Couples treatment of agoraphobia: changes in marital satisfaction

Six agoraphobic women and their husbands participated in a group therapy program consisting of exposure and cognitive restructuring. The husbands acted as co-therapists. Ratings of marital satisfaction as well as severity of phobia were filled out independently by both clients and their husbands throughout the course of therapy and at follow-up. Two patterns of relationships among marital satisfaction and severity of phobia emerged. For four couples a parallel relationship was observed in that as phobia improved marital satisfaction increased. For two couples the inverse relationship was noted where improvements in phobia were correlated with decreases in marital satisfaction. The importance of the interpersonal context of agoraphobia and implications for treatment are suggested.     

Predicting the effects on husbands of behaviour therapy for wives' agoraphobia

The husbands of 33 agoraphobic women were studied systematically before and for 1 yr after their wives received intensive exposure in vivo mainly in small, cohesive groups. Although most husbands reported improved personal adjustment 1 yr after their wives' therapy, many had experienced transitory negative reactions such as anxiety and depressive symptoms. These were most likely to occur after large, rapid improvements in the phobic and general symptoms of severely-disabled patients. Such improvements challenged the husbands' capacity to adapt to their wives' changed attitudes and behaviour, particularly regarding sex roles. These findings explain why reports of negative effects on husbands are found infrequently in behavioural studies of agoraphobia, which generally exclude patients with major additional symptoms, have relatively high drop-out rates and generate improvements comparatively slowly. In contrast, group exposure in the present study generated rapid improvements and inhibited dropping-out, even in patients with severe additional symptoms and problems, who were included in the study. Thus, the likelihood of repercussions on the husband was maximized. Negative effects were most likely in husbands who had adapted to their wives' disability as part of a sex-role stereotyped view of marriage, and in husbands who were persistently critical and unsupportive of their wives.     

The relationships of career salience,attitudes toward women,and demographic and family characteristics to marital adjustment in dual-career couples

Facilitation of women's increasing involvement and satisfaction in career pursuits necessitates understanding of ways in which multiple roles may be managed and integrated by both women and men. Accordingly, the present study was designed to investigate predictors of levels of marital adjustment in dual-career couples. Both husbands and wives in 42 dual-career couples completed Greenhaus' Career Salience scale, the Attitudes toward Women scale, the Dyadic Adjustment scale, and a demographic information questionnaire. Results indicated, first, that the dual-career couples studied reported relatively high levels of marital adjustment, relatively profeminist attitudes toward women, and moderate levels of career salience; family interests were ranked as more important than were career interests. Second, higher levels of marital adjustment in both husbands and wives were found in couples in which the wife was more highly educated and which had relatively high combined incomes. In addition, greater marital adjustment in husbands was related to higher levels of career salience among wives. Contrary to expectation, husbands' attitudes toward women's roles were unrelated to their levels of marital adjustment. Implications for further research on dual-career couples and for the successful integration of career and family roles are discussed.     

Marital interaction of agoraphobic women: a controlled,behavioral observation study

Married couples with a female agoraphobic spouse (n = 22) were compared with demographically similar community control couples (n = 21) on self-report and observational measures of marital interaction. Consistent with hypotheses, husbands of agoraphobic women were more critical of their wives than were control husbands, and clinical couples were less likely to engage in positive problem solution than control couples. Contrary to hypothesis, clinical husbands were not less supportive than control husbands. Where general measures of marital distress were concerned, clinical couples, relative to control couples, evinced more distress by self-report, by their higher rate of negative nonverbal behavior, and by their longer sequences of negative exchanges.     

Predictors of Family Functioning Among Clergy and Spouses: Influences of Social Context and Perceptions of Work-Related Stressors

We wished to identify predictors of family functioning from models including perceptions of stresses associated with mobility, financial compensation, intrusiveness to family boundaries, expectations on time demands, and the lack of social support. Data were collected from 136 randomly selected couples from six denominations in which husbands were clergy. Participants completed a survey that included the Clergy Family Life Inventory which assessed perceptions of five work-related stressors and the Self Report Measure of Family Functioning scale which measured 12 dimensions of family functioning. Separate regression models were tested for husbands and wives and these analyses indicated that no single stressor seemed influential for all 12 dimensions of family functioning. However, for both husbands and wives, family boundary intrusiveness, lack of social support, and mobility stresses influenced their competence in numerous areas of family functioning. In addition, husbands and wives experienced similar effects of stress among several dimensions of family functioning (e.g. enmeshment, family organization, democratic family atmosphere expressiveness).     

