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Journal articles on the topic 'Behavioral Marital Therapy for Depression'

Author: Grafiati

Published: 4 June 2021

Last updated: 17 February 2022

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1

Addis, Michael E., and Neil S. Jacobson. "Integration of cognitive therapy and behavioral marital therapy for depression." Journal of Psychotherapy Integration 1, no. 4 (1991): 249–64. http://dx.doi.org/10.1037/h0101197.

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Emanuels-Zuurveen, Lineke, and Paul M. G. Emmelkamp. "Individual Behavioural–Cognitive Therapy v. Marital Therapy for Depression in Maritally Distressed Couples." British Journal of Psychiatry 169, no. 2 (August 1996): 181–88. http://dx.doi.org/10.1192/bjp.169.2.181.

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BackgroundDepressed patients are often characterised by marital distress, but few studies investigate the effects of marital therapy on depressed mood and relationship dysfunction.MethodTwenty-seven depressed patients experiencing marital distress were randomly assigned to either individual behavioural–cognitive therapy or marital therapy. The individual treatment condition focused on depressed mood, behavioural activity and dysfunctional cognitions, whereas in the marital condition the partner was involved in the treatment and the focus was on the communication process in the marital relationship. MANOVAs revealed that treatment led to statistically significant improvements in depressed mood, behavioural activity and dysfunctional cognitions, an increase in relationship satisfaction and improvement of communication in patients and spouses. A significant interaction effect was found, showing that marital therapy had more impact on relationship variables than the individual treatment.ConclusionBoth individual cognitive–behaviour therapy and marital therapy lead to less depressive complaints, and both treatment conditions have a positive effect on the relationship, although the effect on the relationship is significantly stronger in couples who were treated by marital therapy compared with patients who were treated individually.

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Halford, W. Kim, and Matthew R. Sanders. "Behavioural Marital Therapy in the Treatment of Psychological Disorders." Behaviour Change 6, no. 3-4 (September 1989): 165–77. http://dx.doi.org/10.1017/s0813483900007531.

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There is a well established relationship between marital discord and individual psychopathology in family members. This paper reviews evidence relating to patterns of marital interaction related to the co-occurrence of marital discord and three common psychological disorders: depression, alcohol abuse, and childhood conduct disorders. The effects of behavioural marital therapy (BMT) on dysfunctional marital interaction in such cases, and the impact of BMT on individuals' psychological disorders, are evaluated. It is concluded that BMT is often a useful component of treatment in each disorder reviewed. Further it is argued that it is important routinely to assess the relationship context in which these disorders occur. Finally, some of the difficulties and limitations of the application of BMT in cases where the presenting problem is an individual psychopathology are considered.

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Baker, Michael P., Neville M. Blampied, and Lynne Haye. "Behavioural Marital Therapy for Alcoholics: Effects on Communication Skills and Marital Satisfaction." Behaviour Change 6, no. 3-4 (September 1989): 178–86. http://dx.doi.org/10.1017/s0813483900007543.

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Four married couples were recruited from an outpatient alcohol counselling centre. Four husbands and one wife had recently received therapy for alcoholism and all but one was abstinent during the study. All scored as distressed on the Marital Adjustment Test. They participated in ten sessions of behavioural marital therapy emphasising positive reinforcement, communication, expression of feelings and problem solving. Problem solving discussions were audio-recorded at each session and analysed using a behaviour code. Measures of marital satisfaction, conflict and depression showed modest gains which were generally maintained at follow-up. Communication skills improved most with training, problem solving less so and feelings expression declined below baseline levels. These changes did not appear to be very durable. The non-abstinent client reduced his drinking to a level satisfactory to his wife during therapy. These findings support other recent work, draw attention to the need to find ways of promoting the maintenance and transfer of therapeutic changes and suggest that behavioural marital therapy may usefully be employed in outpatient alcohol counselling settings.

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Durães, Ricardo Silva Santos, Tatiana Cohab Khafif, Francisco Lotufo-Neto, and Antonio de Pádua Serafim. "Effectiveness of Cognitive Behavioral Couple Therapy on Reducing Depression and Anxiety Symptoms and Increasing Dyadic Adjustment and Marital Social Skills: An Exploratory Study." Family Journal 28, no. 4 (February 12, 2020): 344–55. http://dx.doi.org/10.1177/1066480720902410.

