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Engelkamp E, Lindberg E, Córdova JV. "We Felt Emotionally Closer:" A Qualitative Study of Couples' Communication about Pornography Use. JOURNAL OF SEX & MARITAL THERAPY 2023; 50:152-170. [PMID: 37867385 DOI: 10.1080/0092623x.2023.2267546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2023]
Abstract
Despite much empirical study of the complex association between pornography use and relationship health, little research has been conducted on the quality of communication about pornography use within relationships, which may meaningfully impact its association with relationship health. We used reflexive thematic analysis and behavioral intimacy theory to analyze responses to an online survey in which 146 individuals (77.3% women) in committed relationships described their communication with their partner about pornography use. Themes drawn from participants' responses included: 1) Discussing pornography use is not vulnerable (anymore); (2) Asymmetrical vulnerability within the couple; (3) Disappointment and divergent values present in suppressive events; (4) Sharing the struggle of navigating unwanted pornography use; and (5) Selective reinforcement: encouraging some, but not all, vulnerable behavior, which included two subthemes: (a) Your pornography use is not okay, but I'm glad you told me; and (b) You can use pornography; I just don't need to hear about it. Findings provide guidance to help couples navigate conversations about pornography use in ways that enhance relationship health.
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Affiliation(s)
| | - Eliza Lindberg
- Department of Psychology, Clark University, Worcester, Massachusetts, USA
| | - James V Córdova
- Department of Psychology, Clark University, Worcester, Massachusetts, USA
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2
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Rajendrakumar J, Manjula V, George TS, Wesley MS. The Universal Dimensions of Change: A Systematic Review of Couple Techniques. CONTEMPORARY FAMILY THERAPY 2022. [DOI: 10.1007/s10591-022-09645-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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3
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Hogan JN. Conducting Couple Therapy via Telehealth: Special Considerations for Virtual Success. JOURNAL OF HEALTH SERVICE PSYCHOLOGY 2022; 48:89-96. [PMID: 35496919 PMCID: PMC9036502 DOI: 10.1007/s42843-022-00060-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Couples may experience any number of barriers to in-person couple therapy, including scheduling difficulties, childcare needs, and stigma. Providing couple treatment via telehealth can address these obstacles and improve accessibility. However, couple therapists considering the transition to telehealth may be unsure of how to alter their current treatment approach for remote delivery. Further, there are often specific concerns of how to handle safety concerns or high-conflict couples via telehealth. The goal of this paper is to provide concrete suggestions, from pre-treatment screening through treatment, for how to conduct successful couple therapy via telehealth.
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Doss BD, Roddy MK, Wiebe SA, Johnson SM. A review of the research during 2010-2019 on evidence-based treatments for couple relationship distress. JOURNAL OF MARITAL AND FAMILY THERAPY 2022; 48:283-306. [PMID: 34866194 DOI: 10.1111/jmft.12552] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Accepted: 08/26/2021] [Indexed: 05/14/2023]
Abstract
The current article presents a review of the published research from 2010 to 2019 on the treatment of couple relationship distress; 37 studies met all criteria for inclusion. Behavioral Couple Therapy, Cognitive Behavioral Couple Therapy, Emotionally Focused Therapy, and Integrative Behavioral Couple Therapy meet criteria as "well-established" approaches, Insight-Oriented Couple Therapy is a "possibly efficacious" approach, and several other others are "experimental" treatments for treating couple relationship distress (Southam-Gerow & Prinstein, 2014). Furthermore, several less-intensive interventions-the Marriage Check-up, OurRelationship, and Hold Me Tight programs-have generated substantial support for their ability to improve relationships and are classified as "well-established" or "probably efficacious" interventions. We recommend that future research focus on expanding the reach of evidence-based interventions across a range of settings and populations, deepening our understanding of the mechanisms of change and underlying factors in the change process across approaches, and improving treatment success through treatment matching and progress monitoring.
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Affiliation(s)
| | | | - Stephanie A Wiebe
- Saint Paul University, Ottawa, Ontario, Canada
- University of Ottawa, Ottawa, Ontario, Canada
| | - Susan M Johnson
- University of Ottawa, Ottawa, Ontario, Canada
- Ottawa Couple and Family Institute, Ottawa, Ontario, Canada
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5
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Barraca J, Nieto E, Polanski T. An Integrative Behavioral Couple Therapy (IBCT)-Based Conflict Prevention Program: A Pre-Pilot Study with Non-Clinical Couples. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18199981. [PMID: 34639282 PMCID: PMC8508421 DOI: 10.3390/ijerph18199981] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 09/14/2021] [Accepted: 09/18/2021] [Indexed: 11/16/2022]
Abstract
Integrative Behavioral Couple Therapy (IBCT) has demonstrated its efficacy treating severe couple conflict. Nevertheless, its capacity to prevent such conflicts before they appear has not been analyzed. The following empirical study examines the effectiveness of a conflict prevention program based on IBCT's main therapeutic strategies (empathic joining, unified detachment). A sample of 12 individuals (six couples) from the Community of Madrid completed the DAS (Spanier, 1976; Martín-Lanas et al., 2017), IBCTQ (Barraca et al., 2017), and ASPA-A (Carrasco, 1996) pre-treatment, posttreatment, and at a three-year follow up. Three of these couples were randomly assigned to the experimental group, in which they received five, 120-minute sessions of an IBCT-based conflict prevention program. The three remaining couples were assigned to a control group and received no treatment. Results indicated that the experimental couples grew in their acceptance of differences and significantly improved their level of empathic joining and unified detachment; they also manifested greater satisfaction in their total DAS score. At the three-year follow up, neither group showed significant changes with regard to their posttreatment scores. Although the data are based on a small number of couples and should be replicated, the results suggest that a program based on IBCT strategies can help prevent couple conflict up to three years after its application.
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Affiliation(s)
- Jorge Barraca
- Department of Psychology, Universidad Camilo José Cela, Calle Castillo de Alarcón 49, Urbanización Villafranca del Castillo, 28692 Madrid, Spain
- Correspondence:
| | - Elvira Nieto
- Private Practice, Calle Goya 83–3º Derecha, 28001 Madrid, Spain;
| | - Thomas Polanski
- Private Practice, Mariano Paredes N70-122 and Moisés Luna Andrade, Quito 170303, Ecuador;
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Megale A, Peterson E, Friedlander ML. How Effective is Online Couple Relationship Education? A Systematic Meta-Content Review. CONTEMPORARY FAMILY THERAPY 2021; 44:294-304. [PMID: 34025019 PMCID: PMC8127847 DOI: 10.1007/s10591-021-09585-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/09/2021] [Indexed: 12/24/2022]
Abstract
Due to logistical and financial barriers that keep many distressed couples from seeking psychotherapy, online relationship education is a more accessible alternative. In the decade since a web-based program showed equivalent effectiveness to traditional marriage education (Duncan et al., 2009), several fully online programs have been developed and evaluated. We reviewed nine studies of four different programs that sampled 2,000 + couples. Specifically, we rated each study's experimental rigor and compared research designs, theoretical and empirical grounding, average post-intervention and follow-up effect sizes, and differential effectiveness. Across studies, measured outcomes included relational (improved satisfaction, quality, confidence, commitment, communication; reduced conflict and aggression) and individual functioning on various indices of mental and physical health, emotional expression, and quality of life. Finally, we discuss the strengths and limitations of the research evidence, describe the two most evidence-based programs (ePREP and OurRelationship) in some detail and make recommendations for future study of these promising kinds of interventions.
