夫妻治疗作为抑郁症的一种治疗方法：II. 关系质量和治疗对抑郁复发的影响。

Couple therapy as a treatment for depression: II. The effects of relationship quality and therapy on depressive relapse.

作者信息

Jacobson N S, Fruzzetti A E, Dobson K, Whisman M, Hops H

机构信息

Department of Psychology, University of Washington, Seattle 98195.

出版信息

J Consult Clin Psychol. 1993 Jun;61(3):516-9. doi: 10.1037//0022-006x.61.3.516.

DOI:10.1037//0022-006x.61.3.516

PMID:8326054

Abstract

This study investigated the effects of behavioral couple therapy, cognitive-behavioral therapy, and their combination on female depression 6 and 12 months after therapy ended. We predicted that couples receiving a behavioral couple treatment would be less likely to relapse than those receiving a cognitive-behavioral treatment for the depressed spouse alone. Relapse rates, however, did not discriminate between treatments at any follow-up point. Reductions in husband and wife dysphoria and increases in wife facilitative behavior during therapy predicted recovery. Moreover, high rates of husbands' facilitative behavior at posttest were associated with wife recovery and predicted low levels of depression at the 1-year follow-up.

摘要

本研究调查了行为夫妻治疗、认知行为治疗及其组合疗法在治疗结束6个月和12个月后对女性抑郁症的影响。我们预测，接受行为夫妻治疗的夫妻比仅为抑郁配偶接受认知行为治疗的夫妻复发的可能性更小。然而，在任何随访点，复发率在不同治疗方法之间并无差异。治疗期间夫妻烦躁情绪的减轻以及妻子促进性行为的增加预示着康复。此外，测试后丈夫促进性行为的高发生率与妻子的康复相关，并预示着1年随访时抑郁水平较低。