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Research-structured vs clinically flexible versions of social learning-based marital therapy.
Abstract
The purpose of this study was to compare our structured research-based version of marital therapy from a social learning perspective with a clinically flexible version of the same treatment where treatment plans were individually-based and there was no specific number of treatment sessions. Thirty distressed married couples were randomly assigned to one of these two treatments. Assessment of outcome was based on global marital satisfaction, spouse reports of functioning in specific areas, and direct observational measures of communication. At posttest there were no differences in efficacy between structured and flexible treatments, although both treatments led to significant improvements. At a 6-month follow-up couples treated with the structured format were more likely to have deteriorated and flexibly treated couples were more likely to have maintained their treatment gains.
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Studies comparing outcomes of patients randomly assigned to manualised treatments or tailored therapy based on CF have not found significant differences between them.
“Studies comparing outcomes of patients randomly assigned to manualised treatments or tailored therapy based on CF have not found significant differences between them (Emmelkamp et al., 1994;Jacobson et al., 1989;Schulte et al., 1992).”
From Data-Informed Case Formulation with the Trier Treatment Navigator (2022) · cites this paper as Jacobson et al., 1989
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Research works printed but not linked: 11
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Metadata
- Authors
- Jacobson, N. S., Schmaling, K. B., Holtzworth-Munroe, A., Katt, J. L., Wood, L. F., & Follette, V. M.
- Affiliations
- University of Washington (US)
- Corresponding author
- Jacobson, Neil S.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 1989
- Volume
- 27
- Issue
- 2
- Pages
- 173-180
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2151953954
- Cited by
- 128
- References
- 2
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 7 · 2014: 4 · 2013: 3 · 2012: 4
- FWCI
- 6.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Sound Ideas (University of Puget Sound) (submittedVersion)
- Funders
- National Institute of Mental Health (5R01 MH33838-08, R01MH033838)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- couple therapy, social learning theory, marital distress, marital satisfaction, couple communication, maintenance of treatment effects
- MeSH terms
- Adult, Behavior Therapy, Female, Humans, Male, Marital Therapy, Marriage, Middle Aged, Personal Satisfaction, Psychological Tests, Social Environment
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