Queen's University Belfast, School of Psychology, Northern Ireland.
Department of Clinical Psychology, Belfast Health & Social Care Trust, Northern Ireland.
Patient Educ Couns. 2017 Jul;100(7):1287-1303. doi: 10.1016/j.pec.2017.02.015. Epub 2017 Feb 14.
Partners have a significant role in a person's ability to adjust to a chronic physical illness, which warrants their inclusion in couples interventions. However to deliver more specific, tailored support it is necessary to explore which types of couples interventions are most effective across certain chronic illness populations and outcomes.
Five databases were searched using selected terms. Thirty-five articles met the eligibility criteria for inclusion.
The majority of studies were from the US, and most interventions targeted cancer populations. Couples interventions fell into two categories according to therapeutic approach; Cognitive Behavioural Skills Training (CBST) and Relationship Counselling (RC). When compared with a patient-only intervention or controls, CBST interventions effectively targeted behavioural, physical/somatic and cognitive outcomes, while RC more effectively targeted interpersonal outcomes.
Couples interventions can be more effective than patient-only interventions or controls across various patient and partner outcomes. Couples interventions tend to favour a skills-based or a relationship-based approach, which strongly influences the types outcomes effectively targeted.
Our findings suggest it could be therapeutically useful to integrate these two approaches to more holistically support couples living with chronic illness. We also identify the need to target understudied illness groups and ethnicities.
在一个人适应慢性身体疾病的能力方面，伴侣起着重要作用，这使得他们有必要参与夫妻干预。然而，为了提供更具体、更量身定制的支持，有必要探讨哪些类型的夫妻干预对某些慢性疾病人群和结果最有效。
使用选定的术语搜索了五个数据库。有 35 篇文章符合纳入标准。
大多数研究来自美国，大多数干预措施针对癌症人群。根据治疗方法，夫妻干预可分为两类；认知行为技能培训 (CBST) 和关系咨询 (RC)。与仅患者干预或对照组相比，CBST 干预有效地针对行为、身体/躯体和认知结果，而 RC 更有效地针对人际关系结果。
夫妻干预可以比仅患者干预或对照组在各种患者和伴侣结果方面更有效。夫妻干预往往倾向于基于技能或基于关系的方法，这强烈影响了有效针对的结果类型。
我们的发现表明，整合这两种方法来更全面地支持患有慢性疾病的夫妻可能具有治疗上的益处。我们还发现需要针对研究不足的疾病群体和种族进行研究。
