O'Leary K D, Beach S R
State University of New York, Stony Brook 11794-2500.
Am J Psychiatry. 1990 Feb;147(2):183-6. doi: 10.1176/ajp.147.2.183.
Thirty-six maritally discordant couples with depressed wives were randomly assigned to marital therapy, cognitive therapy, or a waiting-list control condition. The women given marital or cognitive therapy showed significant and clinically meaningful reductions in their depression. The women given marital therapy showed greater increases in marital satisfaction than did those given cognitive therapy or no therapy; these differences were maintained at 1-year follow-up. These findings suggest that marital therapy may be the most effective and appropriate treatment for clinically significant marital discord with coexisting clinically significant depression.
36对夫妻关系不和谐且妻子患有抑郁症的夫妇被随机分配到婚姻治疗组、认知治疗组或等待名单对照组。接受婚姻治疗或认知治疗的女性抑郁症症状显著减轻，且具有临床意义。与接受认知治疗或未接受治疗的女性相比，接受婚姻治疗的女性婚姻满意度提高得更多；这些差异在1年的随访中得以维持。这些研究结果表明，对于存在临床显著抑郁症状的临床显著婚姻关系不和谐，婚姻治疗可能是最有效且合适的治疗方法。
