Effects of family therapy for substance abuse: A systematic review of recent research

Fam Process. 2023 Mar;62(1):49-73. doi: 10.1111/famp.12841. Epub 2022 Dec 23.

Abstract

One of the most serious psychosocial problems worldwide is substance abuse because of its repercussions not only on the physical and psychological health of the abuser but also on their relational functioning. Among the well-established therapeutic approaches for the treatment of substance abuse is family therapy, which, in addition to influencing personal variables, promotes changes in family dynamics. The main objective of this study is to review the scientific literature published from 2010 to the present on the efficacy and effectiveness shown by family-based treatment approaches for substance use problems both in adolescent and adult samples. In addition, the effect on secondary variables such as family functioning and behavioral problems is evaluated. The empirical evidence accumulated in the last decade and reviewed in the present study indicates that the incorporation of family members in the treatment of substance abuse produces benefits by diminishing consumption and improving family functioning. Limitations of this study and of the research reviewed are discussed and directions for future research are provided.

Keywords: effectiveness; effects; efficacy; family therapy; substance abuse.

Publication types

  • Systematic Review

MeSH terms

  • Adolescent
  • Adult
  • Family / psychology
  • Family Relations
  • Family Therapy*
  • Humans
  • Substance-Related Disorders* / psychology
  • Substance-Related Disorders* / therapy