INTEGRATIVE BEHAVIORAL COUPLE THERAPY

夫妻综合行为疗法

• 批准号: 2248989
• 负责人: NEIL S JACOBSON
• 金额: $ 13.57万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-09-01 至 1996-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2248989
• 关键词: audiotape; behavior modification; behavior test; data collection methodology /evaluation; emotional adjustment; handbook; health care personnel performance; health care quality; human subject; human therapy evaluation; marriage /marital status; marriage counseling; psychometrics; psychotherapy; satisfaction; therapy compliance; videotape /videodisc

We propose a pilot study to prepare us for a clinical trial comparing the efficacy of two treatments for marital discord: traditional couple therapy (TBCT) and a new integrative behavioral treatment (IBCT). The purpose of the pilot study is to determine whether or not: 1) therapists can keep the two treatments distinct; 2) our scale for rating treatment integrity can discriminate between the two treatments; 3) we can adequately coordinate a two site study between University of Washington and UCLA; and 4) develop a detailed procedural IBCT treatment manual from the current one. A second aim of the present application is to develop instruments for measuring emotional acceptance in marital relationships, and assess the reliability and validity of these instruments. The proposed pilot study will require three years of funding. When it is completed (and assuming the pilot data are encouraging), we plan to request continuation funds for a clinical trial comparing IBCT to TBCT. This trial will involve 228 couples being randomly assigned to one or the other treatment. IBCT includes TBCT, but adds an emphasis on emotional acceptance (EA) which is deemphasized in TBCT. The clinical trial will also be used to evaluate the change mechanisms associated with the two treatments. We believe that, to the extent that TBCT affects marital satisfaction, it does so by promoting behavior change. In contrast, a primary mechanism by which EA increases marital satisfaction is through promoting acceptance of partner behavior as is. Divorce and marital discord are among the most common precipitants of physical and mental disorders. The design and testing of maximally effective marital therapies are crucial components to the treatment and prevention of mental disorders.

我们提议进行一项试点研究，为我们进行临床试验做准备，比较 两种治疗婚姻不和谐的疗效：传统夫妇 治疗（TBCT）和新的综合行为治疗（IBCT）。这 试点研究的目的是确定是否：1) 治疗师 可以保持两种治疗方法的区别； 2）我们的评级治疗量表 完整性可以区分两种处理方法； 3）我们可以 充分协调华盛顿大学之间的两地研究 和加州大学洛杉矶分校； 4) 制定详细的 IBCT 治疗程序手册 当前的一个。 本申请的第二个目的是开发用于 衡量婚姻关系中的情感接受度，并评估 这些工具的可靠性和有效性。 拟议的试点研究将需要三年的资金。 当它 完成后（假设试点数据令人鼓舞），我们计划 请求继续资助 IBCT 与 TBCT 比较的临床试验。 这项试验将涉及 228 对夫妇，他们被随机分配到其中一个或 其他治疗。 IBCT 包括 TBCT，但增加了对情感的重视 接受（EA），在 TBCT 中不被强调。 该临床试验将 也可用于评估与这两个相关的变革机制 治疗。 我们认为，就 TBCT 影响婚姻而言 满意度，它是通过促进行为改变来实现的。 相比之下，一个 EA 提高婚姻满意度的主要机制是 促进对合作伙伴行为的接受。 离婚和婚姻不和是最常见的诱因之一 身体和精神障碍。 最大程度的设计和测试 有效的婚姻治疗是治疗的关键组成部分 预防精神障碍。