EXTENDING BEHAVIORAL MARITAL THERAPY

在美国，双音发音的发生率高得惊人。 行为婚姻疗法(BMT)已被证明在帮助 痛苦的已婚夫妇。现任调查员最近完成了一项 为期4年的婚姻治疗概要研究(n=72对夫妇)建立了 骨髓移植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将婚姻治疗扩大到包括 其他组成部分，如教夫妇检查他们的认知和 态度，并表达他们的情感。当前的总体目标是 调查是为了帮助陷入困境的夫妇度过更多 有效的婚姻治疗策略--补充之前的 有效的BMT计划(A)认知重建和(B)情绪 表现力训练。认知重建技术，已开发 在认知行为治疗领域，已经发现 有效缓解各种类型的情绪困扰。一项计划 对于教学来说，情感表现力训练被发现是 有效地提高了几种类型的二元体的质量 两性关系。在目前提出的心理治疗结果研究中，60 有婚姻问题的夫妇将被随机分配到三组中的一组 治疗师和下列五种治疗条件之一：(A)骨髓移植 单独；(B)认知结构调整加BMT；(C)BMT加情感 表达能力训练；(D)认知结构调整加BMT+ 情绪表达训练；(E)轮候名单。治疗将会 每周12次，每次1个半小时。结果衡量标准 WIL包括在预试中收集的自我报告和行为观察 和后测，以及治疗结束后一年的自我报告。 这项研究将试图：(A)确定BMT的相对有效性 单独与BMT加其他治疗成分相比，注意到特定的 EAH治疗部分产生的变化；(B)建立 治疗条件的有效性与等待名单的比较 条件；(C)通过以下方式确定治疗的长期有效性 审查一年的随访数据；(D)确定治疗的效果 个人心理、功能和婚姻互动；(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.