Observed communication in couples two years after integrative and traditional behavioral couple therapy: Outcome and link with five-year follow-up.

Katherine J. W. Baucom · Mia Sevier · Kathleen A. Eldridge · Brian D. Doss · Andrew Christensen

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Attachment and Relationship Dynamics Psychotherapy Techniques and Applications Counseling, Therapy, and Family Dynamics

Abstract

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 & Christensen, 1998). Videotaped samples of each couple's interactions were coded from pre-therapy, post-therapy, and 2-year follow-up assessments. At these 3 time points, each partner chose 1 current relationship problem to discuss. Relationship satisfaction was assessed at 2-year follow-up, and clinically significant treatment response and marital status were assessed 5 years after treatment. RESULTS: Observed negativity and withdrawal decreased from therapy termination through the 2-year follow-up as expected, but problem solving did not change, and observed positivity decreased. IBCT produced superior changes from post-therapy to the 2-year follow-up assessment compared with TBCT. Post-therapy levels and changes in communication over follow-up were associated with wife satisfaction at 2-year follow-up; only post-therapy to 2-year follow-up changes in communication were associated with husband satisfaction at 2-year follow-up. Post-therapy levels of problem solving and changes in wives' positivity from pre-therapy to post-therapy were associated with 5-year relationship outcomes. We found some counterintuitive results with positivity, but they were no longer significant after controlling for withdrawal. CONCLUSIONS: We found support for improvements in observed communication following treatment termination, with IBCT demonstrating greater maintenance of communication improvement over follow-up. We found limited evidence of associations between communication and relationship outcomes at 5-year follow-up.

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References

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2016Integrative Behavioral Couple Therapy: Theoretical Background, Empirical Research, and Dissemination

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