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

Table 1 Beck Depression Inventory scores of patients before and after 12 weeks of treatment

Group	Cases, n	BDI score		BDI distribution among cases, n
		Before treatment	After treatment	Before treatment			After treatment
				Mild depression	Moderate depression	Severe depression	Mild depression	Moderate depression	Severe depression
Observation	90	27.4 ± 4.7	18.6 ± 5.2a	0	0	90	27	44	19
Control	88	28.1 ± 5.5	20.9 ± 4.9a	0	0	88	16	53	19
χ2/t		0.670	2.188	-	-	-	-	3.810	-
P value		0.505	0.031	-	-	-	-	0.149	-

^aP < 0.05, vs before treatment.

Data are mean ± SD. BDI: Beck Depression Inventory.

Table 2 Psychological status assessment

Group	Cases, n	SAS		SDS
		Before treatment	After treatment	Before treatment	After treatment
Observation	90	72.3 ± 5.4	45.8 ± 3.1	75.9 ± 3.1	50.5 ± 4.2
Control	88	72.2 ± 5.4	51.9 ± 3.0	75.8 ± 3.1	57.3 ± 4.2
χ2/t		0.073	8.570	0.071	7.179
P value		0.942	< 0.001	0.943	< 0.001

Data are mean ± SD. SAS: Self-Rating Anxiety Scale; SDS: Self-Rating Depression Scale.

Table 3 Comparison of the State-Trait Anger Expression Inventory-2 scores between the two groups before and after treatment

Item	Observation group, n = 90		Control group, n = 88		Before treatment		After treatment
	Before treatment	After treatment	Before treatment	After treatment	t	P value	t	P value
State anger	34.7 ± 7.6	26.5 ± 6.8a	33.8 ± 6.9	30.2 ± 4.7a	0.594	0.554	2.970	0.004
Angry feelings	14.2 ± 3.5	10.7 ± 3.4a	13.9 ± 4.1	12.1 ± 2.8a	0.385	0.701	2.137	0.035
Angry language	12.4 ± 4.7	8.8 ± 4.2a	13.2 ± 5.4	12.9 ± 4.6	0.716	0.476	4.532	< 0.001
Angry actions	8.1 ± 2.6	7.0 ± 1.9	8.8 ± 3.2	7.5 ± 1.7a	1.181	0.241	1.327	0.188
Trait anger	28.2 ± 5.9	26.6 ± 5.7	27.6 ± 6.3	27.1 ± 4.5	0.478	0.634	0.429	0.669
Aggressive behavior	11.4 ± 2.3	10.1 ± 1.8a	10.9 ± 3.1	10.5 ± 2.2	0.908	0.366	0.978	0.331
Aggressive reaction	16.8 ± 3.6	16.5 ± 4.1	16.0 ± 3.9	15.7 ± 4.6	1.037	0.303	0.896	0.373
Anger external expression	19.7 ± 5.1	18.0 ± 4.8	20.1 ± 4.9	19.3 ± 5.9	0.385	0.701	1.188	0.238
Anger internal expression	20.6 ± 3.3	19.5 ± 3.5	20.3 ± 4.6	18.2 ± 4.8	0.372	0.711	1.535	0.128
Control external expression	17.3 ± 4.2	21.7 ± 4.6a	16.3 ± 3.7	19.2 ± 3.8a	1.208	0.230	2.817	0.006
Control internal expression	16.5 ± 4.5	21.6 ± 4.8a	16.1 ± 4.2	18.9 ± 3.7a	0.441	0.660	2.980	0.004

^aP < 0.05, vs before treatment.

Data are mean ± SD.

Table 4 Comparison of Family Assessment Device scores between the two groups before and after treatment

Group	Treatment	Total score	Emotional involvement	Role	Problem solving	Behavior control	Emotional response	Communication
Observation, n = 90	Before treatment	2.3 ± 0.5	2.5 ± 0.6	1.7 ± 0.7	1.6 ± 0.5	2.7 ± 0.8	1.6 ± 0.4	2.6 ± 0.7
	After treatment	2.2 ± 0.6	2.4 ± 0.7	1.6 ± 0.9	1.4 ± 0.9	1.8 ± 0.2	0.9 ± 0.3	1.8 ± 0.3
Control, n = 88	Before treatment	2.3 ± 0.4	2.5 ± 0.5	1.7 ± 0.9	1.5 ± 0.4	2.6 ± 0.9	1.6 ± 0.4	2.7 ± 0.5
	After treatment	2.2 ± 0.7	2.4 ± 0.6	1.7 ± 0.1	1.4 ± 0.6	2.5 ± 1.1a	1.7 ± 0.3a	2.5 ± 0.6a

^aP < 0.05, vs observation group.

Data are mean ± SD.

Table 5 Comparison of Enrich scores between the two groups before and after treatment

Item	Observation group, n = 90			Control group, n = 88
	Before treatment	After treatment	P value	Before treatment	After treatment	P value
Idealization	25.4 ± 6.2	26.2 ± 6.1	0.042	25.3 ± 6.1	26.1 ± 7.0	0.003
Marital satisfaction	24.5 ± 6.2	31.4 ± 4.9a	< 0.001	24.6 ± 6.2	25.0 ± 6.9	0.046
Leisure activities	24.3 ± 8.8	25.6 ± 7.6	0.026	24.9 ± 8.1	25.1 ± 7.9	0.342
Personality compatibility	27.8 ± 6.9	28.1 ± 6.1	0.034	27.3 ± 6.9	28.1 ± 6.4	0.021
Conflict resolution	25.8 ± 7.0	26.7 ± 3.3	0.011	25.1 ± 7.2	26.0 ± 6.9	0.016
Financial arrangements	26.3 ± 8.1	27.0 ± 8.2	0.023	26.4 ± 7.9	26.9 ± 6.7	0.069
Belief consistency	28.4 ± 5.4	28.5 ± 4.9	0.263	28.4 ± 5.4	29.1 ± 3.3	0.006
Children and marriage	26.7 ± 7.5	27.1 ± 5.6	0.074	26.9 ± 7.1	28.4 ± 3.2	< 0.001
Role equality	27.3 ± 6.4	28.1 ± 6.9	0.014	27.6 ± 6.1	28.1 ± 3.6	0.103
Sex life	27.7 ± 7.6	28.0 ± 6.6	0.039	27.9 ± 7.6	28.0 ± 6.7	0.668
Relationships with family	28.2 ± 6.9	33.9 ± 6.1a	< 0.001	28.1 ± 7.0	29.0 ± 4.9	0.079
Communication between couples	28.9 ± 8.2	34.2 ± 5.9a	< 0.001	29.0 ± 8.1	28.3 ± 7.2	0.063

^aP < 0.05, vs control group.

Data are mean ± SD.