“…Further, marital distress at the end of treatment appears to have an even larger impact on subsequent depression outcomes (e.g., Whisman, 2001). Additionally, several studies have identified marital distress as increasing the likelihood of relapse following treatment for alcohol disorders (e.g., Maisto, McKay, & O'Farrell, 1998;O'Farrell et al, 1998) and poorer outcomes following treatment for panic disorder with agoraphobia (e.g., Marcaurelle, Belanger, & Marchand, 2003). Further, there are several lines of research that point to the added benefits of involving spouses in treatment for disorders that have typically been treated using only individual treatments, such as alcohol dependence (e.g., Fals-Stewart, Klostermann, Yates, O'Farrell, & Birchler, 2005) and bipolar disorder (e.g., Rea et al, 2003).…”