The Experts below are selected from a list of 237 Experts worldwide ranked by ideXlab platform
Andrew Christensen - One of the best experts on this subject based on the ideXlab platform.
-
couple discord and depression in couples during couple Therapy and in depressed individuals during depression treatment
Journal of Consulting and Clinical Psychology, 2009Co-Authors: David C Atkins, Sona Dimidjian, Jamie D Bedics, Andrew ChristensenAbstract: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 distress across the 2 samples, relationship distress was far more prevalent among those being treated for depression than was depression for those seeking Marital Therapy. There was a reliable association between changes in the primary problem (e.g., relationship distress in the couple Therapy study) and changes in the secondary problem (e.g., depression in the couple Therapy study). However, overall effects on secondary problems were quite small. Neuroticism played a complex, moderating role across the 2 samples, strengthening and weakening the association between depression and relationship distress depending on the sample and gender, replicating previous findings.
-
prediction of response to treatment in a randomized clinical trial of Marital Therapy
Journal of Consulting and Clinical Psychology, 2005Co-Authors: David C Atkins, Brian D Doss, Sara B Berns, William H George, Krista S Gattis, Andrew ChristensenAbstract:This study investigated demographic, intrapersonal, and interpersonal predictors of treatment response in a randomized clinical trial of 134 distressed married couples, which examined traditional (N. S. Jacobson & G. Margolin, 1979) and integrative (N. S. Jacobson & A. Christensen, 1996) behavioral couple Therapy. Results based on hierarchical linear modeling revealed that interpersonal variables were the strongest predictors, but their effects were largely limited to predicting initial Marital dissatisfaction; greater individual mental health was also associated with less distress initially. Couples who were married longer demonstrated stronger treatment gains, and exploratory analyses suggested that sexually dissatisfied couples showed slower initial, but overall more consistent, gains in the integrative versus the traditional approach. Findings are considered in light of the previous literature on predicting response to Marital Therapy.
-
infidelity in couples seeking Marital Therapy
Journal of Family Psychology, 2005Co-Authors: David C Atkins, Donald H Baucom, Andrew ChristensenAbstract:The revelation of an affair is often an emotionally explosive event for a couple, yet little is known about specific individual and relationship factors that accompany infidelity. The present study examined the qualities of individuals and couples that differentiate couples with (n = 19) and without (n = 115) infidelity using couples from a randomized clinical trial of Marital Therapy. Findings indicated that couples with infidelity showed greater Marital instability, dishonesty, arguments about trust, narcissism, and time spent apart. Gender also proved to be a significant moderator of several effects. Men who had participated in affairs showed increased substance use, were older, and were more sexually dissatisfied. Results offer initial clues to concomitants of affairs for couple therapists.
-
infidelity and behavioral couple Therapy optimism in the face of betrayal
Journal of Consulting and Clinical Psychology, 2005Co-Authors: David C Atkins, Donald H Baucom, Kathleen A Eldridge, Andrew ChristensenAbstract:Infidelity is a common issue with which distressed couples and their therapists grapple. However, there are no data on the efficacy of commonly used therapies to treat couples in which there has been an affair. In the present exploratory study, the authors examined the Therapy outcomes of a sample of infidelity couples (n = 19) who had participated in a randomized clinical trial of Marital Therapy (N = 134). Results show that infidelity couples began treatment more distressed than noninfidelity couples; however, evidence suggests that couples who had an affair and who revealed this affair prior to or during Therapy showed greater improvement in satisfaction than noninfidelity couples. Implications for Therapy with infidelity couples are discussed.
-
why do couples seek Marital Therapy
Professional Psychology: Research and Practice, 2004Co-Authors: Brian D Doss, Lorelei E Simpson, Andrew ChristensenAbstract:If therapists know why couples seek Marital Therapy, they can more effectively tailor their therapies to improve treatment outcome. Unfortunately, there have been no systematic studies to date on couples' reasons for seeking Therapy. In a survey of 147 married couples seeking Marital Therapy, the most commonly reported reasons were problematic communication and lack of emotional affection. Within individual couples, spouses showed little agreement on their reasons for Therapy, suggesting that careful and individual assessments should be made of each spouse. There was only partial overlap of couples' reasons for seeking Therapy, questionnaires of relationship problems, and previous studies of therapists' reports of couples' problems, indicating that traditional methods of assessment may not fully capture why couples are seeking Therapy.
