Heins T
Aust N Z J Psychiatry. 1978 Dec;12(4):269-75. doi: 10.3109/00048677809159091.
The great majority of depressed patients are currently married or formerly married and depression is commonest at ages when marital satisfaction is least. Study of patterns of marital interaction in depression may provide useful leads for understanding the aetiology and therapy of depressive syndromes. Theoretical views of depression as loss, as coerced behaviour and as coercive behaviour suggest useful hypotheses. Both marital interaction and depression are complex variables to define and measure. A literature review suggests reduced general affective involvement, reduced expressions of affection, increased criticism, increased husband domination and a marked struggle for interpersonal control in the marriages of depressed persons. Marital therapy may be the most useful psychotherapeutic approach for depression.
绝大多数抑郁症患者目前已婚或曾经结过婚，而抑郁症在婚姻满意度最低的年龄段最为常见。对抑郁症患者婚姻互动模式的研究可能为理解抑郁综合征的病因和治疗提供有用线索。将抑郁症视为丧失、强迫行为和强制行为的理论观点提出了有用的假设。婚姻互动和抑郁症都是难以定义和测量的复杂变量。一项文献综述表明，抑郁症患者的婚姻中普遍存在情感投入减少、爱意表达减少、批评增多、丈夫主导性增强以及人际控制方面的显著冲突。婚姻治疗可能是治疗抑郁症最有效的心理治疗方法。
