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Christian Roesler
Even though couple therapy is efficacious, there is no improvement in up to 50% of the couples. Also effect sizes found in effectiveness studies in real-world settings are considerably lower than those found in efficacy studies. There is a need to understand more about couple therapy effectiveness in practice settings and the factors responsible for different outcomes. A German nationwide study on the effectiveness of couple counseling including 554 couples applied the same methodology as two earlier studies in the same field...
March 13, 2019: Family Process
Seyed Mojtaba Ahmadi, Jamile Shahverdi, Mansour Rezaei, Mitra Bakhtiari, Kheirollah Sadeghi, Fateme Veisy, Maryam Shahverdi
Background: Infertility is a common disorder, exposing couples to complication such as the loss of mental health and the increase of marital conflicts. The aim of this study was to evaluate the effect of behavioral couple therapy on the enhancement of mental health and reduction of marital conflicts. Methods: In this clinical trial, 24 couples were selected using convenience sampling and were divided randomly into control (12 couples) and experimental (12 couples) groups...
January 2019: Journal of Reproduction & Infertility
Alexander O Crenshaw, Karena Leo, Brian R W Baucom
Accurately understanding the thoughts and feelings of romantic partners, termed empathic accuracy, is critical for optimal relationship functioning. Empathic failure is linked to common reasons couples seek therapy (Doss, Simpson, & Christensen, 2004; Jacobson & Christensen, 1996) and is either implicitly or explicitly a target of many couple therapies (e.g., Jacobson & Christensen, 1996). More specifically, couple therapies target partners' abilities to accurately understand one another preceding and during conflict, periods characterized by high levels of stress...
February 28, 2019: Journal of Family Psychology: JFP
Barbara S McCrady, J Scott Tonigan, Benjamin O Ladd, Kevin A Hallgren, Matthew R Pearson, Mandy D Owens, Elizabeth E Epstein
OBJECTIVE: Alcohol Behavioral Couple Therapy (ABCT) is an efficacious alcohol treatment. The purpose of the study was to describe patient and partner language and therapist behavior during therapy sessions and test a proposed causal model linking active ingredients of ABCT as measured by therapist behaviors, hypothesized mechanisms of behavior change as measured by in-session patient and partner language, and alcohol use outcomes. METHOD: Data came from couples in four ABCT clinical trials (N = 188; 86 males, 102 females, and their partners)...
April 2019: Journal of Substance Abuse Treatment
Liliana Coutiño-Escamilla, Maricela Piña-Pozas, Aurelio Tobías Garces, Brenda Gamboa-Loira, Lizbeth López-Carrillo
OBJECTIVE: Depressive symptoms are common comorbidities among breast cancer (BC) patients. Non-pharmacological therapies (NPTs) such as exercise and psychotherapy may reduce depressive symptoms; however, the evidence is inconclusive. The objective of this study is to evaluate if NPTs reduce depressive symptoms among BC patients. METHODS: A systematic review and meta-analysis of randomized clinical trials (RCTs) of NPTs for BC patients were performed. A literature search was conducted from eight databases in English, Portuguese and Spanish from 2006 to 2017...
January 31, 2019: Breast: Official Journal of the European Society of Mastology
Anu Tourunen, Virpi-Liisa Kykyri, Jaakko Seikkula, Jukka Kaartinen, Asko Tolvanen, Markku Penttonen
In previous research, we found that sympathetic nervous system synchrony, measured via electrodermal activity (EDA), occurs between participants at the start of couple therapy. The aim now was to test whether this synchrony changes during the therapy process, and how any changes may be related to clients' and therapists' evaluations of the working alliance, and the outcome of therapy. Twelve different couple therapy processes were analyzed (24 clients, plus 10 therapists, working in pairs; hence, 4 persons per session) using EDA concordance indices and questionnaires (Outcome Rating Scale, Session Rating Scale, and Clinical Outcomes in Routine Evaluation-Outcome Measure)...
