MEDIATORS AND MODERATORS OF CHANGE IN MARITAL THERAPY

婚姻治疗中变革的中介者和调节者

• 批准号: 6637569
• 负责人: Brian D. Doss
• 金额: $ 1.57万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-03-01 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/6637569
• 关键词: behavior therapy; behavioral /social science research tag; clinical research; female; gender difference; human subject; human therapy evaluation; male; marriage /marital status; marriage counseling; predoctoral investigator; psychoanalysis; social integration

Although we know marital therapy is generally effective for increasing couple satisfaction, almost one half of couples treated either don't respond to treatment or relapse within two years of therapy. Concerns over these high rates have fostered both new types of therapies and attempts to combine existing therapies. However, these attempts have largely failed to increase the overall effectiveness. (One notable exception is Integrative Couples Therapy, a treatment in the current proposal.) One explanation for similarities in outcome is that different therapies actually create change through the same, moderately effectual, mechanism (i.e., mediator). Unfortunately, previous research has yet to identify important mechanisms of change, especially those speck to different types of couples therapy. This study aims to address this limitation by identifying potential mediators of change in global satisfaction in marital therapy. In this proposal, changes in both complainant (i.e., acceptance of partner behavior) and complainee (i.e., frequency of partner behavior) are advanced as important mechanisms of change in global satisfaction. Secondly, this study will investigate whether Integrative Couples Therapy and traditional Behavioral Couples Therapy, with an emphasis on acceptance and behavior change respectively, will create change through different mechanisms. Finally, this proposal will examine possible moderating variables: attachment style, relationship commitment, and gender. In an attempt to explain the effect of gender (if any), gender differences will be reexamined by two variables found to systematically differ by gender: amount of desired change and role in seeking therapy.

尽管我们知道婚姻治疗通常可以有效提高夫妻满意度，但几乎一半的接受治疗的夫妇要么对治疗没有反应，要么在治疗后两年内复发。对这些高发病率的担忧催生了新型疗法和结合现有疗法的尝试。然而，这些尝试很大程度上未能提高整体效率。 （一个值得注意的例外是夫妻综合疗法，这是当前提案中的一种治疗方法。）对结果相似的一种解释是，不同的疗法实际上通过相同的、中等有效的机制（即中介）创造变化。不幸的是，之前的研究尚未确定重要的变化机制，尤其是那些针对不同类型的夫妻治疗的机制。本研究旨在通过确定婚姻治疗中全球满意度变化的潜在调节因素来解决这一局限性。在该提案中，投诉者（即对合作伙伴行为的接受程度）和被投诉者（即合作伙伴行为的频率）的变化被提出作为全球满意度变化的重要机制。其次，本研究将探讨分别强调接受和行为改变的综合夫妻疗法和传统行为夫妻疗法是否会通过不同的机制带来改变。最后，该提案将研究可能的调节变量：依恋风格、关系承诺和性别。为了解释性别的影响（如果有的话），将通过两个因性别而系统性不同的变量重新审视性别差异：期望改变的程度和在寻求治疗中的作用。