Systemic Couple Therapy for Marital Dynamics and Mental Health
2026년 7월 25일 업데이트: 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)
연구 개요
연구 유형
중재적
등록 (추정된)
48
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 연락처
- 이름: Tamkeen Saleem, Phd
- 전화번호: 923325412281
- 이메일: tamkeen.dcp@stmu.edu.pk
참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
아니
설명
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.
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 삼루타
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: Systemic Couple Therapy
|
Systemic Couple Therapy for Depressive Sample
|
|
간섭 없음: TAU
Treatment As Usual
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Relationship Quality
기간: 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.
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Depression
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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.
|
공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (추정된)
2026년 8월 1일
기본 완료 (추정된)
2026년 10월 1일
연구 완료 (추정된)
2026년 12월 31일
연구 등록 날짜
최초 제출
2026년 7월 19일
QC 기준을 충족하는 최초 제출
2026년 7월 25일
처음 게시됨 (실제)
2026년 7월 30일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2026년 7월 30일
QC 기준을 충족하는 마지막 업데이트 제출
2026년 7월 25일
마지막으로 확인됨
2026년 7월 1일
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .