Nowlan Kathryn M, Roddy McKenzie K, Doss Brian D
Department of Psychology, University of Miami.
Couple Family Psychol. 2017 Sep;6(3):189-204. doi: 10.1037/cfp0000080.
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.
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。
