Family/systemic constellation therapy is a short-term group intervention aiming to help clients better understand and then change their conflictive experiences within a social system (e.g., family). The aim of the present systematic review was to synthetize the empirical evidence on the tolerability and effectiveness of this intervention in improving mental health. The PsycINFO, Embase, MEDLINE, ISI Web of Science, Psyndex, PsycEXTRA, ProQuest Dissertations & Theses, The Cochrane Library, Google Scholar, and an intervention-specific organization’s databases were searched for quantitative, prospective studies published in English, German, Spanish, French, Dutch or Hungarian up until April 2020. Out of 4,197 identified records, 67 were assessed for eligibility, with 12 studies fulfilling inclusion criteria (10 independent samples; altogether 568 participants). Outcome variables were diverse ranging from positive self-image through psychopathology to perceived quality of family relationships. Out of the 12 studies, nine showed statistically significant improvement postintervention. The studies showing no significant treatment benefit were of lower methodological quality. The random-effect meta-analysis—conducted on five studies in relation to general psychopathology—indicated a moderate effect (Hedges’ g of 0.531, CI: 0.387–0.676). Authors of seven studies also investigated potential iatrogenic effects and four studies reported minor or moderate negative effects in a small proportion (5–8%) of participants that potentially could have been linked to the intervention. The data accumulated to date point into the direction that family constellation therapy is an effective intervention with significant mental health benefits in the general population; however, the quantity and overall quality of the evidence is low.

中文翻译：

---

家庭星座疗法在改善心理健康方面的有效性：系统评价

家庭/系统星座疗法是一种短期团体干预，旨在帮助来访者更好地理解并改变他们在社会系统（例如家庭）中的冲突经历。本系统评价的目的是综合有关这种干预在改善心理健康方面的耐受性和有效性的经验证据。搜索了 PsycINFO、Embase、MEDLINE、ISI Web of Science、Psyndex、PsycEXTRA、ProQuest 论文和论文、Cochrane 图书馆、Google Scholar 和干预特定组织的数据库，以寻找以英语、德语、西班牙语、法语、荷兰语或匈牙利语直到 2020 年 4 月。在 4,197 份确定的记录中，67 份接受了资格评估，其中 12 项研究符合纳入标准（10 项独立样本；共有 568 名参与者）。结果变量多种多样，从积极的自我形象到精神病理学，再到家庭关系的感知质量。在 12 项研究中，有 9 项在干预后显示出统计学上的显着改善。显示没有显着治疗益处的研究方法学质量较低。对五项与一般精神病理学相关的研究进行的随机效应荟萃分析表明效果中等（Hedges' g 为 0.531，CI：0.387–0.676）。七项研究的作者还调查了潜在的医源性影响，四项研究报告了一小部分 (5-8%) 的参与者可能与干预有关的轻微或中度负面影响。迄今为止积累的数据表明，家庭星座疗法是一种有效的干预措施，对一般人群具有显着的心理健康益处；然而，证据的数量和整体质量都很低。