Baucom Katherine J W, Baucom Brian R, Christensen Andrew
University of California, Los Angeles, Department of Psychology, 502 Portola Plaza, Los Angeles, CA 90095-1563, USA.
University of Southern California, Department of Psychology, 3620 South McClintock Ave., Los Angeles, CA 90089-1061, USA.
Behav Res Ther. 2015 Feb;65:18-28. doi: 10.1016/j.brat.2014.12.004. Epub 2014 Dec 13.
To examine changes in dyadic communication, as well as links between communication and long-term relationship outcomes, 134 distressed couples randomly assigned to either Traditional Behavioral Couple Therapy (TBCT; Jacobson & Margolin, 1979) or Integrative Behavioral Couple Therapy (IBCT; Jacobson & Christensen, 1998) were observed in video-recorded interactions. Observers rated discussions of relationship problems at 3 time points (pre-therapy, post-therapy, 2-year follow-up) and relationship outcomes (i.e., treatment response and relationship stability) were measured at a 5-year follow-up. Consistent with previous examinations of individual partner communication (K.J.W. Baucom et al., 2011; Sevier et al., 2008), TBCT produced greater improvements from pre-therapy to post-therapy (d = 0.27-0.43) and superior communication at post-therapy (d = 0.30-0.37). However, IBCT produced greater improvements from post-therapy to 2-year follow-up (d = 0.32-0.39). Both levels of, and changes in, dyadic communication were associated with relationship outcomes, even when controlling for individual communication. Our findings lend additional support for theoretical and practical differences between these two therapies and the utility of assessment at the level of the couple. Furthermore, they contribute to a broader pattern of findings in which relationship outcomes are more consistently linked with constructive communication than with destructive communication.
为了研究二元沟通的变化以及沟通与长期关系结果之间的联系，我们对134对处于困扰中的夫妻进行了录像互动观察，这些夫妻被随机分配到传统行为夫妻治疗（TBCT；雅各布森和马戈林，1979）或综合行为夫妻治疗（IBCT；雅各布森和克里斯滕森，1998）中。观察者在3个时间点（治疗前、治疗后、2年随访）对关系问题的讨论进行评分，并在5年随访时测量关系结果（即治疗反应和关系稳定性）。与之前对个体伴侣沟通的研究结果一致（K.J.W.鲍科姆等人，2011；塞维尔等人，2008），TBCT从治疗前到治疗后有更大的改善（d = 0.27 - 0.43），且治疗后的沟通更好（d = 0.30 - 0.37）。然而，IBCT从治疗后到2年随访有更大的改善（d = 0.32 - 0.39）。即使在控制个体沟通的情况下，二元沟通的水平和变化都与关系结果相关。我们的研究结果为这两种治疗方法之间的理论和实践差异以及夫妻层面评估的效用提供了额外支持。此外，它们促成了一个更广泛的研究结果模式，即关系结果与建设性沟通的联系比与破坏性沟通的联系更为一致。
