title: The course of dyadic adjustment and depressive symptoms during and after couples therapy: a prospective follow-up study of inpatient treatment.
abstract: A clinical sample of adult patients suffering from relational distress and concurrent psychiatric symptoms was followed from admission, through residential couple therapy, to 1-year follow-up. At follow-up, 9.8% were separated. The remaining couples showed significant improvement in dyadic adjustment at posttreatment. However, at 1-year follow-up, a subgroup of 25% of the positive treatment responders had deteriorated to below their admission levels of dyadic adjustment. Contrary to expectation, the deteriorated group had showed significantly less distress both in depressive symptoms and in one early maladaptive schema domain-Impaired Autonomy-at admission, when compared with the rest of the sample, which suggests the need for further research and possible replication in this area.
authors.affiliation: Department of Behavioral Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Norway, and Research Institute, Modum Bad, 3370 Vikersund, Norway. tilden@modum-bad.no
authors.forename: Terje
authors.initials: T
authors.lastname: Tilden
authors.forename: Tore
authors.initials: T
authors.lastname: Gude
authors.forename: Asle
authors.initials: A
authors.lastname: Hoffart
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D019546:Couples Therapy / Q000379:methods*; D003863:Depression / Q000534:rehabilitation*; D004644:Emotions; D054541:Family Conflict / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007297:Inpatients; D007398:Interpersonal Relations; D008297:Male; D008393:Marriage / Q000523:psychology*; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D012649:Self Concept; D012917:Social Adjustment; D018454:Spouses / Q000523:psychology*