Preventing marital distress through communication and conflict management training: A 4- and 5-year follow-up.

Reports the 4- and 5-yr follow-up results of evaluating the effects of a marital distress prevention program. The Prevention and Relationship Enhancement Program (PREP) is a 5-session program designed to teach couples effective communication and conflict management skills. At the 5-yr follow-up, intervention (as compared with control) couples had higher levels of positive and lower levels of negative communication skills and lower levels of marital violence. Data are also presented on couples who declined the program. Issues are discussed concerning selection effects, change mechanisms, and future directions for prevention research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prevention of marital distress: Results of a German prospective longitudinal study.

This article reports on the development and long-term evaluation of a marital distress prevention program for German couples, the Ein Partnerschaftliches Lernprogramm (EPL, A Couple's Learning Program). The EPL is a 6-session program designed to teach couples effective communication and problem-solving skills. In the current article, the EPL is evaluated in a prospective, quasi-experimental, controlled trial. The results of the 3-year follow-up are reported, contrasting 55 EPL couples with a control group of 17 couples. Significant differences emerged with regard to the couples' dissolution rates, relationship satisfaction, and positive and negative communication behavior favoring the EPL couples. These results demonstrate the utility of the EPL program in assisting happy couples who are preparing for marriage. The implications of the findings for prevention research and for the dissemination of prevention programs are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The efficacy of a compact psychoeducational group training program for married couples.

There is a lack of psychoeducational programs for married couples who, although subjectively concerned about their marriages, do not seek marital therapy. In this study, the efficacy of a cognitive-behavioral program delivered on a weekend by 2 trainers for groups of 4 couples was investigated. Couples (n?=?67) were recruited by newspaper announcements, then randomly assigned to the intervention program or a waiting-list control group. The program consisted of communication and problem-solving training, couples' discussions to clarify their relationship expectations, and exercises to enhance their sensual or sexual relationship. At postassessment, intervention couples emitted more positive verbal and nonverbal communication behaviors during a conflict discussion task than did control couples, who reported significantly more relationship problem areas and displayed more negative communication behaviors. At the 1-year follow-up, intervention couples reported fewer problem areas in comparison with preassessment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Can couples assessment and feedback improve relationships? Assessment as a brief relationship enrichment procedure.

Many counseling psychologists provide marital assistance to couples who have relationship problems and those who seek to enrich their relationships. The authors investigated the effects of individualized relationship assessment and feedback in relation to merely completing written questionnaires about the relationships on couples' satisfaction and commitment. Student couples (N?=?48; 26 married, 15 cohabiting, 7 engaged) participated either in (a) 3 sessions of assessment feedback (n?=?28) or (b) written assessment only (n?=?20). Assessment-feedback couples improved more over time than did written-assessment-only couples. The authors concluded that assessment and feedback produce small positive changes in already well-functioning relationships. Those changes may account for a substantial proportion of the changes produced by relationship enrichment programs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neuroticism and marital satisfaction: The mediating role played by the sexual relationship.

Why is Neuroticism so harmful to marriage and other intimate relationships? Given that such relationships generally involve a sexual component, the current longitudinal study explored whether the apparent negative impact of own and partner's Neuroticism on marriage could be explained by dissatisfaction with the sexual relationship. Just after their weddings, 72 couples reported their marital satisfaction, sexual satisfaction, and Neuroticism. One year later, they again reported their marital and sexual satisfaction. Own Neuroticism predicted lower levels of concurrent marital and sexual satisfaction among husbands and wives, declines in sexual satisfaction among husbands and wives, and declines in marital satisfaction among wives. Partner's Neuroticism predicted lower levels of concurrent marital satisfaction among husbands and wives, lower levels of concurrent sexual satisfaction among husbands, and declines in sexual satisfaction among husbands. Consistent with predictions, sexual satisfaction mediated every effect of own and partner Neuroticism on marital satisfaction. Results highlight the prominent role played by the sexual relationship in accounting for marital outcomes and thus suggest specific processes through which Neuroticism may affect the marriage. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Implementation of empirically validated interventions in managed-care settings: The prevention and relationship enhancement program.

