Comparing Emotion-Focused and Behavioral Couples Therapy to Reduce Depression and Anxiety in Married Couples Aged 18 to 65

What this Trial Is About

Researchers are evaluating the effectiveness of Emotion-Focused Couples Therapy EFCT and Behavioral Couples Therapy BCT in reducing symptoms of depression and anxiety among married couples. This randomized controlled trial will involve 150 married couples aged 18 to 65, who have no current psychiatric diagnosis and are not receiving psychological therapy at recruitment. The goal is to compare these two therapy approaches and a control group to understand which best improves mental health in couples. Participants will be randomly assigned to one of three groups EFCT, BCT, or a control group with no therapy during the study. Both EFCT and BCT groups will receive 12 weekly therapy sessions lasting 50 minutes each. EFCT focuses on emotional expression, attachment needs, and emotional bonding, while BCT targets behavior change, communication, and problem-solving skills. The control group will be offered therapy after the study ends. Couples will complete assessments of depression and anxiety using the Beck Depression Inventory-II BDI-II and Beck Anxiety Inventory BAI at four times before therapy, after the 6th and 12th sessions, and at a 3-month follow-up. Data will be securely collected and analyzed to compare changes in symptoms over time. Participants will be monitored throughout, and confidentiality and ethical standards will be maintained. The total participation includes therapy sessions and follow-up assessments over approximately six months.

EFCT vs. BCT for Depression and Anxiety in Married Couples