Recruitment and selection of couples for intervention research: Achieving developmental homogeneity at the cost of demographic diversity.

Demographic and relationship quality data were collected from 704 individuals recruited to participate in a randomized study of relationship enhancing interventions. Recruiting at bridal shows produced partners who were more satisfied, earlier in their relationships, and less likely to be parents, with a marginally higher proportion of Latino couples. Radio and television coverage produced more established couples with higher levels of relationship discord. Self-selection effects revealed that couples from demographic groups at greater risk for divorce (those who had not completed high school, those with children at marriage, and African American couples) were more likely to agree to participate. In contrast, imposing a set of common selection criteria served to exclude couples from demographic risk groups and selected for couples with higher marital quality. Implications for recruiting couples to participate in preventive interventions are outlined. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Treating intimate partner violence among substance-abusing dyads: The effect of couples therapy.

This study examined whether participation in couples therapy, compared with individual therapy, had a differential effect on the day-to-day relationship between substance use and occurrences of intimate partner violence (IPV) among married or cohabiting substance-abusing men. Patients (N = 207) were randomly assigned to either partner-involved behavioral couples therapy (BCT; included non-substance-abusing female partners in conjoint sessions) or individual-based treatment (IBT; male partners only). Couples in BCT reported lower levels of IPV and substance use at a 12-month posttreatment follow-up compared with couples with male partners in IBT. Moreover, treatment assignment was a significant moderator of the day-to-day relationship between substance use and IPV. Likelihood of nonsevere and severe male-to-female partner violence on days of male partners’ substance use was lower among couples who received BCT compared with IBT. These findings indicate couples therapy may play an important role in the treatment of IPV among substance-abusing couples. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Couples' groups for parents of preschoolers: Ten-year outcomes of a randomized trial.

This paper reports the results of a 10-year follow-up of two variations of a couples' group preventive intervention offered to couples in the year before their oldest child made the transition to kindergarten. One hundred couples were randomly assigned to (1) a low-dose control condition, (2) a couples' group meeting for 16 weeks that focused more on couple relationship issues among other family topics, or (3) a couples' group meeting for 16 weeks that focused more on parenting issues among other family issues, with an identical curriculum to condition (2). Earlier papers reported that both variations of the intervention produced positive results on parent-child relationships and on the children's adaptation to kindergarten and first grade, and that the groups emphasizing couple relationships also had additional positive effects on couple interaction quality. The present paper uses growth curve analyses to examine intervention effects extending from the children's transition to kindergarten to the transition to high school—10 years after the couples groups ended. There were 6-year positive effects of the pre-kindergarten interventions on observed couple interaction and 10-year positive effects on both parents' marital satisfaction and the children's adaptation (hyperactivity and aggression). Discussion includes a focus on the implications of these results for family policy, clinical practice, and the need to include a couples focus in preventive interventions to strengthen family relationships and enhance children's adaptation to school. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Learning sobriety together: A randomized clinical trial examining behavioral couples therapy with alcoholic female patients.

Married or cohabiting female alcoholic patients (n = 138) and their non-substance-abusing male partners were randomly assigned to 1 of 3 equally intensive interventions: (a) behavioral couples therapy plus individual-based treatment (BCT; n = 46), (b) individual-based treatment only (IBT; n = 46), or (c) psychoeducational attention control treatment (PACT; n = 46). During treatment, participants in BCT showed significantly greater improvement in dyadic adjustment than those in IBT or PACT; drinking frequency was not significantly different among participants in the different conditions. During the 1-year posttreatment follow-up, compared with participants who received IBT or PACT, participants who received BCT reported (a) fewer days of drinking, (b) fewer drinking-related negative consequences, (c) higher dyadic adjustment, and (d) reduced partner violence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Quality of marital life in Korean spinal cord injured patients

