EXTENDING BEHAVIORAL MARITAL THERAPY

在美国，离婚率高得惊人。 行为婚姻疗法（BMT）已被证明是有效的帮助 苦恼的已婚夫妇 现任研究员最近完成了一项 4-为期一年的婚姻治疗outome研究（n=72对夫妇），建立了 BMT治疗计划的每个主要组成部分的有用性。 调查人员已经开始呼吁扩大婚姻治疗范围， 其他组成部分，如教一对夫妇检查他们的认知， 态度，表达自己的情感。 当前的总体目标 调查是为了帮助陷入困境的夫妇， 有效的婚姻治疗策略，以补充以前的 经验证的BMT程序（a）认知重建和（B）情感 表达能力训练 认知重组技术，开发 在认知行为疗法领域，已经发现 有效缓解各种情绪困扰。 程序 已经发现， 有效地提高质量的几种类型的并矢 关系。 在目前提出的心理治疗结果研究中，60 婚姻痛苦的夫妇将被随机分配到三个 治疗师和以下五种治疗条件之一：（a）BMT 单独;（B）认知重构加BMT;（c）BMT加情绪 表达能力训练;（d）认知重构加BMT加 情感表达训练;（e）等候名单。 治疗将 包括每周1/2次，每次持续1 1/2小时。 观察指标 将包括自我报告和预测时收集的行为观察 和后测，并在治疗结束后一年自我报告。 本研究将试图：（a）确定骨髓移植的相对有效性 单独与BMT+其他治疗组分相比， 每种处理组分产生的变化;（B）确定 治疗条件与等待名单相比的有效性 （c）确定治疗的长期有效性， 检查一年的随访数据;（d）确定治疗的效果 个人心理功能和婚姻相互作用;（e）隔离 预测治疗成功的个体特征。

Divoices are occurring at an alamingly high rate in the United States. Behavioral marital therapy (BMT) has been shown to be effective in helping distressed married couples. The current investigator recently completed a 4-year marital therapy outome study (n=72 couples) which establishes the usefulness of each major component of a BMT treatment program. Investigators have begun to call for expanding marital treatment to include other components, such as teaching a couple to examine their cognitions and attitudes, and express their emotions. The overall goal of the current investigation is to assist distressed couples through an even more effective marital treatment strategy by supplementing the previously validated BMT program (a) cognitive restructuring and (b) emotional expressiveness training. Cognitive restructuring techniques, developed within the field of cognitive behavior therapy, have been found to be effective in alleviating various types of emotional distress. A program for teaching emotional expressiveness training has been found to be effective in improving the quality of several types of dyadic relationships. In the currently proposed psychotherapy outcome study, 60 maritallydistressed couples will be randomly assigned to one of three therapists and one of the following five treatment conditions: (a) BMT Alone; (b) Cognitive Restructuring Plus BMT; (c) BMT Plus Emotional Expressiveness Training; (d) Cognitive Restructuring Plus BMT Plus Emotional Expressiveness Training; (e) Waiting list. Treatment will consist of 12 weekly sessions lasting 1 1/2 hours each. Outcome measures wil include self-reports and behavioral observations gathered at pretest and posttest, and self-reports for one year after therapy is terminated. The study will attempt to: (a) determine the relative effectiveness of BMT Alone compared to BMT plus the other treatment components, noting specific changes produced by eah treatment component; (b) establish the effectiveness of the therapy conditions compared to a waiting list condition; (c) determine long-term effectivenessof the treatments by examining one-year followup data; (d) determine effects of treatment of individual psychological functional and marital interaction; (e) isolate characteristics of individuals that predict treatment success.