Eficacia de la terapia sistémico familiar en adultos jóvenes con consumo de sustancias. Revisión sistemática a partir de la experiencia práctica

Abstract

Abstract: This study consisted of a systematic review aimed at analyzing the efficacy of systemic family therapy (SFT) in young adults aged 18 to 28 years with problematic substance use, following the PRISMA guidelines (Page et al., 2021). The search was conducted in PubMed, ProQuest, and ScienceDirect databases, covering publications from 2021 to 2025. After removing 529 duplicates through the Rayyan platform, 205 records were screened, of which 26 were evaluated in full text and 5 studies meeting the inclusion criteria were included. Results showed that SFT produces favorable effects on the reduction of substance use, therapeutic adherence, relapse prevention, and relational functioning in this population. Based on the findings, a 16-session intervention plan was designed for a clinical case of a 26-year-old young adult diagnosed with severe Alcohol Use Disorder (F10.20), integrating systemic-family and cognitive-behavioral techniques. It is concluded that SFT constitutes an effective intervention that simultaneously addresses the individual, family, and contextual factors linked to substance use.