- 期刊
憂鬱症的婚姻與家庭治療
Marital and Family Therapy in the Treatment of Depression
摘要
目的：探討婚姻與家庭治療在治療憂鬱症的臨床工作準則及療效，並提出本土婚姻與家庭治療模式的建立。方法：以憂鬱症夫妻及青少年憂鬱症為例，回顧整理婚姻與家庭治療文獻與研究。結果：婚姻治療能減緩配偶的憂鬱症狀，改善夫妻負向互動模式，增進溝通及婚姻品質，治療時需保持性別敏感及注意夫妻權力議題。家庭因素與青少年憂鬱症發病及病程有關，家庭治療亦能有效改善青少年憂鬱症狀，臨床彈性搭配家庭治療與個人認知行為治療，能改善家庭衝突與親子關係外，亦矯正個人的認知扭曲。結論：婚姻與家庭治療被證實能減緩憂鬱症狀，改善重要人際關係，避免憂鬱症復發。最後討論發展符合本土家庭脈絡及問題需求的婚姻與家庭治療模式的重要性。
並列摘要
The purpose of this article is to review marital and family therapy empirical literature and research findings that are related with depression. This review suggests using a bio-psycho-social model to understand the process of depression affecting the individual and interpersonal relationship. In the meanwhile the multi-factors model (bio-psycho-social model) could describe depression very clearly and comprehensively for mental health practitioners. This article also explores the relationship between family function and depression. Family function is a strong predictor in depression relapse. Marital therapy is effective in treating depressed couple by this review. There are many marital therapy models to treat depressed couple including emotionally focused therapy, behavior marital therapy, strategic marital therapy, cognitive marital therapy, interpersonal therapy, the marital discord model, etc. This review suggests the therapists have to aware the gender and power issues involved in depressed marital therapy. In Taiwan, there has been increasing interest in adolescent depression. This article indicates depression in adolescents is influence by intrapersonal factors and interpersonal factors. In interpersonal factors, family relationship plays a very important role to understand adolescent depression. Compared with family therapy and individual psychotherapy, there are evidences that family therapy is more effective in reducing family conflict and improving parent-child relationship problems than individual psychotherapy. In the end of this article, there are some discussion and suggestions about marital and family therapy in Taiwan.