Paul S Greenman

Université du Québec en Outaouais · Département de psychoéducation et de psychologie

Objective: Changes in couples' relationship quality are common post-cardiac event but it is unclear how relationship quality is linked to patients' and spouses' quality of life (QoL). The purpose of the present study was to examine the association between relationship quality on QoL in patient-spouse dyads within six months of a cardiac event. Me...

Therapeutic alliance is an understudied variable in the Emotionally Focused Couple Therapy model (EFT: Johnson, 2020), especially in Spanish-speaking countries. However, the evidence that alliance is very relevant for therapeutic outcomes is very consistent. Studying this association in the EFT model will allow us to understand whether, as in other...

Reductions in marital relationship quality are pervasive post‐cardiac event. It is not yet understood how relationship quality is linked to mental health outcomes in couples where one member has established cardiovascular disease (CVD) and the interdependence within dyads is seldom measured. This research is required as psychological distress has b...

Background: Couple relationship distress is common and associated with poor physical, psychological, relational outcomes for both partners. Emotionally Focused Therapy for couples (EFT) is a short-term structured approach based on attachment theory that integrates a humanistic, experiential approach to restructuring emotional experience and a syste...

Caregiver psychological distress (i.e., depression and anxiety) is harmful to both caregiver and patient. Different affect-regulation strategies associated with attachment orientations may impact a caregiver’s perception of their caregiving role as a burden, thereby contributing to their psychological distress. The aim of the present investigation...

Conformity to masculine norms has been linked to poor mental and physical health outcomes. Its valid assessment among subgroups of the population is therefore a crucial step in the investigation of intercultural variability in the enactment of masculinity, as well as its causes, costs, and benefits. The present pilot study aimed to adapt and conduc...

Background It is imperative for health care professionals to have access to valid and reliable tools to evaluate the quality of romantic relationships, as it has been repeatedly shown to be related to psychological and physical health outcomes. The Couples Satisfaction Index (CSI) was developed to address the shortcomings of the most widely cited m...

Objective Anxiety and depression are frequently comorbid in patients with cardiovascular disease (CVD) and a patient's poor mental health may implicate the quality of life (QoL) of a partner. The bidirectional effects of comorbid anxiety and depression on patient and partner outcomes are inadequately understood. The aim of this study was to investi...

The effects of mental health on quality of life (QoL) over the course of a couple's recovery from a patient's cardiac event are unknown as partner outcomes are rarely considered within cardiac rehabilitation. To capture the transactional nature of recovery from a cardiac event, this research investigated the link between longitudinal changes in the...

Emotionally Focused Couples Therapy (EFT) is well-established as an effective therapy in helping couples with a variety of presenting problems. However, this research has taken place almost exclusively with English speakers in the US and Canada. Despite Spanish being the second most spoken language in the world, there is little to no research which...

In this review, we suggest attachment science as a framework for understanding the negative impact of loneliness and social disconnection on mental and physical health, and for guiding the interventions of clinicians. We provide an overview of current findings linking loneliness and social isolation to mental health problems such as depression and...

The relationship between body and mind is increasingly recognized in the occurrence and prognosis of cardiac disease. Based on reports detailing the potential (and the influence of certain risk factors) of developing depression and anxiety following cardiovascular disease, or a cardiac event, most notably acute coronary syndrome (ACS), we investiga...

Couple distress is associated with cardiovascular disease (CVD) risk factors, whereas support is associated with heart-healthy behaviors and better CVD outcomes. Objective: To assess the clinical benefit of the Healing Hearts Together (HHT) intervention, an attachment-based relationship enhancement program for couples in which 1 partner has CVD,...

UNSTRUCTURED Supportive couple relationships, are associated with reduced risk of chronic illness development, such as cardiovascular disease, as well as improved secondary prevention. Healing Hearts Together (HHT) is an 8-week couples-based intervention designed to improve relationship quality, mental health, quality of life, and cardiovascular he...