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Several kinds of marital conflict might be solved through constructive communication, development of interaction skills, and behavioral and thought modification. The aim of this study was to show results of the application of a protocol based on cognitive behavioral couple therapy (CBCT) on dyadic adjustment, marital social skills, depression, and anxiety symptoms. The sample consisted of 32 participants (16 couples) divided in two groups by length of marriage: Group 1 (1–7 years) and Group 2 (8–12 years). All subjects recruited were older than 18 and reported having communication problems in their relationship. The ages were M = 30.4, SD = 4.13. The measures were Dyadic Adjustment Scale (DAS), Beck Depression Inventory–II (BDI-II), Beck Anxiety Inventory (BAI), Marital Social Skills Inventory (Inventário de Habilidades Sociais Conjugais [IHSC]), and the Sociodemographic Questionnaire. Participants were assessed pre- and postintervention and had a 6-month follow-up. The intervention consisted of twelve 50-min sessions per couple. Based on three time analyses, both groups obtained the following results: DAS ( p = .001), BDI-II ( p = .000), BAI ( p = .000), and IHSC ( p = .001). We conclude that the CBCT protocol developed for this study, resulted in statistically significant improvements in the couple’s relationship for all variables studied in both groups.

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Denton, W. H., T. J. Carmody, A. J. Rush, M. E. Thase, M. H. Trivedi, B. A. Arnow, D. N. Klein, and M. B. Keller. "Dyadic discord at baseline is associated with lack of remission in the acute treatment of chronic depression." Psychological Medicine 40, no. 3 (July 17, 2009): 415–24. http://dx.doi.org/10.1017/s0033291709990535.

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BackgroundDyadic discord, while common in depression, has not been specifically evaluated as an outcome predictor in chronic major depressive disorder. This study investigated pretreatment dyadic discord as a predictor of non-remission and its relationship to depressive symptom change during acute treatment for chronic depression.MethodOut-patients with chronic depression were randomized to 12 weeks of treatment with nefazodone, the Cognitive Behavioral Analysis System of Psychotherapy or their combination. Measures included the Marital Adjustment Scale (MAS) and the Inventory of Depressive Symptomatology – Self Report (IDS-SR30). Of 681 original patients, 316 were partnered and 171 of these completed a baseline and exit MAS, and at least one post-baseline IDS-SR30. MAS scores were analysed as continuous and categorical variables (‘dyadic discord’ v. ‘no dyadic discord’ defined as an MAS score >2.36. Remission was defined as an IDS-SR30 of ⩽14 at exit (equivalent to a 17-item Hamilton Rating Scale for Depression of ⩽7).ResultsPatients with dyadic discord at baseline had lower remission rates (34.1%) than those without dyadic discord (61.2%) (all three treatment groups) (χ2=12.6, df=1, p=0.0004). MAS scores improved significantly with each of the treatments, although the change was reduced by controlling for improvement in depression. Depression remission at exit was associated with less dyadic discord at exit than non-remission for all three groups [for total sample, 1.8 v. 2.4, t(169)=7.3, p<0.0001].ConclusionsDyadic discord in chronically depressed patients is predictive of a lower likelihood of remission of depression. Couple therapy for those with dyadic discord may increase remission rates.

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Shreders, Amanda, Shehzad Niazi, David Hodge, Nicolette Chimato, Ankit Agarwal, Elaine Gustetic, William Adam Hammond, Bhagirathbhai R. Dholaria, and Sikander Ailawadhi. "Universal screening for depression in cancer patients and its impact on management patterns." Journal of Clinical Oncology 34, no. 26_suppl (October 9, 2016): 232. http://dx.doi.org/10.1200/jco.2016.34.26_suppl.232.

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232 Background: Screening for distress in cancer patients (pts) is recommended by several national guidelines. High distress scores are associated with increased depression. We established universal depression screening and investigated its impact on cancer patient management. Methods: Patient Health Questionnaire (PHQ9) was administered to newly diagnosed cancer patients prior to receiving their first non-oral antineoplastic agent. Patient demographics, disease characteristics, chronic medication load, antidepressant use, treatment interruptions, weight change, referral and adherence to psychiatry were recorded. Pts with high (> 9) and low (< 4) PHQ9 scores were compared using Chi-square and Wilcoxon rank-sum tests. Results: Screening was performed in 1,190 consecutive pts over an 18 month period at Mayo Clinic. Responses were received from 1055 (89%) pts, of which 144 had high score (PHQ-H). These were compared with 99 randomly selected low score (PHQ-L) pts. The 243 pts (median age 65; range 18-92 years) in the final analysis included: 53.5% females, 90% Caucasians, 74% married and 77% living with others. Diagnosis was solid organ cancer in 81% and metastatic disease in 54% patients, and 13% were on antidepressants for preexisting depression. PHQ-H were more likely to be on antidepressants than PHQ-L (19% vs. 3%; p = 0.0002), be referred to psychiatry (69% vs. 12%; p < 0.0001), attend psychiatry appointment (45% vs. 12%; p < 0.0001) and require behavioral therapy (50% vs 8%; p = 0.0065). PHQ-H did not have a significantly increased antidepressant use, treatment interruptions (p = 0.5) or weight change (p = 0.4). Race, gender, chronic medication load, marital status, living situation, metastatic disease and type of cancer were not significantly different between PHQ-H and PHQ-L. Conclusions: We implemented a universal depression screening and management plan for cancer pts and noted that previously being on antidepressants was associated with higher patient distress. Higher score led to more frequent behavioral therapy, possibly preventing non-compliance or need for increased psychotropic medications. Our model identifies cancer pts with depression and implements an effective management plan for their care.

