Predicting Key Change Events in Emotionally Focused Couple Therapy

In emotionally focused couple therapy (EFT), the blamer‐softening event helps individuals express and respond to partners’ unmet attachment needs. This study examined the impact of this event in relation to attachment at intake and changes in marital satisfaction from pre‐ to posttherapy. Thirty‐two couples were provided an average of 21 sessions of EFT. Hierarchical linear modeling revealed that the occurrence of a softening event significantly predicted increased marital satisfaction. Furthermore, the occurrence of a softening event significantly moderated the relationship between attachment avoidance at intake and change in marital satisfaction from pre‐ to posttherapy. For couples who had a softening event, partners with higher levels of attachment avoidance were less likely to have positive changes in marital satisfaction.     

Effects of Love Styles on Marital Satisfaction in Heterosexual Couples: A Dyadic Approach

The main objective of this study was to test Actor-Partner Interdependence Models (APIM) describing the relationship between wives' and husbands' love styles and marital satisfaction within heterosexual couples (n=146 couples). Love styles (i.e., Eros, Ludus, Storge, Mania, Pragma, Agape) were set out in Lee's theory of love, which defines love as an attitude, meaning a predisposition to think, feel, and behave toward one's partner. Six APIMs representing each love style were tested using a path analysis procedure. Length of marriage and wives' and husbands' depressive moods were entered into the models as control variables. The results revealed that among the love styles, only Eros contributed to marital satisfaction for both men and women. However, our results showed that wives' Eros style had a positive impact on husbands' marital satisfaction, whereas husbands' Eros style did not influence wives' marital satisfaction.     

The Brief Accessibility,Responsiveness, and Engagement Scale: A Tool for Measuring Attachment Behaviors in Clinical Couples

Measuring attachment behaviors is relevant to creating secure couple relationships. This article seeks to test and examine the reliability and validity of the Brief Accessibility, Responsiveness, and Engagement (BARE) Scale—a practical measure of couple attachment–in a clinical sample. Couples took the BARE and other assessments measuring relationship functioning (self and partner reports of relationship satisfaction, relationship stability, positive and negative communication, and attachment styles). Results suggest that the BARE appears to be a reliable and valid tool for assessing couple attachment and can accurately predict and classify whether the couples belong in the clinical or nonclinical group, as well as their level of relationship satisfaction. Results also indicate attachment behaviors are related to relationship outcomes.     

Insecure Attachment Predicts History of Divorce,Marriage, and Current Relationship Status

The goal of this research was to test the predictive ability of attachment styles and dysfunctional relational communication patterns to predict adults’ relationship status (i.e., single/partnered and ever-married/ever-divorced). Anxious and avoidant attachment styles and dysfunctional relational communication patterns (i.e., criticism, defensiveness, contempt, stonewalling) were predictors of relationship status in 413 adults who participated in an online survey. The results indicated that anxious and avoidant attachment styles significantly predicted both history of divorce and single versus partnered relationship status. The dysfunctional communication patterns did not explain a great deal of variance in relationship history and status above and beyond insecure attachment, although dysfunctional communication was significantly and consistently associated with insecure attachment. These results indicate that some of the individual characteristics that generate a risk for divorce might also pose a barrier to repartnering after a divorce.     

MARITAL RELATIONSHIPS OF ALCOHOLIC,CONFLICTED, AND NONCONFLICTED COUPLES*

Twenty-six couples with alcoholic husbands, and 26 maritally conflicted and 26 nonconflicted couples without alcohol problems were compared. As predicted, the alcoholic and maritally conflicted couples did not differ, and both groups of problem couples showed greater relationship distress than nonconflicted couples on measures of marital stability, change desired, and positive communication behaviors. Contrary to predictions, alcoholic couples were not unique with respect to struggles for control, a pattern of wife dominance, a responsibility-avoiding style of communication by the alcoholic husband, or impaired perceptual accuracy. Unexpectedly, alcoholic husbands reported less marital unhappiness than both their wives and maritally conflicted husbands on most of the self-report marital satisfaction measures.     

