Resolving Attachment Injuries in Couples Using Emotionally Focused Therapy: A Three-Year Follow-Up

Halchuk, Rebecca E.; Makinen, Judy A.; Johnson, Susan M.

doi:10.1080/15332690903473069

Cited by 88 publications

(72 citation statements)

References 21 publications

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“…Third, marital harmony presents a major problem in maintenance of gains. Although one study of insight‐oriented couple therapy has shown excellent long‐term follow‐up (Snyder et al., 1991) and some other studies of other treatments fairly good maintenance of change (Christensen et al., 2006; Halchuk et al., in press), most of the few studies that have examined long‐term follow‐up have shown a considerable reduction in impact over long periods of time (Jacobson, 1989). This should not be taken as a specific indictment of the few specific treatments that have been studied over these long periods but rather as a statement of the problem: how to improve marriages but also inoculate against future problems, problems that may not be able to be anticipated during therapy.…”

Section: Resultsmentioning

confidence: 99%

Research on the Treatment of Couple Distress

Lebow¹,

Chambers²,

Christensen

et al. 2011

J Marital Family Therapy

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268

215

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This article reviews the research on couple therapy over the last decade. The research shows that couple therapy positively impacts 70% of couples receiving treatment. The effectiveness rates of couple therapy are comparable to the effectiveness rates of individual therapies and vastly superior to control groups not receiving treatment. The relationship between couple distress and individual disorders such as depression and anxiety has become well established over the past decade. Research also indicates that couple therapy clearly has an important role in the treatment of many disorders. Findings over the decade have been especially promising for integrative behavioral couples therapy and emotion-focused therapy, which are two evidence-based treatments for couples. Research has also begun to identify moderators and mediators of change in couple therapy. Finally, a new and exciting line of research has focused on delineating the principles of change in couple therapy that transcends approach.

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Section: Resultsmentioning

confidence: 99%

Research on the Treatment of Couple Distress

Lebow¹,

Chambers²,

Christensen

et al. 2011

J Marital Family Therapy

Self Cite

268

215

View full text Add to dashboard Cite

show abstract

“…That is, there typically is a return to pre-therapy levels of relationship adjustment or mere maintenance of the effects over time (e.g., Christensen, Atkins, Baucom, & Yi, 2010;Halchuk, Makinen, & Johnson, 2010;Snyder, Wills, & Grady-Fletcher, 1991). In particular, marital satisfaction leveled off or stopped declining after starting couple therapy, though it did not increase over the time.…”

Section: Discussionmentioning

confidence: 99%

Treatment‐as‐Usual for Couples: Trajectories Before and After Beginning Couple Therapy

et al. 2018

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Couple therapy has been shown to be a meaningful way to improve couples’ relationships. However, less information is known about couples’ functioning prior to entering treatment in community settings, as well as how their relationship functioning changes from initiating therapy onward. This study examined 87 couples who began community‐based couple therapy during a longitudinal study of couples in the military. The couples were assessed six times over the course of 3 years, including time points before and after starting couple therapy. Using an interrupted‐time series design, we examined trajectories across the start of couple therapy in relationship satisfaction, divorce proneness, and negative communication. The results demonstrated that couples’ relationship satisfaction was declining and both divorce proneness and negative communication were increasing prior to entering couple therapy. After starting couple therapy, couples’ functioning on all three variables leveled off but did not show further change, but previous experience in relationship education moderated these effects. Specifically, those who were assigned to the relationship education program (vs. control) demonstrated greater reductions in divorce proneness and greater increases marital satisfaction after starting therapy; however, they also started more distressed.

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“…Research has established the effectiveness of adding mental health professionals to home visiting teams to address maternal depression (Ammerman et al 2005, 2007, 2012, 2013a, b). In addition, several studies have shown that both depressed and non-depressed individuals with high relationship insecurity significantly benefit from individual, couple and family therapy (e.g., Diamond and Stern 2003; Dolan et al 1993; Halchuk et al 2010; Holmes 1997; Slade 1999). More research is needed to ascertain the best approaches for mothers with severe depressive symptoms and high levels of discomfort with trust in the context of existing and emerging models of home visiting.…”

Section: Discussionmentioning

confidence: 99%

Maternal Relationship Insecurity and Depressive Symptoms as Moderators of Home Visiting Impacts on Child Outcomes

Cluxton-Keller¹,

Burrell²,

Crowne³

et al. 2013

J Child Fam Stud

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The purpose of this study was to determine the extent to which maternal relationship insecurity and severe depressive symptoms moderate home visiting impacts on developmental and behavioral outcomes in 2-year old children. In an experimental trial of the Healthy Families Alaska home visiting program, families (N = 249) were randomly assigned to home visiting (n = 126) or community services as usual (n = 123). Maternal severe depressive symptoms (CES-D ≥ 24) and relationship insecurity were measured using the Center for Epidemiologic Studies Depression Scale and the Attachment Style Questionnaire at baseline. Child cognitive and psychomotor development and behavior problems were measured with the Bayley Scales of Infant Development and the Child Behavior Checklist at follow-up. The results revealed that home visiting significantly impacted three outcomes— child cognitive development, internalizing behavior, and externalizing behavior. Home visiting impacts were limited to subgroups defined by maternal depressive symptoms and relationship insecurity. Home visiting improved cognitive development (B = 6.02, p < .03), and decreased internalizing behavior (B = −3.83, p = .02) and externalizing behavior problems (B = −3.74, p = .03) in children of mothers with either severe depressive symptoms or high levels of discomfort with trust at baseline, but not both. Family engagement in home visiting seems to play a role in mediating these moderating effects. These findings reflect the importance of screening for maternal relationship insecurity and depressive symptoms to distinguish family subgroups likely to benefit from home visiting from those for whom an enhanced service model might be needed.

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Resolving Attachment Injuries in Couples Using Emotionally Focused Therapy: A Three-Year Follow-Up

Cited by 88 publications

References 21 publications

Research on the Treatment of Couple Distress

Research on the Treatment of Couple Distress

Treatment‐as‐Usual for Couples: Trajectories Before and After Beginning Couple Therapy

Maternal Relationship Insecurity and Depressive Symptoms as Moderators of Home Visiting Impacts on Child Outcomes

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