gowers S et al. (1991)* A controlled study of the effect of therapies aimed at adolescent and family psychopathology in anorexia nervosa. Br J Psychiatry 159:325–333

    PubMed  Google Scholar 

  • Cuijpers P (1999)** The effects of family interventions on relatives‘ burden: a meta-analysis. J Ment Health 8:275–285

    Article  Google Scholar 

  • Dare C, Eisler I, Russell G, Treasure J, Dodge L (2001)* Psychological therapies for adults with anorexia nervosa: randomised-controlled trial of out-patient treatments. Br J Psychiatry 178:216–221

    Article  PubMed  Google Scholar 

  • Diamond G, Serrano AC, Dickey M, Sonis WA (1996) Current status of family-based outcome and process research. J Am Acad Child Adolesc Psychiatry 35(1):6–16

    Article  PubMed  Google Scholar 

  • Diamond G, Siqueland L (2001) Current status of family intervention science. Child Adolesc Psychiatr Clin N Am 10:641–661

    PubMed  Google Scholar 

  • Dunn RL, Schwebel AI (1995)** Meta-analytic review of marital therapy outcome research. J Fam Psychol 9:58–68

    Article  Google Scholar 

  • Edwards ME, Steinglass P (1995)** Family therapy outcomes for alcoholism. J Marital Fam Ther 21:475–509

    Google Scholar 

  • Empt AK, Schiepek G (1997) Systemische Psychotherapie: Trends und Forschungsaktivitäten. Rep Psychol 22(9):706–713

    Google Scholar 

  • Espina-Eizaguirre A, Ortego Saenz de Cabezon MA, Ochoa de Alda Martinez-de-Appellaniz I (2000)* Un ensayo controlado de intervenciones familiares en trastornos alimentarios. (A controlled trial of family interventions in eating disorders.) An Psiquiatr 16(8):322–336

  • Espina-Eizaguirre A, Ortego Saenz de Cabezon MA, Ochoa de Alda I (2001)* Un ensayo controlado de intervenciones familiares en trastornos alimentarios. Cambios en alexitimia. (A controlled trial of family interventions in eating disorders: changes in alexethymia.) An Psiquiatr 17(2):64–72

  • Espina-Eizaguirre A, Ortego Saenz de Calderon MA, Ochoa de Alda Appellaniz I (2002)* Un ensayo controlado de intervenciones familiares en trastornos alimentarios. Cambios en psicopatologia y aduste social. (A controlled trial of family interventions in eating disorders. Changes in psychopathology and social adjustment.) Apunt Psicol 20(1):49–62

  • Fonagy P, Roth A (2004a) Ein Überblick über die Ergebnisforschung anhand nosologischer Indikationen: Teil I. Psychother J 3:204–218

    Google Scholar 

  • Fonagy P, Roth A (2004b) Ein Überblick über die Ergebnisforschung anhand nosologischer Indikationen: Teil II. Psychother J 3:300–314

    Google Scholar 

  • Friedman AS (1975)* Interaction of drug therapy with marital therapy in depressive patients. Arch Gen Psychiatry 32:619–637

    PubMed  Google Scholar 

  • Giacomo P de, Pierri G, Santoni Rugiu A, Buonsante M, Vadruccio F, Zavoianni L (1997)* Schizophrenia: a study comparing a family therapy group following a paradoxical model plus psychodrugs and a group treated by the conventional clinical approach. Acta Psychiatr Scand 95(3):183–188

    PubMed  Google Scholar 

  • Goldstein MJ, Kopeiken HS (1981)* Short and long-term effects of combining drug and family therapy. In: Goldstein MJ (ed) New developments in interventions with families of schizophrenics. Jossey-Bass, San Francisco, pp 5–26

  • Goldstein MJ, Rodnick EH, Evans JR (1978)* Drug and family therapy in the aftercare of acute schizophrenia. Arch Gen Psychiatry 35:1169–1177

    PubMed  Google Scholar 

  • Gowers S, Norton K, Halek C, Crisp AH (1994)* Outcome of outpatient psychotherapy in a random allocation treatment study of anorexia nervosa. Int J Eat Disord 15:165–177

    PubMed  Google Scholar 

  • Grawe K, Grawe-Gerber M (1999) Ressourcenaktivierung: Ein primäres Wirkprinzip in der Psychotherapie. Psychotherapeut 44:63–73

    Article  Google Scholar 

  • Grawe K, Donati R, Bernauer F (1994)** Psychotherapie im Wandel: Von der Konfession zur Profession. Hogrefe, Göttingen

