The Efficacy of Emotionally Focused Couples Therapy and Behavioral Couples Therapy: A Meta‐Analysis

Behavioral couple therapy (BCT) and emotionally focused couples therapy (EFCT) are well‐established treatments to reduce couple distress. This meta‐analysis summarizes the current state of knowledge on the efficacy of these two therapy methods by focusing on randomized controlled trials only. A literature search revealed 33 suitable primary studies (2,730 participants in total), all of them measuring relationship satisfaction. Robust‐variance random‐effects meta‐analysis revealed medium effect sizes at post‐test (overall: g = 0.60; BCT: g = 0.53; EFCT: g = 0.73) and small effect sizes of 6 months after treatment (overall: g = 0.44; BCT: g = 0.35; EFCT: g = 0.66), but these gains were not maintained after 12 months (BCT only: g = 0.06). Between the two therapy methods, no significant effect size differences could be found. Results have to be interpreted with caution due to potential publication bias.     

Two‐Year Follow‐Up of the Efficacy of the PREP Training on Iranian Newlyweds

The aim of the present study was to replicate the efficacy of the Prevention and Relationship Education Program (PREP) training on marital satisfaction and dyadic adjustment among a group of Iranian newlyweds. One hundred and sixty heterosexual couples (N = 320 participants) were randomly assigned to an experimental or a wait list control group. Data from one hundred and forty‐eight couples were analyzed. Participants completed the ENRICH Marital Satisfaction Scale (The Family Journal, 1, 1993, 196–207) and Dyadic Adjustment Scale (The Journal of Sex Research, 39, 1976, 190–196) at pretest, posttest, 1‐year follow‐up, and 2‐year follow‐up. Results indicated that mean marital satisfaction and dyadic adjustment scores between the experimental and control groups were significantly different at posttest. Therefore, PREP training improved marital satisfaction and dyadic adjustment of couples at posttest. The data suggests that PREP training program can be introduced as an effective relationship education program for Iranian newlyweds.     

Perceived Marital Support and Incident Mental Illness: Evidence from the National Comorbidity Survey

Social support in marriage may be associated with reduced risk for mental illness. Past studies are limited by short follow up and a focus on depression. A two‐wave nationally representative survey in the United States (n = 2,503) is used to examine whether social support in marriage is associated with the onset of each of four clusters of disorders—internalizing, externalizing, phobic, and bipolar—10 years later. Results indicate that higher levels of perceived marital support were protective against internalizing, fear, and bipolar disorders, and against incident externalizing disorders for women. Protective effects of social support in marriage against mental illness are long‐lasting, and sometimes differ by gender. Findings suggest the importance of mental health assessment in clinical practice.     

Changes in Family Relationships among Substance Abusing Runaway Adolescents: A Comparison between Family and Individual Therapies

Eligible adolescents (12–17 years old) were recruited from a short‐term crisis shelter for runaway adolescents in a large Midwestern city. Adolescents (N = 179) were randomly assigned to Ecologically‐Based Family Therapy (EBFT, n = 61), the Community Reinforcement Approach (CRA, n = 57), or brief Motivational Enhancement Therapy (MET, n = 61) with the primary focus on substance abuse. A significant increase in perceived family cohesion and a significant reduction in perceived family conflict were found among all treatment conditions from baseline to the 24‐month follow‐up. Adolescents who received EBFT demonstrated more improvement in family cohesion after treatment than those who received CRA or MET, and more reduction in family conflict during treatment than those who received MET.     

Evaluating the Nature of the Still‐Face Effect in the Double Face‐to‐Face Still‐Face Paradigm Using Different Comparison Groups

The current study explored two possible comparison groups for the double Face‐to‐Face Still‐Face (FFSF) paradigm to evaluate their effects on infant behavior and different hypotheses about the nature of the Still‐Face (SF) effect, an effect not fully understood. Mothers and their 4‐month‐old infants were randomly assigned to one of three groups, a double FFSF group (Group_FFSF, n = 44), a control, semi‐structured play group (Group_Story, n = 46), or a control, unstructured play group (Group_Play, n = 28). As hypothesized, Group_FFSF infants exhibited the classic SF response (decreased positive affect and gaze to mother; increased negative affect) and Group_Play infants showed an increase in negative affect over episodes. Contrary to expectations, Group_Story infants displayed a similar, but less intense, pattern of behavior as Group_FFSF. Taken together, the findings indicate that multiple episodes of face‐to‐face play exceeded 4‐month‐olds' regulatory capacities and that infants are sensitive to shared communicative intentions and violations of social expectations, whether these violations are negative or positive in nature.     