January 21, 2019: Psychotherapy
Brian D Doss, McKenzie K Roddy, Kathryn M Nowlan, Karen Rothman, Andrew Christensen
In the United States, more than 40% of marriages end in divorce and more than one third of intact marriages are distressed. Unfortunately, only a minority of couples seek couple therapy to improve their relationships. Online interventions, with their increased reach and reduced costs, offer the potential to improve relationships nationwide. The online OurRelationship program has been shown in previous nationwide studies to improve relationship and individual functioning. The present study examined whether initial gains in the OurRelationship program were maintained in the following year and whether the extent of maintenance varied across important demographic and individual factors...
January 2019: Behavior Therapy
Samuele Collu
The notion of affect has generated much confusion in anthropology given its focus on that which seems to escape our language. The evanescent features of affects have irritated many anthropologists who consider affect theory as an empirically weak or esoteric hermeneutics. In this article, I respond to these critiques by developing an anthropology of therapy that foregrounds the role of affects. My intent is to explore the possible contribution of affect theory to medical and psychological anthropology. I draw from my ethnography on couple's therapy in Argentina to suggest that we cannot understand therapeutic efficacy if we focus only on language and discourse...
January 3, 2019: Culture, Medicine and Psychiatry
Candice C Beasley, Richard Ager
PURPOSE: A meta-analysis is the review of several qualifying studies where the findings of each study is analyzed and is then pooled as to determine if an intervention is effective or not. The aim of this meta-analysis was to evaluate if the intervention of Emotionally Focused Couples Therapy (EFCT), also referred to as Emotionally Focused Therapy (EFT), continues to be an effective intervention, since its last meta-analysis in 1999, and to determine whether the improvements noted in EFCT continue to be effective, over a period of time, following the initial intervention...
January 3, 2019: Journal of Evidence-informed Social Work
Tyrel J Starks, Brett M Millar, Kendell M Doyle, Paula Bertone, Jonathan Ohadi, Jeffrey T Parsons
Epidemiological data indicate the need to address substance use and sexual HIV transmission risk among gay and bisexual men in relationships. While brief Motivational Interviewing (MI) delivered to the individual has shown efficacy in reducing sexual HIV risk with casual partners and substance use, the application of MI with couples has received less attention. Most studies of MI with couples have conceptualized the "spouse" or partner as an adjunct participant in the treatment of an identified client...
December 2018: Psychology of Sexual Orientation and Gender Diversity
Emily J Georgia Salivar, Karen Rothman, McKenzie K Roddy, Brian D Doss
While the efficacy of couple therapy has been repeatedly demonstrated, most distressed couples do not seek treatment. To improve reach and overcome barriers to therapy, Integrative Behavioral Couple Therapy (IBCT) was translated into a web-based program, OurRelationship (OR). While both IBCT and OR have been shown to improve relationship and individual functioning, the goal of the present study was to compare the relative cost effectiveness of these two treatment modalities. In IBCT, 74% of couples experienced reliable improvement, compared to 55% of couples in OR...
December 10, 2018: Family Process
Hannah C Williamson, Benjamin R Karney, Thomas N Bradbury
Despite being at elevated risk for relationship distress and dissolution, couples living with low incomes are less likely than their middle-class counterparts to participate in couple therapy. To increase treatment use among economically disadvantaged couples, information is needed on how they perceive barriers to treatment and on factors that might facilitate their help-seeking. The first aim of the present study was to identify the prevalence of attitudinal, structural, and relational barriers to seeking therapy for the relationship among individuals who perceived a need for help with their relationship...
November 29, 2018: Journal of Family Psychology: JFP
Lin S Myers Jovanović
No abstract text is available yet for this article.
2018: Journal of Sex & Marital Therapy
Rikki Patton, Heather Katafiasz
Prior research has indicated the significant overlap between risky alcohol use and intimate partner violence (IPV) among couples. However, few studies have explicitly examined the intersection of alcohol use and IPV among distressed couples (e.g., couples seeking couples therapy). The current study aimed to (a) examine how couples presenting to couple therapy experience alcohol use, IPV, and the co-occurrence of both alcohol use and IPV and (b) the effect of the intersection of alcohol use and IPV in couples on relational functioning...