David C Atkins - One of the best experts on this subject based on the ideXlab platform.
-
the association between Marital discord and depression in a community based sample of couples seeking treatment
Journal of Couple & Relationship Therapy, 2011Co-Authors: David C Atkins, Kirsty E Bortnik, Kurt Hahlweg, Notker KlannAbstract:The common co-occurrence of Marital discord and depression has led researchers to investigate the effectiveness of Marital Therapy in the treatment of depression. The current study extended past research by investigating the baseline and longitudinal association between Marital discord and depression over the course of Marital Therapy, using data from two effectiveness studies in Germany and Austria (N = 538 couples). Results replicated the consistent, positive association between Marital discord and depression within community-based settings and revealed that outcomes were significantly worse if depressive symptoms reached criteria consistent with clinical depression. Implications for common couple Therapy practice are discussed.
-
couple discord and depression in couples during couple Therapy and in depressed individuals during depression treatment
Journal of Consulting and Clinical Psychology, 2009Co-Authors: David C Atkins, Sona Dimidjian, Jamie D Bedics, Andrew ChristensenAbstract: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 distress across the 2 samples, relationship distress was far more prevalent among those being treated for depression than was depression for those seeking Marital Therapy. There was a reliable association between changes in the primary problem (e.g., relationship distress in the couple Therapy study) and changes in the secondary problem (e.g., depression in the couple Therapy study). However, overall effects on secondary problems were quite small. Neuroticism played a complex, moderating role across the 2 samples, strengthening and weakening the association between depression and relationship distress depending on the sample and gender, replicating previous findings.
-
prediction of response to treatment in a randomized clinical trial of Marital Therapy
Journal of Consulting and Clinical Psychology, 2005Co-Authors: David C Atkins, Brian D Doss, Sara B Berns, William H George, Krista S Gattis, Andrew ChristensenAbstract:This study investigated demographic, intrapersonal, and interpersonal predictors of treatment response in a randomized clinical trial of 134 distressed married couples, which examined traditional (N. S. Jacobson & G. Margolin, 1979) and integrative (N. S. Jacobson & A. Christensen, 1996) behavioral couple Therapy. Results based on hierarchical linear modeling revealed that interpersonal variables were the strongest predictors, but their effects were largely limited to predicting initial Marital dissatisfaction; greater individual mental health was also associated with less distress initially. Couples who were married longer demonstrated stronger treatment gains, and exploratory analyses suggested that sexually dissatisfied couples showed slower initial, but overall more consistent, gains in the integrative versus the traditional approach. Findings are considered in light of the previous literature on predicting response to Marital Therapy.
-
infidelity in couples seeking Marital Therapy
Journal of Family Psychology, 2005Co-Authors: David C Atkins, Donald H Baucom, Andrew ChristensenAbstract:The revelation of an affair is often an emotionally explosive event for a couple, yet little is known about specific individual and relationship factors that accompany infidelity. The present study examined the qualities of individuals and couples that differentiate couples with (n = 19) and without (n = 115) infidelity using couples from a randomized clinical trial of Marital Therapy. Findings indicated that couples with infidelity showed greater Marital instability, dishonesty, arguments about trust, narcissism, and time spent apart. Gender also proved to be a significant moderator of several effects. Men who had participated in affairs showed increased substance use, were older, and were more sexually dissatisfied. Results offer initial clues to concomitants of affairs for couple therapists.
-
infidelity and behavioral couple Therapy optimism in the face of betrayal
Journal of Consulting and Clinical Psychology, 2005Co-Authors: David C Atkins, Donald H Baucom, Kathleen A Eldridge, Andrew ChristensenAbstract:Infidelity is a common issue with which distressed couples and their therapists grapple. However, there are no data on the efficacy of commonly used therapies to treat couples in which there has been an affair. In the present exploratory study, the authors examined the Therapy outcomes of a sample of infidelity couples (n = 19) who had participated in a randomized clinical trial of Marital Therapy (N = 134). Results show that infidelity couples began treatment more distressed than noninfidelity couples; however, evidence suggests that couples who had an affair and who revealed this affair prior to or during Therapy showed greater improvement in satisfaction than noninfidelity couples. Implications for Therapy with infidelity couples are discussed.
Timothy J Ofarrell - One of the best experts on this subject based on the ideXlab platform.
