A Qualitative Meta-Analysis Study on Family Therapy for Clients with Depression

Objectives: This study aimed to conduct a qualitative meta-analysis of domestic case studies on family therapy for clients with depression, focusing on the onset factors of depression, therapeutic interventions, and therapeutic outcomes. Methods: Thirteen Korean family therapy case studies were selected and analyzed using qualitative meta-analysis procedures. Through repeated comparative analysis, recurring patterns and structural themes were identified to provide an integrative understanding of the processes and outcomes of family therapy. Results: The analysis revealed three major categories of onset factors: (1) intrapersonal and psychological characteristics, (2) family relationships and interaction patterns, and (3) external environmental stressors. Therapeutic interventions were organized into three phases: (1) establishing a therapeutic relationship and preparing for intervention, (2) addressing problems and facilitating change, and (3) maintaining change and preparing for termination. The therapeutic outcomes were observed at two levels: systemic changes within the family, such as improved communication, boundary restructuring, and role readjustment; and individual changes in clients, including symptom reduction, cognitive restructuring, emotional independence, and personal growth. Conclusions: The findings indicate that family therapy functions not merely as a supplementary approach but as a central and effective intervention for depression. By demonstrating structured pathways of systemic and individual change, this study underscores the importance of incorporating family dynamics into clinical practice and provides foundational insights for future intervention strategies.