The purposes of this study were to assess the quality of marital life and to investigate the most serious problem in the marital relationships of Korean spinal cord injured patients. 30 spinal cord injured (SCI) couples (SCI husbands and their non-disabled wives) who were married prior to injury and 30 able-bodied (AB) couples participated in a questionnaire study. The quality of marital life was measured with three parameters: marital stability, marital adjustment, and marital satisfaction. The results were as follows: (1) The marriage of chronic SCI couples was not noticeably unstable when compared with that of AB couples; (2) There was no significant difference in dyadic adjustment and marital satisfaction between SCI couples and AB couples; (3) There was no significant difference in marital stability, marital adjustment, and marital satisfaction between SCI husbands and their wives; (4) SCI couples had more cohesive marital relationships and SCI husbands expressed less affection to their wives than AB husbands and (5) Sex was the most serious problem in marriages of SCI couples. In conclusion: (1) the quality of marital life in chronic SCI couples is not highly different from that of AB couples; (2) There is no significant difference in the quality of marital life between chronic SCI husbands and their non-disabled wives; and (3) It is considered necessary that rehabilitation program for SCI patients should include information on the altered physiology of sexual function of SCI patients and subsequent mutual adaptation to changed sexual function.     

Quasi-kin relationships and marital quality in stepfather families.

Tested A. Cherlin's (1978) incomplete institution hypothesis to determine specifically if (a) couples where both spouses have children from a previous marriage (complex) exhibit lower marital quality than couples where only one spouse has children (simple), (b) the marital quality of divorced–remarried couples decreases as the frequency of interaction with quasi-kin (former spouses) increases, and (c) divorced–remarried women exhibit lower marital quality than men. 27 couples from complex stepfamilies and 13 couples from simple stepfamilies were divided into 3 levels of frequency of contact with quasi-kin groups (high, moderate, and low) and completed the Marital Adjustment Test, the Areas of Change Questionnaire, the Life Experiences Survey, and a Quasi-Kin Relationship Questionnaire. Ss from simple stepfamilies registered higher marital quality than Ss from complex stepfamilies. Ss who maintained moderate frequencies of contact with quasi-kin exhibited better marital quality than Ss who maintained either high or low frequencies of contact (these groups did not differ). The prediction that women would exhibit lower marital quality than men was not confirmed. Role strain and the concept of "permeability of boundaries" are used to interpret these findings. (37 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral couples therapy for male substance-abusing patients: Effects on relationship adjustment and drug-using behavior.

Married or cohabitating substance-abusing patients (n?=?80) who were entering individual outpatient treatment, most of whom were referred by the criminal justice system (n?=?68; 85%), were randomly assigned to a no-couples-treatment control group (n?=?40) or to 12 weekly sessions of adjunctive behavioral couples therapy (BCT; n?=?40) . Drug use and relationship adjustment measures were collected at pretreatment, posttreatment, and at 3-, 6-, 9-, and 12-month follow-ups. Couples who received BCT as part of individual-based treatment had better relationship outcomes, in terms of more positive dyadic adjustment and less time separated, than couples in which husbands received individual-based treatment only. Husbands in the BCT condition also reported fewer days of drug use, longer periods of abstinence, fewer drug-related arrests, and fewer drug-related hospitalizations through the 12-month follow-up period than husbands receiving individual-based treatment only. However, some of the drug use and relationship adjustment differences between these groups dissipated over the course ofthe follow-up period. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Alcohol-Focused Spouse Involvement and Behavioral Couples Therapy: Evaluation of Enhancements to Drinking Reduction Treatment for Male Problem Drinkers.

This study evaluated the effects of alcohol-focused spouse involvement and behavioral couples therapy (BCT) in group drinking reduction treatment for male problem drinkers. Sixty-four male clients and their female partners were randomly assigned to 1 of 3 conditions: treatment for problem drinkers only (PDO), couples alcohol-focused treatment, or the latter combined with BCT. Clients whose partners were included in treatment evidenced fewer heavy drinking days and more abstinent/light drinking days in the year following treatment, relative to PDO clients. The combination of alcohol-focused spouse involvement and BCT yielded no better outcomes than alcohol-focused spouse involvement alone. Drinking consequences, spouse behavioral support for drinking reduction, and relationship satisfaction showed no effects of treatment condition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Is marital discord taxonic and can taxonic status be assessed reliably? Results from a national, representative sample of married couples.