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Affiliation(s)
- Allison Megale
- Department of Educational & Counseling Psychology, University At Albany, State University of New York, 1400 Washington Ave, Albany, NY 12222 USA
| | - Emily Peterson
- Department of Educational & Counseling Psychology, University At Albany, State University of New York, 1400 Washington Ave, Albany, NY 12222 USA
| | - Myrna L Friedlander
- Department of Educational & Counseling Psychology, University At Albany, State University of New York, 1400 Washington Ave, Albany, NY 12222 USA
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7
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Integrative Behavioral Couple Therapy for Intercultural Couples: Helping Couples Navigate Cultural Differences. CONTEMPORARY FAMILY THERAPY 2021. [DOI: 10.1007/s10591-020-09560-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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8
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Newcomb ME. Romantic relationships and sexual minority health: A review and description of the Dyadic Health Model. Clin Psychol Rev 2020; 82:101924. [PMID: 33002795 PMCID: PMC10472923 DOI: 10.1016/j.cpr.2020.101924] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 09/05/2020] [Accepted: 09/21/2020] [Indexed: 12/31/2022]
Abstract
A large body of literature has documented the health promotive effects of healthy committed relationships on the health and wellbeing of heterosexual people in different-sex relationships, including observational and longitudinal studies, couple-based intervention development and evaluation efforts, and articulation of theoretical frameworks. A much smaller but growing field of research has observed that same-sex relationships have similar effects on health outcomes but that these couples face unique stressors that may impact relationship functioning and health. Further, extant theoretical frameworks do not sufficiently address the multiple pathways by which psychosocial vulnerabilities and stressors impact same-sex relationship functioning, engagement in health-related risk behaviors, and the mental and physical health of sexual minorities in relationships. The purpose of this manuscript is to: a) review the existing literature on relationship functioning and health among sexual minorities, including both observational and intervention studies; and b) present an integrated model of relationship functioning and health for same-sex couples that can be used as a basis for further studies on sexual minority dyads, as well as the development of novel couple-based interventions to optimize the health promoting effects of relationships.
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Affiliation(s)
- Michael E Newcomb
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America; Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, United States of America.
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Examining the correlates of psychological flexibility in romantic relationship and family dynamics: A meta-analysis. JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2020. [DOI: 10.1016/j.jcbs.2020.09.010] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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10
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Yasmin N, Riley GA. Psychological intervention for partners post-stroke: A case report. NeuroRehabilitation 2020; 47:237-245. [DOI: 10.3233/nre-203173] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND: Following a brain injury, caregiving spouses/partners differ in their perceptions of relationship continuity/discontinuity (i.e. whether the relationship is experienced as similar or different to the pre-injury relationship). Perceptions of continuity are associated with better psychological wellbeing and a better relationship. OBJECTIVE: To conduct a pilot test of an intervention aimed at exploring the possibility of supporting caregiving partners to experience greater continuity within their relationship post-stroke. METHODS: A post-stroke couple was provided with integrated behavioural couples therapy for three months, which aimed to increase relationship continuity alongside addressing individual goals identified by the couple. Before and after measures were taken using a battery of six questionnaires evaluating changes in perceptions of continuity, relationship quality, and stress. RESULTS: Quantitative and qualitative data showed post-therapy improvement in all the measures. CONCLUSIONS: The study suggested that perceptions of relationship continuity can be improved by therapy, and that such an improvement might have a beneficial impact in terms of relationship quality and psychological wellbeing. The intervention is currently being further developed and evaluated.
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Affiliation(s)
- Natasha Yasmin
- School of Psychology, University of Birmingham, Birmingham, UK
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Wildey MN, Donnellan MB, Klump KL, Burt SA. Using Multiple Methods to Evaluate Associations Among Externalizing Psychopathology, Personality, and Relationship Quality: A Replication and Extension. J Pers Disord 2020; 34:480-498. [PMID: 31403395 PMCID: PMC7899174 DOI: 10.1521/pedi_2019_33_414] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The current study evaluated associations among externalizing psychopathology, personality, and relationship quality in a sample of 794 couples. Personality and psychopathology were assessed using dimensional measures, and relationship attributes were assessed with both self-report and observer reports of videotaped interactions. Results were consistent with prior work (i.e., Humbad, Donnellan, Iacono, & Burt, 2010) such that greater externalizing psychopathology remained a significant predictor of lower relationship adjustment, while controlling for personality traits. Importantly, dimensional measures of externalizing psychopathology showed stronger associations with relationship adjustment when compared to symptom count measures used in Humbad et al. (2010). These results highlight the importance of replication and extension studies, the usefulness of dimensional measures of psychopathology, and the value of multiple methods of assessment to increase confidence in the robustness of associations between pathological attributes of personality and features of romantic relationships.
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12
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Behavioural couple therapy: measuring therapist competence. COGNITIVE BEHAVIOUR THERAPIST 2020. [DOI: 10.1017/s1754470x20000276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Abstract
This paper outlines a pilot validation study of the newly developed Behavioural Couple Therapy Scale for Depression (BCTS-D). The BCTS-D aims to assess therapist competence in delivering behavioural couple therapy (BCT) and provide therapists with summative and formative feedback on their performance. Completed by both therapist and supervisor, this will aid therapists’ reflection on practice and improve performance. This paper will report on two stages in the development of the BCTS-D: (a) a study evaluating content validity, face validity and usability and (b) a focus group examining usability and utility. Both parts of the study were conducted in the context of a BCT training course and included 20 participants who were either BCT supervisors or BCT trainees. Results suggest that the BCTS-D has good face validity, content validity and usability, and provides a useful tool for promoting self-reflection and providing formative feedback. The studies also provided insight into the strengths of the scale and into areas of refinement, and a number of modifications were undertaken to improve the BCTS-D in response to feedback collected. Future research will need to focus on evaluating the psychometric properties of the BCTS-D and continue to adapt the scale to its users’ needs.
Key learning aims
(1)
Readers will understand the importance of measuring therapists’ competence to improve practice.
(2)
Readers will understand the development of the BCTS-D scale and its initial psychometric properties.
(3)
Readers will know how to use the BCTS-D in everyday clinical practice.
(4)
Readers will know about the challenges of developing a therapist competence measure within a real-world clinical context.