  • Haley J (1976) Problem-solving therapy. Harper & Row, New York

  • Hogarty GE, Anderson C, Reiss D, Kornblith SJ, Greenwald DP, Javna CD, Madonia MJ (1986)* Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia: I. One-year effects of a controlled study on relapse and expressed emotion. Arch Gen Psychiatry 43:633–642

    PubMed  Google Scholar 

  • Hogarty GE, Anderson C, Reiss D, Kornblith S, Greenwald D, Ulrich R, Carter M (1991)* Family psychoeducation, social skills training, and maintenance chemotherapy in the aftercare treatment of schizophrenia: II Two year effects of a controlled study on relapse and adjustment. Arch Gen Psychiatry 48:340–347

    PubMed  Google Scholar 

  • Hogarty GE, Kornblith SJ, Greenwald D et al. (1997a)* Three-year trials of personal therapy among schizophrenic patients living with or independent of family, I: description of study and effects on relapse rates. Am J Psychiatry 154:1504–1513

    PubMed  Google Scholar 

  • Hogarty GE, Greenwald D, Ulrich RF et al. (1997b)* Three-year trials of personal therapy among schizophrenic patients living with or independent of family, II: effects on adjustment of patients. Am J Psychiatry 154:1514–1524

    PubMed  Google Scholar 

  • Jäger B, Liedtke R, Lempa W, Künsebeck HW, Kersting A, Seide L (1996) Psychotherapy and bulimia nervosa: evaluation and long-term follow-up of two conflict-orientated treatment conditions. Acta Psychiatr Scand 93:268–278

    PubMed  Google Scholar 

  • Jones E, Asen E (2000/2002)* Wenn Paare leiden: Wege aus der Depressionsfalle (Systemic therapy and depression. Karnac Books, London). Borgmann, Dortmund

  • Kang SY, Kleinmann PH, Woody GE, Millman RB, Todd TC, Kemp J, Lipton DS (1991)* Outcomes for cocaine abusers after once-a-week psychosocial therapy. Am J Psychiatry 148:630–635

    PubMed  Google Scholar 

  • Kaslow FW (2000a) Continued evolution of family therapy: the last twenty years. Contemp Fam Ther 22:357–386

    Article  Google Scholar 

  • Kaslow FW (2000b) History of family therapy: evolution outside of the USA. J Fam Psychother 11:1–35

    Article  Google Scholar 

  • Kazdin AE (2000) Developing a research agenda for child and adolescent psychotherapy. Arch Gen Psychiatry 58:729–740

    Google Scholar 

  • Kazdin AE, Weisz JR (1998) Identifying and developing empirically supported child and adolescent treatments. J Consult Clin Psychol 66:19–36

    Article  PubMed  Google Scholar 

  • Knekt P, Lindfors O (eds) (2004)* A randomized trial of the effect of four forms of psychotherapy on depressive and anxiety disorders: design, methods, and results on the effectiveness of short-term psychodynamic psychotherapy and solution-focused therapy during a one-year follow-up. Kela – The Social Insurance Institution, Finland (Studies in social security and health 77), Helsinki

  • Kraft MK, Rothbart AB, Hadley TR, McLellan AT, Asch DA (1997)* Are supplementary services provided during methadone maintainence really cost-effective? Am J Psychiatry 154:1214–1219

    PubMed  Google Scholar 

  • Kröger F, Hendrischke A, Schweitzer J, Herzog W (1998) Psychotherapie in der systemischen Familienmedizin. Psychotherapeut 43:352–359

    Article  Google Scholar 

  • Lebow JL, Gurman AS (1995) Research assessing couple and family therapy. Ann Rev Psychol 46:27–57

    Article  Google Scholar 

  • Leff J, Berkowitz R, Shavit N, Strachan A, Glass I, Vaughn C (1989)* A trial of family therapy vs. a relatives‘ group for schizophrenia. Br J Psychiatry 154:58–66

    PubMed  Google Scholar 

  • Leff J, Berkowitz R, Shavit N, Strachan A, Glass I, Vaughn C (1990)* A trial of family therapy vs. a relatives‘ group for schizophrenia: Two-year follow-up. Br J Psychiatry 157:571–577

    PubMed  Google Scholar 

  • Leff J, Vearnals S, Brewin CR et al. (2000)* The London Depression Intervention Trial. Randomised controlled trial of antidepressants v. couple therapy in the treatment and maintenance of people with depression living with a partner: clinical outcome and costs. Br J Psychiatry 177:95–100; Corrigendum: Br J Psychiatry 177(3):284; Familiendynamik (2002) 1:104–121