-
couples relapse prevention sessions after behavioral Marital Therapy for male alcoholics outcomes during the three years after starting treatment
Journal of Studies on Alcohol and Drugs, 1998Co-Authors: Timothy J Ofarrell, Keith A Choquette, Henry S G CutterAbstract:Objective: This article provides a complete report of outcome data from a study of behavioral Marital Therapy (BMT) with and without additional couples relapse prevention (RP) sessions. (See J. Stud. Alcohol 54: 652-666, 1993, for an earlier partial report.) Method: Fifty-nine couples with an alcoholic husband, after receiving weekly BMT couples sessions for 5-6 months, were assigned randomly to get or not get 15 additional couples relapse prevention (RP) sessions over the next 12 months. Outcome measures were collected before and after BMT and at quarterly intervals for the 30 months after BMT. Results: BMT-plus-RP produced more days abstinent and greater use of the Antabuse Contract than BMT-only; and these superior drinking outcomes for BMT-plus-RP lasted through 18-month follow-up (i.e., 6 months after the end of RP). BMT-plus-RP had better wives' Marital adjustment than BMT-only throughout the 30 months of follow-up, with the superiority of BMT-plus-RP over BMT-only being greatest for wives with poor...
-
cost benefit and cost effectiveness analyses of behavioral Marital Therapy with and without relapse prevention sessions for alcoholics and their spouses
Behavior Therapy, 1996Co-Authors: Timothy J Ofarrell, Henry S G Cutter, Keith A Choquette, Rogelio D Bayog, Judith Lowe, Alfredo Chan, William F Mccourt, Elizabeth J Brown, Paul DeneaultAbstract:Fifty-nine couples with a newly abstinent alcoholic husband, after participating in weekly behavioral Marital Therapy (BMT) couples sessions for 5 to 6 months, were randomly assigned to receive or not to receive 15 additional conjoint couples relapse prevention (RP) sessions over the next 12 months. Costs of treatment delivery and health and legal service utilization were measured for the 12 months before and 12 months after BMT. Cost-benefit analysis results for both standard BMT and for the longer and more costly form of BMT with the additional RP sessions showed (a) decreases in health care and legal costs after, as compared to before, treatment, (b) positive cost offsets, and (c) benefit to cost ratios greater than 1, indicating that health and legal system cost savings (i.e., benefits) exceeded the costs of delivering the BMT treatments. In fact, cost savings from reduced utilization were more than 5 times greater than the cost of delivering the standard 5- to 6-month BMT program. Although adding RP to BMT led to less drinking and better Marital adjustment, it did not lead to greater cost savings in health and legal service utilization. A trend for subjects with higher baseline costs to incur lower costs at follow-up if they received BMT plus RP suggested additional cost savings from RP may come only for more severe problem patients who have a history of high utilization of services. Cost-effectiveness analyses indicated that BMT only was more cost-effective than BMT plus RP in producing abstinence from drinking, but the 2 treatments were equally cost-effective when Marital adjustment outcomes were considered. Since BMT only was actually less effective than BMT plus RP in producing abstinent days, it was the lower cost of BMT only that produced its greater cost-effectiveness in relation to abstinence. Study limitations are discussed.
-
cost benefit and cost effectiveness analyses of behavioral Marital Therapy as an addition to outpatient alcoholism treatment
Journal of Substance Abuse, 1996Co-Authors: Timothy J Ofarrell, Henry S G Cutter, Keith A Choquette, Frank J Floyd, Rogelio D Bayog, Elizabeth D Brown, Judith Lowe, Alfredo Chan, Paul DeneaultAbstract:Thirty-six newly abstinent married male alcoholics, who had recently begun outpatient individual alcoholism counseling, were randomly assigned to a no-Marital-Therapy control group or to 10 weekly sessions of a behavioral Marital Therapy (BMT) or an interactional couples group. The cost-benefit analysis of BMT plus individual alcoholism counseling showed (a) decreases in health care and legal costs in the 2 years after as compared to the year before treatment, (b) a positive cost offset, and (c) a benefit-to-cost ratio greater than 1 indicating that health and legal system cost savings (i.e., benefits) exceeded the cost of delivering the BMT treatment. None of the positive cost-benefit results observed for BMT were true for participants given interactional couples Therapy plus individual alcoholism counseling for which posttreatment utilization costs increased. Thus, adding BMT to individual alcoholism counseling produced a positive cost benefit, whereas the addition of interactional couples Therapy did not. Individual counseling both alone and with BMT added showed substantial and significant cost savings from reduced utilization that substantially and significantly exceeded the cost of delivering the treatment; and the two treatments did not differ significantly on these cost savings and cost offsets. Individual counseling alone did have a significantly more positive benefit-to-cost ratio than BMT plus individual counseling due to the lower cost of delivering the individual counseling which was about half the cost of delivering BMT plus individual counseling. Cost-effectiveness analyses indicated that BMT plus individual counseling was less cost effective than individual counseling alone and modestly more cost effective than interactional Therapy in producing abstinence from drinking. When Marital adjustment outcomes were considered, the three treatments were equally cost effective except during the active treatment phase when BMT was more cost effective than interactional couples Therapy. Study limitations are discussed.