Do As I Say and Not As I Think: Parent Socialisation of Lie‐Telling Behaviour

This study explored parent (N = 146) perspectives about situations in which they think it is acceptable to lie, how this corresponds to how they socialise their children about lie‐telling and their children's actual behaviour. Results indicated the methods parents report using to teach their children about the acceptability of lie‐telling are consistent with what they report teaching their children about lie‐telling overall. Also, the frequency of lies that children told (N = 88) to protect themselves from psychological distress or conflict differed between those who were taught that lying is sometimes acceptable versus those taught it is never acceptable.     

An Exploration of Family and Juvenile Justice Systems to Reduce Youth HIV/STI Risk

Using in‐depth interviews with 20 probation youth (60% female; 35% White; 30% Hispanic; mean age: 15 years, range = 13–17), their caregivers (100% female; mean age: 44 years, range = 34–71), and 12 female probation officers (100% White; mean age: 46 years, range = 34–57), we explored how family and probation systems exacerbate or mitigate sexual risk. We conducted thematic analyses of interviews, comparing narratives of families of sexually risky (n = 9) versus nonsexually risky (n = 11) youth. Family functioning differed by youth sexual risk behavior around quality of relationships, communication, and limit setting and monitoring. The involvement of families of sexually risky youth in probation positively influenced family functioning. Data suggest that these families are amenable to intervention and may benefit from family‐based HIV/STI interventions delivered in tandem with probation.     

Adolescent Psychological Functioning and Membership in Latent Adolescent–Parent Communication Dual Trajectory Classes

The primary goal of this study was to examine the relationship between adolescents’ psychological functioning (as indicated by depressive symptoms) and substance use (alcohol and drug use) and membership in adolescent–parent communication trajectory subgroups in a large, diverse community sample of adolescents from the United States (n = 1,057; 53% female; 51% Caucasian; Age: M = 16.15, SD = .75). Adolescents completed questionnaires at three annual assessments. Fit indices from parallel process growth mixture models suggested three dual trajectory classes: (1) Average communication with both parents (Average‐Both); (2) Good adolescent–mother and poor adolescent–father communication (Good‐Mom/Poor‐Dad); and (3) Poor adolescent–mother and good adolescent–father communication (Poor‐Mom/Good‐Dad). The trajectory classes differed by gender. In addition, psychological functioning and substance use were differentially related to the trajectory classes.     

Two‐Year Follow‐up Outcomes in Emotionally Focused Couple Therapy: An Investigation of Relationship Satisfaction and Attachment Trajectories

Emotionally Focused Couple Therapy (EFT; The practice of emotionally focused couple therapy: Creating connection. New York, NY: Brunner‐Routledge) is an evidence‐based couple therapy that aims to create lasting change for couples (Clinical Psychology: Science and Practice, 6(1), 67–79). Although studies have demonstrated strong results in follow‐up (Journal of Marital and Family Therapy, 28(4), 391–398), less is known about relationship functioning across time after therapy has ended. We modelled change in relationship satisfaction and attachment from pre‐therapy through 24 months follow‐up in 32 couples. HLM results confirmed a significant growth pattern demonstrating increases in relationship satisfaction and secure base behaviour and decreases in relationship specific attachment anxiety over the course of therapy and across follow‐up at a decelerated rate. These findings support the theoretical assumption that EFT helps couples engaged in therapy create lasting relationship satisfaction and attachment change.     

Crawling Predicts Infants’ Understanding of Agents’ Navigation of Obstacles

We investigated whether crawling versus noncrawling infants interpret an agent's movements around an obstacle as goal‐directed. Infants (6–9 months) were habituated to a self‐propelled circle jumping over an obstacle to reach a goal. When the obstacle was removed, infants who crawled (n = 13) showed longer looking time to the familiar but now nonrational jumping path versus a novel but rational straight‐line path. Noncrawlers (n = 17) did not discriminate. Looking preference was independent of age and speed of habituation. These findings support the claim that infants’ processing of agency emerges early and applies to all agents, but stress the role of experience in the development of action interpretation.     