Mexican American and Other Hispanic Couples’ Relationship Dynamics: A Review to Inform Interventions Aimed at Promoting Healthy Relationships

Public policy initiatives have set out to promote healthy relationships among low-income racial and ethnic-minority couples. Interventions used, however, are based on decades of research with primarily White, middle-class, college-educated couples and have yielded disappointing results. The aim of this literature review is to provide the reader with the current state of knowledge on relationship dynamics among the fastest growing ethnic-minority group in the United States: Mexican American (MA) Hispanics and other Hispanic subgroups. Thirty-seven empirical journal articles focusing on the following domains of interest were reviewed: (1) patterns of union formation and dissolution, (2) ideals and views about marriage, (3) relationship satisfaction and quality, (4) communication and conflict, and (5) unique themes. MA couples have higher marital rates, a decreased risk of marital dissolution, and report greater relationship satisfaction than African American couples. First-generation and less acculturated MA couples have a decreased risk of experiencing marital dissolution and dissatisfaction than second- and third-generation MA couples. Cultural variables such as family values and religion seem to play an important role in MA and other Hispanic couples’ relationship satisfaction and stability. In the interest of enhancing the effectiveness of intervention efforts directed at these couples, future research should focus on elucidating the mechanisms by which acculturation impacts MA couple functioning, examining the impact of other facets of relationship quality (e.g., emotional intimacy, support) on marital satisfaction, broadening samples to include other Hispanic subgroups, and exploring the types of services and method of delivery that MA and other Hispanic couples would like to receive. Limitations and strengths of the existing literature are discussed.     

A Comparative Outcome Study of Behavioral Marital Therapy and Communication Therapy*

Distressed couples were assigned to Behavioral Marital Therapy, Communication Therapy, or a Wait-List. Treated couples demonstrated more change than controls in marital problems and general communication patterns, but not in feelings toward spouse or communication during conflict resolution discussions. Wives in treatment reported more positive change in personal, nonmarital problems than control wives. There were no overall differences between treatment groups; treated couples reported increases in marital satisfaction and communication from pretreatment to the 4-month follow-up. There was an interaction between age and response to treatment: young couples changed more in Behavioral Marital Therapy, while older couples responded better to Communication Therapy. Results are discussed in terms of the need for developing client-tailored treatment programs.     

Depression, marital satisfaction, and marital and personality measures of sex roles*

The present study examined the relationship between depression, marital satisfaction, and marital and personality measures of sex roles. Subjects included 50 couples in which the woman was clinically depressed (and of which 26 were maritally distressed), and 24 nondepressed, nondistressed control couples. Results indicated that compared to nondepressed couples, husbands and wives in relationships in which the wife was depressed showed greater inequality in decision making and dissatisfaction with the distribution of decision making and household tasks; wives additionally indicated greater dissatisfaction with distribution of childrearing responsibilities. The relationship between marital roles and depression was largely mediated by the impact of marital distress in the clinic couples. In addition, depressed wives were less masculine than nondepressed wives, and women with high levels of masculinity reported less depression than women with low levels.     

HISTORICAL AND CURRENT FACTORS DISCRIMINATING SEXUALLY FUNCTIONAL FROM SEXUALLY DYSFUNCTIONAL MARRIED COUPLES*

Clinical literature has noted numerous past and current psychosocial factors characteristicof sexually dysfunctional individuals. However, there is almost no empirical documentation of factorsdiscriminating sexually functional from dysfunctional couples. The present study compared the responses of 94 clinical couples accepted for sex therapy with 110 nonclinical couples, selected from the same community. The couples were in their mid-30s, married an average of 12 years, middle income, rather well educated, and over 75% had at least one child. Individuals completed a 517-question Personal History Questionnaire (PHQ), and sex and marital defensiveness scales. The PHQ wasclinically and empirically developed, resulting in 54 internally consistent scales. Major analyses tested the discriminating power of past and current PHQ scales. The best discriminators were sexual functioning scales, historical and affective scales for women, and current and fantasy scales for men. Several surprising results appeared, including the importance of first coitus and the lack of importance of marital satisfaction, communication and sexual history scales. Four conclusionswere discussed relevant to the separation of sex and relationship satisfaction, the separation of sexualfunctioning and sexual satisfaction, and the differential impact of sexual problems on men and women.     

“We're in this together”: Attachment insecurities,dyadic coping strategies,and relationship satisfaction in couples involved in medically assisted reproduction

Attachment is an important predictor of relationship satisfaction and attachment insecurities are a risk factor for couples under stress. Drawing from the Vulnerability–Stress–Adaptation model, we investigated whether dyadic coping strategies (DCS) would explain the links between attachment insecurities and relationship satisfaction in 97 couples involved in medically assisted reproduction (MAR). Path analyses revealed that for women and men, attachment insecurities (anxiety, avoidance) were associated with their own lower relationship satisfaction through their lower use of positive DCS. Attachment avoidance was also associated with participants' own lower relationship satisfaction through their own lower use of negative DCS. Men's attachment avoidance was also related to their partner's lower relationship satisfaction via their own and their partner's lower use of positive DCS. The findings suggest that promoting the use of positive DCS may be important to preserve relationship satisfaction in couples involved in MAR.     