  • Liddle HA, Dakof GA (1995)* Efficacy of family therapy for drug abuse: promising but not definitive. J Marital Fam Ther 21:511–543

    Google Scholar 

  • Liddle HA, Santisteban DA, Levant RF, Bray JH (2002) Family psychology: science-based interventions. American Psychological Association, Washington, DC

    Google Scholar 

  • Lindforss L, Magnusson D (1997)* Solution-focused therapy in prison. Contemp Fam Ther 19:89–103

    Article  Google Scholar 

  • Ludewig K (1996) Systemische Therapie in Deutschland: Ein Überblick. Familiendynamik 21:95–115

    Google Scholar 

  • Mari J, Streiner DL (1994)** An overview of family interventions and relapse on schizophrenia: meta-analysis of research findings. Psychol Med 24(3):565–578

    PubMed  Google Scholar 

  • Markus E, Lange A, Pettigrew TF (1990)** Effectiveness of family therapy: a meta-analysis. J Fam Ther 12:205–221

    Article  Google Scholar 

  • McCrady BS, Ziedonis D (2001) American Psychiatric Association practice guidelines for substance use disorders. Behav Ther 32:309–336

    Google Scholar 

  • McCrady BS, Paolino TF, Longabaugh R, Rossi J (1979)* Effects of joint hospital admission and couples treatment for hospitalized alcoholics: a pilot study. Addict Behav 4:155–165

    Article  PubMed  Google Scholar 

  • McCrady BS, Moreau J, Paolino TJ, Longabaugh R (1982)* Joint hospitalization and couples therapy for alcoholism: a four-year follow-up. J Stud Alcohol 43:1244–1250

    PubMed  Google Scholar 

  • McLellan A, Arndt I, Metzger D, Woody G, O’Brian C (1993)* The effects of psychosocial services in substance abuse treatment. J Am Med Assoc 269(15):1953–1959

    Article  Google Scholar 

  • Miller IW, Solomon DA, Ryan CE, Keitner GI (2004)* Does adjunctive family therapy enhance recovery from bipolar I mood episodes? J Affect Disord 82:431–436

    PubMed  Google Scholar 

  • Minuchin S (1974) Families and family therapy. Harvard University Press, Cambridge, MA

  • Mitrani VB, Prado G, Feaster DJ, Robinson-Batista C, Szapocznik J (2003)* Relational factors and family treatment engagement among low-income, HIV-positive African American mothers. Fam Process 42:31–46

    Article  PubMed  Google Scholar 

  • Ochs M, Schlippe A von, Schweitzer-Rothers J (1997) Evaluationsforschung zur systemischen Paar- und Familientherapie: Methodik, Ergebnisse und Kritik von Sekundäranalysen. Familiendynamik 22:34–63

    Google Scholar 

  • Pharoah FM, Rathbone J, Mari JJ, Streiner D (2004)** Family intervention for schizophrenia (Cochrane Review). In: Cochrane Library, Issue 3. Wiley, Chichester, UK

  • Pinsof WM, Wynne LC (1995) The effectiveness and efficacy of marital and family therapy: an empirical overview, conclusions, and recommendations. J Marital Fam Ther 21(4):585–613

    Google Scholar 

  • Pisarsky BC (2002) Systemische Therapie in Europa. Z System Ther 20:101–104

    Google Scholar 

  • Prado G, Szapocznik J, Mitrani VB, Mauer M, Smith L, Feaster DJ (2002)* Factors influencing engagement into interventions for adaptation to HIV in African American women. AIDS Behav 6:141–151

    Article  Google Scholar 

  • Priebe S, Sinning U (2001)* Effekte einer kurzen paartherapeutischen Intervention in der Koronarrehabilitation. Psychother Psychosom Med Psychol 51:276–280

    Article  PubMed  Google Scholar 

  • Prince SE, Jacobson NS (1995) A review and evaluation of marital and family therapies for affective disorders. J Marital Fam Ther 21:377–401

    Google Scholar 

  • Rohrbaugh M, Shoham V, Spungen C, Steinglass P (1995)* Family systems therapy in practice: a systemic couples therapy for problem drinking. In: Bongar B, Beutler L (eds) Foundations of psychotherapy: theory, research, and practice. Oxford University Press, New York, pp 229–253

  • Romijn CM, Platt JJ, Schippers GM (1990)* Family therapy for Dutch drug abusers: replication of an American study. Int J Addict 25:1127–1149