Addressing potential weaknesses in an earlier investigation, the authors examined the latent structure of marital discord using 4 product indicators from the Marital Satisfaction Inventory-Revised (Snyder, 1997) in a representative sample of community couples (N = 1,020). Results from 3 taxometric procedures suggested that marital discord is taxonic, with an estimated base rate of .31. Cut scores for classifying members of this marital discord taxon were identified. Additional analyses with several data sets of community and clinic couples provided evidence that the marital discord taxon classification demonstrated good (a) 6-week test-retest reliability, (b) criterion validity (i.e., differences in taxon prevalence in community vs. clinic couples), and (c) construct validity (i.e., correlations with therapist ratings of relationship quality). These results suggest that discordant couples differ qualitatively and not just quantitatively from nondiscordant couples and that user friendly methods, suitable for a range of research and clinical applications, can be used to identify marital discord. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Workload and the trajectory of marital satisfaction in newlyweds: Job satisfaction, gender, and parental status as moderators.

Stress, on average, is bad for relationships. Yet stress at work is not always associated with negative relationship outcomes. The premise of the current study was that associations between workload and trajectories of marital satisfaction depend on circumstances that may constrain or facilitate partners' ability to negotiate their multiple roles. We hypothesized that the covariance between changes in workload and marital satisfaction over time should be moderated by (a) the extent to which spouses like their work, (b) their parental status, and (c) their gender. Analyses drawing upon eight waves of data on workload, work satisfaction, and marital satisfaction from 169 newlywed couples assessed over four years confirmed these predictions. Specifically, across couples, demands at work covaried positively with marital satisfaction for spouses who were more satisfied with their jobs. For nonparent couples, increases in husbands' workload covaried with increases in marital satisfaction for both spouses. For parent couples, however, increases in husbands' workload covaried with declines in marital satisfaction for both spouses. Unexpectedly, for parent couples, increases in wives' workload corresponded with increased marital satisfaction. Finally, consistent with predictions, wives were more affected by their husbands' workload than vice versa. Thus, tension between work and marriage is not inevitable, instead depending on circumstances that facilitate or impair performance in multiple roles. Couples, employers, and practitioners should recognize the role that external circumstances play in determining how work and marital life interact. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Attributions and behavior in functional and dysfunctional marriages

The study examined whether spouses' attributions for partner behavior are related to their own behavior by assessing their attributions and observing the problem-solving discussions of couples in which (a) neither spouse was depressed or maritally distressed, (b) the wife was depressed and both spouses were maritally distressed, and (c) the wife was not depressed and both spouses were maritally distressed. To the extent they made maladaptive attributions, wives displayed less positive behavior and more negative behavior. Husbands' attributions and behavior were unrelated, and associations between attributions and behavior were not moderated by marital distress and depression. These results highlight the need to clarify how partner behavior contributes to the attributions spouses make and to reexamine interventions designed to modify attributions in marital therapy.     

The role of differentiation of self in marital adjustment.

In the present investigation, Murray Bowen's (1978) theoretical propositions about the relationship between differentiation of self and quality of marital relationships were tested. Couples' levels of differentiation explained substantial variance in marital adjustment: 74% of variance in husband marital adjustment scores and 61 % of variance in wife marital adjustment scores were accounted for by couple differentiation of self-scores. Greater husband emotional cutoff uniquely accounted for husband and wife marital discord. Contrary to family systems theory, actual couples were no more similar on differentiation than were randomly matched couples. Finally, greater complementarity among couples along the specific dimensions of emotional cutoff and emotional reactivity predicted greater marital distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital therapy in the treatment of depression: toward a third generation of therapy and research

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 power, marital adjustment, and therapy outcome.

