Traditional Versus Integrative Behavioral Couple Therapy for Significantly and Chronically Distressed Married Couples

Department of Psychology, University of California, Los Angeles, Los Angeles, CA 90095-1563, USA.
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 05/2004; 72(2):176-91. DOI: 10.1037/0022-006X.72.2.176
Source: PubMed

ABSTRACT A randomized clinical trial compared the effects of traditional behavioral couple therapy (TBCT) and integrative behavioral couple therapy (IBCT) on 134 seriously and chronically distressed married couples, stratified into moderately and severely distressed groups. Couples in IBCT made steady improvements in satisfaction throughout the course of treatment, whereas TBCT couples improved more quickly than IBCT couples early in treatment but then, in contrast to the IBCT group, plateaued later in treatment. Both treatments produced similar levels of clinically significant improvement by the end of treatment (71% of IBCT couples and 59% of TBCT couples were reliably improved or recovered on the Dyadic Adjustment Scale; G. B. Spanier, 1976). Measures of communication also showed improvement for both groups. Measures of individual functioning improved as marital satisfaction improved.

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Available from: Donald H Baucom, Sep 28, 2015
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    • "A stratified random assignment design was used to assign couples within these distress categories to receive up to 26 sessions of either TBCT (68 couples) or IBCT (66 couples). Additional details regarding the procedure used for random assignment to therapy are described in Christensen et al. (2004). Couples were not allowed to receive additional treatment from their study therapist for a period of two years and were discouraged from seeking any other couple therapy right after termination in an attempt to prevent unknown influences on post-treatment outcomes and so that they could consolidate gains PREDICTION OF TREATMENT RESPONSE AT 5-YEAR 13 made in treatment during the study. "
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    ABSTRACT: Objective: Building on earlier work examining predictors of short- and moderate-term treatment response, demographic, intrapersonal, communication, and interpersonal variables were examined as predictors of clinically significant outcomes 5 years after couples completed 1 of 2 behaviorally based couple therapies. Method: One hundred and thirty-four couples were randomly assigned to Integrative Behavioral Couple Therapy (IBCT; Jacobson & Christensen, 1998) or Traditional Behavioral Couple Therapy (TBCT; Jacobson & Margolin, 1979) and followed for 5 years after treatment. Outcomes include clinically significant change categories of relationship satisfaction and marital status at 5-year follow-up. Optimal subsets of predictors were selected using an automated, bootstrapped selection procedure based on Bayesian information criterion. Results: Higher levels of commitment and being married for a longer period of time were associated with decreased likelihood of divorce or separation (odds ratio [OR] = 1.39, p = .004; OR = 0.91, p = .015). Being married for a longer period of time was also associated with increased likelihood of positive, clinically significant change (OR = 1.12, p = .029). Finally, higher levels of wife-desired closeness were associated with increased odds of positive, clinically significant change and decreased odds of divorce for moderately distressed, IBCT couples (OR = 1.16, p = .002; OR = 0.85, p = .007, respectively), whereas the opposite was true for moderately distressed, TBCT couples (OR = 0.77, p < .001; OR = 1.17, p = .002, respectively). Conclusions: Commitment-related variables are associated with clinically significant outcomes at 5-year follow-up as well as at termination and moderate-term follow-up.
    Journal of Consulting and Clinical Psychology 09/2014; 83(1). DOI:10.1037/a0038005 · 4.85 Impact Factor
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    • "This task was informed by the theoretical framework used in Integrative Behavioral Couple Therapy (IBCT; Christensen et al. 1995, 2004; Jacobson et al. 2000). IBCT involves helping the couple improve communication about problem solving in the relationship (i.e., conflict resolution strategies). "
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    ABSTRACT: The present research builds upon the extant literature as it assesses psychophysiological factors in relation to empathy, conflict resolution, and romantic relationship satisfaction. In this study, we examined physiological reactivity of individuals in the context of emotionally laden interactions with their romantic partners. Participants (N = 31) completed self-report measures and attended in-person data collection sessions with their romantic partners. Participants were guided through discussions of problems and strengths of their relationships in vivo with their partners while we measured participants' skin conductance level (SCL) and interbeat interval (IBI) of the heart. We hypothesized that participants' level of empathy towards their partners would be reflected by physiological arousal (as measured by SCL and IBI) and relationship satisfaction, such that higher levels of empathy would be linked to changes in physiological arousal and higher relationship satisfaction. Further, we hypothesized that differences would be found in physiological arousal (as measured by SCL and IBI) based on the type of conflict resolution strategy used by participants. Finally, we hypothesized that differences would be found in empathy towards partner and relationship satisfaction based on the type of conflict resolution strategies used by participants. Results partially supported hypotheses and were discussed in light of existing knowledge based on empirical and theoretical sources.
    Applied Psychophysiology and Biofeedback 11/2013; 39(1). DOI:10.1007/s10484-013-9237-2 · 1.13 Impact Factor
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    • "Spanier, 1976). The LW cutoff score of 100, which differentiates satisfied couples from dissatisfied couples, is widely accepted (Christensen et al., 2004; Freeston & Plechaty, 1997). In the present study, the coefficient alpha for the LW was .75. "
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    ABSTRACT: Abstract This study examined whether therapist gender, professional discipline, experience conducting couple therapy, and average 2(nd) session alliance score would account for the variance in outcomes attributed to the therapist. We investigated therapist variability in couple therapy with 158 couples randomly assigned to and treated by 18 therapists in a naturalistic setting. Consistent with previous studies in individual therapy, therapists accounted for 8.0% of the variance in client outcomes and 10% of the variance in client alliance scores. Therapist average alliance score and experience conducting couple therapy were salient predictors of client outcomes attributed to therapist. In contrast, therapist gender and discipline did not significantly account for the variance in client outcomes attributed to therapists. Tests of incremental validity demonstrated that therapist average alliance score and therapist experience uniquely accounted for the variance in outcomes attributed to the therapist. Emphasis on improving therapist alliance quality and specificity of therapist experience in couple therapy are discussed.
    Journal of Sex and Marital Therapy 07/2013; 40(6). DOI:10.1080/0092623X.2013.772552 · 1.27 Impact Factor
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