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Allen, A. "Working With Anxiety and Depression from a Buddhism Framework." European Psychiatry 41, S1 (April 2017): S716—S717. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1287.

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Buddhism as a spiritual discipline is concerned with freedom from suffering, conceptualizing suffering as originating in false views about the nature of self and reality. Buddhist psychology conceptualizes emotions and mental habits as being wholesome or unwholesome based on the tendency of these habits to promote or hinder the quest for enlightenment, and contains a rich diversity of methods to transform unwholesome emotional tendencies. Many of these emotions, such as anger, fear, and despair, are commonly dealt with in clinical or therapy settings. Buddhist ideas about the genesis and cessation of suffering can be used as an overarching model to organize a diversity of therapeutic techniques, bridge different therapy models, and select particular techniques at particular times in the treatment of emotional disorders. Learning objectives: after this session, participants will be able to use the Buddhist Yogacara model of mind and karma as a model of how negative emotions are transformed. After this session, participants will be able to describe indirect methods (evoking wholesome feelings) in order to transform negative emotional tendencies and how this overlaps with current therapy models such as supportive and compassion-focused therapy. After the session, participants will be able to conceptualize how Buddhist “direct methods” of mindful awareness and contemplating right view overlaps with methods used in cognitive behavioural therapy, marital therapy, or acceptance and commitment therapy. Self-assessment questions: according to Buddhist psychology, what is the primary cause of negative emotions? Broadly speaking, what are 3 types of techniques for transforming emotional habits?Disclosure of interestThe author has not supplied his/her declaration of competing interest.

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Draganic-Gajic, Saveta, Dusica Lesic-Tosevski, Nevena Calovska-Hercog, Desanka Nagulic, Bojana Stamenkovic-Rudic, and Sara Dimic. "Marital dysfunction and personality characteristics of partners." Medical review 58, no. 3-4 (2005): 175–79. http://dx.doi.org/10.2298/mpns0504175d.

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Introduction A number of studies indicate that an early trauma is of extreme importance (most often experienced in the family of origin) in developing personality disorders. Researches on correlations between family dysfunction and individual psychopathology have been rare and controversial. The reason for this stems from an attempt to establish links between traditional medical models and systemic family therapy. The aim of this research was to explore specific personality structures of married couples and the way they relate to the type of dysfunction within the partner relationship. Material and methods The sample consisted of 25 families in the middle of divorce. The examinees were aged 25-45. Specific interactional behavioral patterns were examined by Dyadic Adjustment Scale (DAS), while personality profile data were obtained using Millon Clinical Multiaxial Inventory (MCMI). Results and conclusions In both groups dependency and obsessivness were marked, while males also presented with marked narcissism. Related to structural personality disorders, we have found only a group of men with significantly increased paranoid dimension. Concerning clinical syndromes, the obtained results revealed anxiety and depressive disorder in both genders and a tendency towards alcohol abuse among men. Results indicated to correlation of communication-interactive family patterns on one hand, and certain personality traits on the other. .

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Morrissey, Michelle. "EMDR as an Integrative Therapeutic Approach for the Treatment of Separation Anxiety Disorder." Journal of EMDR Practice and Research 7, no. 4 (2013): 200–207. http://dx.doi.org/10.1891/1933-3196.7.4.200.

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This case study reports the use of eye movement desensitization and reprocessing (EMDR) and family therapy for a 10-year-old boy with severe separation anxiety disorder (SAD). It illustrates how the use of the standard EMDR protocol for the boy and his mother combined with family therapy, led to symptom alleviation and restored appropriate developmental functioning as evidenced by behavioral outcomes. The participant initially presented with severe anxiety about separating from his mother, several years after his parents went through a painful divorce. Treatment focused on processing the boy’s disturbing memories of past nontraumatic events in 14 EMDR sessions; his mother received 4 EMDR sessions to address her perceived marital failure and guilt about the effects of her ensuing depression on him. Eight family therapy sessions were used to help the family spend positive time together. Prior to treatment, the child had been unable to play outside, checked on his mother frequently, and could not attend activities without her. At the end of treatment, he was able to play with friends outside, ride his bike around town, engage in after school activities, and sleep over at his friends’ houses. Gains were maintained at 6-month follow-up. Treatment did not include instruction in parenting skills or psychoeducation for the mother, or any exposure therapy for the child.