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Nilsson A, Magnusson K, Carlbring P, Andersson G, Hellner C. Behavioral couples therapy versus cognitive behavioral therapy for problem gambling: a randomized controlled trial. Addiction 2020; 115:1330-1342. [PMID: 31746075 PMCID: PMC7317433 DOI: 10.1111/add.14900] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 10/08/2019] [Accepted: 10/14/2019] [Indexed: 01/20/2023]
Abstract
AbstractBackground and aimsThere is evidence that cognitive behavioral therapy (CBT) is effective for treating problem gambling (PG). Some research points to the possible benefits of involving concerned significant others (CSOs) in treatment. This study compared the efficacy of behavioral couples therapy (BCT) and CBT for both the gambler and the CSO.DesignTwo parallel‐group randomized controlled study comparing two different internet‐based treatments for PG. Follow‐up measures were conducted at treatment finish, and at 3‐, 6‐ and 12‐month post‐treatment.SettingStockholm, Sweden.ParticipantsA total of 136 problem gamblers and 136 CSOs were included in the study: 68 gamblers and 68 CSOs for each treatment condition. The gamblers were on average 35.6 years old and 18.4% were female. CSOs were on average 45.3 years old and 75.7% were women.InterventionsA treatment based on BCT was compared with a CBT intervention. Both treatments were internet‐based, with 10 therapist‐guided self‐help modules accompanied by weekly telephone and e‐mail support from a therapist. CSOs were given treatment in the BCT condition, but not in the CBT condition.MeasurementsThe primary outcome measures were time‐line follow‐back for gambling (TLFB‐G) and the NORC Diagnostic Screen for Gambling Problems (NODS) for problem gamblers, corresponding to DSM‐IV criteria for pathological gambling. Secondary outcomes measures were the Patient Health Questionnaire‐9 (PHQ‐9), the Generalized Anxiety Disorder seven‐item scale (GAD‐7), the Relation Assessment Scale Generic (RAS‐G), the Alcohol Use Disorders Identification Test (AUDIT), the Inventory of Consequences of Gambling for the Gambler and CSO (ICS) and adherence to treatment for both the problem gambler and the CSO.FindingsThe outcomes of both gambler groups improved, and differences between the groups were not statistically significant: TLFB‐G: multiplicative effect = 1.13, 95% confidence interval (CI) = 0.30;4.31); NODS: multiplicative effect = 0.80, 95%, 95% CI = 0.24;2.36. BCT gamblers began treatment to a higher proportion than CBT gamblers: P = 0.002.ConclusionsDifferences in the efficacy of internet‐based behavioral couples therapy and cognitive behavioral therapy for treatment of problem gambling were not significant, but more gamblers commenced treatment in the behavioral couples therapy group.
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Affiliation(s)
- Anders Nilsson
- Department of Clinical NeuroscienceStockholm Center for Psychiatry Research and Education, Karolinska InstitutetStockholmSweden
| | - Kristoffer Magnusson
- Department of Clinical NeuroscienceStockholm Center for Psychiatry Research and Education, Karolinska InstitutetStockholmSweden
| | - Per Carlbring
- Department of PsychologyStockholm UniversityStockholmSweden
| | - Gerhard Andersson
- Department of Clinical NeuroscienceStockholm Center for Psychiatry Research and Education, Karolinska InstitutetStockholmSweden
- Department of Behavioral Sciences and LearningLinköping UniversityLinköpingSweden
| | - Clara Hellner
- Department of Clinical NeuroscienceStockholm Center for Psychiatry Research and Education, Karolinska InstitutetStockholmSweden
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Gottman JM, Gottman JS, Cole C, Preciado M. Gay, Lesbian, and Heterosexual Couples About to Begin Couples Therapy: An Online Relationship Assessment of 40,681 Couples. JOURNAL OF MARITAL AND FAMILY THERAPY 2020; 46:218-239. [PMID: 31373718 DOI: 10.1111/jmft.12395] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
We currently have little idea of precisely who goes for couples therapy. This is a report of the results of a validated online assessment of relationship and individual functioning based on 39,251 heterosexual, 1,022 lesbian, and 438 gay couples about to begin couples therapy. Using validated and reliable questionnaires of relationship and individual functioning, this report presents and compares, for each sexual-orientation, the percentage of couples, pre-therapy, who are coping with a variety of relationship problems. To test for the replicability of results, the sample was divided randomly into two subsamples and statistical tests were performed on each sample. Couples initiating therapy suffer from greater distress and many more co-morbidities than has been presumed in previous literature, and same-sex couples present a particular set of both strengths and challenges compared to heterosexual couples. Gay-male and lesbian couples were very different on trust and monogamy, as were heterosexual and lesbian couples. Based on this epidemiologically sized sample, the challenge to our field may be to create interventions with much larger effect sizes than we currently have.
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Rouleau E, Barabe T, Blow A. Creating Structure in a Time of Intense Stress: Treating Intimate Partner Violence. JOURNAL OF COUPLE & RELATIONSHIP THERAPY 2019. [DOI: 10.1080/15332691.2018.1505573] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Erica Rouleau
- Department of Human Development and Family Studies, Michigan State University, East Lansing, Michigan, USA
| | - Teresa Barabe
- Department of Human Development and Family Studies, Michigan State University, East Lansing, Michigan, USA
| | - Adrian Blow
- Department of Human Development and Family Studies, Michigan State University, East Lansing, Michigan, USA
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Wrape ER, McGinn MM. Clinical and Ethical Considerations for Delivering Couple and Family Therapy via Telehealth. JOURNAL OF MARITAL AND FAMILY THERAPY 2019; 45:296-308. [PMID: 29361194 DOI: 10.1111/jmft.12319] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Studies have generally supported telehealth as a feasible, effective, and safe alternative to in-office visits. Telehealth may also be of particular benefit to couples/families interested in relational treatments, as it addresses some of the barriers that may be more prominent for families, such as childcare and scheduling difficulties. Therapists interested in expanding their practice to include telehealth should understand ethical and practical considerations of this modality. This article discusses areas unique to the delivery of telehealth to couples and families. Each broad domain is then elaborated upon with case examples from actual clinical practice and specific recommendations for addressing potential difficulties. Authors recommend further empirical research examining differences in modality outcome, as well as feasibility of the suggestions proposed here.
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Trombello JM, Post KM, Smith DA. Depressive Symptoms, Criticism, and Counter-Criticism in Marital Interactions. FAMILY PROCESS 2019; 58:165-178. [PMID: 29473161 DOI: 10.1111/famp.12349] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Although people with depressive symptoms face criticism, hostility, and rejection in their close relationships, we do not know how they respond. Following interpersonal theories of depression, it might be expected that depressive symptoms would be associated with a tendency to receive and also to express criticism toward one's spouse, and that at least some of this criticism would be a contingent response to criticism received (i.e., "counter-criticism"). However, other research has determined that depressive symptoms/behaviors suppress partner criticism, suggesting that depressed people might respond to partner criticism similarly, by subsequently expressing less criticism. In a sample of 112 married couples, partial correlations, regressions, and Actor-Partner Interdependence Modeling indicated that lower criticism and counter-criticism expression during a laboratory marital interaction task was associated with higher depressive symptoms, especially when such individuals were clinically depressed. Furthermore, during a separate and private Five-Minute Speech Sample, lower criticism by partners was associated with higher depressive symptoms, especially when those who chose the interaction topic were also clinically depressed. All analyses controlled for relationship adjustment. These results suggest that spouses with higher depressive symptoms and clinical depression diagnoses may be suppressing otherwise ordinary criticism expression toward their nondepressed partners; furthermore, nondepressed partners of depressed people are especially likely to display less criticism toward their spouse in a private task.