November 1, 2018: Journal of Interpersonal Violence
Jesse Owen, Galena K Rhoades, Scott M Stanley, Howard J Markman, Elizabeth S Allen
Couple therapy has been shown to be a meaningful way to improve couples' relationships. However, less information is known about couples' functioning prior to entering treatment in community settings, as well as how their relationship functioning changes from initiating therapy onward. This study examined 87 couples who began community-based couple therapy during a longitudinal study of couples in the military. The couples were assessed six times over the course of 3 years, including time points before and after starting couple therapy...
October 10, 2018: Family Process
Camilla Nystrand, Richard Ssegonja, Filipa Sampaio
AIM: The aim of this study was to assess the quality of life (QoL) and service use of parents who have preschool-aged children, and whether the mental-health problems of parents and their children predict these outcomes. METHODS: Cross-sectional data were gathered in 2015-2016 in Uppsala County in Sweden where 3164 parents of children aged three- to five-years-old were asked to self-report their own and their children's mental-health status and service use in the past 12 months...
September 26, 2018: Scandinavian Journal of Public Health
Nikki Kennedy, Susan M Johnson, Stephanie A Wiebe, John B Willett, Giorgio A Tasca
The Hold Me Tight (HMT) program is a new approach to relationship education based on Emotionally-Focused Therapy (Johnson, ), an evidence-based approach to couple therapy. In this exploratory longitudinal research, we examined individual growth in relationship satisfaction and trust for partners in 95 couples in 16 HMT groups across four occasions of measurement: Baseline, Pre-Program, Post-Program and at either 3- or 6-month Follow-Up. We found that relationship satisfaction and trust increased during program participation, and declined during follow-up...
September 23, 2018: Journal of Marital and Family Therapy
Sarah B Campbell, Keith D Renshaw
Romantic partners' accommodation of trauma survivors' posttraumatic stress disorder (PTSD) symptoms (e.g., taking on tasks, survivors avoid participating in social withdrawal) is associated with lower relationship satisfaction for both partners and survivors. Little is known about associations of partner accommodation with other aspects of relationship functioning, like intimacy. Sixty-four male military veterans with at least subclinical PTSD and their partners participated in a 2-week daily diary study. Veterans completed nightly measures of PTSD symptoms, while female partners completed nightly measures of accommodating behaviors performed that day...
September 14, 2018: Family Process
Andrea K Wittenborn, Ting Liu, Ty A Ridenour, E Megan Lachmar, Erica A Mitchell, Ryan B Seedall
This randomized controlled trial examined the effectiveness of Emotionally Focused Therapy (EFT) for depression and relationship satisfaction versus usual care (i.e., couple therapy other than EFT), and explored mechanisms of change. Mixed model trajectory analyses of 16 couples indicated EFT was associated with greater improvement in relationship satisfaction among men and women. Men receiving EFT reported greater improvements in depressive symptoms compared to usual care. Unified structural equation modeling revealed changes in relationship satisfaction preceded changes in depressive symptoms in one cluster of partners, while changes in depression preceded changes in relationship satisfaction in a second cluster...
August 13, 2018: Journal of Marital and Family Therapy
Senem Zeytinoglu-Saydam, Alba Niño
Emotionally Focused Couple Therapy (EFT) was developed based on the premise that couples get stuck in negative cycles fueled by their underlying primary emotions and unmet attachment needs (Johnson [2004], Creating connection: The practice of Emotionally Focused Couple Therapy). EFT therapists need to stay in touch with and regulate their own emotions when the tension rises in the sessions, while still staying open and vulnerable to their clients. Person-of-the-Therapist Training model (Aponte & Kissil [2016], The person of the therapist training model: Mastering the use of self) aims to increase therapists' understanding, awareness, and acceptance of their own personal issues to create a more empathic connection with their clients...
August 13, 2018: Journal of Marital and Family Therapy
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