Effects of Coping-Oriented Couples Therapy on Depression: A Randomized Clinical Trial

被引:153
作者
Bodenmann, Guy [1 ]
Plancherel, Bernard [1 ]
Beach, Steven R. H. [2 ]
Widmer, Kathrin [1 ]
Gabriel, Barbara [2 ]
Meuwly, Nathalie [1 ]
Charvoz, Linda [3 ]
Hautzinger, Martin [4 ]
Schramm, Elisabeth [5 ]
机构
[1] Univ Zurich, Dept Clin Psychol, CH-8050 Zurich, Switzerland
[2] Univ Georgia, Inst Behav Res, Athens, GA 30602 USA
[3] Univ Lausanne, Inst Psychol, Lausanne, Switzerland
[4] Univ Tubingen, Dept Clin Psychol, Tubingen, Germany
[5] Univ Freiburg, Dept Psychiat & Psychotherapy, Freiburg, Germany
关键词
depression; treatment; marital therapy; relapse; dyadic coping;
D O I
10.1037/a0013467
中图分类号
B849 [应用心理学];
学科分类号
040203 [应用心理学];
摘要
The aim of this study was to evaluate the effectiveness of treating depression with coping-oriented couples therapy (COCT) as compared with cognitive-behavioral therapy (CBT: A. T. Beck. C. Ward. & A Mendelson. 1961) and interpersonal psychotherapy (IPT; A M. Weissman, J. C. Markowitz, & G. L. Klerman, 2000). Sixty couples, including I clinically depressed partner, completed pre- and posttest questionnaires as well as follow-up assessments at 6-month intervals over the subsequent 1.5 years. Effects of the 3 treatments on depressive symptomatology assessed by the Beck Depression Inventory (A. T. Beck, A. J. Rush, B. L. Shaw, & G. Emery, 1979) and Hamilton Rating Scale for Depression (M. Hamilton, 1960); recovery rates and relapse rates were examined. Additionally. changes in relationship quality were evaluated. Results suggest that the COCT is as effective in improving depressive symptomatology as are the well-established, evidenced-based CBT and IPT approaches. The COCT did not demonstrate a significantly better outcome with regard to self-reported relationship satisfaction or dyadic coping; however. it did produce significant improvements in partners' expressed emotion, changes that were not seen in other treatment conditions.
引用
收藏
页码:944 / 954
页数:11
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