Craske M G, Burton T, Barlow D H
Behav Res Ther. 1989;27(2):131-40. doi: 10.1016/0005-7967(89)90071-5.
The goals of this study were to examine the relationships among measures of couples interactions (satisfaction and communication), and response to treatment within a group of agoraphobic clients and their partners. The treatment included the clients' partners in structured, graduated in vivo exposure practices. Twenty-two clients and their partners completed pre-, mid- and post-treatment assessments. Treatment responders rated themselves and their partners as more communicative regarding the client's fears, at pre- and mid-assessments in comparison to nonresponders; measures of communication related inversely to levels of anxiety reported during exposures, but marital satisfaction did not relate to any measure of exposure. In addition, level of anxiety during exposure differentiated responders from nonresponders; responders experienced a significant reduction in their levels of anxiety. Finally, ratings of frequency of communication at mid-assessment were highly predictive of treatment outcome at post-assessment. The implications from these findings for communication skills training for a subset of couples who enter couples treatment for agoraphobia are discussed.
本研究的目的是考察一组广场恐惧症患者及其伴侣之间的夫妻互动指标（满意度和沟通）以及对治疗的反应之间的关系。治疗包括让患者的伴侣参与结构化、逐步递增的现场暴露练习。22名患者及其伴侣完成了治疗前、治疗中和治疗后的评估。与无反应者相比，有反应者在治疗前和治疗中期评估时，将自己和伴侣评价为在患者恐惧方面更善于沟通；沟通指标与暴露期间报告的焦虑水平呈负相关，但婚姻满意度与任何暴露指标均无关联。此外，暴露期间的焦虑水平区分了有反应者和无反应者；有反应者的焦虑水平显著降低。最后，治疗中期评估时的沟通频率评分高度预测了治疗后评估的治疗结果。本文讨论了这些研究结果对进入夫妻治疗的广场恐惧症患者伴侣的沟通技能培训的启示。
