針對成人問題的伴侶治療和系統干預：循證基礎

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

——《家庭治療雜誌》2025年第47卷第1期 ——

Volume 37, Issue 1, 2025

【摘要】這篇對二十五周年進行的回顧更新了2000年、2009年、2014年和2019年發表在《心理治療雜誌》（JFT）上的類似論文。它提供了來自薈萃分析、系統綜述和對照試驗的證據，以證明伴侶治療和系統干預對存在一系列關係和心身健康問題的成年人的有效性。證據支持系統干預措施（無論是單獨使用還是作為多模式方案的一部分）對關係困擾、性心理問題、親密伴侶暴力、焦慮和心境障礙、酒精問題、精神分裂症以及對慢性軀體疾病的適應都有效。對於所有這些問題，系統干預措施與循證個體心理治療干預措施同樣有效，並且在某些方面比個體治療更有效，包括對關係困擾、情境性親密伴侶暴力和延緩精神分裂症復發。

【關鍵詞】伴侶治療研究，伴侶治療的有效性，伴侶治療的療效，針對成人問題的系統治療

[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

論文原文：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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