Your goals or mine? Women’s personal and vicarious eating regulation goals and their partners’ perceptions of support,well-being,and relationship quality

This research examined the types of eating regulation goals that women have for themselves as well as for their romantic partner, and how these relate to their interpersonal style toward their partner, and to their partner’s psychological and relational well-being. Participants were 131 heterosexual couples. Results show that the eating regulation goals that women have for their partner (health or appearance oriented) reflect the type of goals that they personally pursue. Furthermore, women who have health-focused eating goals for their partner are perceived as more autonomy-supportive, which is associated with the partner’s report of higher relationship quality. Conversely, women who have appearance-focused eating goals for their partner are more likely to be perceived as controlling, which negatively predicts the partner’s psychological and relational well-being. These results attest to the importance of considering women’s personal eating regulation goals for a better understanding of the type of goals they have for their partners and how these relate to their partners’ well-being and relationship quality.     

Attachment and daily sexual goals: A study of dating couples

This research provides the first empirical investigation of how both partners’ attachment orientations contribute to daily sexual goals. Both members of 84 dating couples who attended a large urban university on the West Coast in the United States completed a measure of attachment orientation, and 1 member completed a measure of sexual goals for 14 consecutive days. Analyses showed that attachment anxiety was associated with engaging in sex to please one’s partner and express love, whereas attachment avoidance was associated with engaging in sex to avoid negative relational consequences and was negatively associated with engaging in sex to express love. Daily sexual goals were also associated with the partner’s attachment orientation. Gender moderated many of these associations. Theoretical and practical implications are discussed.     

Intensive,Multi-Couple Group Therapy for PTSD: A Nonrandomized Pilot Study With Military and Veteran Dyads

Cognitive-behavioral conjoint therapy for posttraumatic stress disorder (CBCT for PTSD; Monson & Fredman, 2012) is efficacious in improving PTSD symptoms and relationship adjustment among couples with PTSD. However, there is a need for more efficient delivery formats to maximize engagement and retention and to achieve faster outcomes in multiple domains. This nonrandomized trial was designed to pilot an abbreviated, intensive, multi-couple group version of CBCT for PTSD (AIM-CBCT for PTSD) delivered over a single weekend for 24 couples that included an active-duty service member or veteran with PTSD who had deployed in support of combat operations following September 11, 2001. All couples completed treatment. Assessments conducted by clinical evaluators 1 and 3 months after the intervention revealed significant reductions in clinician-rated PTSD symptoms (ds = -0.77 and -0.98, respectively) and in patients’ self-reported symptoms of PTSD (ds = -0.73 and -1.17, respectively), depression (ds = -0.60 and -0.75, respectively), anxiety (ds = -0.63 and -0.73, respectively), and anger (ds = -0.45 and -0.60, respectively), relative to baseline. By 3-month follow-up, partners reported significant reductions in patients’ PTSD symptoms (d = -0.56), as well as significant improvements in their own depressive symptoms (d = -0.47), anxiety (d = -0.60), and relationship satisfaction (d = 0.53), relative to baseline. Delivering CBCT for PTSD through an abbreviated, intensive multi-couple group format may be an efficient strategy for improving patient, partner, and relational well-being in military and veteran couples with PTSD.     

Couples in Therapy: Actor-Partner Analyses of the Relationships Between Adult Romantic Attachment and Marital Satisfaction

This study was the first to investigate the relationship between adult romantic attachment and marital satisfaction in a clinical sample of 172 distressed couples seeking therapy. Fifty-six therapy-seeking nondistressed couples were also assessed for comparison. Analyses of variance showed that attachment avoidance was a distinctive characteristic of distressed couples. Actor-partner analyses revealed that attachment avoidance (for men and women) and attachment anxiety (for women only) were predictive of marital dissatisfaction for distressed couples. Gender-stereotype discordant partner effects were also found. Results suggest that attachment orientations (especially avoidance) are relevant predictors of marital dissatisfaction in distressed couples seeking therapy, and that couple therapists can gain important information by assessing partners’ attachment orientations.     

