Waring E M
Department of Psychiatry, Queen's University, Kingston, Ontario.
Can J Psychiatry. 1994 Nov;39(9):568-71. doi: 10.1177/070674379403900910.
The absence of a close, confiding relationship has been identified as a vulnerability factor to depression for women under adverse circumstances. Marital discord has also been identified as a risk factor in initiating and sustaining depression in women. Recent research has suggested that marriages with a depressed spouse are associated with lack of intimacy and decreased self-disclosure. This paper reviews three controlled outcome studies which demonstrate that marital therapy in combination with antidepressant medication is not indicated for hospitalized women with major affective disorder but either alone or in combination with antidepressants, marital therapy is a viable treatment for outpatient women who are suffering from depression.
亲密、信任关系的缺失已被认定为处于不利环境下女性患抑郁症的一个脆弱因素。婚姻不和也被视为女性引发并持续抑郁的一个风险因素。近期研究表明，配偶患有抑郁症的婚姻往往缺乏亲密感且自我表露减少。本文回顾了三项对照结果研究，这些研究表明，对于患有重度情感障碍的住院女性，婚姻治疗结合抗抑郁药物并无必要，但对于患有抑郁症的门诊女性，婚姻治疗单独使用或与抗抑郁药物联合使用都是一种可行的治疗方法。