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Pereira, Marco, Rosa Barbosa, Stephanie Alves, Ana Fonseca, and Maria Cristina Canavarro. "Linking internalizing symptoms and dyadic adjustment during pregnancy among Portuguese first-time parents." Psychologica 63, no. 2 (December 28, 2020): 93–117. http://dx.doi.org/10.14195/1647-8606_63-2_5.

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This study examined the mediating role of dyadic coping (DC) in the association between internalizing symptoms and dyadic adjustment in a sample of 184 couples expecting their first child. Each partner completed self-report questionnaires assessing symptoms of depression and anxiety, dyadic adjustment and DC during the second trimester of pregnancy. An extension of the actor-partner interdependence model for testing direct and indirect effects was used. Compared to men, women presented higher levels of internalizing symptoms and dyadic adjustment and engaged more in DC by self. Significant indirect effects of internalizing symptoms on dyadic adjustment via common DC and DC by one’s partner were found. Specifically, higher internalizing symptoms were associated with lower common DC and DC by one’s partner, which, in turn, were associated with lower dyadic adjustment. This mediation occurred either within person as well as across partners and occurred similarly for women and men. These results suggest that primiparous couples may benefit from DC-enhancing interventions, such as the cognitive-behavioral couple-based programs Couples Coping Enhancement Training (CCET) and Coping-Oriented Couple Therapy (COCT), to assist them in responding sensitively to their partners’ psychological symptoms, which may have a positive effect on marital adjustment.

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Snehalata Choudhury, Surjeet Sahoo, and Soumya Ranjan Dash. "Impulsivity in major depressive and borderline personality disorder patients." International Journal of Research in Pharmaceutical Sciences 11, no. 1 (February 4, 2020): 1025–30. http://dx.doi.org/10.26452/ijrps.v11i1.1931.

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Impulsivity is the propensity to follow up on an idiosyncrasy by showing conduct described by almost no thinking ahead, reflection or thought of the outcomes. In psychology, impulsivity (or impulsiveness) is a tendency to act on a whim, displaying behavior characterized by little or no forethought, reflection, or consideration of the consequences. The present study seeks to explore the nature, intensity and extensity patterns of impulsivity in individuals diagnosed as major depression (N: 254) and borderline personality (N: 69). The selected participants were administered Barratt Impulsiveness Scale and Scale Suicide Ideation. Results show significantly high scores on certain domains of impulsivity related to non-acceptance, goals, impulsive difficulty, strategies, and clarity in patients having borderline personality problems (p: <0.001) as compared to no difference at all for awareness in both the groups. This paper brings together eminent scholars and rising researchers from various fields (developmental psychology, neuroscience, animal cognition, anthropology, addiction science) who use various techniques (behavioral assays, imaging, endocrinology, genetics) to provide a comprehensive and cohesive understanding of impulsiveness. A domain and item-wise analysis of the similarities and differences are presented between the two clinical conditions in the light of their suicidal ideation based on associated variables like gender and marital status before discussing their implications for therapy in the context of cultural factors unique to Indian settings.

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Husain, N., K. Lovell, F. lunat, N. Atif, A. Bhokari, I. Bhojani, B. Tomenson, W. Waheed, A. Rahman, and N. Chaudhry. "Exploratory randomized controlled trial of a group psychological intervention for postnatal depression in British mothers of South Asian origin." European Psychiatry 33, S1 (March 2016): s279. http://dx.doi.org/10.1016/j.eurpsy.2016.01.746.

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IntroductionThe rates of postnatal depression (PND) in British South Asian (BSA) women are higher than the general population. PND is known to cause disability and suffering in women and negative consequences for their infants and their family with huge costs to society. Due to linguistic and cultural barriers, BSA women do not access health care services.ObjectivesTo conduct an exploratory trial to test the feasibility and acceptability of a culturally adapted group Cognitive Behavioural Therapy (CBT) intervention (Positive Health Programme (PHP).AimWe aimed to determine if depressed BSA women receiving the PHP intervention will show significant improvements in terms of severity of depression, marital support, and social support as compared to the control group.MethodsWe used a two-arm pragmatic single-blind randomised controlled design. Women meeting the inclusion criteria were randomised either to the experimental group receiving PHP or treatment as usual (TAU) that is standard care usually provided by the GP.ResultsA total of 615 mothers were screened for participation in the trial, of these 137 were assessed further to determine eligibility. Eighty-three mothers were randomized to receive either PHP (n = 42) or treatment as usual (TAU) (n = 41). Mothers found the intervention to be acceptable and felt an overall positive change in their attitudes, behaviour and confidence level.ConclusionThe recruitment and retention figures (70%) highlight the ability of the research team to engage with the population. The findings suggest the acceptability of the culturally adapted PHP intervention for British South Asian women with postnatal depression.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Benitez-Bloch, Rosalyn, and Gottfried R. Bloch. "Cognitive-Behavioral Marital Therapy." American Journal of Psychotherapy 45, no. 3 (July 1991): 458–59. http://dx.doi.org/10.1176/appi.psychotherapy.1991.45.3.458.