Cognitive Behavioral Therapy for Social Anxiety Disorder: Predictors of Treatment Outcome in a Quasi-Naturalistic Setting

We examined the outcomes of individual cognitive behavioral therapy (CBT) for social anxiety disorder (SAD) in a sample of 93 adults seeking treatment in a university outpatient clinic specializing in CBT for SAD. Treatment followed the structure of a manual, but number of sessions varied according to client needs. After approximately 20 weeks of therapy, patients’ social anxiety had decreased and their quality of life had increased. Patients with more severe SAD or comorbid major depressive disorder (MDD) at pretreatment demonstrated higher levels of social anxiety averaged across pre- and posttreatment. However, clinician-rated severity of SAD, comorbid MDD, or comorbid generalized anxiety disorder did not predict treatment outcome. Higher pretreatment scores on measures of safety behaviors and cognitive distortions were associated with higher social anxiety averaged across pre- and posttreatment and predicted greater decreases from pre- to posttreatment on multiple social anxiety outcome measures. We found no predictors of change in quality of life. Those with high levels of safety behaviors and distorted cognitions may benefit more from CBT, perhaps due to its emphasis on targeting avoidance through exposure and changing distorted thinking patterns through cognitive restructuring methods. Our study lends support to the body of research suggesting that manualized CBT interventions can be applied flexibly in clinical settings with promising outcomes for patients over a relatively short course of therapy.     

When Do Motives to Sexually Please a Male Partner Benefit Women’s Own Sexual Agency?

Motivation to please a partner sexually, also known as sexual communal strength (SCS), has been positively associated with sexual and relationship functioning, particularly for partners. We used a critical sexuality studies approach to examine SCS as it relates to women’s own sexual agency. We also examined the potential moderating role of partner sexual coercion, defined as persistent pressure to attain sex. Specifically, we investigated whether frequency of partner sexual coercion moderates the effect of SCS on three different aspects of women’s sexual agency: sexual desire, sexual refusal assertiveness, and relational power. Participants were 172 U.S. women in dating relationships with men who responded to self-report measures. Results showed that SCS was positively related to women’s own sexual desire, regardless of how often women experienced partner sexual coercion. SCS and partner sexual coercion frequency were associated with sexual refusal assertiveness: The least assertive women reported both higher SCS and more frequent partner coercion. Sexual coercion frequency was negatively related to women’s relational power, regardless of their own SCS. These findings support educational and clinical interventions to reduce sexual coercion and suggest the concept of SCS be further refined to better account for the potential roles sexual coercion and heterosexual norms play more broadly.

     

Escalation and Regulation of Emotional Arousal in Couples Predicts Relationship Satisfaction Concurrently and 25 Years Later

Relationship distress and divorce are major risk factors for the development or exacerbation of psychopathology and psychosocial impairments. Given that heightened negative emotions within couples’ interactions may portend negative relationship outcomes, it is critical to understand how emotions unfold across a conversation and how partners may influence each other’s immediate emotional experiences. This study examined whether these regulatory dynamics within one interaction predicted relationship satisfaction concurrently and 25 years later. Vocally‐encoded emotional arousal (f₀) was measured during couples’ (N = 25 couples) conversations about a relationship issue. Across different analytical strategies, results demonstrate that one partner’s f₀ dynamics had immediate and long‐term associations with the other partner’s satisfaction. Partners were less satisfied if the other partner (a) expressed higher f₀ overall and (b) escalated more in f₀ across the conversation. Yet, partners were more satisfied when their f₀ escalated across the conversation. Also, women specifically were more satisfied if their f₀ remained elevated longer before regulating back to their emotional baseline. Thus, higher f₀ was associated with higher satisfaction in the same partner, but associated with less satisfaction in the other partner—particularly when these emotions come from women. It may be that partners have to decide whether to prioritize expressing their emotions fully or limit expression in the service of their partner’s happiness. These findings challenge us to think of ways to address this “win–lose” scenario so that couples can balance both partners’ emotional needs and preserve relationship quality across the life span.     

