Clinical significance of improvement resulting from two behavioral marital therapy components
1985; Elsevier BV; Volume: 16; Issue: 3 Linguagem: Inglês
10.1016/s0005-7894(85)80013-7
ISSN1878-1888
AutoresNeil S. Jacobson, William C. Follette,
Tópico(s)Child and Adolescent Psychosocial and Emotional Development
ResumoThis study compared the effectiveness of behavioral marital therapy (BMT) to that of its major components—behavior exchange (BE) and communication/problem solving training (CPT)—each presented in isolation. In a previous manuscript, Jacobson (1984) reported the results for thirty-six couples. This manuscript presents data from an additional twenty-four couples and presents a thorough analysis of clinical significance of the results at both posttest and a 6-month follow-up. Between-groups comparisons were based on the proportions of couples improved in each condition. Criteria for improvement included both the clinical significance of the changes and whether or not the changes were statistically reliable. In terms of marital satisfaction, differences between groups began to emerge at the 6-month follow-up. BE couples deteriorated at very high rates, while couples receiving the complete treatment (CO) in particular tended to either maintain or enhance their progress. On a measure tapping desire for behavior change, the differences between groups were much less striking, although there remained a tendency for CO couples to show lower deterioration rates at follow-up time. Overall, the CO treatment produced the most enduring as well as the most consistent changes.
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