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15

Evans, Anne T. "Cognitive-Behavioral Marital Therapy." Journal of Psychosocial Nursing and Mental Health Services 29, no. 3 (March 1991): 43. http://dx.doi.org/10.3928/0279-3695-19910301-18.

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Halford, W. Kim, Matthew R. Sanders, and Brett C. Behrens. "A comparison of the generalization of behavioral marital therapy and enhanced behavioral marital therapy." Journal of Consulting and Clinical Psychology 61, no. 1 (1993): 51–60. http://dx.doi.org/10.1037/0022-006x.61.1.51.

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17

Follette, William C. "Review of Cognitive-behavioral marital therapy." Psychotherapy: Theory, Research, Practice, Training 28, no. 2 (1991): 381–82. http://dx.doi.org/10.1037/h0092230.

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18

Isler, Henrietta L., Clifford A. Fairbanks, Richard M. Samuels, Leah Gold Fein, and Ervin L. Betts. "MARITAL THERAPY, A BEHAVIORAL COMMUNICATIONS APPROACH." Psychotherapy in Private Practice 5, no. 1 (March 24, 1987): 131–36. http://dx.doi.org/10.1300/j294v05n01_23.

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19

Becker, Robert E. "Marital therapy: A behavioral communications approach." Journal of Behavior Therapy and Experimental Psychiatry 17, no. 4 (December 1986): 307–8. http://dx.doi.org/10.1016/0005-7916(86)90071-6.

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Deblinger, Esther. "Marital therapy: A behavioral-communications approach." Clinical Psychology Review 7, no. 4 (January 1987): 473. http://dx.doi.org/10.1016/0272-7358(87)90028-6.

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Maisto, Stephen A., James R. McKay, and Timothy J. O'farrell. "Relapse precipitants and behavioral marital therapy." Addictive Behaviors 20, no. 3 (May 1995): 383–93. http://dx.doi.org/10.1016/0306-4603(94)00079-e.

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Denton, Wayne H., Robert N. Golden, and Stephanie R. Walsh. "Depression, marital discord, and couple therapy." Current Opinion in Psychiatry 16, no. 1 (January 2003): 29–34. http://dx.doi.org/10.1097/00001504-200301000-00007.

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23

Coyne, James C. "DEPRESSION, BIOLOGY, MARRIAGE AND MARITAL THERAPY." Journal of Marital and Family Therapy 13, no. 4 (October 1987): 393–407. http://dx.doi.org/10.1111/j.1752-0606.1987.tb00721.x.

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Mead, D. Eugene. "MARITAL DISTRESS, CO-OCCURRING DEPRESSION, AND MARITAL THERAPY: A REVIEW." Journal of Marital and Family Therapy 28, no. 3 (July 2002): 299–314. http://dx.doi.org/10.1111/j.1752-0606.2002.tb01188.x.

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Houser, Rick, Milton Seligman, Varda Konstam, and Mary Anna Ham. "A technique for enhancing behavioral marital therapy." Advances in Behaviour Research and Therapy 13, no. 4 (January 1991): 215–25. http://dx.doi.org/10.1016/0146-6402(91)90009-y.

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26

Schmaling, Karen B., and Neil S. Jacobson. "Recent developments in family behavioral marital therapy." Contemporary Family Therapy 10, no. 1 (1988): 17–29. http://dx.doi.org/10.1007/bf00922430.

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27

Jacobson, Neil S., Keith Dobson, Alan E. Fruzzetti, Karen B. Schmaling, and Sheppard Salusky. "Marital therapy as a treatment for depression." Journal of Consulting and Clinical Psychology 59, no. 4 (1991): 547–57. http://dx.doi.org/10.1037/0022-006x.59.4.547.

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Dukhovskyy, O. E. "MODERN APPROACHES TO MEDICAL AND PSYCHOLOGICAL SUPPORT OF FAMILIES WITH INFANTS WITH SEVERE CRANIOCEREBRAL TRAUMA." Inter Collegas 4, no. 3 (October 16, 2017): 142–45. http://dx.doi.org/10.35339/ic.4.3.142-145.

