Literature DB >> 25265544

Prediction of treatment response at 5-year follow-up in a randomized clinical trial of behaviorally based couple therapies.

Brian R Baucom1, David C Atkins2, Lorelei Simpson Rowe3, Brian D Doss4, Andrew Christensen5.   

Abstract

OBJECTIVE: Building on earlier work examining predictors of short- and moderate-term treatment response, demographic, intrapersonal, communication, and interpersonal variables were examined as predictors of clinically significant outcomes 5 years after couples completed 1 of 2 behaviorally based couple therapies.
METHOD: One hundred and thirty-four couples were randomly assigned to Integrative Behavioral Couple Therapy (IBCT; Jacobson & Christensen, 1998) or Traditional Behavioral Couple Therapy (TBCT; Jacobson & Margolin, 1979) and followed for 5 years after treatment. Outcomes include clinically significant change categories of relationship satisfaction and marital status at 5-year follow-up. Optimal subsets of predictors were selected using an automated, bootstrapped selection procedure based on Bayesian information criterion.
RESULTS: Higher levels of commitment and being married for a longer period of time were associated with decreased likelihood of divorce or separation (odds ratio [OR] = 1.39, p = .004; OR = 0.91, p = .015). Being married for a longer period of time was also associated with increased likelihood of positive, clinically significant change (OR = 1.12, p = .029). Finally, higher levels of wife-desired closeness were associated with increased odds of positive, clinically significant change and decreased odds of divorce for moderately distressed, IBCT couples (OR = 1.16, p = .002; OR = 0.85, p = .007, respectively), whereas the opposite was true for moderately distressed, TBCT couples (OR = 0.77, p < .001; OR = 1.17, p = .002, respectively).
CONCLUSIONS: Commitment-related variables are associated with clinically significant outcomes at 5-year follow-up as well as at termination and moderate-term follow-up. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

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Year:  2014        PMID: 25265544      PMCID: PMC4324126          DOI: 10.1037/a0038005

Source DB:  PubMed          Journal:  J Consult Clin Psychol        ISSN: 0022-006X


  18 in total

1.  Prediction of response to treatment in a randomized clinical trial of marital therapy.

Authors:  David C Atkins; Sara B Berns; William H George; Brian D Doss; Krista Gattis; Andrew Christensen
Journal:  J Consult Clin Psychol       Date:  2005-10

Review 2.  Current status and future directions in couple therapy.

Authors:  Douglas K Snyder; Angela M Castellani; Mark A Whisman
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4.  Prediction of response to treatment in a randomized clinical trial of couple therapy: a 2-year follow-up.

Authors:  Brian R Baucom; David C Atkins; Lorelei E Simpson; Andrew Christensen
Journal:  J Consult Clin Psychol       Date:  2009-02

5.  Marital status and satisfaction five years following a randomized clinical trial comparing traditional versus integrative behavioral couple therapy.

Authors:  Andrew Christensen; David C Atkins; Brian Baucom; Jean Yi
Journal:  J Consult Clin Psychol       Date:  2010-04

6.  Predicting who will benefit from behavioral marital therapy.

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Journal:  Psychol Med       Date:  1978-11       Impact factor: 7.723

9.  Couple and individual adjustment for 2 years following a randomized clinical trial comparing traditional versus integrative behavioral couple therapy.

Authors:  Andrew Christensen; David C Atkins; Jean Yi; Donald H Baucom; William H George
Journal:  J Consult Clin Psychol       Date:  2006-12

10.  Traditional versus integrative behavioral couple therapy for significantly and chronically distressed married couples.

Authors:  Andrew Christensen; David C Atkins; Sara Berns; Jennifer Wheeler; Donald H Baucom; Lorelei E Simpson
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  9 in total

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8.  Affective Behavior in Parent Couples Undergoing Couple Therapy: Contrasting Case Studies.

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9.  Biological Factors Contributing to the Response to Cognitive Training in Mild Cognitive Impairment.

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  9 in total

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