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MISIRLI M, KARADAYI KAYNAK G. Relationship Obsessive Compulsive Disorder: A Systematic Review. PSIKIYATRIDE GUNCEL YAKLASIMLAR - CURRENT APPROACHES IN PSYCHIATRY 2023. [DOI: 10.18863/pgy.1204303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
Abstract
Obsessive Compulsive Disorder (OCD) is a disorder characterized by obsessions and compulsions and negatively affects the functionality of individuals. OCD symptoms with romantic relationship content have been investigated in the literature for the last 10 years. OCD symptoms with romantic relationship content are divided into two types: relationship-centered and partner-focused. The aim of this systematic review was to examine the relationship between OCD symptoms with romantic relationship content and individual and relational variables. Studies in the literature were reviewed in detail in order to evaluate the results regarding the relationship between OCD symptoms in romantic relationships and individual and relational factors. In the national and international literature, no systematic review study on this subject was found. Accordingly, studies published between 2012 and 2022 in internationally accepted electronic databases using the terms "relationship obsessive compulsive disorder", "relationship centered obsessive compulsive symptoms" and "partner focused obsessive compulsive symptoms" were reviewed. As a result of the search, according to the inclusion criteria, 12 empirical studies on the relationship between OCD in romantic relationships and individual and relational variables with full-text access and written in English were analyzed. The methodological characteristics and results of the 12 included studies are presented in this systematic review study. The results of the studies suggest that symptoms related to romantic relationships negatively affect the functioning of individuals similar to OCD. When the variables associated with obsessive-compulsive symptoms in romantic relationships are analyzed in individual and relational context, they are related to many factors such as psychopathologies, attachment styles, self and relationship satisfaction. In this context, there is a need for empirical studies carried out with clinical samples, exploring the effectiveness of psychotherapy and cross-cultural studies on obsessive-compulsive symptoms related to romantic relationships.
Keywords:
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Zhang W, Qiu L, Tang F, Sun HJ. Gender differences in cognitive and affective interpersonal emotion regulation in couples: an fNIRS hyperscanning. Soc Cogn Affect Neurosci 2023; 18:nsad057. [PMID: 37837406 PMCID: PMC10612568 DOI: 10.1093/scan/nsad057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Revised: 08/24/2023] [Accepted: 10/07/2023] [Indexed: 10/16/2023] Open
Abstract
Emotion regulation is vital in maintaining romantic relationships in couples. Although gender differences exist in cognitive and affective strategies during 'intrapersonal' emotion regulation, it is unclear how gender differences through affective bonds work in 'interpersonal' emotion regulation (IER) in couples. Thirty couple dyads and 30 stranger dyads underwent functional near-infrared spectroscopy hyperscanning recordings when targets complied with their partner's cognitive engagement (CE) and affective engagement (AE) strategies after viewing sad and neutral videos. Behaviorally, for males, CE was less effective than AE in both groups, but little difference occurred for females between AE and CE. For couples, Granger causality analysis showed that male targets had less neural activity than female targets in CH06, CH13 and CH17 during CE. For inflow and outflow activities on CH06 and CH13 (frontopolar cortex), respectively, male targets had less activity in the CE condition than in the AE condition, while for outflow activities on CH 17 (dorsolateral prefrontal cortex), female targets had more activity in the CE condition than in the AE condition. However, these differences were not observed in strangers. These results suggest gender differences in CE but not in AE and dissociable flow patterns in male and female targets in couples during sadness regulation.
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Affiliation(s)
- Wenhai Zhang
- School of Education Science, Hengyang Normal University, Hengyang 421002, China
- The Big Data Centre for Neuroscience and AI, Hengyang Normal University, Hengyang 421002, China
| | - Lanting Qiu
- School of Education Science, Hengyang Normal University, Hengyang 421002, China
| | - Fanggui Tang
- School of Education Science, Hengyang Normal University, Hengyang 421002, China
| | - Hong-Jin Sun
- Department of Psychology, Neuroscience and Behaviour, McMaster University, Hamilton, ON L8S 4L8, Canada
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Crapo JS, Bradford K, Kopystynska O, Spuhler BK, Higginbotham BJ. "No, It's You:" Dyadic perceived need for change predicts relationship education outcomes. JOURNAL OF MARITAL AND FAMILY THERAPY 2023; 49:802-824. [PMID: 37449433 DOI: 10.1111/jmft.12658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 06/22/2023] [Accepted: 06/30/2023] [Indexed: 07/18/2023]
Abstract
Relationship education (RE) efforts have been shown to help couples and individuals with a variety of family relationships. However, much still needs to be identified in terms of what factors are salient to outcomes. Drawing on therapeutic models of change, we have identified perceived need for change as one such potential factor. Using data from a couple RE course (n = 447 couples), we assessed how dyadic congruence and average ratings of each partner's need for change were associated with change in three RE outcomes: knowledge, communication, and commitment. In general, the more partners perceived that their partner needed to change, above and beyond what their partner thought, the less change occurred. Implications for RE programming and implementation are discussed, as well as the potential role of therapeutic models and techniques in RE.