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О. Dukhovskyy The study involved a comprehensive survey of 137 families (mother and father) of children with severe somatic disease aimed at the development and evaluation of the system of medical and psychological support of families with a somatically challenged child. The main group comprised 97 families participating in the program of medical and psychological support, and the control group included 40 families who did not receive psychological support. According to our findings, a serious disease of the child became a psychotraumatic situation for all the parents, resulting in the development of anxiety-depressive reactions and conditions. Psychodiagnostic examination showed that the parents had mild, moderate depressive and anxious episodes on the Hamilton Rating Scale; high levels of situational and personal anxiety according to the C.D. Spielberger Inventory, a high level of neuropsychic stress on T.A. Nemchin Scale. The couples under investigation noted tensions in family relationships, family conflicts, related to the treatment of the child and escalation of pre-existing interpersonal and marital problems that led to distancing and a decrease in internal family resource. Based on these data, we have developed a system of medical and psychological support of the families with somatically challenged child, which consisted of four consecutive phases and included the use of individual cognitive-behavioral therapy (Beck AT, 2006), family therapy (Eidemiller E. G., 2003), rational therapy (classic Dubois P., 1912) and psychological educational programs. Case monitoring in the main group following the employment of the proposed system of medical and psychological support showed a stable positive pattern of psychological state with a statistically significant total reduction of anxiety-depressive states and the harmonization of the marital relationship.Key words: Medical and psychological support, anxiety, depression, family interactions, infants with severe craniocerebral trauma. СУЧАСНІ ПІДХОДИ ДО МЕДИКО-ПСИХОЛОГІЧНОГО СУПРОВОДУ СІМ’Ї ДИТИНИ ПЕРШОГО РОКУ ЖИТТЯ З ВАЖКОЮ ЧЕРЕПНО-МОЗКОВОЮ ТРАВМОЮ.Духовський О.Є.У ході роботи з метою розробки та апробації системи медико-психологічного супроводу сім’ї дитини першого року життя з важкою черепно-мозковою травмою проведено комплексне обстеження 137 родини (мати та батько) дітей першого року життя які отримали важку черепно-мозкову травму. Основну групу склали 97 родин, які прийняли участь у програмі медико-психологічного супроводу, контрольну групу 40 родин, які не отримували психологічну підтримку. Як показали результати дослідження черепно-мозкова травма дитини стала психотравмуючою ситуацією для усіх батьків, яка приводила до розвитку тривожно-депресивних реакцій та станів. За даними психодіагностичного обстеження у батьків відмічалися легкій помірний депресивний та тривожний епізоди за шкалою Гамільтона; високі рівні ситуативної й особистісної тривожності за методикою Ч.Д. Спілбергера, високій рівень виразності нервово-психічної напруги по шкалі Т.А. Немчина. Обстежені родини відзначали наявність напруженості в сімейних відносинах, сімейні конфлікти, як пов’язані з лікуванням дитини, так і ескалації існуючих раніше міжособистісних та подружніх проблем, що призводило до дистанціювання та зниження внутрішньосімейного ресурсу. Базуючись на отриманих даних нами розроблена система медико-психологічного супроводу сімʼї дитини першого року життя з важкою черепно-мозковою травмою, яка складалася із чотирьох послідовних етапів та включла використання індивідуальної когнітивно-поведінкової терапії (Бек A. T., 2006), сімейної терапії (Ейдміллер Е. Г., 2003), раціональної психотерапії (класичний варіант Дюбуа П., 1912) та псих освітніх програм. Як показали результати динамічного спостереження, на фоні застосування запропонованої системи медико-психологічного супроводу в основній групі відзначена стійка позитивна динаміка психологічного стану з повною редукцією тривожно-депресивних та гармонізацією подружніх відносин.Ключові слова: Медико-психологічний супровід, тривога, депресія, родинна взаємодія, дитина з важкою черепно-мозковою травмою. СОВРЕМЕННЫЕ ПОДХОДЫ К МЕДИКО-ПСИХОЛОГИЧЕСКОМУ СОПРОВОЖДЕНИЮ СЕМЬИ РЕБЕНКА ПЕРВОГО ГОДА ЖИЗНИ С ТЯЖЕЛОЙ ЧЕРЕПНО-МОЗГОВОЙ ТРАВМОЙ.Духовской А.Э.В ходе работы с целью разработки и апробации системы медико-психологического сопровождения семьи ребенка первого года жизни с тяжелой черепно-мозговой травмой проведено комплексное обследование 137 семей (мать и отец) детей первого года жизни получивших тяжелую черепно-мозговую травму. Основную группу составили 97 семей, принявших участие в программе медико-психологического сопровождения, контрольную группу 40 семей, не получавшие психологическую поддержку. Как показали результаты исследования, черепно-мозговая травма ребенка стала психотравмирующей ситуацией для всех родителей, которая приводила к развитию тревожно-депрессивных реакций и состояний. По данным психодиагностического обследования у родителей отмечались легкой умеренный депрессивный и тревожный эпизоды по шкале Гамильтона; высокие уровни ситуативной и личностной тревожности по методике Ч.Д. Спилбергера, высокий уровень выраженности нервно-психического напряжения по шкале Т.А. Немчина. Обследованные супруги отмечали наличие напряженности в семейных отношениях, семейные конфликты, как связанные с лечением ребенка, так и эскалацией существующих ранее межличностных и супружеских проблем, чт приводило к дистанцированию и снижению внутрисемейного ресурса. Основываясь на полученных данных нами разработана система медико-психологического сопровождения семьи ребенка первого года жизни с тяжелой черепно-мозговой травмой, которая состояла из четырех последовательных этапов и включала использование индивидуальной когнитивно-поведенческой терапии (Бек AT, 2006), семейной терапии (Ейдмиллер Е. Г., 2003), рациональной психотерапии (классический вариант Дюбуа П., 1912) и психобразовательных программ. Как показали результаты динамического наблюдения, на фоне применения предложенной системы медико-психологического сопровождения в основной группе отмечена устойчивая положительная динамика психологического состояния с полной редукцией тревожно-депрессивных состояний и гармонизацией супружеских отношений.Ключевые слова: Медико-психологическое сопровождение, тревога, депрессия, семейное взаимодействие, ребенок с тяжелой черепно-мозговой травмой.