In an age of managed care, how does the clinician best help couples in marital distress? Do the short-term protocols developed and tested in the laboratory really work in the average clinical setting? This project examined the feasibility and effectiveness of implementing a laboratory-based program designed to prevent the development of relationship distress within an HMO. Both men and women reported high satisfaction with the program and a subjective sense that it was helpful for their relationships. Specific suggestions are made for assisting therapists in using effective treatments for couples in managed-care settings (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The premarital communication roots of marital distress and divorce: The first five years of marriage.

Using data from 210 couples who provided data across the first 5 years of marriage, we examined how premarital communication quality was related to divorce and later distress. The results showed that premarital observed negative and positive communication nearly reached significance as predictors of divorce, while self-reported negative communication was significantly associated with divorce. In terms of marital adjustment, we found that both premarital observed and self-reported negative premarital communication (but not observed positive communication) were associated with lower adjustment during the first 5 years of marriage. The most important questions addressed in this study pertain to how positive and negative dimensions of communication change over time and how these changes are related to being distressed or nondistressed after 5 years of marriage. This is the first study, to our knowledge, to examine the changes in communication over time that are so central to theories of the development of marital distress and for research-based interventions. We found that all couples showed decreases in negative communication over time, but the nondistressed group declined significantly more than the distressed group in negative communication, suggesting they are handling negative emotions better. Implications for future research on the development of relationship distress and for enhancing research-based couples' intervention programs are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictive validity of therapeutic alliance in group marital therapy.

The relation between marital distress, therapeutic alliance formation, and treatment outcome was investigated in a group marital skills training program in which 63 couples met for 9 weekly 3-hr sessions. Treatment outcome was assessed before and after completion of treatment through a series of self-report measures. The quality of the therapeutic alliance as viewed by the couples and the therapists was monitored at the 3rd session. Results indicate that levels of marital distress neither impaired nor facilitated alliance formation. In addition, it was demonstrated that patients' and therapists' ratings of the strength of the therapeutic alliance constitute a determinant of successful treatment. It appears, however, that the strength of the alliance is a more powerful predictor of therapeutic success among men than among women. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Influence of age on neurohormonal activation and prognosis in patients with chronic heart failure

There is a lack of psychoeducational programs for married couples who, although subjectively concerned about their marriages, do not seek marital therapy. In this study, the efficacy of a cognitive-behavioral program delivered on a weekend by 2 trainers for groups of 4 couples was investigated. Couples (n = 67) were recruited by newspaper announcements, then randomly assigned to the intervention program or a waiting-list control group. The program consisted of communication and problem-solving training, couples' discussions to clarify their relationship expectations, and exercises to enhance their sensual or sexual relationship. At postassessment, intervention couples emitted more positive verbal and nonverbal communication behaviors during a conflict discussion task than did control couples, who reported significantly more relationship problem areas and displayed more negative communication behaviors. At the 1-year follow-up, intervention couples reported fewer problem areas in comparison with preassessment.     

Community-Based Prevention of Marital Dysfunction: Multilevel Modeling of a Randomized Effectiveness Study.

This study is a cluster randomized controlled trial of the Prevention and Relationship Enhancement Program (PREP; H. J. Markman, S. M. Stanley, & S. L. Blumberg, 2001). Fifty-seven religious organizations (ROs), consisting of 217 newlywed couples, were randomly assigned to 1 of 3 intervention conditions: PREP delivered by university clinicians (U-PREP), PREP delivered by RO clergy (ROPREP), and naturally occurring (NO) marriage preparation. Self-reported relationship satisfaction, negative behavior, and positive behavior were assessed at preintervention, postintervention, and 1-year follow-up. Trajectories of relationship satisfaction showed no change over time and did not differ across conditions. Trajectories of negative behavior for RO-PREP wives showed significantly greater linear declines in comparison with NO trajectories. Trajectories of positive behavior for NO and U-PREP partners showed significant declines compared with RO-PREP trajectories. Effectiveness, transportability, and dissemination of marital distress prevention programs in community settings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Strategic hope-focused relationship-enrichment counseling with individual couples.