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Affiliation(s)
- J Scott Crapo
- Department of Human Development, Family Studies at Utah State University, Logan, Utah, USA
| | - Kay Bradford
- Department of Human Development, Family Studies at Utah State University, Logan, Utah, USA
| | - Olena Kopystynska
- Department of Family Life and Human Development, Southern Utah University, Cedar City, Utah, USA
| | - Bryan K Spuhler
- School of Child and Family Sciences, University of Southern Mississippi, Hattiesburg, Mississippi, USA
| | - Brian J Higginbotham
- Department of Human Development, Family Studies at Utah State University, Logan, Utah, USA
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Abbaspoor Z, Sharifipour F, Javadnoori M, Moghadam Z, Najafian M, Cheraghian B. Primiparous mothers' perception and expectations regarding social support during the postpartum period: A qualitative study. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2023; 28:38-46. [DOI: 10.4103/ijnmr.ijnmr_383_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 09/07/2022] [Accepted: 09/14/2022] [Indexed: 01/26/2023]
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Change in 21 Sexual Concerns of New Parents From Three to Twelve Months Postpartum: Similarities and Differences between Mothers and Partners. J Sex Med 2022; 19:1366-1377. [DOI: 10.1016/j.jsxm.2022.06.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 06/07/2022] [Accepted: 06/08/2022] [Indexed: 01/22/2023]
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Kim SS, Gil M, Kim D. Development of an Online-Coaching Blended Couple-Oriented Intervention for Preventing Depression in Middle Adulthood: An Intervention Mapping Study. Front Public Health 2022; 10:882576. [PMID: 35719656 PMCID: PMC9201043 DOI: 10.3389/fpubh.2022.882576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Accepted: 04/27/2022] [Indexed: 11/13/2022] Open
Abstract
Background Although middle-aged adults in Korea are vulnerable to depression, there are few preventive interventions for depression in middle adulthood. Studies consistently suggest that interventions that include both spouses are effective in decreasing depression and relationship distress. Considering the busy lives of middle-aged couples, it is essential to develop an online-coaching blended couple-oriented intervention. This study aimed to describe the development, implementation, and evaluation of an online-coaching blended couple-oriented intervention using an online program and coaching via videoconference to prevent middle-aged couples' depression; this was done using an intervention mapping (IM) protocol. Methods Six steps of IM were used to systematically develop a tailored multi-level intervention specific to middle-aged couples' depression. These steps of the IM protocol involve needs assessment, formulation of change objectives, theory-based methods, and practical strategies for program design, program development, program implementation, and program evaluation. Results The results of the six steps were as follows: (a) middle-aged couples' needs and mental health problems were identified through a scoping review study, mixed-method study, and expert interviews; (b) six performance objectives (POs) were formulated based on the results of Step 1, and intrapersonal, interpersonal, and temporal/transpersonal determinants were identified based on the self-transcendence theory. Change objectives were developed by combining POs with determinants; (c) self-regulated learning was chosen for theoretical teaching methods and practical strategies to change the determinants of each level; (d) four modules consisting of 16 sessions were developed based on the self-transcendence theory; (e) experts evaluated the program and coaches were trained; and (f) the evaluation plan for the program's feasibility, acceptability, usability, and preliminary effects was developed. Discussion The systematic process using IM allowed us to develop an online-coaching blended couple-oriented intervention to prevent depression and promote couples' relationships. The primary effects of this newly developed program should be evaluated in future studies. This may lead to the increased adoption and implementation of evidence-based and tailored interventions for psychological wellbeing in middle adulthood.
