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针对关系困扰个体的在线OurRelationship项目:一项初步随机对照试验。

The Online OurRelationship Program for Relationally Distressed Individuals: A Pilot Randomized Controlled Trial.

作者信息

Nowlan Kathryn M, Roddy McKenzie K, Doss Brian D

机构信息

Department of Psychology, University of Miami.

出版信息

Couple Family Psychol. 2017 Sep;6(3):189-204. doi: 10.1037/cfp0000080.

Abstract

Relationship distress has deleterious effects on mental health, physical health, and quality of life. Although many couples report relationship distress, one barrier to seeking services is that one member of a couple may be too busy or refuse to participate. Relationship interventions offered to individuals have shown promising efficacy, but, as most are offered in-person, barriers to their reach remain. To increase the reach of such interventions, the present pilot study examined the efficacy of a fully web-based relationship intervention for individuals (OR-I). The program was adapted from the couple version of the OurRelationship program (OR-C), which is effective in improving relationship and individual functioning (Doss et al., 2016). Results indicated that couples randomized to the OR-I program, compared to couples in a waitlist control group, saw significant improvement in quality of life ( = 0.69), work functioning ( = 0.44), and perceived health ( = 0.49) during treatment. Furthermore, gains in quality of life and perceived health for the intervention group were maintained over short-term follow-up. However, there were no significant improvements in relationship functioning or symptoms of depression or anxiety. When comparing the efficacy of OR-I and a demographically-matched subsample of OR-C, results showed that change in outcomes did not significantly differ by program. Overall, with some adaptations, OR-I may be a viable option for individuals seeking relationship help. Limitations, potential adaptations, and future directions are discussed in-depth.

摘要

关系困扰对心理健康、身体健康和生活质量具有有害影响。尽管许多夫妻报告存在关系困扰,但寻求服务的一个障碍是夫妻中的一方可能太忙或拒绝参与。提供给个人的关系干预已显示出有前景的疗效,但由于大多数是面对面提供的,其覆盖面仍然存在障碍。为了扩大此类干预的覆盖面,本试点研究考察了一种完全基于网络的针对个人的关系干预(OR-I)的疗效。该项目改编自OurRelationship项目的夫妻版(OR-C),后者在改善关系和个人功能方面是有效的(多斯等人,2016年)。结果表明,与等待名单对照组中的夫妻相比,被随机分配到OR-I项目的夫妻在治疗期间生活质量(=0.69)、工作功能(=0.44)和感知健康(=0.49)方面有显著改善。此外,干预组在生活质量和感知健康方面的改善在短期随访中得以维持。然而,关系功能或抑郁或焦虑症状没有显著改善。当比较OR-I和人口统计学匹配的OR-C子样本的疗效时,结果表明各项目的结果变化没有显著差异。总体而言,如果进行一些调整,OR-I可能是寻求关系帮助的个人的一个可行选择。深入讨论了局限性、潜在调整和未来方向。

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