Objective: To examine changes in observed communication after therapy termination in distressed couples from a randomized clinical trial. Method: A total of 134 distressed couples were randomly assigned to either traditional behavioral couple therapy (TBCT; Jacobson & Margolin, 1979) or integrative behavioral couple therapy (IBCT; Jacobson &…

Objective: The purpose of this study was to explore the relationship between the alliance and outcome in couple therapy and examine whether the alliance predicted outcomes over and above early change. The authors also investigated partner influence and gender and sought to identify couple alliance patterns that predicted couple outcomes. Method:…

Objective: To follow distressed married couples for 5 years after their participation in a randomized clinical trial. Method: A total of 134 chronically and seriously distressed married couples were randomly assigned to approximately 8 months of either traditional behavioral couple therapy (TBCT; Jacobson & Margolin, 1979) or integrative…

The association between depression and relationship distress as well as the impact of treatment for the one on the other was examined across 2 treatment-seeking samples: individuals seeking treatment for depression (N = 120) and couples seeking marital therapy (N = 134 couples). Although there was a baseline association between depression and…

Many studies have examined pretreatment predictors of immediate posttreatment outcome, but few studies have examined prediction of long-term treatment response to couple therapies. Four groups of predictors (demographic, intrapersonal, communication, and other interpersonal) and 2 moderators (pretreatment severity and type of therapy) were…

Reanalyzed data from four previous studies (N=148) to examine the effectiveness of behavioral marital therapy (BMT). Results showed that slightly more than half the couples improved; about one-third actually became nondistressed. Deterioration was rare. (JAC)

Follow-up data across 2 years were obtained on 130 of 134 couples who were originally part of a randomized clinical trial comparing traditional versus integrative behavioral couple therapy (TBCT vs. IBCT; A. Christensen et al., 2004). Both treatments produced similar levels of clinically significant improvement at 2 years posttreatment (69% of…

Compared couples receiving 2 marital therapy approaches and control group over 10-week treatment period. Integrated systemic therapy (IST) and emotionally focused approach (EFT) both were found to be superior to control and to be equally effective in alleviating marital distress, facilitating conflict resolution and goal attainment, and reducing…

The aim of this study was to evaluate the effectiveness of treating depression with coping-oriented couples therapy (COCT) as compared with cognitive-behavioral therapy (CBT; A. T. Beck, C. Ward, & M. Mendelson, 1961) and interpersonal psychotherapy (IPT; M. M. Weissman, J. C. Markowitz, & G. L. Klerman, 2000). Sixty couples, including 1…

The goal of this study was to use task analysis to verify that the attachment injury resolution model described in this article discriminates resolved from nonresolved couples. Twenty-four couples with an attachment injury received, on average, 13 sessions of emotionally focused therapy (EFT). At the end of treatment, 15 of the 24 couples were…

Attempted to identify predictors of positive treatment outcome following behavioral marital therapy. The only variable that significantly predicted outcome at both posttest and follow-up was a measure reflecting traditional affiliation/independence patterns: couples with a highly affiliative wife and a highly independent husband were less likely…

Describes ways of operationalizing clinically significant change, defined as extent to which therapy moves someone outside range of dysfunctional population or within range of functional population. Uses examples to show how clients can be categorized on basis of this definition. Proposes reliable change index (RC) to determine whether magnitude…

Couples expecting their first child were randomly assigned to intervention (n = 28) and comparison groups (n = 38) to assess the efficacy of a couples intervention and examine marital satisfaction trajectories across the transition to parenthood. The primarily European American sample (M age = 30 years) completed assessments of marital…

Demonstrated that behavioral marital therapy (BMT) and insight-oriented marital therapy (IOMT) could be rendered in a distinct and uncontaminated fashion in manual-guided outcome research where therapists were crossed with treatment condition. BMT proved to be highly structured, with 93 percent of therapist interventions reflecting behavioral…

Examines literature on marital therapy and spouse involvement as treatments for major psychopathology, focusing on depression, agoraphobia, and alcoholism. For each disorder, examines relation between marital dynamics and disorder and discusses empirical efforts to evaluate impact of marital therapy or spouse involvement on disorder. Summarizes…