University of Miami.
University of Miami.
Behav Ther. 2017 Nov;48(6):847-859. doi: 10.1016/j.beth.2017.05.007. Epub 2017 Jun 1.
Despite the fact that veterans face increased psychological and relationship distress as a result of their service-related experiences, no study to date has explored the long-term effectiveness of couple therapy for veterans. In the present investigation, 238 individuals (113 couples and 12 additional individuals) completed assessments 18 months after termination of treatment-as-usual couple therapy at two Veteran Administration Medical Centers. From pretreatment to 18-month follow-up, couples experienced significant increases in relationship satisfaction (d = 0.59) and significant decreases in both psychological distress (d = -0.31) and presence of intimate partner violence (d = -0.47). Overall, pretreatment demographic, psychological, and relationship characteristics did not significantly moderate maintenance of gains across 18 months. However, African American individuals (d = -0.58) and individuals not reporting intimate partner violence at pretreatment (d = -0.46) experienced smaller improvements in relationship satisfaction through 18-month follow-up. Further, older participants showed smaller reductions in psychological symptoms 18 months after treatment (d = 0.16). Thus, for many veterans and their spouses, treatment-as-usual couple therapy is effective at intervening in psychological and relationship distress long-term. Moreover, the long-term effectiveness of couple therapy with veterans appears to generalize across many demographic, intrapersonal, and interpersonal factors.
尽管退伍军人由于其与服务相关的经历而面临增加的心理和关系困扰，但迄今为止尚无研究探讨夫妻治疗对退伍军人的长期效果。在本研究中，238 名个体（113 对夫妇和 12 名其他个体）在两个退伍军人事务部医疗中心接受常规夫妻治疗结束后 18 个月完成了评估。从治疗前到 18 个月的随访期间，夫妻双方的关系满意度显著提高（d = 0.59），心理困扰（d = -0.31）和亲密伴侣暴力的发生率（d = -0.47）显著降低。总体而言，治疗前的人口统计学，心理和关系特征并未显着调节 18 个月内收益的维持。但是，非裔美国人（d = -0.58）和治疗前未报告亲密伴侣暴力的个体（d = -0.46）在 18 个月的随访中关系满意度的改善较小。此外，年龄较大的参与者在治疗后 18 个月的心理症状减少较小（d = 0.16）。因此，对于许多退伍军人及其配偶而言，常规夫妻治疗在长期内对心理和关系困扰具有干预作用。而且，夫妻治疗对退伍军人的长期效果似乎适用于许多人口统计学，内在和人际因素。