A Couple-Based Psychological Treatment for Chronic Pain and Relationship Distress

Chronic pain impacts individuals with pain as well as their loved ones. Yet, there has been little attention to the social context in individual psychological treatment approaches to chronic pain management. With this need in mind, we developed a couple-based treatment, “Mindful Living and Relating,” aimed at alleviating pain and suffering by promoting couples’ psychological and relational flexibility skills. Currently, there is no integrative treatment that fully harnesses the power of the couple, treating both the individual with chronic pain and the spouse as two individuals who are each in need of developing greater psychological and relational flexibility to improve their own and their partners’ health. Mindfulness, acceptance, and values-based action exercises were used to promote psychological flexibility. The intervention also targets relational flexibility, which we define as the ability to interact with one’s partner, fully attending to the present moment, and responding empathically in a way that serves one’s own and one’s partner’s values. To this end, the intervention also included exercises aimed at applying psychological flexibility skills to social interactions as well as emotional disclosure and empathic responding exercises to enhance relational flexibility. The case presented demonstrates that healthy coping with pain and stress may be most successful and sustainable when one is involved in a supportive relationship with someone who also practices psychological flexibility skills and when both partners use relational flexibility skills during their interactions.     

Attachment,sexual experience,and sexual pressure in romantic relationships: A dyadic approach

The goal of this research was to extend the previously documented associations between attachment style and sexual experiences in samples of adolescents and college students to adult couples in committed romantic relationships. A sample of 273 French‐Canadian heterosexual couples aged 18–35 years completed measures of attachment‐related anxiety and avoidance, sexual coercion, and sexual experiences in their relationships. Avoidant attachment was related to two strategies for limiting intimacy in sexual relationships: avoidance of sexual encounters and avoidance of sexual fantasies about one’s partner (the latter for women only). Anxious attachment appeared to interfere with comfortable intimacy, especially among men, who viewed their partner as avoiding sex and who applied more insistent pressure to have sex.     

Initial relationship goal and couple therapy outcomes at post and six-month follow-up

The purpose of this study was to investigate the relationship between client initial goal for couple therapy (i.e., improve the relationship or clarify the viability of the relationship) and the outcomes (including their relationship status, i.e., separated or together) at posttreatment as well as at 6-month follow-up. Two hundred forty-nine couples (N = 498 individuals) seeking treatment for relationship distress in a naturalistic setting were treated by 20 therapists. Client initial relationship goal was attained by intake paperwork protocol, which included client initial goal for couple therapy and client perception of partner goal. Clients who reported that their goal was to improve the relationship reported better outcomes at post. Couples who reported their goal was to improve the relationship were less likely to break up at a 6-month follow-up. Of the 115 couples stating they wanted to improve the relationship, only nine (7.8%) couples were separated at 6 months. In contrast, of the 16 couples in which both partners wanted to clarify the relationship prior to therapy, nine (56%) were separated at follow-up. Therapist awareness of each individual's relationship goal prior to couple therapy could enhance outcomes, and treatment tailored according to initial goals could set the stage for positive outcomes however defined.     

Gender Differences in Narcissism and Courtship Violence in Dating Couples

The current study explored the relationship between courtship violence and the exploitativeness/entitlement factor of overt narcissism, covert narcissism, and sexual narcissism. Data were analyzed from 63 currently dating couples on their own and partner’s aggression using the CTS2. All were white, heterosexual students from a small US college in Central Pennsylvania. An interdependence analysis showed that correlations were entirely explained at the individual-level, thus demonstrating that gender is a key element in understanding narcissism and courtship violence. For women, exploitativeness/ entitlement was significantly correlated with sexual coercion in both dating partners. For men, covert narcissism was correlated with physical assault and sexual narcissism was correlated with their partner’s sexual coercion. Narcissism also influenced some discrepancies in self- and partner-rated aggression.     

The way I make you feel: How relatedness and compassionate goals promote partner’s relationship satisfaction

Research has investigated the role of three basic psychological needs as proposed by Self-Determination Theory – autonomy, competence, and relatedness – in explaining relationship satisfaction. Research has also explored how relatedness specifically increases prosocial motivations in the individual but has not focused on the role of relatedness in shaping partners’ relationship functioning over time. This research takes a dyadic perspective that proposes that relatedness fulfillment fosters compassionate goals, which in turn predict increases in partner’s satisfaction. Forty-five heterosexual dating couples were asked about their relatedness need fulfillment, compassionate goals, and relationship satisfaction. Relationship satisfaction was assessed again four weeks later. Results showed that one’s own relatedness fulfillment, but not one’s partner’s relatedness fulfillment at Time 1 uniquely predicts partner’s increased satisfaction at Time 2, and that this is mediated by one’s own higher compassionate goals. These findings highlight the dyadic importance of having one’s needs met in promoting relationship functioning over time.     