    PubMed  Google Scholar 

  • Rowe CL, Liddle HA (2003) Substance abuse. J Marital Fam Ther 29(1):97–120

    PubMed  Google Scholar 

  • Russell GF, Szmukler GI, Dare C, Eisler I (1987) An evaluation of family therapy in Anorexia nervosa and Bulimia nervosa. Arch Gen Psychiatry 44(12):1047–1056

    PubMed  Google Scholar 

  • Scheib P, Wirsching M (2004) Paar- und Familientherapie: Leitlinie und Quellentext. Schattauer, Stuttgart. http://www.uni-duesseldorf.de/www/awmf/II/index.html

  • Schiepek G (1999) Die Grundlagen der systemischen Therapie. Vandenhoek u. Ruprecht, Göttingen (einschließlich tabellarischem Überblick auf CD)

  • Schlippe A von, Schweitzer J (1996) Lehrbuch der systemischen Therapie, Beratung. Vandenhoeck u. Ruprecht, Göttingen

  • Schweitzer J, Nicolai E, Engelbrecht D (2005) systemische Akutpsychiatrie – Ein Werkstattbericht. Psychother Dialog 6(3): (im Druck)

  • Sexton TL, Robbins MS, Hollimon AS, Mease AL, Mayorga CC (2003) Efficacy, effectiveness, and change mechanisms in couple and family therapy. In: Sexton TL, Weeks GR, Robbins MS(eds) Handbook of family therapy. Brunner-Routledge, New York, pp 229–262

  • Shadish WR, Baldwin SA (2003) Meta-analysis of MFT interventions. J Marital Fam Ther 29:547–570

    PubMed  Google Scholar 

  • Shadish WR, Montgomery L, Wilson P, Wilson M, Bright I, Okwumabua T (1993)** The effects of family and marital psychotherapies: a meta-analysis. J Consult Clin Psychol 61:992–1002

    Article  PubMed  Google Scholar 

  • Shadish WR, Ragsdale K, Glaser RR, Montgomery LM (1995/1997) Effektivität und Effizienz von Familientherapie: Eine metaanalytische Perspektive. Familiendynamik 22(1):5–33 (The efficacy and effectiveness of marital and family therapy: a perspective from meta-analysis. J Marital Fam Ther 21:345–360)

    Google Scholar 

  • Shoham V, Rohrbaugh MJ, Stickle TR, Jacob T (1998)* Demand-withdraw couple interaction moderates retention in cognitive-behavioral versus family-systems treatments for alcoholism. J Fam Psychol 12:557–577

    Article  Google Scholar 

  • Stanton M, Shadish WR (1997)** Outcome, attrition and family-couples treatment for drug abuse: a meta-analysis and review of controlled comparative studies. Psychol Bull 122:170–191

    Article  PubMed  Google Scholar 

  • Stanton MD, Todd TC (1982)* Family therapy for drug abuse and addicton. Guilford, New York

  • Stanton MD, Steier F, Todd TC (1982)* Paying families for attending sessions: counteracting the dropout problem. J Marital Fam Ther 8:371–373

    Google Scholar 

  • Stierlin H (1997) Zum aktuellen Stand der systemischen Therapie. Familiendynamik 22:348–362

    Google Scholar 

  • Sydow K von (2000 im Druck) Systemische Psychotherapie mit Familien, Paaren und Einzelnen. In: Reimer C, Eckert J, Hautzinger M, Wilke E (Hrsg) Psychotherapie: Ein Lehrbuch für Ärzte und Psychologen. Springer, Berlin Heidelberg New York Tokyo, S 294–332 (überarb. Neuauflage im Druck)

  • Sydow K von (2002) Systemic attachment theory and therapeutic practice: a proposal (invited review). Clin Psychol Psychother 9:77–90

    Article  Google Scholar 

  • Sydow K von, Beher S, Schweitzer-Rothers J, Retzlaff R (2005) Systemische Familientherapie bei Störungen des Kindes- und Jugendalters: Eine Meta-Inhaltsanalyse von 49 randomisierten Primärstudien. (im Druck)

  • Szapocznik J, Feaster DJ, Mitrani V et al. (2004)* Structural ecosystems therapy for HIV-seropositive African American women: effects on psychological distress, family hassles, and family support. J Consult Clin Psychol 72:288–303

    Article  PubMed  Google Scholar 

  • Watzlawick P, Beavin JH, Jackson DD (1967) Pragmatics of human communication: a study of interactional patterns, pathologies, and paradoxes. Norton, New York

