Psychotherapy research : journal of the Society for Psychotherapy Research · 2026
Emotion-focused therapy for distress-based psychopathology in adults: A systematic review and meta-analysis.
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Whittington D Drew, Jafari Mahdieh, Borgogna Nicholas C
Аннотация
OBJECTIVE: In the current study, we review and meta-analyze the existing clinical trials of emotion-focused therapy (EFT) for treating a wide variety of distress-based forms of psychopathology, including depression, generalized anxiety, posttraumatic stress disorder (PTSD), and borderline personality symptomology.
METHOD: We conducted a systematic review and meta-analysis of existing published clinical trials through April 2025 of EFT for distress-based dysfunction.
RESULTS: We located 13 existing articles (n = 348 participants receiving EFT; 201 receiving control) that met inclusion criteria. Most studies examined EFT for depression, while a significant number measured anxiety as an outcome, and two examined PTSD symptoms. EFT significantly outperformed inactive controls (g = 1.39, 95% CI = [1.06, 1.72]) but not other psychotherapies (g = .28, 95% CI = [-.19, .76]). Limitations of the existing research include evidence of publication bias and a strong focus on women and White/Iranian populations. Additionally, the quality of existing research is largely poor with varying methodological problems, including small sample sizes, inadequate randomization, and failure to account for dropouts.
CONCLUSION: EFT appears to be modestly effective for the examined concerns. Future researchers should prioritize examining EFT with more methodologically rigorous designs in more culturally and gender diverse populations.
METHOD: We conducted a systematic review and meta-analysis of existing published clinical trials through April 2025 of EFT for distress-based dysfunction.
RESULTS: We located 13 existing articles (n = 348 participants receiving EFT; 201 receiving control) that met inclusion criteria. Most studies examined EFT for depression, while a significant number measured anxiety as an outcome, and two examined PTSD symptoms. EFT significantly outperformed inactive controls (g = 1.39, 95% CI = [1.06, 1.72]) but not other psychotherapies (g = .28, 95% CI = [-.19, .76]). Limitations of the existing research include evidence of publication bias and a strong focus on women and White/Iranian populations. Additionally, the quality of existing research is largely poor with varying methodological problems, including small sample sizes, inadequate randomization, and failure to account for dropouts.
CONCLUSION: EFT appears to be modestly effective for the examined concerns. Future researchers should prioritize examining EFT with more methodologically rigorous designs in more culturally and gender diverse populations.