Strategic hope-focused relationship enrichment is a brief, eclectic, research-based program to enhance couples' relationships. Couples (N?=?51; 16 married, 24 cohabiting, 11 engaged) completed 5 sessions of enrichment counseling (n?=?26) or 3 written assessments (n?=?25) from 1 of 12 counselors. Couples receiving enrichment counseling had higher relationship satisfaction and quality-of-couple skills at posttest and at the 3-week follow-up than did written-assessment-only (control) couples. Conditions did not differ in terms of quality of overall attraction or 2 measures of commitment. We concluded that relationship enrichment using this program was effective, powerful, and cost-effective. Future research should focus on testing the effectiveness of the program presented in a group format. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of the Oregon model of Parent Management Training (PMTO) on marital adjustment in new stepfamilies: A randomized trial.

Effects of intervention with the Oregon model of Parent Management Training (PMTO?) on marital relationship processes and marital satisfaction in recently married biological mother and stepfather couples were examined. Sixty-seven of the 110 participating families were randomly assigned to PMTO, and 43 families to a non-intervention condition. Intervention had reliable positive indirect effects on marital relationship processes 24 months after baseline which in turn were associated with higher marital satisfaction. These indirect effects were mediated by the impact of PMTO on parenting practices 6 months after baseline. Enhanced parenting practices resulting from PMTO prevented escalation of subsequent child behavior problems at school. Consistent with a family systems perspective and research on challenges to marital quality in stepfamilies, improved co-parenting practices were associated with enhanced marital relationship skills and marital satisfaction as well as with prevention of child behavior problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Conflict and love: Predicting newlywed marital outcomes from two interaction contexts.

Research on marital interaction has focused primarily on couples in conflict contexts to understand better processes associated with concurrent and longitudinal outcomes such as marital stability and quality. Although this work has consistently revealed particular emotions (e.g., contempt) or behavioral sequences (e.g., demand/withdraw) predictive of later marital distress, it largely has neglected to take positive contexts into consideration. The present longitudinal study begins to address this gap in the literature by directly comparing newlywed behaviors from a conflict-resolution interaction with those from a love-paradigm interaction to predict relationship satisfaction and divorce proneness approximately 15 months later. Results showed that actor and partner negative (contempt) and positive (affection) emotions elicited in both positive (i.e., love) and negative (i.e., conflict) interaction contexts emerged as unique predictors of relationship quality and stability for both husbands and wives. Moreover, using a linear growth model, the temporal course of positive emotion during the love context, but not the conflict context, was predictive of later relationship satisfaction. Implications for future marital research and intervention are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Comparison of a sexual enhancement and a communication training program on sexual and marital satisfaction.

A total of 30 volunteer couples were randomly assigned to a sexual enrichment, a communication training, or a wait-list control condition. The sexual enrichment and communication training groups met for 3-hr sessions, 1 day per week for 4 consecutive weeks. All three conditions were assessed immediately before, immediately after, and again 3 months after completion of the programs. Analyses of covariance revealed that wives who participated in the sexual enhancement program derived more pleasure from their sexual relationships than did wives in the other two groups. In addition, participants in the sexual enhancement program felt there was a greater amount of affectional expression, and rated their overall marital satisfaction as significantly improved. Couples participating in the communication training program also evinced limited changes in their sexual and marital relationships, whereas couples in the wait-list control condition reported no changes. We conclude that communication training is an important component in sexual enrichment programs and that more evaluative research is needed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interrelations and moderators of longitudinal links between marital satisfaction and depressive symptoms among couples in established relationships.