Unstructured: Supportive couple relationships are associated with reduced risk of chronic illness development, such as cardiovascular disease, as well as improved secondary prevention. Healing Hearts Together (HHT) is an 8-week couples-based intervention designed to improve relationship quality, mental health, quality of life, and cardiovascular h...

Objectives Cardiovascular disease (CVD) not only affects the patient, but has implications for the partner. Emerging evidence suggests that supportive couple relationships enhance CVD outcomes and reduce patient and partner distress. To date, however, little research has been done to address the couple relationship as a potentially important compon...

Objectifs : Offrir une thérapie par videoconference pour soulager la peur de la récidive du cancer (PRC) par l’entremise de la vidéoconférence. Déterminer la faisabilité et l’efficacité de ce traitement dans un contexte clinique. Matériel et méthodes : Thérapie par vidéoconférence cognitivoexistentielle une fois par semaine pour six semaines. Résul...

Objective Research on psychosocial risk factors in cardiovascular disease (CVD) has identified traumatic stress and attachment style as independent risk factors for the development of CVD and poor prognosis for those with established CVD. Exploring the interrelationships between these variables will inform psychosocial risk factor modeling and pote...

Cette recension présente les résultats de 14 recherches portant sur l’efficacité de la thérapie de couple axée sur l’émotion (TCÉ). Elle offre également un aperçu critique de ces études. Les résultats obtenus démontrent que la TCÉ est efficace dans la diminution de la détresse conjugale et que ses effets semblent se maintenir dans le temps. Il appa...

Objectives Emotional issues such as depression, anxiety and post-traumatic stress disorder are common following a cardiac event. Despite their high prevalence, they often go undiagnosed and research suggests that men in particular are at higher risk. Therefore, a better understanding of men’s experiences with a cardiac event and ensuing health serv...

Purpose of review: To review the link between couple relationships and cardiovascular health, the plausible mechanisms by which relationship quality affects heart health, and to provide an overview of couple-based interventions aimed at improving cardiovascular health. Recent findings: Marriage and the quality of the couple relationship bond are...

Background: Heart disease is related to the etiology of mental health problems such as depression, anxiety, and posttraumatic stress. Objective: The goal of this scoping review was to determine which factors pose a significant risk for the onset of symptoms of depression, anxiety, and posttraumatic stress in patients with heart disease, as well...

“Hold Me Tight” (HMT) groups are an adaptation of emotionally focused therapy (EFT) for couples and have emerged out of 30 years of research into the efficacy and process of EFT. The goal of this study was to test the effects of a Chinese-language version of the HMT relationship enrichment program in a sample of Chinese Canadians. Twenty-three men...

Objective: To identify risk factors for Anxiety Disorders and Post-Traumatic Stress Disorder (PTSD) in the general population. Knowledge of risk factors is useful for identifying at-risk populations, guiding the development of prevention programs, and improving early detection of these disorders. Method: A scoping review of English and French langu...

Cet article porte sur l’apport de la Thérapie conjugale axée sur l’émotion (TCÉ) à la démarche thérapeutique auprès de couples faisant face à des problèmes sexuels. Un aperçu de la TCÉ sera suivi d’une discussion sur le lien entre la qualité de l’attachement et le fonctionnement conjugal. Ensuite, nous détaillerons la manière dont les systèmes d’at...

Pour améliorer l'offre et la qualité des soins de santé primaires au Canada, un éventail d'initiatives visant à favoriser la collaboration inter-professionnelle ont été mises en place au début des années 2000, que ce soit les Équipes de santé familiale en Ontario, les Groupes de médecine familiale au Québec ou les Centres de santé communautaires au...

People who suffer from depression, post-traumatic stress, or anxiety following cardiac events and treatment are more likely to have further cardiac complications resulting in death than are people who do not. Although there have been advances in psychological techniques to elicit behavior and lifestyle changes in heart patients [1], there is curren...

More than three million Canadians have diabetes (CDA, 2008), which has serious implications for their physical and mental health. In addition to the physical toll it takes, the presence of diabetes doubles the chances of developing a major depressive disorder. People with diabetes and comorbid depression are at risk of premature death and complicat...