A Case Study of Cognitive-Behavioral Conjoint Therapy for Combat-Related PTSD in a Same-Sex Military Couple

Military deployments to Iraq and Afghanistan are associated with increased risk for posttraumatic stress disorder (PTSD), depression, and relationship impairment. Unfortunately, the perceived stigma associated with seeking deployment-related behavioral health care in military settings has been a significant barrier to care. Historically, active-duty military service members involved in same-sex intimate relationships have experienced further stressors and barriers to care related to additional stigma and lack of social support. Prior federal regulations excluded sexual minorities from openly serving in the military, thereby limiting the available behavioral health services for same-sex couples. Since this ban was lifted after the repeal of the U.S. policy known as "Don’t Ask, Don’t Tell" in 2010, gay and lesbian service members have increased opportunities to obtain behavioral health care. One therapy that is newly available to sexual minority military couples is Cognitive-Behavioral Conjoint Therapy (CBCT), which effectively addresses co-occurring PTSD and relationship dysfunction. This case study illustrates the use of CBCT for the treatment of deployment-related PTSD in a same-sex active-duty military couple. After completing all 15 CBCT sessions, the couple reported clinically meaningful changes in the service member’s PTSD symptoms, which was maintained at the 2-month follow-up. The results of this case study indicate that CBCT for PTSD can have positive treatment outcomes with military same-sex couples. Further clinical implications are discussed.     

Approach and avoidance relationship goals and couples’ nonverbal communication during conflict

Approach relationship goals are pursued in order to achieve desirable outcomes, whereas avoidance relationship goals are pursued to prevent undesirable outcomes in relationships. We investigated how partners’ approach and avoidance relationship goals are related to their nonverbal communication during conflict. A sequential analysis of observational data from 365 couples (28,470 observations) revealed that individuals with more (vs. fewer) approach goals displayed more positive involvement (e.g., head nods, smiles) and less avoidant withdrawal (e.g., shaking head, folded arms). The reverse pattern emerged for avoidance goals. Furthermore, women (but not men) matched their partner's positive involvement to a greater extent the more approach goals and the fewer avoidance goals they pursued. In contrast, approach/avoidance relationship goals were not associated with how much individuals matched their partner's avoidant withdrawal. Results suggest that relationship goals are related to partners’ nonverbal communication and the extent to which women match their partner's positive involvement during conflict.     

Provoked vestibulodynia: Psychological predictors of topical and cognitive-behavioral treatment outcome

Psychological factors have been found to impact the pain experience and associated sexual impairment of women suffering from provoked vestibulodynia (PV). Despite a lack of randomized treatment outcome studies, particularly concerning psychological predictors of outcome, recent studies have shown that topical applications and cognitive-behavioral therapy (CBT) are among the most popular first-line interventions for PV. The present study aimed to determine the extent to which baseline fear-avoidance variables and pain self-efficacy were differentially associated with topical application and CBT outcomes at six-month follow-up. Data were obtained from 97 women who completed a randomized trial comparing these two treatments. Regression analyses revealed that for topical treatment, higher levels of baseline avoidance predicted worse pain and sexual functioning outcomes, whereas higher levels of pain self-efficacy predicted better outcomes. For CBT, higher levels of baseline fear of pain and catastrophizing contributed to higher pain intensity at follow-up, whereas higher levels of pain self-efficacy were associated with less pain. Psychological factors did not predict sexual functioning outcomes for CBT. Consistent with biopsychosocial models of pain and sexual dysfunction, results indicate that psychological factors contribute to pain and sexual impairment following treatment for PV. Specifically, findings suggest that fear-avoidance variables and pain self-efficacy are significant predictors of topical and CBT treatment outcomes in women with PV.     

