title: Improving relationships: mechanisms of change in couple therapy.
abstract: In a sample of 134 married couples randomly assigned to traditional or integrative behavioral couple therapy (TBCT vs. IBCT), a multivariate hierarchical growth curve analysis using latent variable regression revealed that measures of communication, behavior frequency, and emotional acceptance acted as mechanisms of change. TBCT led to greater changes in frequency of targeted behavior early in therapy, whereas IBCT led to greater changes in acceptance of targeted behavior both early and late in therapy. In addition, change in behavioral frequency was strongly related to improvements in satisfaction early in therapy; however, in the 2nd half of therapy, emotional acceptance was more strongly related to changes in satisfaction. Research and clinical implications are discussed.
authors.affiliation: University of California, Los Angeles, USA. doss@psyc.tamu.edu
authors.forename: Brian D
authors.initials: BD
authors.lastname: Doss
authors.forename: Yeow Meng
authors.initials: YM
authors.lastname: Thum
authors.forename: Mia
authors.initials: M
authors.lastname: Sevier
authors.forename: David C
authors.initials: DC
authors.lastname: Atkins
authors.forename: Andrew
authors.initials: A
authors.lastname: Christensen
mesh_terms: D000328:Adult; D019546:Couples Therapy; D005191:Family Characteristics; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D010549:Personal Satisfaction