La mise à l’épreuve de traitements psychologiques efficaces pour la dépression post-partum est particulièrement importante à cause de son impact négatif sur toute la famille. Certains auteurs ont souligné le manque d’interventions qui incluent le (la) conjoint(e) et qui adressent les difficultés relationnelles qui sont souvent présentes avec la dép...

La thérapie conjugale axée sur l’émotion (TCÉ ou Emotionally Focused Therapy (EFT) en anglais) est un traitement composé de 3 stades qui a été empiriquement validé auprès de couples en détresse (Johnson, 2004). Les résultats de plusieurs études ont mis en évidence le processus thérapeutique au 2e stade de la TCÉ (Greenman & Johnson, 2013). Toutefoi...

Les gens souffrant de maladies cardiaques expérimentent souvent plus d’anxiété et s’engagent souvent dans plus de comportements à risque que les personnes en bonne santé. Le soutien social auprès des patients s’avère être un élément important dans leur réadaptation puisque celui-ci diminuerait la fréquence des comportements à risque (p.ex., tabagis...

The link between the quality of couple relationships and cardiac health is well established. For instance, the results of empirical research conducted over the past three decades have revealed that the experience of isolation, loneliness, conflict, and distress within the context of committed couple relationships is related to increases in pulmonar...

Social relationships are tightly linked to health and well-being. Recent work suggests that social relationships can even serve vital emotion regulation functions by minimizing threat-related neural activity. But relationship distress remains a significant public health problem in North America and elsewhere. A promising approach to helping couples...

There is increasing awareness of the impact of post-traumatic stress disorder (PTSD) on physical health, particularly cardiovascular disease. We review the literature on the role of trauma in the development of cardiovascular risk factors and disease, aftermath of a cardiac event, and risk for recurrence in cardiac patients. We explore possible mec...

Social relationships are tightly linked to health and well-being. Recent work suggests that social relationships can even serve vital emotion regulation functions by minimizing threat-related neural activity. But relationship distress remains a significant public health problem in North America and elsewhere. A promising approach to helping couples...

In the reply to the Bensen et al. article, we suggest that representation of the relationship between attachment and relationship satisfaction, the understanding of relationship specific versus general attachment, and the understanding of EFT presented in the paper are incorrect. We also find the analyses and conclusions of the paper highly questio...

Emotionally focused therapy (EFT) for couples is an empirically supported treatment for relationship distress (Johnson and Greenberg Journal of Consulting and Clinical Psychology 1985a;53:175–184; Johnson, The practice of emotionally focused marital therapy: Creating connection. New York: Brunner-Routledge, 2004). Despite strong evidence of a link...

Au Canada, comme partout ailleurs, de nombreuses études démontrent une comorbidité entre les maladies chroniques et les problèmes de santé mentale. La relation entre maladies physiques chroniques et certains troubles de santé mentale est réciproque, ce qui affecte directement la qualité de vie et les coûts de service de santé. Plusieurs hypothèses...

Les maladies cardiovasculaires constituent la principale cause de mortalité au Canada. L’intégration d’une composante psychologique dans les programmes de réadaptation est un aspect critique du rétablissement des patients cardiaques. La thérapie conjugale axée sur l’émotion (TCÉ; Johnson, 2004) peut être une approche appropriée à ce chapitre. La TC...

The focus of this article is on the link among theory, process, and outcome in the practice of Emotionally Focused Therapy (EFT) for couples. We describe the EFT model of change and the EFT perspective on adult love as the reflection of underlying attachment processes. We outline the manner in which theory and research inform EFT interventions. Thi...

Emotionally Focused Therapy (EFT) for couples is an empirically supported treatment for relationship distress (Johnson, 2004). Despite strong evidence of a link between experiences of childhood abuse and problems in intimate relationships during adulthood (Paradis & Boucher, 2010; Walker, Holman, & Busby, 2009), there have not yet been any controll...

