Peltz Jack S, Rogge Ronald D, Rogosch Fred A, Cicchetti Dante, Toth Sheree L
Department of Psychology, Hobart and William Smith Colleges.
Clinical and Social Sciences in Psychology, University of Rochester.
Fam Syst Health. 2015 Dec;33(4):372-82. doi: 10.1037/fsh0000149. Epub 2015 Jul 20.
Given the interdependent nature of relationships within the family system, the purpose of this study was to examine the potential role of child-parent psychotherapy (CPP) to extend its positive influence beyond the mother-child relationship within families challenged by maternal depression. Accordingly, we analyzed longitudinal associations between depressive symptoms and marital satisfaction over 3 years in order to evaluate if the benefits of CPP to mother-child attachment security might generalize within the family and indirectly benefit marital relationships.
We tested our hypotheses in a randomized control trial of CPP (N = 159 families) to examine the intervention's efficacy in families with mothers with histories of depression since the target child's birth (Mage = 20.4 months, SD = 2.5; 56% boys).
Using hierarchical linear modeling (HLM) with an actor-partner interdependence modeling (APIM) framework, the results supported our hypothesis as well as revealed significant associations between depressive symptoms and marital functioning. Specifically, shifts in mothers' depressive symptoms within specific waves of follow-up were associated with corresponding shifts in both their husbands' and their own relationship satisfaction in those same waves. After controlling for those effects, only mothers with a history of depression who received CPP demonstrated slight improvements in relationship satisfaction over the 3 years of the study, suggesting secondary benefits of CPP within the family system.
Results are discussed in terms of the importance of examining therapeutic processes within the larger family system. Concerning future research, we also suggest examining potential mechanisms through which CPP might influence marital satisfaction. (PsycINFO Database Record
鉴于家庭系统中各种关系相互依存的性质，本研究旨在探讨亲子心理治疗（CPP）在受母亲抑郁困扰的家庭中，将其积极影响扩展至母婴关系之外的潜在作用。因此，我们分析了3年期间抑郁症状与婚姻满意度之间的纵向关联，以评估CPP对母婴依恋安全性的益处是否能在家庭中普遍存在，并间接惠及婚姻关系。
我们在一项CPP随机对照试验（N = 159个家庭）中检验了假设，以考察该干预措施对自目标儿童出生起母亲有抑郁病史的家庭（平均年龄 = 20.4个月，标准差 = 2.5；56%为男孩）的疗效。
使用具有actor - partner相互依存模型（APIM）框架的分层线性模型（HLM），结果支持了我们的假设，同时揭示了抑郁症状与婚姻功能之间的显著关联。具体而言，在特定随访阶段母亲抑郁症状的变化与同一阶段其丈夫和她们自身关系满意度的相应变化相关。在控制这些影响因素后，只有有抑郁病史且接受CPP治疗的母亲在研究的3年中关系满意度有轻微改善，这表明CPP在家庭系统中具有次要益处。
从在更大的家庭系统中考察治疗过程的重要性方面对结果进行了讨论。关于未来研究，我们还建议研究CPP可能影响婚姻满意度的潜在机制。（PsycINFO数据库记录）