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Affiliation(s)
- Joseph M Trombello
- Center for Depression Research and Clinical Care, Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX
| | - Kristina M Post
- Department of Psychology, University of La Verne, La Verne, CA
| | - David A Smith
- Department of Psychology, University of Notre Dame, Notre Dame, IN
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18
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19
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Maintaining Relationship Quality During the Transition to Parenthood: The Need for Next Generation Interventions. CONTEMPORARY FAMILY THERAPY 2018. [DOI: 10.1007/s10591-018-9481-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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20
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Leonard MT, Chatkoff DK, Maier KJ. Couples' Relationship Satisfaction and Its Association with Depression and Spouse Responses Within the Context of Chronic Pain Adjustment. Pain Manag Nurs 2018; 19:400-407. [DOI: 10.1016/j.pmn.2017.10.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2017] [Revised: 10/04/2017] [Accepted: 10/06/2017] [Indexed: 11/26/2022]
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21
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Clawson RE, Davis SY, Miller RB, Webster TN. The Case for Insurance Reimbursement of Couple Therapy. JOURNAL OF MARITAL AND FAMILY THERAPY 2018; 44:512-526. [PMID: 28833253 DOI: 10.1111/jmft.12263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
A case is made for why it may now be in the best interest of insurance companies to reimburse for marital therapy to treat marital distress. Relevant literature is reviewed with a considerable focus on the reasons that insurance companies would benefit from reimbursing marital therapy - the high costs of marital distress, the growing link between marital distress and a host of related physical and mental health problems, as well as the availability of empirically supported treatments for marital distress. This is followed by a focus on the major reasons insurance companies cite for not reimbursing marital therapy, along with a discussion of advances in several growing bodies of research to address these concerns. Main arguments include the direct medical offset costs of couple and family therapy (including for high utilizers of health insurance), and the fact that insurance companies already find it cost effective to reimburse for prevention of other health and psychological problems. This is followed by implications for practitioners and researchers.
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Baucom KJW, Chen XS, Perry NS, Revolorio KY, Reina A, Christensen A. Recruitment and Retention of Low-SES Ethnic Minority Couples in Intervention Research at the Transition to Parenthood. FAMILY PROCESS 2018; 57:308-323. [PMID: 28328086 PMCID: PMC7087449 DOI: 10.1111/famp.12287] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/19/2023]
Abstract
Low-SES couples have limited resources to manage the chronic and acute stressors with which they are disproportionately faced. Although these couples are at greater risk for negative individual and relationship outcomes, evaluations of the impact of couple relationship education (CRE) in low-SES couples have been plagued by methodological problems, most notably challenges associated with recruitment and retention. We review the literature on challenges couples face associated with low-SES, as well as on recruitment, retention, and CRE in low-SES, ethnic minority populations. We illustrate some of these challenges in a case study of CRE for low-SES couples transitioning to parenthood. In this pilot study, 21 couples were recruited from a community health clinic and randomized to either an experimental treatment condition (EXP; N = 11) or a treatment-as-usual control condition (TAU; N = 10). This study sought to mitigate documented challenges with recruitment and retention: We leveraged community partnerships, attempted to build and maintain strong relationships with study participants, provided incentives for assessments as well as intervention meetings, and attempted to reduce potential barriers to enrollment and retention. Nonetheless, we had low rates of recruitment and retention. We integrate these findings and experiences with our review of previous work in this area. We make recommendations for future CRE research and practice that have potential implications for public policy in this area.
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Affiliation(s)
| | - Xiao S Chen
- Graduate School of Education and Psychology, Pepperdine University, Malibu, CA
| | - Nicholas S Perry
- Department of Psychology, University of Utah, Salt Lake City, UT
| | - Kaddy Y Revolorio
- Graduate School of Education and Psychology, Pepperdine University, Malibu, CA
| | - Astrid Reina
- Department of Psychiatry, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, Torrance, CA
| | - Andrew Christensen
- Department of Psychology, University of California, Los Angeles, Los Angeles, CA
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Ruggiero GM, Spada MM, Caselli G, Sassaroli S. A Historical and Theoretical Review of Cognitive Behavioral Therapies: From Structural Self-Knowledge to Functional Processes. JOURNAL OF RATIONAL-EMOTIVE AND COGNITIVE-BEHAVIOR THERAPY 2018; 36:378-403. [PMID: 30416258 PMCID: PMC6208646 DOI: 10.1007/s10942-018-0292-8] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
This paper critically examines the historical conceptualization of cognitive behavioral psychotherapy approaches (CBT) as a direct clinical counterpart of the cognitive revolution. The main "second wave" cognitive psychotherapies, either standard cognitive therapy (CT) or constructivist, in spite of their differences, share a common conceptualization of psychopathological factors as superordinate structural cognitive content belonging to the self: self-beliefs, self-schemata, personality organizations and so on. On the other hand, rational emotive behavior therapy (REBT) is an exception given that in REBT self-knowledge is not the core psychopathological tenet, being rather a derivate mechanism. Moreover, in non clinical cognitive science cognition is conceived as a regulatory function that operates retroactively and not in a hierarchically super- ordered fashion centered on the self. A historical review suggests that in both CT and constructivist model the structuralistic model of self-centered cognition may have emerged for both cultural and scientific reasons: self-centered cognitive models may be more readily understandable to clinicians as they allow for a straightforward identification of operationalizable self-beliefs. The emergence of new "third wave" process-centered CBT approaches may represent a comeback to functionalism, where cognition is considered again a regulatory function and not a structure. In addition, REBT's interest in dysfunctional evaluations not focused on the self presaged this clinical and scientific turning point toward functionalism.
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Affiliation(s)
- Giovanni M. Ruggiero
- “Psicoterapia Cognitiva e Ricerca” Cognitive Psychotherapy School and Research Center, Milano, Foro Buonaparte 57, 20121 Milan, Italy
- “Studi Cognitivi” Cognitive Psychotherapy School and Research Center, Foro Buonaparte 57, 20121 Milan, Italy
| | - Marcantonio M. Spada
- Division of Psychology, School of Applied Sciences, London South Bank University, 103 Borough Road, London, SE1 0AA UK
| | - Gabriele Caselli
- “Studi Cognitivi” Cognitive Psychotherapy School and Research Center, Foro Buonaparte 57, 20121 Milan, Italy
- Sigmund Freud University, Ripa di Porta Ticinese 77, 20143 Milan, Italy
- Sigmund Freud University, Freudplatz 1, Messestraße 1, 1020 Vienna, Austria
| | - Sandra Sassaroli
- “Studi Cognitivi” Cognitive Psychotherapy School and Research Center, Foro Buonaparte 57, 20121 Milan, Italy
- Sigmund Freud University, Ripa di Porta Ticinese 77, 20143 Milan, Italy
- Sigmund Freud University, Freudplatz 1, Messestraße 1, 1020 Vienna, Austria
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Abstract
In three studies, it was investigated whether trait mindfulness is positively associated with partner acceptance, defined as the ability and willingness to accept the partner’s imperfections, and whether partner acceptance explains the association between trait mindfulness and relationship satisfaction. Trait mindfulness, partner acceptance and relationship satisfaction were assessed in two MTurk samples (n1 = 190; n2 = 140) and a sample of participants of a mindfulness-based stress reduction course (n3 = 118) and their partners (53 complete couples), using self-report measures. In all three samples, trait mindfulness was related to partner acceptance and in two out of three studies trait mindfulness was directly positively related to relationship satisfaction. Also, the results provided initial support for the mediating role of partner acceptance in the association between mindfulness and relationship satisfaction. Dyadic data further suggested that the benefits of mindfulness and partner acceptance on relationship satisfaction extend from the individual to the partner through increased partner acceptance. Together, the results provide initial support for the hypothesis that partner acceptance may be an important mechanism through which mindfulness promotes relationship satisfaction in both partners of a romantic couple.
