Snyder D K, Mangrum L F, Wills R M
Department of Psychology, Texas A&M University, College Station 77843-4235.
J Consult Clin Psychol. 1993 Feb;61(1):61-9. doi: 10.1037//0022-006x.61.1.61.
This study identified predictors of couples' response to marital therapy at termination and 4 years posttreatment for 55 couples receiving either behavioral or insight-oriented marital therapy. Couples were more likely to remain maritally distressed at termination if either spouse reported high levels of negative marital affect or depressive symptomatology at intake. Couples were more likely to be divorced or maritally distressed 4 years after completing therapy if spouses' intake measures reflected high levels of negative marital affect, poor problem-solving skills, low psychological resilience, high levels of depression, low emotional responsiveness, or if neither spouse was employed at a semiskilled or higher level position. Termination measures of negative marital affect and poor communication skills also predicted couples' status at 4-year follow-up. Joint contingency tables relating predictors to outcome were constructed.
本研究确定了55对接受行为疗法或领悟导向婚姻疗法的夫妻在治疗结束时及治疗后4年对婚姻治疗的反应预测因素。如果夫妻双方在治疗开始时,任何一方报告有高水平的负面婚姻情感或抑郁症状,那么他们在治疗结束时更有可能仍处于婚姻困扰状态。如果夫妻双方在治疗开始时的测量结果显示有高水平的负面婚姻情感、较差的解决问题能力、较低的心理复原力、高水平的抑郁、较低的情感反应能力,或者夫妻双方均未从事半熟练或更高水平的工作,那么他们在完成治疗4年后更有可能离婚或处于婚姻困扰状态。负面婚姻情感和不良沟通技巧的治疗结束时测量结果也可预测夫妻在4年随访时的状况。构建了将预测因素与结果相关联的联合列联表。