The effectiveness of strength-based, solution-focused brief therapy in medical settings: a systematic review and meta-analysis of randomized controlled trials

  title={The effectiveness of strength-based, solution-focused brief therapy in medical settings: a systematic review and meta-analysis of randomized controlled trials},
  author={Anao Zhang and Cynthia Franklin and Jennifer Currin-McCulloch and Sunyoung Park and Johnny S. Kim},
  journal={Journal of Behavioral Medicine},
This meta-analysis synthesized randomized controlled trials of solution focused brief therapy (SFBT) in medical settings for patients’ health-related psychosocial (e.g., depression, psychosocial adjustment to illness), behavioral (e.g., physical activity, nutrition score), and functional health (e.g., BMI, individual strength) outcomes. Medical setting is defined in this study as any healthcare setting that primarily focuses on patients’ physical wellbeing. A comprehensive search strategy… 

Cognitive behavioral therapy for primary care depression and anxiety: a secondary meta-analytic review using robust variance estimation in meta-regression

A systematic review and meta-analysis of primary care based CBT for depression and anxiety disorders in primary care using robust variance estimation in meta-regression identified significant treatment effect for depressive and anxiety measures.

Solution-focused brief therapy for adolescent and young adult cancer patients in China: a pilot randomized controlled trial

The results indicated that SFBT resulted in a significant reduction in the psychological distress and improvement in hope of AYA patients with cancer, suggesting the short-term sustainability of SFBT for psychological distress among AYAs diagnosed with cancer.

Solution-Focused Brief Therapy for Depression Among Adolescents and Young Adults Diagnosed With Cancer: An Open Pilot Trial

  • Anao Zhang
  • Psychology
    Research on Social Work Practice
  • 2021
Purpose This pilot study evaluates the acceptability and preliminary efficacy of solution-focused brief therapy (SFBT) for depression, anxiety, and hope among adolescent and young adult (AYA)

A treatment strategy for meeting life as it is. Patients’ and therapists’ experiences of brief therapy in a district psychiatric centre: A qualitative study

Time-limitation in brief therapy appeared to play a positive role, helping the therapists to structure the therapeutic process and strengthening patients’ motivation.

Health Benefits of Physical Activity: A Strengths-Based Approach

This Editorial argues that the current generic and deficits-based messaging misses a great opportunity to focus on the positive and to facilitate hope and real change at the individual, community, and population levels and advocates a strengths-based approach to health and wellness promotion.

A Solution-Focused Brief Therapy (SFBT) Intervention Model to Facilitate Hope and Subjective Well-being Among Trauma Survivors

There are increasing calls for brief, strength-based trauma interventions. We propose a Solution-Focused Brief Therapy (SFBT) intervention model that may facilitate hope and subjective well-being

Effectiveness of Solution-Focused Group Therapy in Generalized Anxiety Disorder in Patients with Multiple Sclerosis

The results showed a significant difference (P = 0.021) between the control and treatment groups in generalized anxiety disorder and solution-focused therapy could significantly reduce generalized anxiety in the treatment group when compared to the control group.

Accentuate the Positive: Strengths-Based Therapy for Adolescents.

Outcome metrics from a number of studies have demonstrated enhanced youth and parent satisfaction and decreased use of hospital level of care with the implementation of strengths-based therapeutic modalities.

Research-Informed Practice of Systemic Therapy

It is shown that systemic therapy is equally effective when compared with alternative treatments and lasting negative effects following therapy are reported by 4% of patients who undergo solution-focused therapy.



Brief psychological therapies for anxiety and depression in primary care: meta-analysis and meta-regression

Brief CBT, counselling and PST are all effective treatments in primary care, but effect sizes are low compared to longer length treatments, including brief CBT for anxiety, which has comparable effect sizes.

Effectiveness of Solution-Focused Brief Therapy

The studies reviewed provide strong evidence that SFBT is an effective treatment for a wide variety of behavioral and psychological outcomes and, in addition, it may be briefer and therefore less costly than alternative approaches.

Solution-Focused Brief Therapy in China: A Meta-Analysis

A random effects meta-analysis of nine eligible studies was conducted on SFBT outcomes in China, and SFBT was effective in reducing internalizing problems, with effect sizes ranging from g = 0.49 to 3.22.

Moving Toward Integrated Behavioral Intervention for Treating Multimorbidity Among Chronic Pain, Depression, and Substance-use Disorders in Primary Care

The findings from this review suggest that a common approach, rather than a distinct intervention for chronic pain, depression, or substance-use disorders, is indicated and that best care can be provided within the context of a coordinated, interdisciplinary, and patient-centered primary care team.

LINDA – a solution-focused low-intensity intervention aimed at improving health behaviors of young females: a cluster-randomized controlled trial

The solution-focused brief therapy intervention, with individually tailored content, helped to make small, long-term overall improvements in health behaviors concerning physical activity, meal regularity and/or earlier bedtime.

Examining the Effectiveness of Solution-Focused Brief Therapy: A Meta-Analysis

Objective: A meta-analysis was conducted to evaluate the effectiveness of solution-focused brief therapy (SFBT). Method: Hierarchical linear modeling software was used to synthesize the primary

Practitioner Review: The effectiveness of solution focused brief therapy with children and families: a systematic and critical evaluation of the literature from 1990-2010.

Although much of the literature has methodological weaknesses, existing research does provide tentative support for the use of SFBT, particularly in relation to internalizing and externalizing child behaviour problems.

Fatigue management in patients with IBD: a randomised controlled trial

SFT has a significant beneficial effect on the severity of fatigue and QoL in patients with quiescent IBD, however, this effect diminished during follow-up.

An Expanded Delivery Model for Outpatient Burn Rehabilitation

Although most patients with burn injuries may not need an intervention that is this intensive, a subset of patients at higher risk or with more severe injuries may benefit from more intensive and personalized services.