Psychoticism and marital satisfaction

The author has tested the hypothesis that psychoticism, as described in Eysenck's theory of personality, is related to marriage outcome. Thirty happy and 30 unhappy couples answered the Eysencks' EPQ questionnaire. The unhappy husbands and unhappy wives scored significantly higher on the P scale than their happy counterparts respectively. The results suggest that psychoticism (like neuroticism) may impair the marriage satisfaction. In addition, happily married spouses show greater similarity with respect to personality than do unhappily married spouses. Thus the results support the likeness and go counter to the complementaries theories of marital satisfaction.     

夫妻依恋风格、婚姻归因与婚姻质量的关系

本研究采用主—客体互倚模型(actor-partner interdependence model,APIM)的方法深入探讨夫妻的依恋风格、婚姻归因与自身及配偶感知到的婚姻质量之间的关系。以方便取样的方式在北京地区选取155对夫妻,采用Brennan等(1998)编制的亲密关系经历量表(ECR),Stander编制的婚姻归因量表(MAQ)和Spanier编制的婚姻质量问卷(DAS),要求夫妻双方分别报告其依恋风格、婚姻归因方式和感知到的婚姻质量。通过配对t检验、相关分析和结构方程模型分析发现:(1)夫妻对婚姻质量的总体知觉较为一致,但丈夫的婚姻满意度显著高于妻子;(2)夫妻双方在回避依恋和焦虑依恋两个分量表上不存在显著差异,但在婚姻归因上,妻子比丈夫表现出了更多的消极归因;(3)妻子的消极依恋显著地负向预测自身感知到的婚姻质量,而丈夫的消极依恋对自身感知到的婚姻质量没有显著影响;(4)在控制了丈夫、妻子的依恋风格、归因方式对其自身婚姻质量的主体效应之后,丈夫的依恋风格不能显著预测妻子感受到的婚姻质量,但其归因方式可以显著地预测妻子感受到的婚姻质量;然而妻子的归因方式并不能显著预测丈夫的婚姻质量。     

Marital systems of agoraphobic women: contributions of husbands' denial and projection

The problems of measuring psychological concepts such as repression and denial are discussed in the context of the marital systems of agoraphobic women and the credibility of a couples approach to treatment. Repression, denial and projection in husbands were inferred from systematic measurement of mood, hostility and symptom changes after intensive behaviour therapy for the agoraphobia. The results suggested that the agoraphobic symptoms of about half of the women were reinforced by their husbands' habitual denial of affect and of personal problems; in this group, worthwhile symptomatic improvement occurred only in those women whose husbands relinquished repression and denial as major defence mechanisms, acknowledging their own personal problems, and allowing the patients to take more responsibility for their agoraphobia. The marital systems of the remaining couples were characterized by incompatible ways of dealing with hostility, with husbands' abnormal extrapunitiveness reinforcing patients' self-blame, which inhibited problem-solving and hence indirectly perpetuated the agoraphobia.     

Personality and work-home interaction among dual-earner couples in South Africa: Testing an actor-partner interdependence model

This study aimed to investigate the effect of personality on work-home interaction crossover effects among dual-earner couples in South Africa. The participants were dual-earner couples (n = 264; 132 couples) with young children. They completed measures on work-home interaction and personality. Multilevel modelling was used to analyse predictions for six personality variables and four work-home interaction outcome variables. Additionally, we examined interaction effects between husbands’ and wives’ actor effects, as well as between their partner effects. Results suggest only wives’ Extraversion, Emotional Stability, and Openness positively influenced husbands’ experience of work-home interaction. Work-home personality crossover actor effects were more pronounced for wives. Partner effects were stronger for husbands in that an increase in Extraversion in wives will increase husbands’ experience of positive home-work interaction. A gendered effect appears to influence work-home interaction among South African working couples; this knowledge is important for interventions to establish balanced work and home lives.     

