Improving Relationships: Mechanisms of Change in Couple Therapy.

Brian D. Doss · Yeow Meng Thum · Mia Sevier · David C. Atkins · Andrew Christensen

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Psychotherapy Techniques and Applications Attachment and Relationship Dynamics Mindfulness and Compassion Interventions

Abstract

In a sample of 134 married couples randomly assigned to traditional or integrative behavioral couple therapy (TBCT vs. IBCT), a multivariate hierarchical growth curve analysis using latent variable regression revealed that measures of communication, behavior frequency, and emotional acceptance acted as mechanisms of change. TBCT led to greater changes in frequency of targeted behavior early in therapy, whereas IBCT led to greater changes in acceptance of targeted behavior both early and late in therapy. In addition, change in behavioral frequency was strongly related to improvements in satisfaction early in therapy; however, in the 2nd half of therapy, emotional acceptance was more strongly related to changes in satisfaction. Research and clinical implications are discussed.

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References

1976Measuring Dyadic Adjustment: New Scales for Assessing the Quality of Marriage and Similar Dyads 2001Empirically Supported Psychological Interventions: Controversies and Evidence 2002Clinical Handbook of Couple Therapy 1998Empirically supported couple and family interventions for marital distress and adult mental health problems.1986Marital Therapy Strategies Based On Social Learning & Behavior Exchange Principles 1981Marital Therapy: Strategies Based on Social Learning and Behavior Exchange Principles 2004Traditional Versus Integrative Behavioral Couple Therapy for Significantly and Chronically Distressed Married Couples.1993Effects of family and marital psychotherapies: A meta-analysis.

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2018On the Association Between Mindfulness and Romantic Relationship Satisfaction: the Role of Partner Acceptance 2011Where's the Action? Understanding What Works and Why in Relationship Education 2011Common Factors of Change in Couple Therapy 2012Evidence‐based couple therapy: current status and future directions 2019Best Practices in Relationship Education Focused on Intimate Relationships

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