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Buyukcan-Tetik A, Campbell L, Finkenauer C, Karremans JC, Kappen G. Ideal Standards, Acceptance, and Relationship Satisfaction: Latitudes of Differential Effects. Front Psychol 2017; 8:1691. [PMID: 29033876 PMCID: PMC5625328 DOI: 10.3389/fpsyg.2017.01691] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2017] [Accepted: 09/14/2017] [Indexed: 11/13/2022] Open
Abstract
We examined whether the relations of consistency between ideal standards and perceptions of a current romantic partner with partner acceptance and relationship satisfaction level off, or decelerate, above a threshold. We tested our hypothesis using a 3-year longitudinal data set collected from heterosexual newlywed couples. We used two indicators of consistency: pattern correspondence (within-person correlation between ideal standards and perceived partner ratings) and mean-level match (difference between ideal standards score and perceived partner score). Our results revealed that pattern correspondence had no relation with partner acceptance, but a positive linear/exponential association with relationship satisfaction. Mean-level match had a significant positive association with actor's acceptance and relationship satisfaction up to the point where perceived partner score equaled ideal standards score. Partner effects did not show a consistent pattern. The results suggest that the consistency between ideal standards and perceived partner attributes has a non-linear association with acceptance and relationship satisfaction, although the results were more conclusive for mean-level match.
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Affiliation(s)
| | - Lorne Campbell
- Department of Psychology, University of Western Ontario, London, ON, Canada
| | - Catrin Finkenauer
- Interdisciplinary Social Science: Youth Studies, Utrecht University, Utrecht, Netherlands.,EMGO Institute for Health and Care Research, VU University Amsterdam, Amsterdam, Netherlands
| | - Johan C Karremans
- Department of Social Psychology, Radboud University Nijmegen, Nijmegen, Netherlands
| | - Gesa Kappen
- Department of Social Psychology, Radboud University Nijmegen, Nijmegen, Netherlands
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26
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Muise A, Kim JJ, Impett EA, Rosen NO. Understanding When a Partner Is Not in the Mood: Sexual Communal Strength in Couples Transitioning to Parenthood. ARCHIVES OF SEXUAL BEHAVIOR 2017; 46:1993-2006. [PMID: 28324220 DOI: 10.1007/s10508-016-0920-2] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2016] [Revised: 12/03/2016] [Accepted: 12/07/2016] [Indexed: 05/28/2023]
Abstract
Situations in which one partner is interested in having sex but the other partner is not "in the mood" are common in relationships. We extend previous work on sexual communal strength-the motivation to be responsive to a partner's sexual needs-to demonstrate that in addition to the motivation to meet a partner's need to have sex, the motivation to be understanding about a partner's need not to engage in sex is uniquely associated with sexual and relationship satisfaction. In Study 1, we adapted a measure of sexual communal strength for having sex (SCSS) to create a new measure of sexual communal strength for not having sex (SCSN). We demonstrated that SCSN is distinct from SCSS and associated with more positive and less negative responses to an imagined situation of sexual rejection. In Study 2, both SCSS and SCSN were uniquely associated with greater sexual and relationship satisfaction in couples transitioning to parenthood-a time when many couples experience changes to their sexual relationship. Having a partner who is higher in SCSN is associated with greater sexual satisfaction and relationship quality for new mothers but not new fathers, suggesting that during the transition to parenthood, it might be more important for women to have a partner who is understanding about their need not to engage in sex. The results suggest that the motivation to be understanding about a partner's need not to engage in sex may be an additional way that partners can show communal care in their sexual relationships.
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Affiliation(s)
- Amy Muise
- Department of Psychology, York University, Behavioural Science Building, 4700 Keele St, Toronto, ON, M3J 1P3, Canada.
| | - James J Kim
- Department of Psychology, University of Toronto, Toronto, ON, Canada
| | - Emily A Impett
- Department of Psychology, University of Toronto Mississauga, Mississauga, ON, Canada
| | - Natalie O Rosen
- Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada
- Department of Obstetrics and Gynaecology, IWK Health Centre, Halifax, NS, Canada
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Hartley SL, Papp LM, Mihaila I, Bussanich PM, Goetz G, Hickey EJ. Couple Conflict in Parents of Children with versus without Autism: Self-Reported and Observed Findings. JOURNAL OF CHILD AND FAMILY STUDIES 2017; 26:2152-2165. [PMID: 29097880 PMCID: PMC5661987 DOI: 10.1007/s10826-017-0737-1] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
We compared the couple conflict of parents of children with autism spectrum disorder (ASD) to a comparison group of parents of children without disabilities using self-reported and observational measures. In total, 178 couples who had a child with ASD (aged 5-12 years) and 174 couples who had children without disabilities (aged 5-12 years), recruited from a Midwestern state in the United States, reported on couple conflict in everyday life and engaged in an observed couple conflict interaction. Parents of children with ASD reported more frequent, severe, and unresolved couple problems than the comparison group. Parents who had a child with ASD were observed to have less engaged, balanced, and cooperative couple conflict interactions, but demonstrated more positive affect and sensitivity towards one another, than parents in the comparison group. Group differences had small effect sizes. Findings have implications for marital therapy and relationship education programs.
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28
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The Valued Living Questionnaire: Defining and Measuring Valued Action within a Behavioral Framework. PSYCHOLOGICAL RECORD 2017. [DOI: 10.1007/bf03395706] [Citation(s) in RCA: 171] [Impact Index Per Article: 24.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Hayes SC, Strosahl K, Wilson KG, Bissett RT, Pistorello J, Toarmino D, Polusny MA, Dykstra TA, Batten SV, Bergan J, Stewart SH, Zvolensky MJ, Eifert GH, Bond FW, Forsyth JP, Karekla M, McCurry SM. Measuring experiential avoidance: A preliminary test of a working model. PSYCHOLOGICAL RECORD 2017. [DOI: 10.1007/bf03395492] [Citation(s) in RCA: 749] [Impact Index Per Article: 107.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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30
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Abstract
Integrative Behavioral Couple Therapy (IBCT) is based in part on traditional behavioral couple therapy but expands both the conceptualization of couple distress and of intervention. The efficacy of IBCT has been supported in three clinical trials, including one with five year follow-up. Additionally, the effectiveness of IBCT in the real world has been supported through a system-wide dissemination effort in the United States Department of Veteran's Affairs. The reach of IBCT has also been extended through an online program, www.OurRelationship.com, based on IBCT. A nationwide clinical trial with a representative sample of the US population demonstrated the effectiveness of this program on both relationship and individual variables.
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Affiliation(s)
- Andrew Christensen
- Andrew Christensen, Department of Psychology, University of California, Los Angeles, 502 Portola Plaza, Los Angeles, CA 90095-1563.
| | - Brian D Doss
- Brian D. Doss, Department of Psychology, University of Miami, PO Box 248185, Coral Gables, FL 33124-0751.