Psychological treatments of depression are becoming increasingly common in cardiac rehabilitation settings, given the strong link between cardiac and depressive symptoms. However, there has been some controversy in the literature over the efficacy of psychological treatments for individuals suffering from cardiac disease. The purpose of the present...

We present emotionally focused therapy (EFT) for couples as a viable treatment option for posttraumatic stress disorder (PTSD). We outline the empirical evidence of a link between interpersonal relationships and posttraumatic stress, with an emphasis on social support as a buffer for the development of PTSD symptoms. This leads into a discussion of...

Reviews the book, Psychiatry and Heart Disease: The Mind, Brain and Heart edited by Michelle Riba, Lawson Wulsin, Melvyn Rubenfire, and Divy Ravindranath (2012). The new book Psychiatry and Heart Disease responds well to this growing need for clear, concise materials to help psychologists learn from and contribute to interdisciplinary health care t...

This editorial presents the intentions of the new editors for the Canadian Psychology journal. Under the previous editors, there was a dazzling fourfold increase in the journal’s impact factor. This is no small success, especially because the journal publishes primarily Canadian content and includes papers both in French and in English. When a jour...

This editorial presents the intentions of the new editors for the Canadian Psychology journal. Under the previous editors, there was a dazzling fourfold increase in the journal’s impact factor. This is no small success, especially because the journal publishes primarily Canadian content and includes papers both in French and in English. When a jour...

According to Statistics Canada (2000), heart disease affects nearly one million Canadian adults per year. Recent evidence indicates that cardiac diseases and the medical interventions designed to treat them appear to have serious implications for psychological health, which in turn seem to affect long-term physical health outcomes. Tedstone and Tar...

Research indicates that sexual offenders who do not complete their treatment are more likely to reoffend than are those who do complete it (Hanson et al., 2002; Losël & Schmucker, 2005). Several investigators have attempted to identify the characteristics of those individuals who do not complete treatment, most likely with the aim of preventing rec...

The link between loving emotional bonds in couple relationships and cardiac health is clear and striking (Rohrbaugh et al., 2008). Close relationships in which individuals feel safe and accepted by their partners appear to protect against a variety of illnesses (Eaker et al., 2007; Johnson, 2008). Conversely, hostility and rejection in couples is r...

The goal of this study was to examine whether psychological dimensions of antisocial personality disorder (ASPD), as conceptualized by Kernberg (1992), could predict psychotherapy noncompletion (PNC) among 50 men found guilty of sexual abuse of children. All participants began a 65-week, court-mandated course of cognitive-behavioral psychotherapy,...

Les maladies cardiaques ont un impact psychologique important. Spécifiquement, la dépression majeure et le trouble de stress post-traumatique affectent entre 16% et 20% des patients avec des maladies cardiaques (Cheok et al., 2003; Tedstone & Tarrier, 2003). Étant donné ce taux élevé et des résultats antérieurs plutôt ambigus concernant l’efficacit...

L’attachement est au cœur des relations interpersonnelles. Bowlby (1969) propose que la relation entre la mère et son enfant joue un rôle prépondérant dans la structuration de l'individu et que l’échec de l’établissement de liens réconfortants peut mener à de l’isolation, à de la maladie physique et également à de la détresse psychologique tant che...

Poor school adjustment is a known correlate of peer rejection in childhood. However, the impact of change in sociometric status on children's academic performance over time is unclear. The aim of this study was to determine whether improvement or decline in children's sociometric status would predict corresponding changes in their academic performa...

Les buts de cette étude étaient l’intégration et la mise à l’épreuve d’un traitement psychologique au sein du Service de réadaptation cardiaque à l’Hôpital Montfort. Des patients (hommes et femmes), âgés entre 35 et 85 ans, avec une maladie cardiaque et qui se plaignaient de symptômes d’anxiété et de dépression ont participé à cette étude. Les résu...

