Systemic Couple Therapy for Marital Dynamics and Mental Health
2026年7月25日 更新者：Tamkeen Saleem、Shifa Tameer-e-Millat University
Systemic Couple Therapy for Enhancement of Marital Dynamics and Mental Health Among Individuals With Depression: A Mixed Method Approach
The goal of this clinical trial (randomized controlled trial within a mixed-method study) is to learn whether Systemic Couple Therapy (SCT) can treat depression and improve relational functioning in married couples where at least one partner is experiencing mild to moderate depression and relational distress.
The main questions it aims to answer are:
- Does Systemic Couple Therapy improve relationship quality, marital communication, dyadic coping, interpersonal functioning, and overall mental health?
- Does Systemic Couple Therapy reduce depressive symptoms compared to Treatment-as-Usual (TAU)? Researchers will compare Systemic Couple Therapy (intervention group) with Treatment-as-Usual (control group) to see if SCT leads to greater improvements in mental health and relational outcomes and greater reduction in depression.
Participants will:
- Complete standardized psychological assessments at baseline, post-treatment (8 weeks), and 3-month follow-up
- Participate in 8 weekly Systemic Couple Therapy sessions (intervention group)
- Receive Treatment-as-Usual such as routine couple therapy services or medication (control group)
調査の概要
研究の種類
介入
入学 (推定)
48
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Tamkeen Saleem, Phd
- 電話番号：923325412281
- メール：tamkeen.dcp@stmu.edu.pk
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
健康ボランティアの受け入れ
いいえ
説明
Inclusion Criteria:
Inclusion criteria
- Participant must be 18 years or older to participate in the study.
- At least one partner must meet the diagnostic criteria for depression (mild to moderate) as defined by the DSM-5 TR.
- Participants must be married for at least a year to ensure adequate context for systemic couple therapy.
- Both partners must agree to participate in the study, showing their willingness to engage in the intervention and complete all required assessments.
Exclusion Criteria:
• Participants with severe depression, psychosis, bipolar disorder, or active substance use disorder will be excluded from the study due to potential interference with therapy.
- Participants currently engaged in ongoing individual psychotherapy during the study period will be excluded to avoid confounding treatment effects.
- Additionally, couples will be excluded if there is presence of domestic violence or abuse, as identified during the initial screening or clinical interview, to ensure participant safety.
- Couple who will be undergoing legal separation or divorce proceedings will not be eligible to participate, as the focus of the systemic couple therapy is relational commitment and stability.
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：トリプル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：Systemic Couple Therapy
|
Systemic Couple Therapy for Depressive Sample
|
|
介入なし：TAU
Treatment As Usual
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Relationship Quality
時間枠：Assessed at baseline (after enrollment and prior to intervention), immediately after completion of the 8-week intervention, and 3 months after completion of the intervention.
|
Relationship quality will be measured using the Relationship Quality Scale, a 9-item self-report questionnaire assessing participants' perceptions of the quality of their current relationship.
Each item is rated on a 5-point Likert scale from 1 (strongly disagree) to 5 (strongly agree).
Total scores range from 9 to 45, with higher scores indicating better relationship quality.
Assessments will be conducted at baseline (August) after enrollment, post-intervention (8-weeks )(September), and the 3-month follow-up (December).
|
Assessed at baseline (after enrollment and prior to intervention), immediately after completion of the 8-week intervention, and 3 months after completion of the intervention.
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Depression
時間枠：Assessed at baseline (after enrollment and prior to intervention), immediately after completion of the 8-week intervention, and 3 months after completion of the intervention.
|
Depression severity will be measured using the Patient Health Questionnaire-9, a 9-item self-report questionnaire assessing the frequency of depressive symptoms experienced during the previous two weeks.
Each item is scored from 0 (not at all) to 3 (nearly every day).
Total scores range from 0 to 27, with higher scores indicating more severe depressive symptoms.