Prenatal Reflective Functioning and Accumulated Risk as Predictors of Maternal Interactive Behavior During Free Play,the Still‐Face Paradigm,and Two Teaching Tasks

This study examined whether prenatal reflective functioning (RF) was related to mothers’ interactive style across contexts with their 6‐month‐old infants (M age = 6.02 months, SD = 0.41, 54% boys), and to what extent quality of prenatal RF could account for the influence of accumulated risk on maternal interactive behavior. Accumulated risk was defined as the sum‐score of a selection of risk factors that have been associated with suboptimal infant development. Mother–infant dyads (N = 133) were observed during free play, two teaching tasks, and the Still‐Face Paradigm (SFP). Better prenatal RF was associated with more positive maternal behavior in all settings and less negative behavior during teaching and SFP reengagement. Accumulated risk and prenatal RF predicted shared variance in maternal interactive behavior (with unique predictive effects observed only for RF on sensitivity during teaching and SFP play, and for accumulated risk on sensitivity and positive engagement during SFP play, and internalizing‐helplessness during SFP reengagement). Accumulated risk had an indirect effect on maternal sensitivity during teaching and SFP play through prenatal RF. These findings suggest not only that RF may be targeted prenatally to improve mother–infant interactions, but also that enhancing RF skills may ameliorate some of the negative consequences from more stable perinatal risk factors that influence parent–child interactions.     

Video Deficit in Toddlers’ Object Retrieval: What Eye Movements Reveal About Online Cognition

The purpose of this study was to determine whether toddlers exhibit different eye‐movement patterns when watching real events versus video demonstrations in an object‐retrieval task. Twenty‐four‐month‐olds (N = 36) searched for a sticker on a felt board after watching an experimenter hide it behind a felt object in person or via video. Eye movements during the hiding event were recorded. Compared to those watching in‐person events, children watching video spent more time looking at the target location overall, yet they had relatively poor search performance. Visual attention to the target location predicted search performance in the video condition only; children who watched in‐person hiding events had high success rates even if they paid relatively little visual attention to the correct location. Findings are consistent with the hypothesis that toddlers process information more quickly for in‐person (versus video) events, enabling them to learn as well (or better) despite relatively low selective attention. Thus, relatively poor encoding, as well as memory retrieval, may underlie the video deficit.     

A Randomized Controlled Trial Assessing the Efficacy of Cognitive Behavioral Therapy for Substance‐Dependent Domestic Violence Offenders: An Integrated Substance Abuse‐Domestic Violence Treatment Approach (SADV)

The current study evaluates a therapy for substance‐dependent perpetrators of partner violence. Sixty‐three males arrested for partner violence within the past year were randomized to a cognitive behavioral substance abuse‐domestic violence (SADV; n = 29) or a drug counseling (DC; n = 34) condition. Seventy percent of offenders completed eight core sessions with no differences between SADV and DC conditions in the amount of substance or aggression at pretreatment. SADV participants had fewer cocaine‐positive toxicology screens and breathalyzer results during treatment, were less likely to engage in aggressive behavior proximal to a drinking episode, and reported fewer episodes of violence than DC participants at posttreatment follow‐up. SADV shows promise in decreasing addiction and partner violence among substance‐dependent male offenders.     

Gaze following in 4.5‐ and 6‐month‐old infants: The impact of proximity on standard gaze following performance tests

Gaze following (GF), the ability to synchronize visual attention with others, is often considered a foundation of social cognition. In this study, GF was assessed while changing the space between an actor's eyes and the gaze target. This was done to address a potential confound in the gold standard GF performance test, namely the spatial bias of the actors’ eye position that occurs when the actor turns the head to look at a target, offsetting the eye position from a centered position toward the attended target. Our results suggest that both 4.5 (n = 27) and 6 (n = 30)‐month‐old infants can follow an actor's gaze regardless of proximity. This is the first demonstration that early GF is not dependent on proximity cues, and our results strengthen previous findings suggesting that GF develops well before 6 months of age. The study was preregistered, and all data and analysis routines can be downloaded with provided links.     

Psychosocial Correlates and Consequences of Adolescents’ Self‐Generated Academic Goals and Appraisals

The current study examined whether characteristics of adolescents (i.e., externalizing problems) and their environments (i.e., social support, adverse childhood experiences) relate to academic goal setting, appraisals, and outcomes. Adolescents (n = 99; 87% Black/African American) 13–16 years old completed baseline interviews, and 80% also completed follow‐up interviews. Adolescents with more externalizing problems set fewer academic goals, and youth with social networks characterized by greater support (and less strain) appraised their academic goals as more supported and achievable. Adolescents’ appraisals of their academic goals, but not how many academic goals they had, predicted grades at follow‐up. Increasing social support (and reducing social strain) may foster adolescents’ positive appraisals of their academic goals, which may promote academic achievement.     