Predicting Follow‐up Outcomes in Emotionally Focused Couple Therapy: The Role of Change in Trust,Relationship‐Specific Attachment,and Emotional Engagement

Emotionally Focused Couple Therapy (EFT), an evidence‐based couple therapy (Johnson, Hunsley, Greenberg, & Schindler, 1999), strives to foster lasting change through the creation of secure attachment bonds in distressed couples. Although studies have demonstrated lasting change in follow‐up (Wiebe et al., in press), research is needed to investigate predictors of long‐term outcomes. Our goal was to investigate predictors of long‐term outcomes in relationship satisfaction. Relationship satisfaction was assessed across 24 months in a sample of 32 couples who received an average of 21 EFT sessions. Decreases in attachment avoidance were most predictive of higher relationship satisfaction across follow‐up. These findings support the theoretical assumption that EFT helps couples foster lasting change in relationship satisfaction through the facilitation of secure attachment bonds.     

Associations Between Family of Origin Climate,Relationship Self‐Regulation,and Marital Outcomes

Using dyadic data from 961 married couples from the Relationship Evaluation Questionnaire project, the current study explored the direct association between family of origin climate and marital outcomes and the indirect association via relationship self‐regulation (RSR). Results from the actor–partner interdependence model analysis indicated that family of origin climate was positively associated with marital stability directly and indirectly via the effects of RSR and marital satisfaction for both men and women. Results suggest that the experience one has in their family of origin is associated with their marital outcomes through their RSR. Actor–partner direct and indirect effects indicate that spouses' RSR may have important consequences for both partner's evaluation of the marriage. Implications for intervention and future research are discussed.     

Relationship Quality and Stability in Couples When One Partner Suffers From Borderline Personality Disorder

The main goal of the present study was to examine and compare the psychosocial functioning of 35 couples including a woman diagnosed with borderline personality disorder (BPD) to that of a nonclinical control sample of 35 couples. The BPD status of women from the clinical group and the prevalence of personality disorder in their partner were ascertained through the SCID-II. Participants completed self-report measures of couple functioning. A majority of couples in which the woman suffered from BPD (68.7%) evidenced frequent episodes of breakups and reconciliations and, over an 18-month period, nearly 30% of these couples dissolved their relationship. Nearly half of the men involved in a romantic relationship with a woman suffering from BPD met criteria for one personality disorder or more. As compared with nonclinical couples, clinical couples showed lower marital satisfaction, higher attachment insecurity, more demand/withdraw communication problems, and higher levels of violence.     

Internalizing and Externalizing Symptoms and Marital Relationship Functioning: The Mediating Role of Demand–Withdraw Communication Processes

Marital outcomes are associated with internalizing and externalizing symptoms; however, the processes by which these domains are associated with marital outcomes are not well understood. This study examined how demand–withdraw (DW) couple communication accounts for the association between symptoms of mental illness and marital distress. A mediational model was tested in a sample of 100 newlywed couples to determine: (a) whether internalizing and externalizing symptoms influenced own and partner's level of DW communication, and (b) whether this communication pattern was associated with relationship outcomes, including lower marital satisfaction and presence of conflict. Results suggested that DW communication had significant effects on both partner's marital outcomes and mediated the association between externalizing symptoms (for husbands) and marital distress.     

Spillover Patterns in Single-earner Couples: Work,Self-care,and the Marital Relationship

The relationship between work and marriage is well documented in dual-earner couples. Work-marital spillover patterns, however, have been understudied in single-earner couples. The current study extends the work-marital spillover literature by examining spillover patterns from individual experiences and self-care behaviors to the marital relationship over a period of 42 days in husband-earner and wife-earner couples. Results of pooled time-series regression analyses indicated individual experiences and self-care behaviors predicted marital processes for both employment groups. For self-care behaviors, however, different patterns emerged for employed and unemployed spouses. Results identify an important connection between energy depletion and marital processes, and highlight the role of a spouse’s own and the partner’s self-care behaviors, particularly for the employed spouse in single-earner couples.     