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31
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Crane CA, Easton CJ. Integrated treatment options for male perpetrators of intimate partner violence. Drug Alcohol Rev 2017; 36:24-33. [PMID: 28109172 DOI: 10.1111/dar.12496] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 06/24/2016] [Accepted: 08/19/2016] [Indexed: 11/27/2022]
Abstract
ISSUES Male-to-female intimate partner violence remains a worldwide public health issue with adverse physical and psychological consequences for victims, perpetrators and children. Personality disorders, addiction, trauma and mood symptoms are established risk factors for intimate partner violence perpetration and factor prominently into a recovery-oriented treatment approach. APPROACH We reviewed the partner violence literature for detailed reports of traditional as well as innovative, integrated treatment approaches. Empirically based recommendations for intervention programs and the policies that guide intervention efforts are offered. KEY FINDINGS Nascent research suggests that integrated treatment models utilising a holistic approach to account for psychological comorbidity and interventions that involve a motivational interviewing component appear promising in terms of significantly improving intimate partner violence treatment compliance and reducing subsequent acts of physical partner violence. Further, methodologically rigorous research is required to fully assess the benefits of traditional and integrated treatment options. IMPLICATIONS We have advanced several recommendations, including the development of and exclusive reliance upon empirically supported treatments, conducting a thorough risk and needs assessment of the offender and the immediate family to facilitate appropriate treatment referrals, integrating content to foster the offender's internal motivation to change maladaptive behaviours, and attempting to minimise offender treatment burdens through the strategic use of integrated treatment models. CONCLUSIONS Intimate partner violence is a complicated and nuanced problem that is perpetrated by a heterogeneous population and requires greater variability in integrated treatment options. [Crane CA, Easton CJ. Integrated treatment options for male perpetrators of intimate partner violence. Drug Alcohol Rev 2017;36:24-33].
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Affiliation(s)
- Cory A Crane
- Department of Biomedical Sciences, Rochester Institute of Technology, Rochester, USA.,Behavioral Health, Veterans Affairs Medical Center, Canandaigua, USA
| | - Caroline J Easton
- Department of Biomedical Sciences, Rochester Institute of Technology, Rochester, USA
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Gildersleeve S, Singer JA, Skerrett K, Wein S. Coding "We-ness" in couple's relationship stories: A method for assessing mutuality in couple therapy. Psychother Res 2016; 27:313-325. [PMID: 28034348 DOI: 10.1080/10503307.2016.1262566] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
OBJECTIVE "We-ness," a couple's mutual investment in their relationship and in each other, has been found to be a potent dimension of couple resilience. This study examined the development of a method to capture We-ness in psychotherapy through the coding of relationship narratives co-constructed by couples ("We-Stories"). It used a coding system to identify the core thematic elements that make up these narratives. METHOD Couples that self-identified as "happy" (N = 53) generated We-Stories and completed measures of relationship satisfaction and mutuality. These stories were then coded using the We-Stories coding manual. RESULTS AND CONCLUSIONS Findings indicated that security, an element that involves aspects of safety, support, and commitment, was most common, appearing in 58.5% of all narratives. This element was followed by the elements of pleasure (49.1%) and shared meaning/vision (37.7%). The number of "We-ness" elements was also correlated with and predictive of discrepancy scores on measures of relationship mutuality, indicating the validity of the We-Stories coding manual. Limitations and future directions are discussed.
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33
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Holmes JG. The Benefits of Abstract Functional Analysis in Theory Construction: The Case of Interdependence Theory. PERSONALITY AND SOCIAL PSYCHOLOGY REVIEW 2016; 8:146-55. [PMID: 15223514 DOI: 10.1207/s15327957pspr0802_8] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
In this article I argue for the benefits of an abstract functional analysis in theory construction, suggesting that an understanding of the nature of situations of interdependence will provide theoretical insights into basic processes in interpersonal relations. That is, mechanisms and basic processes such as social cognition are best understood by describing their functional relation to the social problems with which they were designed to cope, rather than studying them in their own right in isolation from the purpose they serve. I discuss the tenets of ecological psychology, the scientific philosophy underpinning this way of thought. I then link this approach to the development of my own theoretical ideas on trust in close relationships, providing a description of how a functional analysis rooted in the assumptions of interdependence theory shaped the questions I posed and the answers to which I was drawn.
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Affiliation(s)
- John G Holmes
- Department of Psychology, University of Waterloo, ONT, Canada.
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34
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Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies - Republished Article. Behav Ther 2016; 47:869-885. [PMID: 27993338 DOI: 10.1016/j.beth.2016.11.006] [Citation(s) in RCA: 381] [Impact Index Per Article: 47.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Accepted: 11/04/2016] [Indexed: 12/14/2022]
Abstract
The first wave of behavior therapy countered the excesses and scientific weakness of existing nonempirical clinical traditions through empirically studied first-order change efforts linked to behavioral principles targeting directly relevant clinical targets. The second wave was characterized by similar direct change efforts guided by social learning and cognitive principles that included cognitive in addition to behavioral and emotive targets. Various factors seem to have set the stage for a third wave, including anomalies in the current literature and philosophical changes. Acceptance and Commitment Therapy (ACT) is one of a number of new interventions from both behavioral and cognitive wings that seem to be moving the field in a different direction. ACT is explicitly contextualistic and is based on a basic experimental analysis of human language and cognition, Relational Frame Theory (RFT). RFT explains why cognitive fusion and experiential avoidance are both ubiquitous and harmful. ACT targets these processes and is producing supportive data both at the process and outcome level. The third-wave treatments are characterized by openness to older clinical traditions, a focus on second order and contextual change, an emphasis of function over form, and the construction of flexible and effective repertoires, among other features. They build on the first- and second-wave treatments, but seem to be carrying the behavior therapy tradition forward into new territory.
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35
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Antoine P, Flinois B, Doba K, Nandrino JL, Dodin V, Hendrickx M. Living as a couple with anorexia nervosa: A dyadic interpretative phenomenological analysis. J Health Psychol 2016; 23:1842-1852. [DOI: 10.1177/1359105316672095] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
This study examined the difficulties couples face in relation to anorexia nervosa. Using interpretative phenomenological analysis, five couples in which one of the partners lives with anorexia nervosa were interviewed separately. The findings are conceptualized into three areas: first, the encounter ‘at the crossroads between remission and relapse’; second, the way that ‘anorexia reveals itself’; and finally, the way the ‘ménage à trois’ works, including the illness fully as part of the couple. Psychotherapists should take into account the context of the couple and the complex interaction between the couple and the illness to support both partners’ development of appropriate responses.
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Affiliation(s)
- Pascal Antoine
- Lille University, CNRS, CHU Lille, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives,Lille, France
| | - Bérengère Flinois
- Lille University, CNRS, CHU Lille, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives,Lille, France
| | - Karyn Doba
- Lille University, CNRS, CHU Lille, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives,Lille, France
| | - Jean-Louis Nandrino
- Lille University, CNRS, CHU Lille, UMR 9193 - SCALab - Sciences Cognitives et Sciences Affectives,Lille, France
| | - Vincent Dodin
- Department of Psychiatry, Hôpital Saint Vincent de Paul, GHICL, F-59000 Lille, France
| | - Marion Hendrickx
- Department of Psychiatry, Hôpital Saint Vincent de Paul, GHICL, F-59000 Lille, France
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36
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Easton CJ, Crane CA. Interventions to reduce intimate partner violence perpetration among people with substance use disorders. Int Rev Psychiatry 2016; 28:533-543. [PMID: 27696955 DOI: 10.1080/09540261.2016.1227307] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The social and economic cost of intimate partner violence (IPV) is exorbitant and highlights the need for policy reform as it pertains to IPV interventions at a global level. There are multiple variables associated with the aetiology of IPV and, hence, multiple treatment needs must be considered. Substance use is one of several factors likely to influence the occurrence of IPV, but often goes unaddressed in standard treatment approaches. This review will discuss several treatment models for substance using offenders of IPV, including Psycho-educational Models, Cognitive Behavioural Therapy, Couples' Treatments, Parenting Programmes, Integration of Care Models, and Pharmacotherapies. Clinical recommendations will be discussed. Treatment outcomes among substance using offenders of IPV may be improved by implementing changes in protocol that increase diagnostic evaluations, integrate care with evidence-based models, require limits to the number of offenders in a group, and require qualifications for clinicians who treat offenders (licensed and trained psychologists, social workers, and/or psychiatrists).
