ACCEPTANCE AND CHANGE IN MARITAL THERAPY

婚姻治疗的接受和改变

• 批准号: 2675543
• 负责人: NEIL S JACOBSON
• 金额: $ 34.71万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-09-25 至 2002-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2675543
• 关键词: behavior modification; behavior prediction; behavioral /social science research tag; clinical research; divorce /separation; dyadic interaction; emotional adjustment; human subject; human therapy evaluation; marriage counseling; outcomes research; therapy compliance

DESCRIPTION (Applicant's Abstract): We propose to compare the efficacy of two treatments for marital discard: traditional behavioral couple therapy (TBCT); and a new integrative behavioral couple treatment (IBCT). One hundred eighty couples will be randomly assigned to one of these treatment conditions, resulting in 90 couples per treatment condition. This study will be done at two sites: University of Washington and UCLA, with 90 couples (or 45 per treatment condition) run at each site. Professor Andrew Christensen at UCLA is submitting an identical proposal with the same title, under the R10 mechanism. One primary purpose of the study is to evaluate the utility of a new integrative treatment for marital problems which builds on TBCT but includes an emphasis an emotional acceptance (EA) which is not part of TBCT. A secondary purpose of the study is to evaluate the change mechanisms associated with the various treatments. We are hypothesizing that, to the extent that TBCT effects marital satisfaction, it does so via promoting accommodation, compromise, and collaboration (i.e., behavior change). In contrast, the primary mechanism by which EA increases marital satisfaction is through promoting "acceptance" of partner behavior as is. We will be evaluating the extent to which components of each treatment operate by virtue of the processes ascribed to it. Thus, the study will not only answer clinical questions, but will enlighten us regarding the mechanisms by which couples change in marital therapy. A third purpose of the study is to identify predictors of who responds to couples therapy in general and these treatments in particular. A fourth purpose is to investigate the dynamics of marital discord, especially the roles of acceptance and change. Divorce is one of life's most stressful events, and is associated with almost every conceivable physical and psychological disorder. These mental disorders can in turn have deleterious effects on marital quality, effects which often continue despite recovery from the mental disorder. It is often easier to prevent disorders than to treat them successfully once they have emerged. Marital therapy is a problem-focused treatment that has wide applicability and has demonstrated great promise, not only in the treatment of marital problems but also as an approach to major mental disorders. However, in its present form, it also has significant limitations. The purpose of this project is to contribute to the development of effective marital therapy, to help realize its promise and overcome some of the present limitations.

描述（申请人的摘要）：我们建议比较以下方法的功效： 婚姻抛弃的两种治疗方法：传统行为夫妻疗法 （TBCT）；以及一种新的综合行为夫妻治疗（IBCT）。 一 一百八十对夫妇将被随机分配接受其中一种治疗 条件，每种治疗条件产生 90 对夫妇。 这项研究 将在两个地点进行：华盛顿大学和加州大学洛杉矶分校，共 90 每个地点有 45 对情侣（或每种治疗条件 45 对）跑步。 安德鲁教授 加州大学洛杉矶分校的克里斯滕森正在提交一份具有相同标题的相同提案， R10机制下。 这项研究的一个主要目的是评估一种新的实用性 婚姻问题的综合治疗以 TBCT 为基础，但包括 强调情感接受（EA），这不是 TBCT 的一部分。 一个 研究的次要目的是评估变革机制 与各种治疗方法有关。 我们假设，对于 TBCT 影响婚姻满意度的程度是通过促进 迁就、妥协和协作（即行为改变）。 在 相比之下，EA 提高婚姻满意度的主要机制 是通过促进“接受”合作伙伴的行为本身。 我们将会 评估每种治疗方法的组成部分的作用程度 凭借归因于它的过程。 因此，该研究不仅 回答临床问题，但会通过以下方式启发我们有关机制的信息 哪些夫妇在婚姻治疗中发生了变化。 研究的第三个目的是 确定谁对一般夫妻治疗有反应的预测因素以及这些 特别是治疗。 第四个目的是调查动态 婚姻不和谐的问题，尤其是接受和改变的角色。 离婚是生活中压力最大的事件之一，并且与 几乎所有可以想象的身体和心理疾病。 这些心理 疾病反过来会对婚姻质量产生有害影响 尽管从精神障碍中恢复过来，这种情况通常仍会持续。 常常是 预防疾病比疾病发生后成功治疗更容易 出现了。 婚姻治疗是一种以问题为中心的治疗方法，具有广泛的应用前景。 适用性并显示出巨大的前景，不仅在治疗方面 婚姻问题的解决办法，也是解决重大精神障碍的一种方法。 然而，就目前的形式而言，它也有很大的局限性。 这 该项目的目的是促进有效的开发 婚姻治疗，以帮助实现其承诺并克服一些 目前的局限性。