Improving relationships: Mechanisms of change in couple therapy

Improving relationships: Mechanisms of change in couple therapy
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DOI:
10.1037/0022-006x.73.4.624
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发表时间:
2005-08-01
影响因子:
5.9
通讯作者:
Christensen, A
Christensen, A
中科院分区:
心理学1区
文献类型:
--
作者:
Doss, BD;Thum, YM;Christensen, A

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在134对被随机分配到传统或综合行为夫妻疗法(TBCT和IBCT)的已婚夫妇的样本中,使用潜变量回归的多变量分层成长曲线分析表明,沟通、行为频率和情感接受的测量作为改变的机制。TBCT导致治疗早期靶向行为的频率发生更大变化,而IBCT导致治疗早期和晚期对靶向行为接受程度的更大变化。此外,行为频率的改变与治疗早期满意度的提高密切相关;然而,在治疗的后半部分,情绪接受与满意度的变化更密切相关。对研究和临床意义进行了讨论。
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.