Traditional Versus Integrative Behavioral Couple Therapy for Significantly and Chronically Distressed Married Couples.

Christensen, Andrew; Atkins, David C.; Berns, Sara B.; Wheeler, Jennifer; Baucom, Donald H.; Simpson, Lorelei E.

doi:10.1037/0022-006x.72.2.176

Cited by 357 publications

(424 citation statements)

References 53 publications

(76 reference statements)

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“…IBCT was designed to decrease negative interactions among partners by emphasizing emotional acceptance (Christensen et al, 2004). In contrast to traditional behavioral couple therapy (TBCT), which seeks to change behavior of spouses, the goal of IBCT is to help spouses accept, without promoting resignation, aspects of their partners that were previously unacceptable (Jacobson, Christensen, Prince, Cordova, & Eldridge, 2000).…”

Section: Introductionmentioning

confidence: 99%

“…The goal of this technique is to help family members learn to talk about their problems without engaging in conflicts. It also encourages family members to recognize that certain aspects of their relative are unchangeable, such as bipolar illness, and to be accepting rather than pushing them to change.IBCT has been shown to significantly improve relationship satisfaction and to decrease global distress among couples (Christensen et al, 2004). Of more relevance, IBCT interventions have been shown to produce large increases in nonblaming discussions as compared to TBCT (Cordova et al, 1998).…”

mentioning

confidence: 99%

“…IBCT has been shown to significantly improve relationship satisfaction and to decrease global distress among couples (Christensen et al, 2004). Of more relevance, IBCT interventions have been shown to produce large increases in nonblaming discussions as compared to TBCT (Cordova et al, 1998).…”

mentioning

confidence: 99%

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An Acceptance-Based Psychoeducation Intervention to Reduce Expressed Emotion in Relatives of Bipolar Patients

Eisner

Johnson

2008

Behavior Therapy

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Expressed emotion (EE) is a robust predictor of outcome in bipolar disorder. Despite decades of research, interventions to reduce EE levels have had only modest effects. This study used an expanded model of EE to develop an intervention. Research has demonstrated a strong link between attributions and EE in families of patients with psychiatric disorders. There is also substantial research to suggest that anger can drive blaming attributions. Combining these ideas, this study built on previous psychoeducation interventions through the addition of an acceptance component designed to decrease anger and blaming attributions among family members of those with bipolar disorder. Twenty-eight family members attended a 1-day or 2-evening multifamily group workshop and completed a followup assessment 1 week later. At follow-up, participants demonstrated more knowledge about bipolar disorder. Anger, blaming attributions, and number of criticisms remained unchanged. Results of this study are consistent with others in that it is difficult to change EE. Implications for future clinical research in this area are addressed.The construct of expressed emotion (EE) is defined as critical, hostile, or emotionally overinvolved (EOI) attitudes toward a relative with a psychiatric disorder (Hooley, Rosen, & Richters, 1995). EE has been linked with poor patient outcome for several psychiatric disorders (Barrowclough & Hooley, 2003;Butzlaff & Hooley, 1998). Butzlaff and Hooley (1998) found a meta-analytic effect size of r=.39 across six studies that examined the relationship between EE and relapse within mood disorders. More recent research suggests that, although EE was unrelated to manic relapse, high EE was related to a five-fold increase in the odds of a depressive recurrence, even after controlling for symptom severity (Yan, Hammen, Cohen, Daley, & Henry, 2004). Criticism has been found to be the most important element of EE for understanding the course of mood disorders (Hooley et al., 1995) and for bipolar depression (Kim & Miklowitz, 2004). Thus, EE has an influence on bipolar relapse, more specifically for depression.What drives high levels of criticism? According to Weiner's (1995) attribution-affect model, attributions influence the way people experience emotion. In particular, when an individual perceives that another person is in control of his or her behavior, this leads to a judgment that the other person is responsible for his or her behavior. A judgment that the other person is responsible elicits anger and criticism. High EE relatives who are critical have a tendency to view symptoms of mental illness as behaviors that are within the patient's control (Barrowclough, Johnston, & Tarrier, 1994). Because high EE relatives believe the patient is in control of his or her behavior, they believe the patient must also be capable of modifying this behavior. Thus, relatives struggle to normalize the patient's behavior through negative feedback and controlling behavior of their own (Hooley & Campbell, 2002 Several studie...

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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An Acceptance-Based Psychoeducation Intervention to Reduce Expressed Emotion in Relatives of Bipolar Patients

Eisner

Johnson

2008

Behavior Therapy

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“…Jacobson, Christensen, Prince, Cordova, and Eldrige (2000) found that approximately 80% of couples responded to normal functioning in the IBCT group. On follow up, 67% of couples significantly improved their relationships for two years (Christensen, Atkins, Berns, Wheeler, Baucom, & Simpson, 2004). While 67% of couples in therapy experiencing clinically significant reliable change are a powerful effect, IBCT continues to refine its tenets and its treatment formulations.…”

Section: Discussionmentioning

confidence: 99%

Diagnosing child sex abuse: A research challenge.

Duffy¹,

Keenan²,

Dillenburger³

2006

International Journal of Behavioral Consultation and Therapy

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Child sex abuse increasingly is recognised as a societal problem that can no longer be ignored. In this paper definitions, prevalence, trends, assessment, and available diagnostic procedures are described and critically evaluated. It is argued that the lack of reliable diagnostic procedures remains one of the main difficulties in dealing effectively with the detrimental effects of CSA on the child or adult. The research challenge to find effective alternative procedures is outlined.

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“…Research examining the validity of the DAS has shown that total DAS scores have been consistently shown to discriminate between distressed and nondistressed couples and have been shown to identify couples with a high likelihood of divorce (Crane, Busby, & Larson, 1991). A cut-score of 97.5 has been validated to identify relationship distress (Christensen et al, 2004). The validity of the subscales has been assessed by examining the correlations between the DAS subscales and measures of love, liking, and marital satisfaction across heterosexual married and gay and lesbian cohabiting couples (Kurdek, 1992).…”

Section: Relationship Satisfactionmentioning

confidence: 99%