Individual distress and dyadic adjustment over a three‐year follow‐up period in couple therapy: a bi‐directional relationship?

Tilden, Terje; Gude, Tore; Hoffart, Asle; Sexton, Harold

doi:10.1111/j.1467-6427.2010.00490.x

Cited by 12 publications

(9 citation statements)

References 54 publications

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“…Tilden et al. [31] showed that the improvement of relationship quality can reduce depression. In relation to chronic pain, the Leonard et al.…”

Section: Introductionmentioning

confidence: 99%

“…Prigerson et al [30] showed that poor relationship quality is related to increases in depression and poor health outcomes. Tilden et al [31] showed that the improvement of relationship quality can reduce depression. In relation to chronic pain, the Leonard et al review [22] calls for a greater understanding of the role of patient mood state on relationship outcome, pain, and disability.…”

Section: Introductionmentioning

confidence: 99%

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The Role of Relationship Quality and Perceived Partner Responses with Pain and Disability in Those with Back Pain

Campbell¹,

Jordan²,

Dunn³

2012

Pain Med

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ObjectiveThe objectives of this study were to investigate the associations of key constructs of relationship quality (cohesion, consensus, and satisfaction) and perceived partner responses to pain behavior (e.g., solicitous and negative responses) with the outcomes of pain and disability in those with long-term low back pain, and to explore the role of the patient's depressive symptom mood state on those associations.MethodsSelf-report questionnaires on pain intensity, disability, relationship quality, perceived partner reactions to pain, and depressive symptoms were collected from participants (N = 174) taking part in a longitudinal study on low back pain within a primary care sample.ResultsParticipants reporting more consensus (e.g., agreement about sexual intimacy, level of affection) in their relationships had significantly higher pain intensity (P = 0.03), and solicitous partner responses (P = 0.04) were significantly positively associated with disability levels. However, the findings for pain intensity were only present in those with higher levels of depression, while the association of solicitous responses with disability was only significant in those with lower levels of depression, indicating a suppression effect of depression on pain and disability.ConclusionsDepressive symptoms play a significant role in determining the associations between relationship quality, perceived partner reactions, and pain and disability. The relationship construct of consensus and perceived solicitous responses were associated with pain and disability. These findings illustrate the importance of social context and patient mood state on the outcomes for those with low back pain.

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“…Tilden et al. [31] showed that the improvement of relationship quality can reduce depression. In relation to chronic pain, the Leonard et al.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Role of Relationship Quality and Perceived Partner Responses with Pain and Disability in Those with Back Pain

Campbell¹,

Jordan²,

Dunn³

2012

Pain Med

View full text Add to dashboard Cite

show abstract

“…www.FamilyProcess.org treating depressive symptoms (d = À.12) and significantly more effective than individual therapy in alleviating relationship distress (d = À.60). Further, reduction in depressive symptoms has also been replicated in naturalistic studies of couple therapy in different countries (Klann, Hahlweg, Baucom, & Kröger, 2011;Tilden, Gude, Hoffart, & Sexton, 2010).…”

Section: Efficacy Of Interventions For Intimate Partner Relationship mentioning

confidence: 81%

Intimate Partner Relationship Distress in the DSM‐5

2015

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Over the past 40 years, a large body of literature has documented intimate partner relationship distress as a primary reason for seeking mental health services as well as an integral factor in the prognosis and treatment of a range of mental and physical health conditions. In recognition of its relevance to clinical care, the description of intimate partner relationship distress has been expanded in the DSM-5. Nonetheless, this is irrelevant if the DSM-5 code for intimate partner relationship distress is not reliably used in clinical practice and research settings. Thus, with the goal of dissemination in mind, the purpose of this paper was to provide clinicians and researchers with specific guidelines on how to reliably assess intimate partner relationship distress and how this information can be used to inform treatment planning. In addition to the implications for direct clinical care, we discuss the importance of reliable assessment and documentation of intimate partner relationship distress for future progress in epidemiology, etiology, and public health research.

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“…Although assessment of a couple‐level outcome may be a good fit here, and a great next step in this line of work, it is believed that there is importance in understanding the influence of the shared alliance on one of the most common outcomes of therapy—individual level of distress. Furthermore, individual levels of distress are often highly intertwined with couple‐level functioning and couple‐level therapy outcomes (Knobloch‐Fedders, Pinsof, & Haase, 2015; Tilden, Gude, Hoffart, & Sexton, 2010). Therefore, individual levels of distress seem to be an appropriate barometer of therapy outcome, even in the couple context.…”

Section: The Cfm and Couple Therapymentioning

confidence: 99%

The Alliance–Outcome Association in Couple Therapy: A Common Fate Model

et al. 2021

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The working alliance has been shown to be a robust predictor of couple therapy outcomes. However, there are still questions regarding the best way to conceptualize and analyze the association between the alliance and outcomes in the couple therapy context. This study presents results from a relatively novel analytic approach for evaluating the alliance and therapy outcomes via the shared influence model (i.e., common fate statistical methodology) with 93 couples who had at least three sessions. Examining the alliance in couple therapy this way allows for nuance in conceptualizing the process of the alliance among partners and the therapist in couple therapy. Empirically, the question that remains is whether the shared experience of the alliance between partners is a stronger predictor of therapy outcome as compared to the unique individual experiences of the alliance. This approach has not yet been utilized to model the couple alliance–outcome association. Results revealed that the shared influence model demonstrated a significant association between the alliance and therapy outcome. Specifically, the couple‐level alliance construct was adequately represented from the partners’ alliance ratings with the therapist, and couples that report higher shared alliance experiences were also likely to have better therapy outcomes. These findings suggest that conceptualizing and analyzing the alliance at the couple level may be strongly advantageous. Implications for research and practice are provided.

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Individual distress and dyadic adjustment over a three‐year follow‐up period in couple therapy: a bi‐directional relationship?

Cited by 12 publications

References 54 publications

The Role of Relationship Quality and Perceived Partner Responses with Pain and Disability in Those with Back Pain

The Role of Relationship Quality and Perceived Partner Responses with Pain and Disability in Those with Back Pain

Intimate Partner Relationship Distress in the DSM‐5

The Alliance–Outcome Association in Couple Therapy: A Common Fate Model

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