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Family Counseling When Chronic Illness

Although psychosocial family counseling improves the mental and physical well-being of both patients with chronic illness and their family members, additional research is needed to boost the efficacy of the intervention, say researchers.

In the study published in the April issue of Current Directions in Psychological Science University of Pittsburg scientists contend the potential benefits of family psychosocial intervention will be enhanced as various practices are evaluated to determine the best way to help patients and their families.

Prior studies have found that supportive and non-supportive actions by family members are linked with a patient’s emotional well-being, health behaviors, immune function, blood pressure and illness events. When psychosocial and behavioral interventions such as patient education, support groups and cognitive behavioral therapies are integrated into care for chronic illness, the patient’s health is greatly improved.

A patient’s chronic illness also has been shown to impact the psychological and physical well-being of the patient’s caregiver. Researchers have attempted to incorporate a family member into the psychosocial component of the patient’s care in an attempt to bolster the effects the interventions have on the patient while also benefiting the caregiver.

By looking at a number of published studies on the topic, the current study found that the impact of involving a family member had smaller effects than expected.

“There are volumes of anecdotal evidence about how including a family member in care and psychosocial interventions can improve the mental and physical health of both the patient and family member. For a number of reasons, researchers haven’t been able to demonstrate consistent results across studies,” said Lynn M. Martire, Ph.D., of the department of psychiatry, University of Pittsburgh School of Medicine.

“However, the small effects that have been shown overall make for a compelling argument that we need to carry out well-designed studies that allow us to draw stronger conclusions.”

In a review of the scientific literature, the University of Pittsburgh researchers found that in 70 studies that compared a family-oriented psychosocial intervention to usual medical care alone, the family-oriented interventions had a small but promising effect on the emotional well-being of the patient and family member.

A second literature review of 12 studies that compared patient-oriented psychosocial interventions to family-oriented interventions showed varying results, according to a number of factors, including disease, gender and type of intervention.

The University of Pittsburgh researchers say these findings suggest that future research into family interventions should attempt to target interactions that promote or derail healthy behaviors and incorporate strategies from family caregiver interventions.

“We have a lot to learn about how to involve families in the treatment of specific chronic illnesses,” said Dr. Martire. “We know that psychosocial interventions can help. We just need to figure out the best methods to truly make a difference in the health of both the patients and their families.”

Source: University of Pittsburgh Schools of the Health Sciences

Family Counseling When Chronic Illness

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2018). Family Counseling When Chronic Illness. Psych Central. Retrieved on March 25, 2019, from
Scientifically Reviewed
Last updated: 8 Aug 2018
Last reviewed: By a member of our scientific advisory board on 8 Aug 2018
Published on Psych All rights reserved.