针对成人问题的伴侣治疗和系统干预：循证基础

Couple therapy and systemic interventions for adult-focused problems: The evidence base

——《家庭治疗杂志》2025年第47卷第1期 ——

<Journal of Family Therapy> Volume 37, Issue 1, 2025

【摘要】这篇对二十五周年进行的回顾更新了2000年、2009年、2014年和2019年发表在《心理治疗杂志》（JFT）上的类似论文。它提供了来自荟萃分析、系统综述和对照试验的证据，以证明伴侣治疗和系统干预对存在一系列关系和心身健康问题的成年人的有效性。证据支持系统干预措施（无论是单独使用还是作为多模式方案的一部分）对关系困扰、性心理问题、亲密伴侣暴力、焦虑和心境障碍、酒精问题、精神分裂症以及对慢性躯体疾病的适应都有效。对于所有这些问题，系统干预措施与循证个体心理治疗干预措施同样有效，并且在某些方面比个体治疗更有效，包括对关系困扰、情境性亲密伴侣暴力和延缓精神分裂症复发。

【关键词】伴侣治疗研究，伴侣治疗的有效性，伴侣治疗的疗效，针对成人问题的系统治疗

[Abstract] This twenty-fifth anniversary review updates previous similar papers published in JFT in 2000, 2009, 2014 and 2019. It presents evidence from meta-analyses, systematic reviews and controlled trials for the effectiveness of couple therapy and systemic interventions for adults with a range or relationship and mental physical health problems. The evidence supports the effectiveness of systemic interventions, either alone or as part of multimodal programmes, for relationship distress, psychosexual problems, intimate partner violence, anxiety and mood disorders, alcohol problems, schizophrenia and adjustment to chronic physical illness. Systemic interventions are as effective as evidenced-based individual psychotherapeutic interventions for all of these problems, and more effective than individual therapy for some, including for relationship distress, situational intimate partner violence and delaying relapse in schizophrenia.

[Key words] Couple therapy research, Effectiveness of couple therapy, Efficacy of couple therapy, Systemic therapy for adult-focused problems

论文原文：Alan Carr (2025). Couple therapy and systemic interventions for adult-focused problems: The evidence base. Journal of Family Therapy, Volume 47, Issue 1, February 2025.

https://doi.org/10.1111/1467-6427.12481 

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