Evaluation of the Psychometric Properties of the Gap‐Overlap Task in 10‐Month‐Old Infants

Understanding the development of attention is key to understanding cognitive maturation. The gap‐overlap task can be administered at all ages and is widely used to study the development of overt visual attention. However, studies using the gap‐overlap task report different measures and little is known about the tasks’ psychometric properties, especially in infants. We tested the 1‐week test–retest reliability of two frequently used gap‐overlap measures of attentional disengagement in 10‐month‐old infants; the gap effect as measured by the difference between the gap and overlap condition and the gap effect as measured by the difference between the gap and baseline condition. Sixty‐seven infants performed the gap‐overlap task twice, of which 45 infants had sufficient data quality for further analyses. Test–retest reliability of the overlap‐gap gap effect was higher (r = .50) than the baseline‐gap gap effect (r = .29). Moreover, the shared variance between overlap and baseline saccadic reaction times was moderate to high across sessions. In light of these results and the methodological challenges and limitations of infant research, we consider the overlap‐gap gap effect to be a good measure to study the development of attentional disengagement in infants and suggest the exclusion of the baseline condition in future studies.     

Age‐Related Changes in Prosodic Features of Maternal Speech to Prelingually Deaf Infants with Cochlear Implants

This study investigated prosodic and structural characteristics of infant‐directed speech to hearing‐impaired infants as they gain hearing experience with a cochlear implant over a 12‐month period of time. Mothers were recorded during a play interaction with their HI infants (N = 27, mean age 18.4 months) at 3, 6, and 12 months postimplantation. Two separate control groups of mothers with age‐matched normal‐hearing infants (NH‐AM) (N = 21, mean age 18.1 months) and hearing experience‐matched normal‐hearing infants (NH‐EM) (N = 24, mean age 3.1 months) were recorded at three testing sessions. Mothers produced less exaggerated pitch characteristics, a larger number of syllables per utterance, and faster speaking rate when interacting with NH‐AM as compared to HI infants. Mothers also produced more syllables and demonstrated a trend suggesting faster speaking rate in speech to NH‐EM relative to HI infants. Age‐related modifications included decreased pitch standard deviation and increased number of syllables in speech to NH‐AM infants and increased number of syllables in speech to HI and NH‐EM infants across the 12‐month period. These results suggest that mothers are sensitive to the hearing status of their infants and modify characteristics of infant‐directed speech over time.     

The Influence of Substance Dependence and Mood Disorders on Outcome from Pathological Gambling: Five-Year Follow-Up

A prospective study of the role of comorbid substance abuse and dependence and mood disorders in the outcome from pathological gambling. A naturalistic sample of pathological gamblers who had recently quit gambling (N = 101) was followed and data were available for 83% of participants at 3 months, 80% at 12 months, and 52% at 5 years. Those participants with a drug diagnosis during their lifetime were less likely to have a minimum 3 month period of abstinence, and those who had been involved in gambling treatment were more likely to have a minimum 12 months of continuous abstinence. Lifetime gambling problem severity and involvement in gambling treatment were most commonly associated with a shorter time to achieving a period of abstinence of any length. Lifetime history of a mood disorder also predicted a longer time to reach a minimum 3 months of continuous abstinence. Both gambling treatment and an alcohol diagnosis follow up predicted an increase in the odds of experiencing a relapse from a minimum 6 month period of abstinence. Overall, comorbid mental health disorders are predictive of shorter term but not longer term outcome.     

Therapists’ Assessments in Treating “Sex Addiction” and Their Relationship to Clients’ Gender,Relationship Status,and Exclusivity Status

A total of 208 therapists and therapists‐in‐training were surveyed to better understand if clinical assessments and recommendations regarding “sex addiction” changed based upon a client's gender, relationship status, or exclusivity status. Using clinical vignettes, this study examined the clinical assessment and recommendations of licensed mental health providers (n = 92) and mental health providers in‐training (n = 116). Results indicated that professional ratings differed based on relationship exclusivity and gender; specifically, female nonmonogamous behavior was rated more negatively than male nonmonogamous behavior, while male monogamous behavior was rated more negatively than female monogamous behavior. Recommendations for treatment varied, with higher addiction ratings leading to greater odds of recommending individual, group, and community support over relational therapy. Clinical and training implications are discussed. Video abstract accessible by clicking here .     

An Eye Tracking Investigation of Color–Location Binding in Infants' Visual Short‐Term Memory

Two experiments examined 8‐ and 10‐month‐old infants' (N = 71) binding of object identity (color) and location information in visual short‐term memory (VSTM) using a one‐shot change detection task. Building on previous work using the simultaneous streams change detection task, we confirmed that 8‐ and 10‐month‐old infants are sensitive to changes in binding between identity and location in VSTM. Further, we demonstrated that infants recognize specifically what changed in these events. Thus, infants' VSTM for binding is robust and can be observed in different procedures and with different stimuli.