Assessments will be conducted at baseline (August) after enrollment, post-intervention (8-weeks )(September), and the 3-month follow-up (December).
|
Assessed at baseline (after enrollment and prior to intervention), immediately after completion of the 8-week intervention, and 3 months after completion of the intervention.
|
|
Marital Communication
時間枠：Assessed at baseline (after enrollment and prior to intervention), immediately after completion of the 8-week intervention, and 3 months after completion of the intervention.
|
Marital communication is defined as the verbal and nonverbal sharing of information among spouses.
Marital communication will be assessed using the Dyadic Communication Assessment Scale.
The scale consists of 16 items, each rated on a 5-point Likert scale ranging from 1 (Rarely) to 5 (Always).
Total scores range from 16 to 80, with higher scores indicating better and more effective marital communication.
Assessments will be conducted at baseline (August) after enrollment, post-intervention (8-weeks )(September), and the 3-month follow-up (December).
|
Assessed at baseline (after enrollment and prior to intervention), immediately after completion of the 8-week intervention, and 3 months after completion of the intervention.
|
|
Dyadic coping
時間枠：Assessed at baseline (after enrollment and prior to intervention), immediately after completion of the 8-week intervention, and 3 months after completion of the intervention.
|
Dyadic coping is the process by which couple assist each other when one or both are under stress.
Dyadic coping will be assessed using the Dyadic Coping Inventory.
The inventory consists of 37 items rated on a 5-point Likert scale ranging from 1 (very rarely) to 5 (very often).
Total scores range from 37 to 185, with higher scores indicating more effective dyadic coping between partners.
Assessments will be conducted at baseline (August) after enrollment, post-intervention (8-weeks )(September), and the 3-month follow-up (December).
|
Assessed at baseline (after enrollment and prior to intervention), immediately after completion of the 8-week intervention, and 3 months after completion of the intervention.
|
|
Interpersonal relationships
時間枠：Assessed at baseline (after enrollment and prior to intervention), immediately after completion of the 8-week intervention, and 3 months after completion of the intervention.
|
Interpersonal relationships will be assessed using the Interpersonal Relationships Rating Scale.
The scale consists of 18 items rated on a 5-point Likert scale ranging from 1 (completely inconsistent) to 5 (completely consistent).
Total scores range from 18 to 90, with higher scores indicating better interpersonal relationships and interpersonal functioning.
Assessments will be conducted at baseline (August) after enrollment, post-intervention (8-weeks )(September), and the 3-month follow-up (December).
|
Assessed at baseline (after enrollment and prior to intervention), immediately after completion of the 8-week intervention, and 3 months after completion of the intervention.
|
|
Mental Health
時間枠：Assessed at baseline (after enrollment and prior to intervention), immediately after completion of the 8-week intervention, and 3 months after completion of the intervention.
|
Mental health will be measured using the Mental Health Inventory-38, a 38-item self-report questionnaire that assesses overall psychological well-being and psychological distress experienced during the previous month.
Responses are recorded using 5-point or 6-point response options depending on the item, and scores are summed to produce a Mental Health Index ranging from 38 to 226.
Higher scores indicate better overall mental health, reflecting greater psychological well-being and lower psychological distress.
Assessments will be conducted at baseline (August) after enrollment, post-intervention (8-weeks )(September), and the 3-month follow-up (December).
|
Assessed at baseline (after enrollment and prior to intervention), immediately after completion of the 8-week intervention, and 3 months after completion of the intervention.
|
協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (推定)
2026年8月1日
一次修了 (推定)
2026年10月1日
研究の完了 (推定)
2026年12月31日
試験登録日
最初に提出
2026年7月19日
QC基準を満たした最初の提出物
2026年7月25日
最初の投稿 (実際)
2026年7月30日
学習記録の更新
投稿された最後の更新 (実際)
2026年7月30日
QC基準を満たした最後の更新が送信されました
2026年7月25日
最終確認日
2026年7月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。