The course and outcome of dyadic adjustment and individual distress during and after residential couple therapy
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AbstractIndividual psychiatric symptoms and relational problems often co-occur. At the Center for Family and Relationships, Modum Bad, this study investigated the effectiveness of the treatment among 220 adults suffering from this distress.
Findings showed that patients were less bothered by individual symptoms and were better off as a couple after treatment. This improvement was maintained at three year’s follow-up.
It was also found that when patients had enhanced their skills in communication and conflict management, they felt more optimistic, understood, safe, with increased trust and more insight. One interpretation of this finding is that a therapeutic focus on learning specific skills strengthens alliance between patient and therapist.
Further, it was found that a reduction of depressive symptoms during the treatment period was followed by improved couple relationship which again was followed by reduced depressive symptoms. Based on this finding it is recommended that focusing on the improvement of individual depressive symptoms may be beneficial in couple therapy.
List of papers. Paper I-V are removed from the thesis due to copyright restrictions.
Paper I Tilden, T. (2008). Integrative Practice: Presentation of an Inpatient Family Therapy Program. Journal of Family Psychotherapy, 19 (4), 379-403. doi:10.1080/08975350802475106
Paper II Tilden, T., Hoffart, A., Sexton, H., Finset, A, & Gude, T. (2011). The role of specific and common process variables in residential couple therapy. Manuscript, published in: Journal of Couple and Relationship Therapy, 10:3, 262-278 doi:10.1080/15332691.2011.588100
Paper III Tilden, T., Gude, T, & Hoffart, A. (2010). The course of dyadic adjustment and depressive symptoms during and after couples therapy. A prospective follow-up study of inpatient treatment. Journal of Marital and Family Therapy, 36, 43-58. doi:10.1111/j.1752-0606.2009.00187.x
Paper IV Tilden, T., Gude, T, Sexton, H., Finset, A, &. Hoffart, A. (2010). The associations between intensive residential couple therapy and change in a three-year follow-up period. Contemporary Family Therapy, 32, 69-85. doi:10.1007/s10591-009-9104-8
Paper V Tilden, T., Gude, T., Hoffart, A, & Sexton, H. (2010). Individual distress and dyadic adjustment over a three-year follow-up period in couple therapy: A bi-directional relationship? Journal of Family Therapy, 32, 119-141. doi:10.1111/j.1467-6427.2010.00490.x