-
relapse precipitants and behavioral Marital Therapy
Addictive Behaviors, 1995Co-Authors: Stephen A Maisto, James R Mckay, Timothy J OfarrellAbstract:The major purpose of this study was to provide descriptive data on the first relapse episodes and reasons for terminating relapses of subjects who completed a course of behavioral Marital Therapy (BMT) for alcoholism. Another aim of the study was to compare the relapse episodes and relapse terminations of subjects who received BMT with or without additional relapse prevention (RP) treatment for one year. The subjects were selected from a sample of 74 men who began an outpatient Department of Veterans Affairs BMT program. These men were evaluated pre- and post-BMT, and at 3, 6, 9, and 12 months after completing BMT. A total of 31 subjects relapsed at least once after they began BMT. The data showed that these men tended to report more than one situational or personal precipitant of their first relapses. Similarly, they tended to report more than one reason for ending their relapse episodes. Comparison of the subjects assigned to the two RP conditions revealed an equal number (12) of relapse episodes, but RP subjects' relapses tended to last fewer days than did no-RP subjects'. The consistency of these findings with previous research on cognitive-behavioral models of relapse and the implications of these findings for the concept of high-risk situation, are discussed.
-
behavioral Marital Therapy with and without additional couples relapse prevention sessions for alcoholics and their wives
Journal of Studies on Alcohol and Drugs, 1993Co-Authors: Timothy J Ofarrell, Henry S G Cutter, Keith A Choquette, Elizabeth D Brown, William F MccourtAbstract:This study evaluated whether alcoholics who received couples relapse prevention (RP) sessions in the year after short-term behavioral Marital Therapy (BMT) did better than those who did not receive additional RP. Couples (n = 59) with an alcoholic husband, after participating in weekly BMT couples sessions for 5 months, were assigned randomly to receive or not receive 15 additional conjoint couples relapse prevention (RP) sessions over the next 12 months. Outcome measures were collected before and after BMT and at quarterly intervals for the year after BMT. Significant improvements in the alcoholics' drinking and the couple's Marital adjustment occurred from before to after BMT replicating results of our own and other's earlier studies of BMT with alcoholics, and outcomes remained significantly improved through 12-months follow-up independent of the amount of aftercare received. Given these favorable outcomes overall, the present study provided a stringent test of the hypothesized utility of RP. As predic...
Daniel K Oleary - One of the best experts on this subject based on the ideXlab platform.
-
physical aggression in early marriage prerelationship and relationship effects
Journal of Consulting and Clinical Psychology, 1994Co-Authors: Daniel K Oleary, Jean Malone, Andrea TyreeAbstract:Spousal physical aggression at 30 months after marriage was predicted for 393 young couples who were interviewed for a longitudinal study. The prerelationship predictor variables were history of violence in the family of origin, aggression against others during childhood and adolescence, and personality characteristics. Relationship predictor variables were Marital discord and spouse-specific psychological aggression, both measured at 18 months after marriage. The findings suggest that predictive models are different for husbands and wives. For both sexes, there were direct paths to Marital violence that were not mediated by characteristics of the relationship, as well as paths that originated in or flowed through indicators of the Marital relationship. Implications for intervention through Marital Therapy, individual Therapy, or both are discussed. Language: en
-
Marital Therapy for depression theoretical foundation current status and future directions
Behavior Therapy, 1994Co-Authors: Steven R H Beach, Mark A Whisman, Daniel K OlearyAbstract:The current paper examines the potential utility of Marital Therapy in the treatment of depression. First, three clinically useful models are outlined and practical concerns related to the use of Marital Therapy in the treatment of depression are addressed. Second, available outcome and process research on the use of Marital Therapy as a treatment for depression is reviewed in detail. We attend especially to the issue of specifying the population likely to respond most favorably to behavioral Marital Therapy (BMT). We conclude that BMT is a viable and useful form of intervention for a substantial subpopulation of depressed persons. Recommendations for future research are provided.