Preventing and Treating Women’s Postpartum Depression: A Qualitative Systematic Review on Partner-Inclusive Interventions

Partner-related factors associated with the occurrence of Postpartum Depression (PPD) may justify the partner’s inclusion in preventive and treatment approaches. The aim of this qualitative systematic review was to synthesize the literature on partner-inclusive interventions designed to prevent or treat postpartum depression (PPD) in women. In accordance with the PRISMA guidelines, the systematic search of studies published between 1967 and May 2015 in PsycINFO and PubMed identified 26 studies that met the inclusion criteria, which reported on 24 interventions. The following partner parameters were analyzed: participation type, session content, mental health assessment, attendance assessment, and the effects of partner’s participation on the women’s response to the interventions. Total participation by the partner was mostly reported in the prevention studies, whereas partial participation was reported in the treatment studies. The session content was mostly based on psychoeducation about PPD and parenthood, coping strategies to facilitate the transition to parenthood such as the partner’s emotional and instrumental support, and problem-solving and communication skills. Some benefits perceived by the couples underscore the relevance of the partner’s inclusion in PPD interventions. However, the scarce information about the partner’s attendance and the associated effects on the women’s intervention outcomes, along with methodological limitations of the studies, made it difficult to determine if the partner’s participation was associated with the intervention’s efficacy. Conclusions about the clinical value of including partners in PPD interventions are still limited. More research is warranted to better inform health policy strategies.     

Empathic accuracy of intimate partners in violent versus nonviolent relationships

This study compared the empathic accuracy of men and women who had perpetrated physical intimate partner violence with that of partners in nonviolent but distressed and nonviolent and nondistressed relationships. Examined was the empathic accuracy (a) of partners for one another’s thoughts and feelings during a relationship problem discussion in the laboratory, (b) of partners’ empathic accuracy for each other with the empathic accuracy of objective observers who watched the couples’ interactions, and (c) the males’ empathic accuracy for their female partner to their empathic accuracy for female strangers. No significant group differences were found among women’s empathic accuracy, but the data suggest that violent men exhibit poor empathic accuracy when attempting to understand their female partner’s thoughts and feelings.     

Caregiving styles and anxiety among couples: coping versus not coping with cardiac illness

Background and Objectives: partners’ caregiving efforts are not always beneficial to both recipient and provider. Bowlby’s conceptualization of caregiving style as a stable predisposition may clarify such caregiving effects. The relationship between caregiving style (compulsive and sensitive) and anxiety among couples coping with cardiac illness and a matching control group not coping with cardiac illness were assessed. We hypothesized that one’s compulsive caregiving would associate positively, and one’s sensitive caregiving would associate negatively, with one’s and one’s partner’s anxiety across contexts (cardiac and non-cardiac) and gender. Design: A comparative design of 131 couples with a diagnosis of husbands’ acute cardiac syndrome and 68 matched couples in the community was applied. Methods: The Adult Caregiving Questionnaire and the Brief Symptoms Inventory were administered. Results: Structural equation modeling revealed that one’s compulsive caregiving was positively associated with one’s anxiety, across most contexts. Multi-group analyses revealed that the associations between one’s compulsive caregiving and one’s partner’s anxiety levels differed depending on gender and context. Conclusions: The distress which emerges in an individual who takes on a caregiving role and in his/her partner seems to result not only from the demands of the concrete caregiving situation but also from one’s and one’s partner’s developmental history.     

They May Disapprove,but I Still Love You: Attachment Behaviors Moderate the Effect of Social Disapproval on Marital Relationship Quality

The degree of approval for a relationship from one’s social network has been shown to predict relationship outcomes. Additional research has shown that attachment can buffer the negative effects of various factors (e.g., depression) on relationships. Using an actor–partner interdependence model in an SEM framework, we research the effects of disapproval from parents and friends for one’s relationship on marital relationship quality for self and partner in a sample of 858 married couples. We also examine whether each spouse’s attachment behaviors can moderate these effects. Results indicated that one’s own attachment behaviors moderate the effects of their own parents’ and friends’ disapproval on their self-reported relationship quality for both men and women. Partner’s attachment behaviors moderate own friend’s disapproval on self-reported relationship quality for men and women; additionally, the main effect of partner’s friends’ and parents’ disapproval became nonsignificant with that test. The findings provide evidence that attachment behaviors of both partners play a role in buffering the negative effects of the social network disapproval on relationship outcomes. Clinical implications are discussed.