This study examined the association of marital power type to (1) marital adjustment and (2) response to behavioral marital therapy. A behavioral measure was used to classify 53 distressed couples into egalitarian, husband-dominant, wife-dominant, or anarchic power patterns. Marital adjustment was assessed by measures of marital satisfaction, desired relationship change, and 2 communication indexes. At pretreatment, egalitarian couples showed the best overall marital adjustment, and anarchic couples showed the worst; at posttreatment, egalitarian and wife-led couples reported the highest marital satisfaction, and anarchic couples reported the lowest. Wife dominant couples improved the most, reporting increased marital satisfaction and demonstrating improved communication. The discussion considers the special treatment needs of anarchic couples for whom improved communication occurred in a context of continued marital dissatisfaction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stress resilience in early marriage: Can practice make perfect?

As all couples experience stressful life events, addressing how couples adapt to stress is imperative for understanding marital development. Drawing from theories of stress inoculation, which suggest that the successful adaptation to moderately stressful events may help individuals develop a resilience to future stress, the current studies examined whether experiences with manageable stressors early in the marriage may serve to make the relationship more resilient to future stress. In Study 1, 61 newlywed couples provided data regarding their stressful life events, relationship resources (i.e., observed problem-solving behaviors), and marital satisfaction at multiple points over 2? years. Results revealed that among spouses displaying more effective problem-solving behaviors, those who experienced moderate stress during the early months of marriage exhibited fewer future stress spillover effects and reported greater increases in felt efficacy than did spouses who had less experience with early stress. Study 2 examined stress resilience following the transition to parenthood in a new sample of 50 newlywed couples. Again, spouses who experienced moderate stress during the early months of marriage and had good initial relationship resources (i.e., observed support behaviors) reported greater marital adjustment following the transition to parenthood than did spouses who had good initial resources but less prior experience coping with stress. Together, results indicate that entering marriage with better relationship resources may not be sufficient to shield marital satisfaction from the detrimental effects of stress; rather, couples may also need practice in using those resources to navigate manageable stressful events. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Person perception, marriage adjustment, and social desirability.

Extended B. Murstein's (see record 1971-26678-001) stimulus-value-role theory to account for the relationship of person perception scores to marital adjustment. The hypotheses predicted that (a) similarity, self-acceptance, accuracy of predicting other's responses, and role compatibility would be correlated with marital adjustment; (b) when the perceptual target was the man, the correlation with marital adjustment would be higher than when it was a woman; (c) women would show a higher self-acceptance-marital-adjustment correlation than men; and (d) intraperceptions would be more highly correlated with marital adjustment than interperceptions. 60 young married middle-class couples took a 20 adjective bipolar checklist under 8 different "sets" (self, ideal self, spouse, ideal spouse, and predictions of these 4 sets for the partner). Results generally support the hypotheses. (22 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do couples at high risk of relationship problems attend premarriage education?

The effectiveness of premarriage education is limited by whether couples at high risk of future marital problems attend such education. In the current study, 374 newly married couples were assessed on a range of risk factors for future marital problems as well as whether they had attended marriage education. Couples with certain indices of relationship risk (nonreligious and premarital cohabitation) were underrepresented in premarriage education. Suggestions are offered to attract more couples, particularly those at high risk for future problems, to relationship education. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relationship between dyadic coping and marital quality: A 2-year longitudinal study.

Previous studies have revealed that the ways couples deal with stress in their lives are significantly associated with their marital quality and overall marital functioning. However, there has been little empirical evidence linking dyadic coping with marital quality over time. This study addresses the relationship between dyadic coping and marital quality among 90 couples over a period of 2 years. The results reveal that dyadic coping was significantly associated with marital quality over 2 years. For women, both their own dyadic coping and that of their partner were significant predictors, whereas for men only their own dyadic coping was predictive. The results are discussed with regard to prevention of marital distress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)