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Affiliation(s)
- Suk-Sun Kim
- Ewha Research Institute of Nursing Science, College of Nursing, Ewha Womans University, Seoul, South Korea
| | - Minji Gil
- College of Nursing, Ewha Womans University, Seoul, South Korea
| | - Daeun Kim
- College of Nursing, Ewha Womans University, Seoul, South Korea
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Description and First Steps Toward the Empirical Validation of the Plan Formulation Method for Couples. JOURNAL OF CONTEMPORARY PSYCHOTHERAPY 2022. [DOI: 10.1007/s10879-022-09534-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Li X, Laplante DP, Paquin V, Lafortune S, Elgbeili G, King S. Effectiveness of cognitive behavioral therapy for perinatal maternal depression, anxiety and stress: A systematic review and meta-analysis of randomized controlled trials. Clin Psychol Rev 2022; 92:102129. [DOI: 10.1016/j.cpr.2022.102129] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 12/20/2021] [Accepted: 01/20/2022] [Indexed: 12/20/2022]
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Liekmeier E, Darwiche J, Pinna L, Repond AS, Antonietti JP. Affective Behavior in Parent Couples Undergoing Couple Therapy: Contrasting Case Studies. Front Psychol 2021; 12:634276. [PMID: 33815220 PMCID: PMC8015940 DOI: 10.3389/fpsyg.2021.634276] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Accepted: 02/19/2021] [Indexed: 11/13/2022] Open
Abstract
Being in a romantic relationship is characterized by a high degree of intimacy and affective involvement. Affective behavior indicates the emotional content in couple interactions and therefore promotes an understanding of the evolution of romantic relationships. When couples are also parents, their affective behavior reflects their romantic and coparental bonds. In this paper, we present an observation of parent couples' affective behavior during a coparenting conflict discussion task to document whether and how much it improved during couple therapy. Two contrasting cases of affective behavior change are included. Observational coding of affective behavior within pre- and post-intervention coparenting conflict discussion tasks was carried out to compute means and CIs for each partner in both cases. In addition, the partners' coparental and romantic satisfaction were evaluated through validated self-report questionnaires in pre- and post-intervention assessments; this helped document whether the partners' coparental and romantic satisfaction were dissimilar between the two cases. Finally, a clinical analysis of both cases was realized with the contribution of the therapists to investigate possible differences within therapy sessions. Statistical analyses revealed negative means of affective behavior for couple A in the pre-intervention assessment and positive means in the post-intervention assessment. Partners from couple B had negative means of affective behavior in the pre- and post-intervention assessments. Results concerning coparental and romantic satisfaction differed: Couple A's coparental satisfaction slightly increased and the romantic satisfaction somewhat decreased, whereas couple B's coparental satisfaction remained stable and the romantic satisfaction slightly increased between the pre- and post-intervention assessments. The clinical analysis revealed that the interactional quality of couple A slightly improved within therapy sessions and that both partners succeeded in working together as coparents, notwithstanding their romantic distress. Couple B conveyed coparental distress and exhibited poor interactional quality throughout therapy sessions (e.g., repeated criticism and contempt). This study contributes to enriching the more traditional empirical research methods in the field of couple psychotherapy, as it takes into account microlevel affective changes within parent couples' interactions in addition to self-reported data. Furthermore, the analysis of therapy sessions supports the importance of working with affective behavior in couple therapy.
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Affiliation(s)
- Esther Liekmeier
- Family and Development Research Center (FADO), Institute of Psychology, University of Lausanne, Lausanne, Switzerland
| | - Joëlle Darwiche
- Family and Development Research Center (FADO), Institute of Psychology, University of Lausanne, Lausanne, Switzerland
| | - Lara Pinna
- PROFA Foundation, Couples and Sexology Counseling Service, Lausanne, Switzerland
| | - Anne-Sylvie Repond
- PROFA Foundation, Couples and Sexology Counseling Service, Lausanne, Switzerland
| | - Jean-Philippe Antonietti
- Family and Development Research Center (FADO), Institute of Psychology, University of Lausanne, Lausanne, Switzerland
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Cognitive-behavioral and emotion-focused couple therapy: Similarities and differences. CLINICAL PSYCHOLOGY IN EUROPE 2020; 2:e2741. [PMID: 36398146 PMCID: PMC9645475 DOI: 10.32872/cpe.v2i3.2741] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Accepted: 06/21/2020] [Indexed: 11/25/2022] Open
Abstract
Background Couples and families often seek therapy to deal with relational distress, which is a result of external or internal factors of the relationship. Two approaches are acknowledged to be most effective in dealing with relationship distress or psychological disorders in couples: (a) cognitive behavioral couple therapy with new directions (CBCT) and (b) emotion-focused couple therapy (EFCT). In this article we investigate how much CBCT and EFCT really differ with regard to working with emotions, which is claimed to be a major focus of EFCT, and whether there exist significant differences in efficacy between these two approaches. Method This article critically reviews the theoretical background, process, techniques and outcomes associated with CBCT and EFCT in an effort to challenge the assumptions noted above. Results There is no evidence that EFCT is more emotion-focused than CBCT. Both approaches were repeatedly examined with RCT studies with follow-ups. In sum, no significant differences in effect size were found between CBCT and EFCT. Conclusion CBCT and EFCT are both effective in reducing couples’ distress. CBCT and EFCT are both effective in helping couples deal with relationship distress. Both are similarly effective in helping couples to better understand and cope with their presenting concerns. Both approaches address the importance of personal schema, triggering relevant cognitions and emotions. Both approaches help couples wherein one partner has been diagnosed with a clinical disorder.