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Affiliation(s)
- Caroline J Easton
- a Department of Biomedical Sciences , Rochester Institute of Technology , Rochester , NY , USA
| | - Cory A Crane
- a Department of Biomedical Sciences , Rochester Institute of Technology , Rochester , NY , USA
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37
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Biggane JE, Allen DG, Albert LS. The role of positive illusions in employment relationships. HUMAN RESOURCE MANAGEMENT REVIEW 2016. [DOI: 10.1016/j.hrmr.2016.03.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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38
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Roddy MK, Nowlan KM, Doss BD, Christensen A. Integrative Behavioral Couple Therapy: Theoretical Background, Empirical Research, and Dissemination. FAMILY PROCESS 2016; 55:408-422. [PMID: 27226235 DOI: 10.1111/famp.12223] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Integrative Behavioral Couple Therapy (IBCT), developed by Drs. Andrew Christensen and Neil Jacobson, builds off the tradition of behavioral couple therapy by including acceptance strategies as key components of treatment. Results from a large randomized clinical trial of IBCT indicate that it yields large and significant gains in relationship satisfaction. Furthermore, these benefits have been shown to persist for at least 5 years after treatment for the average couple. Not only does IBCT positively impact relationship constructs such as satisfaction and communication, but the benefits of therapy extend to individual, co-parenting, and child functioning. Moreover, IBCT has been shown to operate through the putative mechanisms of improvements in emotional acceptance, behavior change, and communication. IBCT was chosen for nationwide training and dissemination through the Veteran Affairs Medical Centers. Furthermore, the principles of IBCT have been translated into a web-based intervention for distressed couples, OurRelationship.com. IBCT is continuing to evolve and grow as research and technologies allow for continued evaluation and dissemination of this well-supported theoretical model.
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Affiliation(s)
- McKenzie K Roddy
- Department of Psychology, University of Miami, Coral Gables, FL.
| | | | - Brian D Doss
- Department of Psychology, University of Miami, Coral Gables, FL
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39
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Muise A, Impett EA. Applying Theories of Communal Motivation to Sexuality. SOCIAL AND PERSONALITY PSYCHOLOGY COMPASS 2016. [DOI: 10.1111/spc3.12261] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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40
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Till B, Tran US, Niederkrotenthaler T. Relationship Satisfaction and Risk Factors for Suicide. CRISIS 2016; 38:7-16. [PMID: 27445016 DOI: 10.1027/0227-5910/a000407] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Previous studies suggest that troubled romantic relationships are associated with higher risk factors for mental health. However, studies examining the role of relationship satisfaction in suicide risk factors are scarce. AIMS We investigated differences in risk factors for suicide between individuals with high relationship satisfaction, individuals with low relationship satisfaction, and singles. Furthermore, we explored patterns of experiencing, and dealing with, conflicts in the relationship and examined associations with suicide risk factors. METHOD In this cross-sectional study, we assessed relationship status, relationship satisfaction, specific types of relationship conflicts, and suicide risk factors (i.e., suicidal ideation, hopelessness, depression) with questionnaires among 382 individuals in Austria. RESULTS Risk factors for suicide were higher among singles than among individuals in happy relationships, but highest among those with low relationship satisfaction [corrected]. Participants reporting a high number of unsolved conflicts in their relationship had higher levels of suicidal ideation, hopelessness, and depression than individuals who tend to solve issues with their partner amicably or report no conflicts. CONCLUSION Relationship satisfaction and relationship conflicts reflect risk factors for suicide, with higher levels of suicidal ideation, hopelessness, and depression reported by individuals who mentioned unsolved conflicts with their partner and experienced low satisfaction with their relationship.
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Affiliation(s)
- Benedikt Till
- 1 Suicide Research Unit, Institute of Social Medicine, Center for Public Health, Medical University of Vienna, Austria.,2 Department of Basic Psychological Research and Research Methods, School of Psychology, University of Vienna, Austria
| | - Ulrich S Tran
- 2 Department of Basic Psychological Research and Research Methods, School of Psychology, University of Vienna, Austria
| | - Thomas Niederkrotenthaler
- 1 Suicide Research Unit, Institute of Social Medicine, Center for Public Health, Medical University of Vienna, Austria
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41
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Hammett JF, Castaneda DM, Ulloa EC. Predicting Mental Health Based on Partners' Marital Distress: A Latent Profile Analysis. FAMILY JOURNAL (ALEXANDRIA, VA.) 2016; 24:205-215. [PMID: 37719235 PMCID: PMC10503696 DOI: 10.1177/1066480716648685] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/19/2023]
Abstract
Since marital distress is a multidimensional phenomenon, research efforts directed at identifying meaningful groups of individuals with common characteristics based on their dissatisfaction in various relationship domains are important. In addition, it is important to examine this association not only among White majority-group couples but also among other ethnic groups, such as Mexican American couples, who may differ in terms of cultural values and customs. A latent class analysis (LPA) of Caucasian and Mexican American newlyweds' (N = 278) self-reported marital distress identified four such groups. These groups showed a continuum of dissatisfaction as well as varying degrees of differences in partners' views of traditional versus non-traditional gender roles. The classes resulting from the LPA were related to individuals' mental health. Those individuals who found themselves in groups with higher distress also experienced higher levels of anxiety and depression than those individuals who found themselves in groups with lower distress. Although more research is clearly needed among larger and more diverse samples, the present findings may be useful to the field of marriage and family therapy in that they may guide prevention and intervention efforts in the field of marital distress and mental health.
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Abstract
OBJECTIVES Alcohol Behavioral Couple Therapy (ABCT) is an efficacious treatment for alcohol use disorders. Coding treatment integrity can shed light on the active ingredients of ABCT, but there are no published studies of treatment integrity instruments for ABCT. The present study describes the development and initial reliability of the Treatment Integrity Rating System - Couples Version (C-TIRS) for ABCT. METHODS The C-TIRS was used to rate 284 first- and mid-treatment ABCT sessions of 188 couples in four randomized clinical trials. RESULTS Average inter-rater reliability for distinguishing ratings between C-TIRS items was fair-to-good for quantity items (intraclass correlation [ICC] = 0.64) and poor-to-fair for quality items (ICC = 0.41). Five C-TIRS subscales were defined a priori to measure treatment components involving cognitive-behavioral therapy, spouse involvement, couple therapy, common therapeutic factors, and overall adherence to the treatment protocol and had adequate internal reliability (α = 0.74-0.89). Inter-rater reliability was fair to good on seven of ten scales but poor on three scales (ICC range = 0.17-0.72). CONCLUSIONS The C-TIRS was designed to provide information about quantity and quality of the delivery of ABCT components; however, further refinement of the C-TIRS is warranted before it should be used in frontline practice. Clinical implications and recommendations for future research are discussed.
