Effects of family cognitive therapy on aggressive behavior, family functioning, and marital quality in patients with major depression.

IF 3.4 4区 医学 Q1 PSYCHIATRY World Journal of Psychiatry Pub Date : 2025-03-19 DOI:10.5498/wjp.v15.i3.101190
Yi-Bing Wang, Xin-Xia Chen, Song-Tao Li, Hong-Ping Yan
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Abstract

Background: Depression is a prevalent mental health disorder with significant impacts on individuals and families. We hypothesize that combining family cognitive therapy (FCT) with pharmacotherapy will be more effective in managing depression and improving family dynamics than pharmacotherapy alone.

Aim: To investigate the effects of FCT combined with sertraline on depression, aggressive behavior, and family functioning in patients with major depressive disorder (MDD).

Methods: This study involved 178 patients diagnosed with MDD at the Shaoxing 7th People's Hospital from January 2022 to April 2024. Patients were divided into two groups according to whether they received FCT. FCT included both patient-focused cognitive therapy and family-focused psychological guidance over a 12-week period.

Results: The observation group receiving combined treatment showed significantly greater reductions in depressive symptoms (Beck Depression Inventory scores: 27.4 ± 4.7 to 18.6 ± 5.2) compared to the control group (28.1 ± 5.5 to 20.9 ± 4.9), with P = 0.031 for the difference between groups. Improvements in family functioning and marital quality were also observed, with P < 0.001 for key dimensions on the Family Assessment Device and Enrich Marital Scale.

Conclusion: The combination of FCT with sertraline effectively reduces depressive symptoms and improves family dynamics in patients with MDD.

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家庭认知治疗对重度抑郁症患者攻击行为、家庭功能和婚姻质量的影响。
背景:抑郁症是一种普遍存在的心理健康障碍,对个人和家庭都有重大影响。我们假设将家庭认知疗法(FCT)与药物治疗相结合将比单独药物治疗更有效地管理抑郁症和改善家庭动态。目的:探讨FCT联合舍曲林对重度抑郁障碍(MDD)患者抑郁、攻击行为和家庭功能的影响。方法:本研究纳入2022年1月至2024年4月在绍兴市第七人民医院诊断为重度抑郁症的178例患者。根据是否接受FCT治疗将患者分为两组。在12周的时间里,FCT包括以患者为中心的认知治疗和以家庭为中心的心理指导。结果:观察组患者抑郁症状(贝克抑郁量表评分:27.4±4.7 ~ 18.6±5.2)明显优于对照组(28.1±5.5 ~ 20.9±4.9),组间差异P = 0.031。家庭功能和婚姻质量的改善也被观察到,在家庭评估装置和丰富婚姻量表的关键维度上P < 0.001。结论:FCT联合舍曲林可有效减轻重度抑郁症患者的抑郁症状,改善家庭动态。
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来源期刊
自引率
6.50%
发文量
110
期刊介绍: The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.
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