-
treating depression in the context of Marital discord outcome and predictors of response of Marital Therapy versus cognitive Therapy
Behavior Therapy, 1992Co-Authors: Steven R H Beach, Daniel K OlearyAbstract:Forty five couples in which both partners were complaining of Marital discord and in which the wife met DSM-III diagnostic criteria for either major depression and/or dysthymia participated in 15–20 treatment sessions. Couples were randomly assigned to Marital Therapy (BMT, n=15), individual cognitive Therapy for the depressed wife (CBT, n=15), or wait-list control group (WL, n=15). Women in both cognitive Therapy and Marital Therapy experienced significantly greater reductions in depressive symptomatology than did women in the wait-list control group. In addition women in Marital Therapy had significantly greater increases in Marital adjustment than either women in cognitive Therapy or women in the wait-list condition. Of special importance in this report, and complimenting our earlier work, were process analyses which indicated that reductions in level of depression among wives in the Marital Therapy condition were mediated by increases in Marital adjustment. Further, exploratory analyses suggested that pre-Therapy levels of Marital variables and dysfunctional cognitions could predict differential response to Marital Therapy and cognitive Therapy.
Steven R H Beach - One of the best experts on this subject based on the ideXlab platform.
-
Marital Therapy in the treatment of depression toward a third generation of Therapy and research
Clinical Psychology Review, 1998Co-Authors: Steven R H Beach, Frank D Fincham, Jennifer KatzAbstract:Two generations of outcome research demonstrate the potential efficacy of Marital Therapy in the treatment of depression. After reviewing treatment outcome studies on Marital Therapy for depression, we examine basic research linking aspects of the Marital relationship to depressive symptoms. In doing so, we highlight a number of theoretical perspectives and research findings that can inform work with couples in which one spouse is depressed. Finally, we identify potential innovations that may lead to a third generation of Marital interventions for depression and several avenues of inquiry for a third generation of outcome research on Marital Therapy for depression.
-
Marital Therapy for depression theoretical foundation current status and future directions
Behavior Therapy, 1994Co-Authors: Steven R H Beach, Mark A Whisman, Daniel K OlearyAbstract:The current paper examines the potential utility of Marital Therapy in the treatment of depression. First, three clinically useful models are outlined and practical concerns related to the use of Marital Therapy in the treatment of depression are addressed. Second, available outcome and process research on the use of Marital Therapy as a treatment for depression is reviewed in detail. We attend especially to the issue of specifying the population likely to respond most favorably to behavioral Marital Therapy (BMT). We conclude that BMT is a viable and useful form of intervention for a substantial subpopulation of depressed persons. Recommendations for future research are provided.
-
treating depression in the context of Marital discord outcome and predictors of response of Marital Therapy versus cognitive Therapy
Behavior Therapy, 1992Co-Authors: Steven R H Beach, Daniel K OlearyAbstract:Forty five couples in which both partners were complaining of Marital discord and in which the wife met DSM-III diagnostic criteria for either major depression and/or dysthymia participated in 15–20 treatment sessions. Couples were randomly assigned to Marital Therapy (BMT, n=15), individual cognitive Therapy for the depressed wife (CBT, n=15), or wait-list control group (WL, n=15). Women in both cognitive Therapy and Marital Therapy experienced significantly greater reductions in depressive symptomatology than did women in the wait-list control group. In addition women in Marital Therapy had significantly greater increases in Marital adjustment than either women in cognitive Therapy or women in the wait-list condition. Of special importance in this report, and complimenting our earlier work, were process analyses which indicated that reductions in level of depression among wives in the Marital Therapy condition were mediated by increases in Marital adjustment. Further, exploratory analyses suggested that pre-Therapy levels of Marital variables and dysfunctional cognitions could predict differential response to Marital Therapy and cognitive Therapy.