Extending research based on newlywed couples, this study investigated longitudinal associations between marital satisfaction and depressive symptoms in a community sample of 296 couples in established relationships (M = 13.25 years, SD = 5.98) with children (M age = 11.05 years, SD = 2.31). Support was found for reciprocal relations between marital satisfaction and depressive symptoms in couples with established relationships. Further extending previous work, the study showed that relationship length and hostile marital conflict were significant moderators of these linkages. Husbands in longer term relationships were more vulnerable to depressive symptoms in the context of marital problems compared with husbands in shorter term relationships. At higher levels of marital conflict, the negative relationship between marital satisfaction and depressive symptoms was strengthened. Reflecting an unexpected finding, increased conflict buffered spouses from marital dissatisfaction in the context of depressive symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The baby and the marriage: Identifying factors that buffer against decline in marital satisfaction after the first baby arrives.

This longitudinal study identified factors of couples' marital friendship in the beginning months of marriage that predicted stability versus decline in marital satisfaction over the transition to parenthood. Newlywed couples (N?=?130) were followed longitudinally for 6 years. 43 couples became parents, and 39 childless couples served as a control group. Couples were interviewed about the history and philosophy of their relationship as newlyweds. What predicted the stable or increasing marital satisfaction of mothers were the husband's expression of fondness toward her, the husband's high awareness for her and their relationship, and her awareness for her husband and their relationship. In contrast, what predicted the decline in marital satisfaction of mothers were the husband's negativity toward his wife, the husband's disappointment in the marriage, or the husband or wife having described their lives as chaotic. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Personality and compatibility: A prospective analysis of marital stability and marital satisfaction.

The antecedents of marital stability (divorce or remaining married) and marital satisfaction (within the group that remains married) were investigated with a panel of 300 White couples who were followed from their engagements in the 1930's until 1980. 22 of the couples broke their engagements; of the 278 couples who married, 50 got divorced between 1935 and 1980. Personality characteristics (measured by acquaintance ratings made in the 1930's) were important predictors of both marital stability and marital satisfaction. The 3 aspects of personality most strongly related to marital outcome were the neuroticism of the husband, the neuroticism of the wife, and the impulse control of the husband. The remaining variance was accounted for by attitudinal, social-environment, and sexual history variables. (29 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Selecting behavioral marital interventions: An algorithm for matching couples and treatments.

Presents an algorithm, based on 12 questions, for matching couples and marital interventions. The algorithm can be used to determine the appropriateness of divorce counseling, nonmarital treatments, couples crisis intervention, structured behavior exchange, communication skills training, problem-solving training, marital rule clarification/restructuring, and specific treatment procedures (e.g., sex therapy). (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Treatment of erectile dysfunction secondary to spinal cord injury: Sexual and psychosocial impact on couples.

17 males with spinal cord injury (SCI) and their partners, screened for suitability for pharmacological intervention for erectile dysfunction, were assessed pre- and postintervention on measures of marital, social, personality, and sexual functioning. Intervention did not affect general measures of life satisfaction or personality functioning. A positive impact on a general measure of marital satisfaction and on several measures of sexual functioning was noted, generally more so for SCI males than their partners. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Problem-Solving Skills and Affective Expressions as Predictors of Change in Marital Satisfaction.

Specific skills and affective expressions coded from the problem-solving interactions of 172 newlywed couples were examined in relation to 8-wave, 4-year trajectories of marital satisfaction. Effects varied as a function of whether husbands' versus wives' topics were under discussion and whether husbands' versus wives' satisfaction was predicted, but results indicate that skills, affect, and their statistical interaction account for unique variance in rates of change in marital satisfaction. The interaction between positive affect and negative skills was particularly robust, indicating that (a) low levels of positive affect and high levels of negative skills foreshadowed particularly rapid rates of deterioration and that (b) high levels of positive affect buffered the effects of high levels of negative skills. Findings suggest specific targets for intervention in programs for developing marriages. (PsycINFO Database Record (c) 2010 APA, all rights reserved)