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Magnusson K, Nilsson A, Hellner Gumpert C, Andersson G, Carlbring P. Internet-delivered cognitive-behavioural therapy for concerned significant others of people with problem gambling: study protocol for a randomised wait-list controlled trial. BMJ Open 2015; 5:e008724. [PMID: 26656017 PMCID: PMC4680021 DOI: 10.1136/bmjopen-2015-008724] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2015] [Revised: 10/12/2015] [Accepted: 11/04/2015] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION About 2.3% of the adult population in Sweden are considered to suffer from problem gambling, and it is estimated that only 5% of those seek treatment. Problem gambling can have devastating effects on the economy, health and relationship, both for the individual who gambles and their concerned significant other (CSO). No empirically supported treatment exists for the CSOs of people with problem gambling. Consequently, the aim of this study is to develop and evaluate a programme aimed at CSOs of treatment-refusing problem gamblers. The programme will be based on principles from cognitive behavioural therapy (CBT) and motivational interviewing. To benefit as many CSOs as possible, the programme will be delivered via the internet with therapist support via encrypted email and short weekly conversations via telephone. METHODS AND ANALYSIS This will be a randomised wait-list controlled internet-delivered treatment trial. A CBT programme for the CSOs of people with problem gambling will be developed and evaluated. The participants will work through nine modules over 10 weeks in a secure online environment, and receive support via secure emails and over the telephone. A total of 150 CSOs over 18 years of age will be included. Measures will be taken at baseline and at 3, 6 and 12 months. Primary outcomes concern gambling-related harm. Secondary outcomes include the treatment entry of the individual who gambles, the CSO's levels of depression, anxiety, as well as relationship satisfaction and quality of life. ETHICS AND DISSEMINATION The protocol has been approved by the regional ethics board of Stockholm, Sweden. This study will add to the body of knowledge on how to protect CSOs from gambling-related harm, and how to motivate treatment-refusing individuals to seek professional help for problem gambling. TRIAL REGISTRATION NUMBER NCT02250586.
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Affiliation(s)
- Kristoffer Magnusson
- Department of Clinical Neuroscience, Stockholm Center for Psychiatry Research and Education, Karolinska Institutet, Stockholm, Sweden
| | - Anders Nilsson
- Department of Clinical Neuroscience, Stockholm Center for Psychiatry Research and Education, Karolinska Institutet, Stockholm, Sweden
| | - Clara Hellner Gumpert
- Department of Clinical Neuroscience, Stockholm Center for Psychiatry Research and Education, Karolinska Institutet, Stockholm, Sweden
| | - Gerhard Andersson
- Department of Clinical Neuroscience, Stockholm Center for Psychiatry Research and Education, Karolinska Institutet, Stockholm, Sweden
- Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden
| | - Per Carlbring
- Department of Psychology, Stockholm University, Stockholm, Sweden
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Mörstedt B, Corbisiero S, Bitto H, Stieglitz RD. Attention-Deficit/Hyperactivity Disorder (ADHD) in Adulthood: Concordance and Differences between Self- and Informant Perspectives on Symptoms and Functional Impairment. PLoS One 2015; 10:e0141342. [PMID: 26529403 PMCID: PMC4631342 DOI: 10.1371/journal.pone.0141342] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2015] [Accepted: 10/07/2015] [Indexed: 01/07/2023] Open
Abstract
Attention-deficit/hyperactivity disorder (ADHD) is a severe mental illness, associated with major impairment and a high comorbidity rate. Particularly undiagnosed ADHD in adulthood has serious consequences. Thus, a valid diagnosis is important. In adulthood, the diagnostic process for ADHD is complicated: symptoms may overlap with comorbid disorders, and the onset and progression of the disorder must be reconstructed retrospectively. Guidelines for the diagnostic process recommend the inclusion of additional informant ratings. Research into the relation between self- and informant ratings shows extremely heterogeneous results. The levels of agreement range from low to high. The focus of this study is the concordance and differences between self- and informant ratings on ADHD symptoms and impairments. In this regard, two possible influencing factors (gender and relationship type) are also examined. 114 people participated in this study, 77 with an ADHD diagnosis and 37 without a diagnosis. For all participants, either parents or partners also rated ADHD symptoms and impairments. Small to moderate concordance was found between self- and informant ratings, with females being slightly more concordant than males, particularly for ratings of problems with self-concept. Examination of the consistency within a particular perspective showed that people with ADHD seemed to be unaware of the causal relation between ADHD symptoms and their impairments. A close investigation found almost no influence of gender and relationship type on differences within perspectives. Based on these results, the implications for the diagnostic process are that additional informant information is clearly necessary and helpful.
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Affiliation(s)
- Beatrice Mörstedt
- Department of Psychology, Div. of Clinical Psychology & Psychiatry, University of Basel, Basel, Switzerland
- * E-mail:
| | | | - Hannes Bitto
- Department of Psychology, Div. of Clinical Psychology & Psychiatry, University of Basel, Basel, Switzerland
| | - Rolf-Dieter Stieglitz
- Department of Psychology, Div. of Clinical Psychology & Psychiatry, University of Basel, Basel, Switzerland
- University of Basel Psychiatric Clinics, Basel, Switzerland
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Briggs JG, Finley MA, Sprenkle DH. A Substantive and Methodological Review of the Integrative Behavioral Couple Therapy Research Program: Clinical Implications for a Research Informed Practice. JOURNAL OF COUPLE & RELATIONSHIP THERAPY 2015. [DOI: 10.1080/15332691.2014.959229] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Impett EA, Muise A, Rosen NO. Is It Good to Be Giving in the Bedroom? A Prosocial Perspective on Sexual Health and Well-Being in Romantic Relationships. CURRENT SEXUAL HEALTH REPORTS 2015. [DOI: 10.1007/s11930-015-0055-9] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Miller-Matero LR, Cano A. Encouraging Couples to Change: A Motivational Assessment to Promote Well-Being in People with Chronic Pain and Their Partners. PAIN MEDICINE 2015; 16:348-55. [DOI: 10.1111/pme.12600] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
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Cunningham K, German NM, Mattson RE. Regretful liaisons: exploring the role of partner regret in the association between sexual and relationship satisfaction. JOURNAL OF SEX & MARITAL THERAPY 2014; 41:325-338. [PMID: 24766490 DOI: 10.1080/0092623x.2014.915901] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Regrets over partner selection can negatively influence romantic relationship functioning. It may even undermine stability in otherwise satisfied unions. The present study extends research on partner regret by exploring its several possible links with sexual satisfaction and satisfaction with the relationship as a whole. The authors analyzed data provided by 351 individuals using path analysis. Primary findings indicate that partner regret reduces sexual satisfaction by first depreciating satisfaction with the relationship as a whole. This effect was especially pronounced for parents and women. Implications for assessment and targeted interventions for partner regret are discussed.
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Affiliation(s)
- Karlene Cunningham
- a Department of Psychology, Auburn University , Auburn , Alabama , USA , and Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University , Providence , Rhode Island , USA
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MacIntosh HB, Butters M. Measuring Outcomes in Couple Therapy: A Systematic Review and Critical Discussion. JOURNAL OF COUPLE & RELATIONSHIP THERAPY 2014. [DOI: 10.1080/15332691.2013.836050] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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