TY - JOUR
T1 - Treatment response in couple therapy
T2 - Relationship adjustment and individual functioning change processes
AU - Knobloch-Fedders, Lynne M
AU - Pinsof, William M
AU - Haase, Claudia
N1 - Publisher Copyright:
© 2015 American Psychological Association.
PY - 2015/10/1
Y1 - 2015/10/1
N2 - This study, a naturalistic investigation of the process of change in relationship adjustment and individual functioning during conjoint therapy, examined the first 8 sessions of a multisystemic model of couple therapy, integrative problem-centered metaframeworks (Breunlin, Pinsof, Russell,&Lebow, 2011; Pinsof, Breunlin, Russell,&Lebow, 2011). The sample consisted of 125 heterosexual couples who reported on their relationship adjustment and individual functioning before every session using the Systemic Therapy Inventory of Change (Pinsof et al., 2009; Pinsof, Zinbarg, et al., in press). Data were analyzed using dyadic latent growth curve and cross-lagged models. For both men and women, relationship adjustment and individual functioning showed nonlinear change, increasing during Sessions 1-4 and stabilizing during Sessions 5-8. At pretreatment, women reported lower levels of relationship adjustment than men; no gender differences existed in initial levels of individual functioning or in the change trajectories of relationship adjustment or individual functioning. Higher relationship adjustment predicted positive change in individual functioning for men (but not for women). In contrast, there were no cross-lagged effects of individual functioning on relationship adjustment for men or women. The results demonstrate the importance of examining the processes by which relational and individual pathology respond to couple-based interventions.
AB - This study, a naturalistic investigation of the process of change in relationship adjustment and individual functioning during conjoint therapy, examined the first 8 sessions of a multisystemic model of couple therapy, integrative problem-centered metaframeworks (Breunlin, Pinsof, Russell,&Lebow, 2011; Pinsof, Breunlin, Russell,&Lebow, 2011). The sample consisted of 125 heterosexual couples who reported on their relationship adjustment and individual functioning before every session using the Systemic Therapy Inventory of Change (Pinsof et al., 2009; Pinsof, Zinbarg, et al., in press). Data were analyzed using dyadic latent growth curve and cross-lagged models. For both men and women, relationship adjustment and individual functioning showed nonlinear change, increasing during Sessions 1-4 and stabilizing during Sessions 5-8. At pretreatment, women reported lower levels of relationship adjustment than men; no gender differences existed in initial levels of individual functioning or in the change trajectories of relationship adjustment or individual functioning. Higher relationship adjustment predicted positive change in individual functioning for men (but not for women). In contrast, there were no cross-lagged effects of individual functioning on relationship adjustment for men or women. The results demonstrate the importance of examining the processes by which relational and individual pathology respond to couple-based interventions.
KW - Conjoint psychotherapy
KW - Couples
KW - Individual functioning
KW - Relationship adjustment
KW - Treatment response
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U2 - 10.1037/fam0000131
DO - 10.1037/fam0000131
M3 - Article
C2 - 26376428
AN - SCOPUS:84943532039
SN - 0893-3200
VL - 29
SP - 657
EP - 666
JO - Journal of Family Psychology
JF - Journal of Family Psychology
IS - 5
ER -