Maintenance of Gains in Relationship and Individual Functioning Following the Online OurRelationship Program
Maintenance of Gains in Relationship and Individual Functioning Following the Online OurRelationship Program
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DOI：
10.1016/j.beth.2018.03.011
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发表时间：
2019-01-01
期刊：
影响因子：
3.7
通讯作者：
Christensen, Andrew
中科院分区：
文献类型：
--
作者：
Doss, Brian D.;Roddy, McKenzie K.;Christensen, Andrew
在美国，超过40%的婚姻以离婚告终，超过三分之一的完整婚姻陷入困境。不幸的是，只有少数夫妇寻求夫妻治疗来改善他们的关系。在线干预措施扩大了覆盖面，降低了成本，有可能改善全国范围的关系。在以前的全国性研究中，在线OurRelationship计划已被证明可以改善关系和个人功能。本研究考察了OurRelationship计划的最初收益是否在第二年得以维持，以及维持程度是否因重要的人口统计和个人因素而异。在这项研究中，151对痛苦的异性恋夫妇（302人）被随机分配到OurRelationship项目，在干预后3个月和12个月进行了评估。关系满意度，关系信心和消极的关系质量的初始收益保持到12个月，积极的关系质量显着改善后续。此外，夫妇保持了他们在抑郁症状，感知健康，工作功能和生活质量方面的最初收益;焦虑症状在随访期间继续显着减少。最后，没有证据表明历史上服务不足的少数种族/族裔群体、低收入夫妇或农村夫妇经历了更大的恶化。事实上，西班牙裔夫妇报告说，在该计划实施后的12个月内，他们的关系信心和消极关系质量持续改善。OurRelationship计划是一个8小时的自助计划，能够长期改善痛苦的关系，这表明它可能有潜力在更大范围内改善痛苦夫妇的生活。
In the United States, more than 40% of marriages end in divorce and more than one third of intact marriages are distressed. Unfortunately, only a minority of couples seek couple therapy to improve their relationships. Online interventions, with their increased reach and reduced costs, offer the potential to improve relationships nationwide. The online OurRelationship program has been shown in previous nationwide studies to improve relationship and individual functioning. The present study examined whether initial gains in the OurRelationship program were maintained in the following year and whether the extent of maintenance varied across important demographic and individual factors. In this study, 151 distressed heterosexual couples (302 individuals) who were randomized to the OurRelationship program were assessed 3 and 12 months following the intervention. Initial gains in relationship satisfaction, relationship confidence, and negative relationship quality were maintained through 12 months; positive relationship quality significantly improved over follow-up. Furthermore, couples maintained their initial gains in depressive symptoms, perceived health, work functioning, and quality of life; anxious symptoms continued to significantly decrease over follow-up. Finally, there was no evidence that historically underserved groups racial/ethnic minorities, lower income couples, or rural couples experienced greater deterioration. In fact, Hispanic couples reported continued improvement in relationship confidence and negative relationship quality in the 12 months following the program. The ability of the OurRelationship program an 8-hour, primarily self-help program to create long-lasting improvements in distressed relationships indicates it may have the potential to improve the lives of distressed couples on a broad scale.