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Hahlweg, Kurt, and Howard J. Markman. "Effectiveness of behavioral marital therapy: Empirical status of behavioral techniques in preventing and alleviating marital distress." Journal of Consulting and Clinical Psychology 56, no. 3 (1988): 440–47. http://dx.doi.org/10.1037/0022-006x.56.3.440.

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Jacobson, Neil S., William C. Follette, and Mark Pagel. "Predicting who will benefit from behavioral marital therapy." Journal of Consulting and Clinical Psychology 54, no. 4 (1986): 518–22. http://dx.doi.org/10.1037/0022-006x.54.4.518.

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Gautam, Manaswi, Adarsh Tripathi, Deepanjali Deshmukh, and Manisha Gaur. "Cognitive Behavioral Therapy for Depression." Indian Journal of Psychiatry 62, no. 8 (2020): 223. http://dx.doi.org/10.4103/psychiatry.indianjpsychiatry_772_19.

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Sudak, Donna M. "Cognitive Behavioral Therapy for Depression." Psychiatric Clinics of North America 35, no. 1 (March 2012): 99–110. http://dx.doi.org/10.1016/j.psc.2011.10.001.

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Deckersbach, Thilo, Beth S. Gershuny, and Michael W. Otto. "COGNITIVE-BEHAVIORAL THERAPY FOR DEPRESSION." Psychiatric Clinics of North America 23, no. 4 (December 2000): 795–809. http://dx.doi.org/10.1016/s0193-953x(05)70198-2.

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Neo, Li Fang. "Depression and cognitive behavioral therapy." Asia-Pacific Psychiatry 1, no. 3 (December 2009): 161–65. http://dx.doi.org/10.1111/j.1758-5872.2009.00042.x.

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McGinn, Lata K. "Cognitive Behavioral Therapy of Depression." American Journal of Psychotherapy 54, no. 2 (April 2000): 257–62. http://dx.doi.org/10.1176/appi.psychotherapy.2000.54.2.257.

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Aradi, Nicholas S. "The Application of Computer Technology to Behavioral Marital Therapy." Journal of Psychotherapy & The Family 1, no. 1-2 (June 14, 1985): 167–77. http://dx.doi.org/10.1300/j287v01n01_11.

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Holtzworth-Munroe, Amy, Neil S. Jacobson, Michelle DeKlyen, and Mark A. Whisman. "Relationship between behavioral marital therapy outcome and process variables." Journal of Consulting and Clinical Psychology 57, no. 5 (1989): 658–62. http://dx.doi.org/10.1037/0022-006x.57.5.658.

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Wilson, Gregory L., and Marian R. Flammang. "Treatment Acceptability of Alternative Formats of Behavioral Marital Therapy." Scandinavian Journal of Behaviour Therapy 19, no. 2 (January 1990): 87–99. http://dx.doi.org/10.1080/16506079009455868.

