Owens Institute for Behavioral Research, University of Georgia, Athens, Georgia 30602-7419, USA.
J Marital Fam Ther. 2012 Jan;38(1):201-19. doi: 10.1111/j.1752-0606.2011.00243.x. Epub 2011 Sep 3.
Depression is a heterogeneous disorder with lifetime prevalence of "major depressive disorder" estimated to be 16.2%. Although the disorder is common and impairs functioning, it often goes untreated, with less than adequate response even when treated. We review research indicating the likely value of utilizing currently available, well-validated, couple- and family-based treatments with depressed individuals, and we provide empirically based treatment decision rules to guide effective application of marital and family interventions for depression in clinical practice. We suggest that traditional forms of couple-based intervention may be most appropriate for discordant, depressed couples, whereas nondiscordant, or mildly distressed, depressed couples may respond well to forms of intervention that have become available more recently and which focus on strengthening the dyad as a source of support. We also discuss parent training as an intervention for depression and describe briefly the directions for future research to enhance couple-based treatment for depression.
抑郁症是一种异质性障碍，终生“重性抑郁障碍”的患病率估计为 16.2%。尽管这种疾病很常见，会损害功能，但往往得不到治疗，即使治疗后也反应不佳。我们回顾了研究，这些研究表明，对于抑郁个体，利用当前可用的、经过充分验证的夫妻和家庭为基础的治疗方法可能具有重要价值，我们提供了基于经验的治疗决策规则，以指导在临床实践中有效应用婚姻和家庭干预治疗抑郁症。我们认为，传统的夫妻干预形式可能最适合不和谐的、抑郁的夫妻，而不和谐的或轻度困扰的、抑郁的夫妻可能对最近出现的、关注加强夫妻作为支持来源的干预形式反应良好。我们还讨论了父母培训作为一种抑郁干预措施，并简要描述了未来研究的方向，以增强夫妻为基础的抑郁症治疗。
