Poor dyadic adjustment in marital or similar relationships is common among patients seeking individual cognitive therapy (CT) for major depressive disorder (MDD). Here we examined the psychometric properties of the marital adjustment subscale (MAS) of the Social Adjustment Scale-Self-report (SAS-SR; Weissman & Bothwell, 1976). Among married or cohabiting patients receiving individual CT for recurrent MDD (N = 306) in the context of two randomized controlled trials, the MAS demonstrated moderate internal consistency and test-retest reliability, strong convergence with the Dyadic Adjustment Scale (Spanier, 1976), and moderate relations with interpersonal problems and depressive symptoms. Controlling baseline depressive symptom severity, greater pre-CT relationship discord on the MAS predicted less reduction in depressive symptom severity and lower odds of depression remission during CT. These results support the reliability, validity, and potential utility of the MAS. Using the MAS may help investigators "mine" existing data sets including the SAS-SR to further understanding of dyadic functioning and its potential impact on depression treatment and other health outcomes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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抑郁症认知治疗期间婚姻调整量表的心理测量特性：新的研究机会。

在寻求个体认知治疗 (CT) 治疗重度抑郁症 (MDD) 的患者中，婚姻或类似关系的二元调整不佳很常见。在这里，我们检查了社会调整量表 - 自我报告（SAS-SR；Weissman & Bothwell，1976）的婚姻调整子量表 (MAS) 的心理测量特性。在两项随机对照试验的背景下，在接受单独 CT 治疗复发性 MDD（N = 306）的已婚或同居患者中，MAS 表现出中等的内部一致性和重测信度，与二元调整量表（Spanier，1976）有很强的收敛性，与人际关系问题和抑郁症状的温和关系。控制基线抑郁症状的严重程度，MAS 上更大的 CT 前关系不一致预示着 CT 期间抑郁症状严重程度的降低较少和抑郁缓解的几率较低。这些结果支持 MAS 的可靠性、有效性和潜在效用。使用 MAS 可以帮助研究人员“挖掘”包括 SAS-SR 在内的现有数据集，以进一步了解二元功能及其对抑郁症治疗和其他健康结果的潜在影响。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。