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A little less talk, a little more action: a dialogical approach to cognitive therapy. COGNITIVE BEHAVIOUR THERAPIST 2019. [DOI: 10.1017/s1754470x19000333] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Abstract
Reappraisal strategies such as ‘thought challenging’ and ‘cost-benefits analysis’ are a hallmark of cognitive therapy, but sometimes fail to bring about lasting changes in the cognitive-affective structures underlying psychopathology. Modern theories of information processing suggest that experiential, action-based interventions such as chairwork may be a more efficacious route to cognitive modification. Based upon this hypothesis, a ‘dialogical’ approach to cognitive therapy is presented, which aims to bring about change through evocative, here-and-now interactions with parts of the self (self-to-self dialogues) and other individuals (self-to-other dialogues). Implementation principles and facilitation skills which guide this approach are outlined. To illustrate how dialogical interventions are utilized in clinical practice, chair-based strategies for socializing clients to the cognitive behavioural model, restructuring cognitions, facilitating emotional processing, resolving ambivalence, addressing distressing memories, building character strengths, and overcoming therapeutic impasses are described.
Key learning aims
As a result of reading this paper, the reader should:
(1)
Understand the limits of ‘standard’ cognitive techniques.
(2)
Appreciate some of the advantages of experiential methods of intervention, namely chairwork.
(3)
Learn how dialogical interventions are conceptualized, implemented, and facilitated in cognitive therapy.
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Askari I. The Role of the Belief System for Anger Management of Couples with Anger and Aggression: A Cognitive-Behavioral Perspective. JOURNAL OF RATIONAL-EMOTIVE AND COGNITIVE-BEHAVIOR THERAPY 2018. [DOI: 10.1007/s10942-018-0307-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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A Word to the Wise: Age Matters When Considering Mindfulness in Romantic Relationships. CONTEMPORARY FAMILY THERAPY 2018. [DOI: 10.1007/s10591-018-9479-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Clinical effectiveness of family therapeutic interventions in the prevention and treatment of perinatal depression: A systematic review and meta-analysis. PLoS One 2018; 13:e0198730. [PMID: 29902211 PMCID: PMC6002098 DOI: 10.1371/journal.pone.0198730] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2017] [Accepted: 05/24/2018] [Indexed: 01/29/2023] Open
Abstract
BACKGROUND Family therapy is a potential strategy to increase family support for those suffering from perinatal depression. Family therapeutic interventions for this population typically target depressed women and their adult family members to improve family functioning and reduce depressive symptoms. OBJECTIVE This systematic review and meta-analysis is a synthesis of the current evidence on the usefulness of family therapy interventions in the prevention and treatment of perinatal depression and impacts on maternal depressive symptoms and family functioning. METHODS This study used the Cochrane Collaboration guidelines for systematic reviews and meta-analyses. Six electronic databases were searched for randomized controlled trials and cluster randomized trials. The primary outcomes included maternal depressive symptoms and family functioning. RESULTS Seven studies were included in the qualitative and quantitative analyses. Fixed effects models showed statistically significant reductions in depressive symptoms at post-intervention in intervention group mothers. Intervention intensity and level of family involvement moderated intervention impacts on maternal depression. A fixed effects model showed a trend in improving family functioning at post-intervention in intervention group couples. CONCLUSION Although a limited number of controlled trials on family therapeutic interventions for this population exist, the findings show that these types of interventions are effective in both the prevention and treatment of perinatal depression. Recommendations for future research are addressed. SYSTEMATIC REVIEW AND META-ANALYSIS PROTOCOL REGISTRATION PROSPERO, CRD42017075150.
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