An exploratory investigation of marital functioning and order of spousal onset in couples concordant for psychopathology

Individuals with a psychiatric disorder are significantly more likely to have a spouse with a clinical diagnosis--marital concordance. We used a community sample of 304 couples concordant for either major depressive disorder (MDD) or substance use disorders (SUDs) to examine the relationship between marital functioning and gendered patterns of mental health diagnosis onset. For SUD concordance, couples in which wives onset before husbands--despite typical later onset for men--reported lower levels of marital satisfaction compared with couples in which the husband onset first. For MDD concordance, couples in which husbands onset with depression before wives--despite typical later onset for men--reported lower levels of marital satisfaction. These results suggest that for couples concordant for mental diagnoses, it is most problematic for marital functioning for one partner to have an atypically early onset. Implications for treatment targets in marital therapy are discussed.     

The Impact of Behavioral Couple Therapy on Attachment in Distressed Couples

Emotion‐focused therapy (EFT; Greenberg & Johnson, 1988 Emotionally focused therapy for couples. New York: Guilford Press) is anchored in attachment theory (Johnson, 2003 Attachment processes in couples and families. New York: Guilford) and considers change in attachment schemas essential in the process of improving satisfaction in relationships (Johnson, 1999, Research and couples therapy: Where do we go from here? American Family Therapy Academy Newsletter). However, there are little data on how measures of attachment change over the course of EFT or any other couple therapy. The current study examines whether increases in attachment security predict improvements in marital satisfaction during behavioral couple therapy, which would suggest that change in attachment style is a key process variable even for a non‐attachment‐focused treatment. Multilevel models of data from 134 couples participating in a randomized clinical trial of integrative behavioral couple therapy and traditional behavioral couple therapy (Christensen et al. Journal of Consulting and Clinical Psychology, 72, 2004, 176) indicate that although there is a trend for early change in attachment‐related anxiety and avoidance to predict later change in marital satisfaction, early change in marital satisfaction strongly predicts change in attachment‐related anxiety through the end of treatment and 2‐year follow‐up. These findings suggest that changes in satisfaction may lead to changes in attachment rather than the reverse and that change in attachment may not be the mechanism of change in all efficacious couple therapy.     

Marital Therapy: An Integrative Behavioral-Learning Model*

An Integrative Model of marital therapy, based on behavioral-learning approaches and other current conceptions and marital therapy practices, was tested in' a four-stage therapy program. Treatment couples, as opposed to normal controls and clinical couples in a waiting-list condition, showed significant increase in caring (as measured by Shostrom's Caring Relationship Inventory) and satisfaction with the relationship (as measured by the Kelly-Tharp Marriage Role Questionnaire). Furthermore, the observed changes were attributable to the incremental treatment procedures, and positively correlated with gain scores on a learning-in-therapy measure. The clinical utility of the model, and the theoretical and methodological implications of the study are discussed.     

Symmetricality and Complementarity and Their Relationship to Marital Stability

Bateson's concepts of symmetricality and complementarity in dyads were operationalized via the development of the Symmetrical-Complementary Relationship Scale (SCRS). The relationship of symmetricality and complementarity to marital stability was assessed in a sample of 136 intact married couples. Contrary to predictions drawn from Bateson's conceptualizations, symmetrical couples reported a significantly higher level of marital stability than complementary couples. However, when marital satisfaction was statistically controlled, the relationship between symmetricality and complementarity and marital stability was not maintained. The results affirm the need for continuing empirical examination of Batesonian propositions about marital and family life.     

Parental Factors,Psychological Well-Being,and Sibling Dynamics: A Mediational Model in Emerging Adulthood

The purposes of the current study were to assess the impact of parental divorce on psychological well-being in general and on sibling dynamics in particular. Driven by recent advances in systems orientation, the study assesses the interconnection between divorce, perceived parental marital satisfaction, psychological well-being, and sibling dynamics and evaluates the interconnection between sibling relationship quality, perceived parental marital satisfaction, and psychological well-being outcomes in emerging adulthood. Three hundred and ninety-two college students completed indices of parental marital status and satisfaction, sibling relationship quality, and psychological well-being. Positive associations between perceived parental marital satisfaction and sibling closeness and communication were found. Perceived parental marital satisfaction was also found to be positively associated with self-esteem and life-satisfaction. Sibling closeness and warmth was positively correlated with satisfaction with life. Perceived parental marital satisfaction was found to mediate the relationship between parental divorce and sibling closeness as well as the relationship between parental divorce and sibling communication. Furthermore, perceived parental marital satisfaction was found to mediate the relationship between sibling closeness and life-satisfaction. The current study contributes to a growing body of literature assessing parental variables, sibling relationships, and well-being in emerging adults. The results highlight the importance of examining the mechanisms through which separation/divorce impact outcomes.