The impact of family interventions on communication in the context of anxiety and depression in those aged 14–24 years: systematic review of randomised control trials
Background The ability to communicate is integral to all human relationships. Previous research has specifically highlighted communication within families as both a risk and protective factor for anxiety disorders and/or depression. Yet, there is limited understanding about whether communication is...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-09-01
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| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472423005458/type/journal_article |
| _version_ | 1827856914829017088 |
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| author | Alex Lloyd Amy Broadbent Edmund Brooks Karen Bulsara Kim Donoghue Rouhma Saijaf Katie N. Sampson Abigail Thomson Pasco Fearon Peter J. Lawrence |
| author_facet | Alex Lloyd Amy Broadbent Edmund Brooks Karen Bulsara Kim Donoghue Rouhma Saijaf Katie N. Sampson Abigail Thomson Pasco Fearon Peter J. Lawrence |
| author_sort | Alex Lloyd |
| collection | DOAJ |
| description |
Background
The ability to communicate is integral to all human relationships. Previous research has specifically highlighted communication within families as both a risk and protective factor for anxiety disorders and/or depression. Yet, there is limited understanding about whether communication is amenable to intervention in the context of adolescent psychopathology, and whether doing so improves outcomes.
Aims
The aim of this systematic review was to determine in which contexts and for whom does addressing communication in families appear to work, not work and why?
Method
We pre-registered our systematic review with PROSPERO (identifier CRD42022298719), followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance and assessed study quality with the Risk of Bias 2 tool.
Results
Seven randomised controlled trials were identified from a systematic search of the literature. There was significant heterogeneity in the features of communication that were measured across these studies. There were mixed findings regarding whether family-focused interventions led to improvements in communication. Although there was limited evidence that family-focused interventions led to improvements in communication relative to interventions without a family-focused component, we discuss these findings in the context of the significant limitations in the studies reviewed.
Conclusions
We conclude that further research is required to assess the efficacy of family-focused interventions for improving communication in the context of anxiety and depression in those aged 14–24 years.
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| first_indexed | 2024-03-12T12:32:57Z |
| format | Article |
| id | doaj.art-7298f57555814de58c291b21c0bd71f6 |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-03-12T12:32:57Z |
| publishDate | 2023-09-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-7298f57555814de58c291b21c0bd71f62023-08-29T07:43:21ZengCambridge University PressBJPsych Open2056-47242023-09-01910.1192/bjo.2023.545The impact of family interventions on communication in the context of anxiety and depression in those aged 14–24 years: systematic review of randomised control trialsAlex Lloyd0https://orcid.org/0000-0003-0627-0952Amy Broadbent1Edmund Brooks2Karen Bulsara3Kim Donoghue4https://orcid.org/0000-0002-7316-1716Rouhma Saijaf5Katie N. Sampson6Abigail Thomson7https://orcid.org/0000-0001-5322-8488Pasco Fearon8https://orcid.org/0000-0003-1847-8443Peter J. Lawrence9https://orcid.org/0000-0001-6181-433XDepartment of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, UKMember of the Young People's Advisory GroupMember of the Parents and Carers' Advisory GroupMember of the Parents and Carers' Advisory GroupDepartment of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, UKMember of the Young People's Advisory GroupNational Collaborating Centre for Mental Health, The Royal College of Psychiatrists, London, UKDepartment of Experimental Psychology, University of Oxford, UKDepartment of Clinical, Educational and Health Psychology, Division of Psychology and Language Sciences, University College London, UK; Department of Psychology, University of Cambridge, UK; and Developmental Neuroscience Unit, Anna Freud Centre, London, UKSchool of Psychology, University of Southampton, UK Background The ability to communicate is integral to all human relationships. Previous research has specifically highlighted communication within families as both a risk and protective factor for anxiety disorders and/or depression. Yet, there is limited understanding about whether communication is amenable to intervention in the context of adolescent psychopathology, and whether doing so improves outcomes. Aims The aim of this systematic review was to determine in which contexts and for whom does addressing communication in families appear to work, not work and why? Method We pre-registered our systematic review with PROSPERO (identifier CRD42022298719), followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance and assessed study quality with the Risk of Bias 2 tool. Results Seven randomised controlled trials were identified from a systematic search of the literature. There was significant heterogeneity in the features of communication that were measured across these studies. There were mixed findings regarding whether family-focused interventions led to improvements in communication. Although there was limited evidence that family-focused interventions led to improvements in communication relative to interventions without a family-focused component, we discuss these findings in the context of the significant limitations in the studies reviewed. Conclusions We conclude that further research is required to assess the efficacy of family-focused interventions for improving communication in the context of anxiety and depression in those aged 14–24 years. https://www.cambridge.org/core/product/identifier/S2056472423005458/type/journal_articleAnxiety or fear-related disordersdepressive disorderspsychosocial interventionscognitive–behavioural therapiesrandomised controlled trial |
| spellingShingle | Alex Lloyd Amy Broadbent Edmund Brooks Karen Bulsara Kim Donoghue Rouhma Saijaf Katie N. Sampson Abigail Thomson Pasco Fearon Peter J. Lawrence The impact of family interventions on communication in the context of anxiety and depression in those aged 14–24 years: systematic review of randomised control trials BJPsych Open Anxiety or fear-related disorders depressive disorders psychosocial interventions cognitive–behavioural therapies randomised controlled trial |
| title | The impact of family interventions on communication in the context of anxiety and depression in those aged 14–24 years: systematic review of randomised control trials |
| title_full | The impact of family interventions on communication in the context of anxiety and depression in those aged 14–24 years: systematic review of randomised control trials |
| title_fullStr | The impact of family interventions on communication in the context of anxiety and depression in those aged 14–24 years: systematic review of randomised control trials |
| title_full_unstemmed | The impact of family interventions on communication in the context of anxiety and depression in those aged 14–24 years: systematic review of randomised control trials |
| title_short | The impact of family interventions on communication in the context of anxiety and depression in those aged 14–24 years: systematic review of randomised control trials |
| title_sort | impact of family interventions on communication in the context of anxiety and depression in those aged 14 24 years systematic review of randomised control trials |
| topic | Anxiety or fear-related disorders depressive disorders psychosocial interventions cognitive–behavioural therapies randomised controlled trial |
| url | https://www.cambridge.org/core/product/identifier/S2056472423005458/type/journal_article |
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