以解决为中心的简短治疗与以同情为中心的治疗对抑郁症夫妻人际关系的效果比较

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引用次数: 0

摘要

背景与目的:抑郁症是由人格、认知、人际关系等多种因素引起的多因素心理障碍。抑郁症患者的人际沟通水平非常低。因此,本研究旨在比较以解决为中心的简短治疗和以同情为中心的治疗对抑郁症夫妻人际沟通的效果。材料与方法:这是基于pretest-posttest进行的准实验研究设计与对照组和随访。本研究的统计人群为伊朗马什哈德1区就诊的抑郁症夫妇,采用纳入标准和有目的随机抽样的方法纳入45例样本。随后,他们被随机分配到以解决问题为中心的简短治疗组、以同情为中心的治疗组和对照组(每组15对)。第一个干预组每周参加6次90-120分钟的以解决为中心的简短治疗培训项目,第二个干预组每周参加8 -120分钟的以同情为中心的治疗培训项目。对照组不进行干预。收集所需数据的工具是Matson的青少年社交技能评估。采用SPSS软件(version 24)对研究数据进行协方差分析、Lamtrix事后检验、Scheffe事后检验和方差分析。显著性水平采用α = 0.05进行分析。结果:描述性结果显示,对照组在测试前、测试后和随访阶段的可变人际关系平均得分分别为44.32±4.68、45.51±4.50和42.32±4.12;以解决为中心的简短治疗组为45.53±4.77、59.32±5.93、67.18±6.75;同情治疗组为43.19±4.62、63.74±6.04、73.22±7.39。两组比较结果显示,以解决为中心的简短治疗和以同情为中心的治疗对抑郁症夫妻的人际关系有显著影响(P<0.05)。此外,以解决为中心的简短治疗与以同情为中心的治疗对抑郁症夫妻之间的人际交往效果有显著差异(P<0.05)。结论:以短期解决为中心的简短治疗和以同情为中心的治疗对抑郁症夫妻的人际关系有较好的效果。因此,基于本研究的结果,建议家庭咨询师和夫妻治疗师采用以解决为中心的简短治疗和以同情为中心的治疗的方法和实践来改善抑郁夫妻之间的人际关系水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of the Effectiveness of Solution-Focused Brief Therapy and Compassion-Focused Therapy on Interpersonal Relationships between Couples with Depression
Background and Objective: Depression is a multifactorial psychological disorder that is caused by various factors, such as personality, cognition, or interpersonal relationships. In people with depression, the level of interpersonal communication is highly low. Therefore, this study aimed to compare the effectiveness of Solution-Focused Brief Therapy and Compassion-Focused Therapy on interpersonal communication between couples with depression. Materials and Methods: This quasi-experimental study was conducted based on a pretest-posttest design with a control group and follow-up. The statistical population of the study consisted of couples with depression referring to clinics in District 1 of Mashhad, Iran, among whom, 45 samples were included in the study using inclusion criteria and a purposive random sampling method. Subsequently, they were randomly assigned to the groups of Solution-Focused Brief Therapy, Compassion-Focused Therapy, and the control group (n=15 pairs each). The first intervention group participated in six 90-120-minute sessions per week for the Solution-Focused Brief Therapy training program and the second intervention group took part in eight -120-minute sessions weekly for the Compassion-Focused Therapy training program. No intervention was performed for the control group. The tool employed to collect the required data was Matson's Evaluation of Social Skills with Youngsters. The research data were analyzed in SPSS software (version 24) using analysis of covariance, Lamtrix post hoc test, Scheffe post hoc test, and analysis of variance. The significance level was analyzed as α = 0.05. Results: Descriptive findings showed that the mean scores of the variable interpersonal relationships in the pre-test, post-test, and follow-up stages were obtained respectively at 44.32±4.68, 45.51±4.50, and 42.32±4.12 for the control group; 45.53±4.77, 59.32±5.93, and 67.18±6.75 for the Solution-Focused Brief Therapy group; and 43.19±4.62, 63.74±6.04, and 73.22±7.39 for the Compassion-Focused Therapy group. The results of comparing the groups showed that Solution-Focused Brief Therapy and Compassion-Focused Therapy had significant effects on the interpersonal relationships between couples with depression (P<0.05). Moreover, there was a significant difference between the effectiveness of Solution-Focused Brief Therapy and Compassion-Focused Therapy on the interpersonal communications between couples with depression (P<0.05). Conclusion: The results showed that short-term Solution-Focused Brief Therapy and Compassion-Focused Therapy were effective on the interpersonal relationships of couples with depression. Therefore, based on the results of the present study, it is suggested that family counselors and couple therapists use the methods and practices of Solution-Focused Brief Therapy and Compassion-Focused Therapy to improve the level of interpersonal relationships between depressed couples.
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