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Abstract
Behavioural marital therapy (BMT) has developed from the application of social exchange and social learning theories to the understanding and modification of marital interaction. Encouraging high rates of exchange of positive behaviours, and training in communication skills, have been the major focuses of BMT till recently. While these strategies produce therapeutic change, there are still many couples whose marriages do not improve with this sort of therapy. Recent developments have focused on the role of cognitive, affective and situational variables in marital interaction. Outcome research has shown the value of cognitive and affective interventions in their own right, but it is unclear if the addition of these interventions will enhance the efficacy of BMT.
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Cognitive Behavioural Treatment of Adjustment Disorder with Depressed Mood Following Marital Breakdown. BEHAVIOUR CHANGE 2014. [DOI: 10.1017/s0813483900008573] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Marital breakdown is common, and often associated with depression. A model is outlined in which such depression may be maintained by avoidance of depression eliciting stimuli. A 27-year-old recently-separated male with severe depression was treated with systematic exposures to depression eliciting stimuli, with cognitive coping self statements being used during exposures. The worst self ratings of depression reported by the client and scores on the Beck Depression Inventory improved greatly from baseline to treatment phases. Gains were maintained at 4 week, 3 and 6 month follow-ups. Further research is warranted to evaluate the efficacy of this potentially useful approach to treating marital breakdown, and possibly other adjustment disorders, which are associated with depressed mood.
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