Randomized Controlled Trial of the Marriage Checkup: Depression Outcomes

Gray, Tatiana D.; Hawrilenko, Matt; Cordova, James V.

doi:10.1111/jmft.12411

Cited by 24Attachment and Relationship DynamicsPsychotherapy Techniques and ApplicationsCounseling, Therapy, and Family Dynamics

Randomized Controlled Trial of the Marriage Checkup: Depression Outcomes

Gray, Tatiana D., Hawrilenko, Matt, Cordova, James V.·2020·Journal of Marital and Family Therapy

DOI 10.1111/jmft.12411

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Abstract

The association between relationship functioning and depressive symptoms is well established. This study examined the effects of the Marriage Checkup, a brief two‐session Assessment and Feedback relationship intervention, on depressive symptoms. Two hundred and nine married couples participated in the Marriage Checkup and were randomized into Treatment (N = 108) and Waitlist‐Control Conditions (N = 101). Compared to the control condition, intervention participants reported significant improvements in depressive symptoms (d = 0.55), with an even greater effect for those who were reporting more severe baseline depression symptoms (d = 0.67). These outcomes are comparable to those within long‐term individual psychotherapy, couple therapy, and pharmacology trials, making this the briefest intervention to date to demonstrate significant improvements in depressive symptoms. Clinical implications are discussed.

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The Marriage Checkup (MC) has demonstrated efficacy in reducing both relationship distress and depressive symptoms and is not limited to use with married couples.
“Importantly, the MC has demonstrated efficacy in reducing both relationship distress and depressive symptoms [100] and is not limited to use with married couples [101].”
From Trajectories of Maternal and Paternal Internalizing Symptoms from Pregnancy to 2 Years Postpartum: Identifying Modifiable Risk and Protective Factors (2024) · cites this paper as [100]

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Authors: Gray, T. D., Hawrilenko, M., & Cordova, J. V.
Affiliations: Clark University (US)
VA Puget Sound Health Care System (US)
Clark University
Corresponding author: Gray, Tatiana D.
ORCID: Gray, Tatiana D.
Hawrilenko, Matt
Venue: Journal of Marital and Family Therapy
Publisher: Wiley
Published: 2019-10-04
Volume: 46
Issue: 3
Pages: 507-522
ISSN: 0194-472X (ISSN-L)
1752-0606
DOI: 10.1111/jmft.12411
OpenAlex: W2978108975
Cited by: 24
References: 63
Citations by year: 2026: 1 · 2025: 2 · 2024: 5 · 2023: 5 · 2022: 8 · 2021: 3
FWCI: 3.46
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Marital and Family Therapy (publishedVersion)
PubMed (publishedVersion)
Clark Digital Commons (Clark University) (submittedVersion)
Funders: Eunice Kennedy Shriver National Institute of Child Health and Human Development (RO1HD45281)
Topics: Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
Keywords: depressive symptoms, relationship functioning, couple therapy, brief intervention, assessment and feedback, married couples, depression treatment
MeSH terms: Adult, Aged, Depression, Female, Humans, Male, Marital Therapy, Marriage, Middle Aged, Treatment Outcome, Spouses, Young Adult

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Randomized Controlled Trial of the Marriage Checkup: Depression Outcomes

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