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简短在线关系干预中改变的机制。

Mechanisms of change in a brief, online relationship intervention.

机构信息

Department of Psychology.

出版信息

J Fam Psychol. 2020 Feb;34(1):57-67. doi: 10.1037/fam0000569. Epub 2019 Aug 5.

DOI:10.1037/fam0000569
PMID:31380690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6994380/
Abstract

[Correction Notice: An Erratum for this article was reported online in on Nov 14 2019 (see record 2019-69050-001). In the article, the effect sizes listed in the "Mech. slope the effect sizes listed in the "Mech. slope →CSI slope" and "Indirect effect of treatment" columns of Table 2 were calculated incorrectly and mistakenly reported as Cohen's d values. These errors do not change any of the conclusions of the study. However, the correct values, column heads, and associated footnote CSI slope" and "Indirect effect of treatment" columns of Table 2 were calculated incorrectly and mistakenly reported as Cohen's values. These errors do not change any of the conclusions of the study. However, the correct values, column heads, and associated footnote are presented in the erratum.] Internet delivery of couple interventions is becoming increasingly popular; however, little is known about mechanisms of change during these interventions. One online, self-help relationship intervention-the OurRelationship program-has been shown to improve relationship satisfaction (Doss et al., 2016) during the intervention and to maintain gains through 12-months follow-up (Doss, Roddy, Nowlan, Rothman, & Christensen, 2019). This study seeks to understand mechanisms during and following this program using the same sample of 300 couples (600 individuals) randomly assigned to the program or a waitlist control group. Results from the bivariate growth curves revealed that greater increases in relationship satisfaction during the intervention were explained by improvements in negative communication, emotional intimacy, as well as target problem confidence and severity. However, changes in acceptance of targeted relationship problems, positive communication, and self-protective orientation were not related to changes in satisfaction during the intervention. Additionally, in a multivariate model, relationship target problem severity alone remained significant in the presence of other mechanisms. Improvements in positive and negative communication during the intervention and level of negative communication at the end of the intervention predicted maintenance of gains in satisfaction over 12-month follow-up. Results replicate previous findings that communication (Doss, Thum, Sevier, Atkins, & Christensen, 2005) and emotional intimacy (Doss et al., 2005; Hawrilenko, Gray, & Córdova, 2016) are key components in initial decreases in relationship distress. Furthermore, results suggest that improvements in communication may help couples more effectively navigate problems following the intervention-above and beyond its associations with prepost improvements in satisfaction. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

摘要

[勘误通知:本文的勘误报告于 2019 年 11 月 14 日在在线[杂志名称]上报道(参见记录 2019-69050-001)。在本文中,表 2 中“Mech. slope→CSI slope”和“间接治疗效果”列中列出的效应大小被错误地计算并错误地报告为科恩的 d 值。这些错误并没有改变研究的任何结论。然而,正确的值、列标题和相关脚注,以及表 2 中“Mech. slope→CSI slope”和“间接治疗效果”列中列出的效应大小被错误地计算并错误地报告为科恩的 d 值。这些错误并没有改变研究的任何结论。然而,正确的值、列标题和相关脚注,以及表 2 中“Mech. slope→CSI slope”和“间接治疗效果”列中列出的效应大小被错误地计算并错误地报告为科恩的 d 值。这些错误并没有改变研究的任何结论。然而,正确的值、列标题和相关脚注,以及表 2 中“Mech. slope→CSI slope”和“间接治疗效果”列中列出的效应大小被错误地计算并错误地报告为科恩的 d 值。这些错误并没有改变研究的任何结论。然而,正确的值、列标题和相关脚注 are presented in the erratum.] 互联网提供夫妻干预措施正变得越来越受欢迎;然而,对于这些干预措施中的变化机制知之甚少。一个在线的、自助式的关系干预项目——我们的关系项目——已经被证明可以在干预过程中提高关系满意度(Doss 等人,2016 年),并通过 12 个月的随访保持收益(Doss、Roddy、Nowlan、Rothman 和 Christensen,2019 年)。本研究旨在使用相同的 300 对夫妇(600 人)样本,通过双变量增长曲线来理解干预期间和之后的机制,这些夫妇被随机分配到项目或候补控制组。结果显示,在干预期间,关系满意度的增加与负面沟通、情感亲密以及目标问题的信心和严重程度的改善有关。然而,在干预期间,接受目标关系问题、积极沟通和自我保护倾向的变化与满意度的变化无关。此外,在多变量模型中,仅关系目标问题的严重程度在存在其他机制的情况下仍然具有显著意义。干预期间积极和消极沟通的改善以及干预结束时消极沟通的水平预测了在 12 个月的随访中满意度的维持。研究结果复制了先前的发现,即沟通(Doss、Thum、Sevier、Atkins 和 Christensen,2005 年)和情感亲密(Doss 等人,2005 年;Hawrilenko、Gray 和 Córdova,2016 年)是关系困扰初始减少的关键组成部分。此外,结果表明,沟通的改善可以帮助夫妻在干预后更有效地解决问题——除了与干预前后满意度的改善有关。(PsycINFO 数据库记录(c)2020 APA,保留所有权利)。

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Vulnerable Emotional Expression In Emotion Focused Couples Therapy: Relating Interactional Processes To Outcome.
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J Marital Fam Ther. 2017 Apr;43(2):198-212. doi: 10.1111/jmft.12229. Epub 2017 Mar 24.
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