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比较针对经历夫妻关系困扰的父母的“我们的关系”项目与阅读疗法:一项随机试点研究。

Comparing the OurRelationship Program and Bibliotherapy for Parents Experiencing Couple Distress: A Randomized Pilot.

作者信息

Trillingsgaard Tea L, Hansen Frederik Godt, Fentz Hanne Nørr

机构信息

Department of Psychology and Behavioural Sciences, School of Business and Social Sciences, Aarhus University, Aarhus C, Denmark.

Department of Political Science and Public Management, University of Southern Denmark, Odense M, Denmark.

出版信息

J Marital Fam Ther. 2025 Jan;51(1):e12762. doi: 10.1111/jmft.12762.

DOI:10.1111/jmft.12762
PMID:39777723
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11707500/
Abstract

The OurRelationship Program is an 8-h web-based program for distressed couples adapted from Integrative Behavioral Couple Therapy. In this pilot randomized controlled trial, we aimed to replicate results from the founders and test feasibility criteria for program implementation across cultures. We randomized 39 Danish, opposite-sex, distressed, parenting couples to either the OurRelationship program or self-guided bibliotherapy (a self-help book with a reading guide). Results showed significant within-group changes in couple and individual functioning; for the OurRelationship, small-to-large effect sizes (d = 0.46-1.35 for relationship functioning, d = 0.29-0.80 for individual functioning), and for Bibliotherapy, small-to-moderate changes (d = 0.49-0.75 for relationship functioning, d = 0.28-0.45 for individual functioning). Differences between conditions were insignificant, except for moderate differences in reductions of communication conflict (d = 0.79) and relationship negatives (d = 0.43) in favor of OurRelationship. While feasibility results were positive, a sustainable implementation requires a resourceful organization and large-scale delivery.

摘要

“我们的关系”项目是一个基于网络的为期8小时的项目,针对关系困扰的夫妻,改编自综合行为夫妻治疗法。在这项试点随机对照试验中,我们旨在复制该项目创始人的研究结果,并测试跨文化实施该项目的可行性标准。我们将39对丹麦异性关系困扰的育儿夫妻随机分为“我们的关系”项目组或自助阅读疗法组(一本配有阅读指南的自助书籍)。结果显示,两组在夫妻和个体功能方面均有显著的组内变化;“我们的关系”项目组的效应量为小到中等(关系功能方面d = 0.46 - 1.35,个体功能方面d = 0.29 - 0.80),自助阅读疗法组的变化为小到中等(关系功能方面d = 0.49 - 0.75,个体功能方面d = 0.28 - 0.45)。除了在沟通冲突减少(d = 0.79)和关系负面因素减少(d = 0.43)方面存在有利于“我们的关系”项目组的中等差异外,两组之间的差异不显著。虽然可行性结果是积极的,但可持续实施需要一个资源丰富的组织和大规模的推广。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92db/11707500/8183a33484e9/JMFT-51-0-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92db/11707500/e48c3005e911/JMFT-51-0-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92db/11707500/eb04d63dd376/JMFT-51-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92db/11707500/7fb817b6570d/JMFT-51-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92db/11707500/dcddcbd8d7dd/JMFT-51-0-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92db/11707500/8183a33484e9/JMFT-51-0-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92db/11707500/e48c3005e911/JMFT-51-0-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92db/11707500/eb04d63dd376/JMFT-51-0-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92db/11707500/7fb817b6570d/JMFT-51-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92db/11707500/dcddcbd8d7dd/JMFT-51-0-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92db/11707500/8183a33484e9/JMFT-51-0-g004.jpg

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本文引用的文献

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Behav Res Ther. 2023 Aug;167:104337. doi: 10.1016/j.brat.2023.104337. Epub 2023 May 19.
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Therapist-supported Internet-based cognitive behaviour therapy yields similar effects as face-to-face therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis.治疗师支持的基于互联网的认知行为疗法对精神疾病和躯体疾病产生的效果与面对面治疗相似:一项更新的系统评价和荟萃分析。
World Psychiatry. 2023 Jun;22(2):305-314. doi: 10.1002/wps.21088.
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Online relationship education for help-seeking low-income couples: A Bayesian replication and extension of the OurRelationship and ePREP programs.
针对寻求帮助的低收入夫妇的在线关系教育:对 OurRelationship 和 ePREP 项目的贝叶斯复制和扩展。
Fam Process. 2022 Sep;61(3):1045-1061. doi: 10.1111/famp.12710. Epub 2021 Aug 12.
4
Trajectories of relationship and individual functioning among waitlisted couples for an online relationship intervention.候补夫妇参与在线关系干预的关系轨迹和个体功能。
Fam Process. 2021 Dec;60(4):1233-1248. doi: 10.1111/famp.12691. Epub 2021 Jul 11.
5
Effectiveness of online OurRelationship and ePREP programs for low-income military couples.低收入军婚夫妇的在线 OurRelationship 和 ePREP 项目的有效性。
J Consult Clin Psychol. 2020 Oct;88(10):899-906. doi: 10.1037/ccp0000606.
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Meta-analysis of couple therapy: Effects across outcomes, designs, timeframes, and other moderators.元分析夫妻治疗:结果、设计、时间框架和其他调节因素的影响。
J Consult Clin Psychol. 2020 Jul;88(7):583-596. doi: 10.1037/ccp0000514.
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