■抑郁症是青少年疾病和残疾的主要原因,近年来,抑郁症的发病率和未经治疗的年轻人数量有所增加。对这些年轻人进行有效的干预可以降低青春期前和青春期的疾病负担和自杀或自我伤害风险。
■验证全身性夫妻团体疗法(SCGT)对青少年抑郁症的改变和青少年抑郁症家庭的短期疗效。
■该研究是一项自我对照试验;仅评估了组内变化。参与者是有一个抑郁孩子的夫妇,他们对心理治疗有抵抗力;他们是通过方便的抽样非随机招募的。采用配对样本t检验和Wilcoxon符号秩检验比较干预前后的差异。还使用Cohen的d.Spearman的相关性分析来评估效应大小。
■治疗后抑郁症状呈下降趋势,科恩的d为0.33(p=0.258)。青少年认为父母间的冲突较少,对于感知的冲突频率,效应大小是中等的(0.66,p=0.043),冲突强度(0.73,p=0.028),冲突解决方案(0.75,p=0.025),应对效能(0.68,p=0.038),和感知威胁(0.57,p=0.072)。对于父母来说,全球通信质量,建设性的沟通模式,干预后主观婚姻满意度显著提高,具有较大的效应大小(分别为1.11、0.85和1.03;所有p<0.001)。其他破坏性的沟通模式,如需求/撤回(p=0.003)和相互回避(p=0.018),以及言语攻击(p=0.012)等沟通策略,石墙(p=0.002),回避-投降(p=0.036),儿童参与(p=0.001)也减少了,具有中等效应大小(分别为0.69、0.52、0.55、0.71、0.46和0.79)。同时,抑郁的变化与父母间冲突的变化(p<0.001)和婚姻满意度(p=0.001)之间存在显著的关联.
■SCGT为不愿寻求治疗的抑郁儿童家庭提供了治疗的可能性。帮助父母改善沟通和婚姻质量可能对儿童的抑郁症状有益。
UNASSIGNED: Depression is a primary cause of illness and disability among teenagers, and the incidence of depression and the number of untreated young people have increased in recent years. Effective intervention for those youths could decrease the disease burden and suicide or self-harm risk during preadolescence and adolescence.
UNASSIGNED: To verify the short efficacy of the systemic couple group therapy (SCGT) on youths\' depression changes and families with depressed adolescents.
UNASSIGNED: The study was a self-control trial; only within-group changes were evaluated. Participants were couples with a depressed child who was resistant to psychotherapy; they were recruited non-randomly through convenient sampling. The paired-sample t-test and Wilcoxon signed-rank test were used to compare differences before and after interventions. The effect sizes were also estimated using Cohen\'s d. Spearman\'s correlation analysis was used to examine associations between changes.
UNASSIGNED: A downward trend was seen in depressive symptoms after treatment, and Cohen\'s d was 0.33 (p = 0.258). The adolescents perceived fewer interparental conflicts, and the effect sizes were medium for perceived conflict frequency (0.66, p = 0.043), conflict intensity (0.73, p = 0.028), conflict solutions (0.75, p = 0.025), coping efficacy (0.68, p = 0.038), and perceived threat (0.57, p = 0.072). For parents, global communication quality, constructive communication patterns, and subjective marital satisfaction significantly improved after interventions, with large effect sizes (1.11, 0.85, and 1.03, respectively; all p < 0.001). Other destructive communication patterns such as demand/withdraw (p = 0.003) and mutual avoidance (p = 0.018) and communication strategies like verbal aggression (p = 0.012), stonewalling (p = 0.002), avoidance-capitulation (p = 0.036), and child involvement (p = 0.001) also reduced, with medium effect sizes (0.69, 0.52, 0.55, 0.71, 0.46, and 0.79, respectively). Meanwhile, the associations between depression changes and changes in interparental conflicts (p < 0.001) and marital satisfaction (p = 0.001) were significant.
UNASSIGNED: The SCGT offers the possibility for the treatment of families with depressed children who are unwilling to seek treatment. Helping parents improve communication and marital quality may have benefits on children\'s depressive symptoms.