Emotionally focused couple therapy with intercultural couples In the past three decades, there has been an unprecedented increase in the number of intercultural marriages worldwide (Frame, 2004; Molina, Estrada, & Burnett, 2004; Waldman & Rubalcava, 2005). Intercultural relationships typically refer to a union between partners from different racial...

Le but de cette étude était d’évaluer si les couples dont la femme a le cancer du sein réagissent à la thérapie de couple axée sur l’émotion (EFT) de la même façon que les couples en bonne santé, c’est-à-dire avec un niveau croissant d’interactions positives ainsi qu’avec un niveau croissant d’experiencing (capacité à prendre conscience de ses émot...

Selon l’Organisation mondiale de la santé, on dénombre un peu plus d’un million de cas de cancer du sein sur le globe. En plus d’affecter négativement la santé physique de la femme atteinte, diverses études ont suggéré que le cancer du sein pouvait induire des problèmes psychologiques et sexuels chez la femme et aussi chez son conjoint. Ces couples...

Les maladies cardiaques ont un impact psychologique important. Plusieurs recherches indiquent que 15 à 20% des patients hospitalisés pour infarctus du myocarde, pontage, angioplastie, ou pour autres raisons reliées à une maladie cardiaque sont déprimés pendant leur séjour à l’hôpital (Cheok et al., 2003; Schrader et al., 2004), tandis qu’environ 24...

Mounting empirical evidence suggests that adult love represents an attachment process, in which the emotional bond forged between partners reflects an innate human tendency to seek out close relationships that provide safety and security. Emotionally Focused Therapy (EFT) for couples is an empirically supported psychological intervention based on t...

The psychological consequences of cardiac illness have garnered significant attention in the clinical literature in recent years. Of these, post-traumatic stress disorder (PTSD) appears to be among the most prevalent and the most debilitating. The avoidance and hypervigilance characteristic of the disorder pose a serious risk to patients’ mental an...

Although the role of psychological factors in the aetiology of physical illness has been the subject of much research and theory for over a generation, the impact of physical disease on psychological well-being has only recently garnered significant attention. Preliminary evidence indicates that cardiac diseases and the medical interventions design...

Poor school adjustment is a known correlate of peer rejection in childhood. However, the impact of change in sociometric status over time on children’s academic performance is unclear. The aim of this study was to determine whether improvement or decline in children’s sociometric status would predict corresponding changes in their academic performa...

Emotionally focused therapy (EFT) for couples combines experiential and systemic techniques to expand emotional responses and cycles of interaction. This approach has also been used to treat depression, chronic illness, and anxiety disorders. EFT appears to translate well across culture and class, focusing on universal key emotions and attachment n...

Most school transitions are characterised by sweeping changes in children's social and learning environments, often accompanied by important biological and cognitive changes; the multiple changes occurring within the child and the environment make the results of school-transition studies difficult to interpret. Italian elementary school children ex...

Research findings over the past 30 years have specified the potentially dire social and emotional consequences of aggression toward and rejection by childhood peers. Schools are a major arena both for children’s formal educational experiences and for their interactions with peers. The purpose of this study was to examine the impact of aggressive be...

Research on the social context of bullying includes children who help the victim, assist the bully or remain outsiders. 96 children from two public schools in Central Italy were classified according to an Italian version of the Participant Role Scale (Sutton and Smith, 1999) as Defenders of the Victim, Outsiders, Victims or Pro-bullies. Teacher rep...

The present study assessed cross-cultural differences in friendship characteristics among children (aged 8–9 yrs) from collectivist and individualist cultures. Same-sex dyads of Grade 3 and Grade 4 students in a middle-class suburb of Toronto, Canada ( n = 1,227) and students from a middle-class suburb of Taipei, Taiwan ( n = 965) reported on the p...

Thesis (Ph.D.)--University of Ottawa, 2005. Includes bibliographies.

Thesis (Ph.D.)--University of Ottawa, 2005. Includes bibliographical references.

Thesis (Ph.D.)--University of Ottawa, 2005. Includes bibliographies. Microfiche.