Fischer Melanie S, Baucom Donald H, Cohen Matthew J
Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Fam Process. 2016 Sep;55(3):423-42. doi: 10.1111/famp.12227. Epub 2016 May 26.
Cognitive-behavioral couple therapy (CBCT) is an approach to assisting couples that has strong empirical support for alleviating relationship distress. This paper provides a review of the empirical status of CBCT along with behavioral couple therapy (BCT), as well as the evidence for recent applications of CBCT principles to couple-based interventions for individual psychopathology and medical conditions. Several meta-analyses and major reviews have confirmed the efficacy of BCT and CBCT across trials in the United States, Europe, and Australia, and there is little evidence to support differential effectiveness of various forms of couple therapy derived from behavioral principles. A much smaller number of effectiveness studies have shown that successful implementation in community settings is possible, although effect sizes tend to be somewhat lower than those evidenced in randomized controlled trials. Adapted for individual problems, cognitive-behavioral couple-based interventions appear to be at least as effective as individual cognitive behavioral therapy (CBT) across a variety of psychological disorders, and often more effective, especially when partners are substantially involved in treatment. In addition, couple-based interventions tend to have the unique added benefit of improving relationship functioning. Findings on couple-based interventions for medical conditions are more varied and more complex to interpret given the greater range of target outcomes (psychological, relational, and medical variables).
认知行为夫妻治疗（CBCT）是一种帮助夫妻的方法，在减轻关系困扰方面有强有力的实证支持。本文回顾了CBCT以及行为夫妻治疗（BCT）的实证状况，还有将CBCT原则应用于针对个体精神病理学和医疗状况的夫妻干预措施的最新证据。多项元分析和主要综述证实了BCT和CBCT在美国、欧洲和澳大利亚的各类试验中的疗效，几乎没有证据支持源自行为原则的各种形式的夫妻治疗存在差异有效性。数量少得多的有效性研究表明，在社区环境中成功实施是可能的，尽管效应量往往略低于随机对照试验中的效应量。针对个体问题进行调整后，基于认知行为夫妻的干预措施在各种心理障碍中似乎至少与个体认知行为疗法（CBT）一样有效，而且通常更有效，尤其是当伴侣大量参与治疗时。此外，基于夫妻的干预措施往往具有改善关系功能这一独特的额外益处。鉴于目标结果（心理、关系和医学变量）的范围更广，关于针对医疗状况的基于夫妻的干预措施的研究结果更加多样且更难解释。