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Babcock, Julia C., and Neil S. Jacobson. "A Program of Research on Behavioral Marital Therapy: Hot Spots and Smoldering Embers in Marital Therapy Research." Journal of Social and Personal Relationships 10, no. 1 (February 1993): 119–35. http://dx.doi.org/10.1177/0265407593101008.

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Kanas, Nick. "Cognitive-Behavioral Group Therapy for Depression." International Journal of Group Psychotherapy 50, no. 3 (July 2000): 413–16. http://dx.doi.org/10.1080/00207284.2000.11491020.

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Hautzinger, M. "Cognitive behavioral therapy of chronic depression." European Psychiatry 23 (April 2008): S59. http://dx.doi.org/10.1016/j.eurpsy.2008.01.215.

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Waring, E. M. "The Role of Marital Therapy in the Treatment of Depressed Married Women." Canadian Journal of Psychiatry 39, no. 9 (November 1994): 568–71. http://dx.doi.org/10.1177/070674379403900910.

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Abstract:

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.

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Rady, Ahmed, Tarek Molokhia, Nehal Elkholy, and Ahmed Abdelkarim. "The Effect of Dialectical Behavioral Therapy on Emotion Dysregulation in Couples." Clinical Practice & Epidemiology in Mental Health 17, no. 1 (September 16, 2021): 121–27. http://dx.doi.org/10.2174/1745017902117010121.

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Abstract:

Background: Divorce rates have increased during the last decade, leading to a greater focus of marital scholars on the importance of understanding couple-maintaining strategies within marital life. Distresses in couples are attributable to difficulties controlling felt, experienced, and expressed emotions; thus, emotion dysregulation is a core stressor in couples with maladaptive responses. Objective: The aim of the study was to evaluate the effect of Dialectical Behaviour Therapy (DBT) on outpatient couples to treat emotion dysregulation. Methods: We recruited 20 couples with marital distress in which partners presented emotion dysregulation. We offered the couples the opportunity to join a couple DBT group at their convenience and based on the immediate availability of treatment slots. We measured the treatment efficacy using psychometric tools (the Difficulties in Emotion Regulation Scale (DERS) and the Dyadic Adjustment Ccale (DAS) at baseline and after DBT therapy. Results: Both male and female partners presented significant improvements in marital adjustment DAS and emotion regulation scores. Female partners showed significantly greater amplitude changes in both scales. Female partners showed significant improvement in most DERS subscales (except the GOALS subscale); on the other hand, male partners showed significant improvements in impulse, awareness, strategies, and clarity subscales. We found significant improvements in most DAS subscales in both sexes; only affectional expression remained unchanged before and after therapy. Conclusion: DBT for couples is an effective approach to treat emotion dysregulation.

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Bornstein, Philip H., David Stube, Gregory L. Wilson, Ann M. Horstman, DeeAnn R. Sheets, Jonette R. Zulauf, Karin L. Brier, and Kenneth A. Cogswell. "Egalitarian versus traditional behavioral marital therapy: A test of preference." Behavior Therapy 18, no. 3 (1987): 279–82. http://dx.doi.org/10.1016/s0005-7894(87)80022-9.

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Baucom, Donald H., and Norman Epstein. "Will the real cognitive behavioral marital therapy please stand up?" Journal of Family Psychology 4, no. 4 (June 1991): 394–401. http://dx.doi.org/10.1037/0893-3200.4.4.394.

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Jacobson, Neil S. "Behavioral versus insight-oriented marital therapy: Labels can be misleading." Journal of Consulting and Clinical Psychology 59, no. 1 (1991): 142–45. http://dx.doi.org/10.1037/0022-006x.59.1.142.

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O'Leary, K. Daniel, Lawrence P. Riso, and Steven R. H. Beach. "Attributions about the marital discord/depression link and therapy outcome." Behavior Therapy 21, no. 4 (1990): 413–22. http://dx.doi.org/10.1016/s0005-7894(05)80355-7.

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Sandberg, Jonathan G., and James M. Harper. "DEPRESSION IN MATURE MARRIAGES: IMPACT AND IMPLICATIONS FOR MARITAL THERAPY." Journal of Marital and Family Therapy 25, no. 3 (July 1999): 393–406. http://dx.doi.org/10.1111/j.1752-0606.1999.tb00256.x.

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Asarnow, Lauren D., and Rachel Manber. "Cognitive Behavioral Therapy for Insomnia in Depression." Sleep Medicine Clinics 14, no. 2 (June 2019): 177–84. http://dx.doi.org/10.1016/j.jsmc.2019.01.009.

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SULLIVAN, MICHELE G. "Behavioral Therapy May Prevent Sight-Related Depression." Clinical Psychiatry News 35, no. 12 (December 2007): 26. http://dx.doi.org/10.1016/s0270-6644(07)70765-8.

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