    Google Scholar 

  • Wiedemann G, Buchkremer G (1996) Familientherapie und Angehörigenarbeit bei verschiedenen psychiatrischen Erkrankungen. Nervenarzt 67:524–544

    PubMed  Google Scholar 

  • Willutzki U, Neumann B, Haas H, Koban C, Schulte D (2004)* Zur Psychotherapie sozialer Ängste: kognitive Verhaltenstherapie im Vergleich zu einem kombiniert ressourcenorientierten Vorgehen. Eine randomisierte kontrollierte Interventionsstudie. Z Klin Psychol Psychother 33:42–50

    Article  Google Scholar 

  • Wirsching M, Scheib P (Hrsg) (2002) Paar- und Familientherapie. Springer, Berlin Heidelberg New York Tokyo

  • Wirsching M, Drings P, Georg W, Riehl J, Schmidt P (1989)* Familien-System-Konsultation beim Bronchialkrebs. System Fam 2:65–81

    Google Scholar 

  • Wissenschaftlicher Beirat Psychotherapie (2000a) Anwendungsbereiche von Psychotherapie bei Erwachsenen. Dtsch Arztebl 97(1–2):A-59, B-45, C-45. http://www.wbpsychotherapie.de/Homepage/Pub/. Gesehen 26 Okt 2005

    Google Scholar 

  • Wissenschaftlicher Beirat Psychotherapie (2000b) Gutachten zur systemischen Therapie als wissenschaftliches Psychotherapieverfahren. Dtsch Arztebl 97(33):A-60, B-46, C-46. http://www.aerzteblatt.de/v4/archiv/artikel.asp?id=2077

    Google Scholar 

  • Wissenschaftlicher Beirat Psychotherapie (2004) Mindestanforderungen für die Begutachtung von Wirksamkeitsstudien im Bereich der Psychotherapie (geänderte Fassung nach dem Beschluss des Beirates vom 15.09.2003) Dtsch Arztebl PP 3:81. http://www.aerzteblatt.de/v4/archiv/artikel.asp?id=40485

  • Yandoli D, Eisler I, Robbins C, Mulleady G, Dare C (2002)* A comparative study of family therapy in the treatment of opiate users in a London drug clinic. J Fam Ther 24:402–422

    Article  Google Scholar 

  • Ziegler-Driscoll G (1977)* Family research study at Eagleville Hospital and Rehabilitation Center. Fam Process 16:175–190

    Article  PubMed  Google Scholar 

  • Zweben A, Pearlman S, Li S (1988)* A comparison of brief advice and conjoint therapy in the treatment of alcohol abuse: the results of the marital systems study. Br J Addict 83:899–916

    PubMed  Google Scholar 

Download references

Danksagung

Für Hilfe bei der Literaturbeschaffung danken wir Claudia Borgers und Pia Weber (Universität Duisburg-Essen) und folgenden Wissenschaftlern: in Deutschland Prof. Dr. Arist von Schlippe, Prof. Dr. Michael Scholz, Dr. Saile, Prof. Dr. Wirsching, in den USA den Professoren Michael Dennis, Guy Diamond, Scott Henggeler, Dr. Judith Landau, Dr. Howard Liddle, Jose Sczapocznik, Lyman Wynne und ihren Mitarbeiterinnen sowie Jack Cockburn (PhD), Allan Zweben (PhD), in Schweden Prof. Ulf Malm und in Finnland Prof. Paul Knekt.

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Authors and Affiliations

  1. Psychologisches Institut, Universität Hamburg

    Kirsten von Sydow

  2. Universität Mainz

    Stefan Beher

  3. Institut für Psychosomatische Kooperationsforschung und Familientherapie, Zentrum für Psychosoziale Medizin, Universitätsklinik Heidelberg

    Rüdiger Retzlaff

  4. Institut für Medizinische Psychologie , Zentrum für Psychosoziale Medizin, Universitätsklinik Heidelberg

    Jochen Schweitzer-Rothers

  5. Psychologisches Institut, Universität Hamburg, Von-Melle-Park 5, 20146, Hamburg

    Kirsten von Sydow

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  1. Kirsten von Sydow
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Correspondence to Kirsten von Sydow.

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von Sydow, K., Beher, S., Retzlaff, R. et al. Systemische Therapie bei Störungen des Erwachsenenalters. Psychotherapeut 52, 187–211 (2007). https://doi.org/10.1007/s00278-005-0453-y

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  • DOI: https://doi.org/10.1007/s00278-005-0453-y

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