Emotional involvement in marriage during the last trimester of the first pregnancy: a comparison of husbands and wives

This study examined the emotional involvement of 27 husbands and wives in their marriage relationships during the stressful period of the last trimester of the first pregnancy. Four behavioral dispositions indicated a state of high emotional involvement in the marriage: striving to gratify interpersonal needs primarily through the marital relationship; needing to receive affection and desiring to provide support; desiring to satisfy these needs in a mutually satisfying way; and becoming irritated and hostile when maritally dissatisfied. The results show, according to all indicators except the desire to support one's spouse, that husbands were less emotionally involved in the marital relationship than wives. The finding that husbands showed a low level of emotional involvement in marriage supports Laws's (1971) suggestion that husbands' mode of being-in-the-marriage is basically unresponsive to changes and stresses in the family.     

Emotional Involvement in Marriage During the Last Trimester of the First Pregnancy: A Comparison of Husbands and Wives

This study examined the emotional involvement of 27 husbands and wives in their marriage relationships during the stressful period of the last trimester of the first pregnancy. Four behavioral dispositions indicated a state of high emotional involvement in the marriage: (a) striving to gratify interpersonal needs primarily through the marital relationship; (b) needing to receive affection and desiring to provide support; (c) desiring to satisfy these needs in a mutually satisfying way; and (d) becoming irritated and hostile when maritally dissatisfied. The results show, according to all indicators except the desire to support one's spouse, that husbands were less emotionally involved in the marital relationship than wives. The finding that husbands showed a low level of emotional involvement in marriage supports Laws's (1971) suggestion that husbands' mode of being-in-the-marriage is basically unresponsive to changes and stresses in the family.     

The Agoraphobia Scale: an evaluation of its reliability and validity

This article presents the Agoraphobia Scale (AS), and evidence for its reliability, validity, and sensitivity to change after treatment. The scale consists of 20 items depicting various typical agoraphobic situations, which are rated for anxiety/discomfort (0-4) and avoidance (0-2). The results show that AS has high internal consistency. Regarding concurrent validity it correlated significantly with other self-reported measures of agoraphobia (Mobility Inventory and Fear Questionnaire). The scale's predictive validity was shown as it correlated with avoidance behavior and self-rated anxiety during both an individualized and a standardized behavioral test of agoraphobia. The AS also discriminated between an agoraphobic sample and a normal sample, and a sample of simple phobia patients. Finally, it was sensitive to changes after behavioral treatment. The AS is useful both as a state, and as an outcome self-report measure of agoraphobia.     

Predicting Gender Role Ideology Among Husbands and Wives in Israel: A Comparative Analysis

In this study, differences in gender role ideology among middle-aged husbands (n=126) and wives (n=126) in Israel were examined. In addition, the contribution of several sets of variables were tested to predict gender role ideology. The sets of variables were background variables (personal background, education/employment, family variables), personality traits (self-esteem, tolerance for ambiguity), spouse's gender role ideology, and life satisfaction. The findings indicate that husbands have more traditional gender role ideology than their wives, even though the correlations between spouses were moderate and significant. In addition, the variables were found to contribute more significantly to predicting the gender role ideology of wives than of husbands. For both partners, self-esteem was the most significant predictor. Moreover, one partner's gender role ideology was found to affect the other partner's ideology. Education/employment and some personal background variables were significant predictors of wives' gender role ideology, whereas life satisfaction predicted gender role ideology only for husbands.     

Wives' higher neuroticism scores: Some more relevant factors

Findings from two studies suggest two factors that may contribute to statictics showing wives as having higher levels of neuroticism than husbands: firstly, brides have higher scores than grooms at the point of marriage and thereafter their scores appear to fall in these cross-sectional samples; the problem of wives' higher scores may therefore be partly determined by a factor opearting prior to marriage. The second factor appears to be marital divergence on E, which is positively correlated with N scores in wives but not in husbands. Additionally, marital divergence is associated with poor communication, and divergence appears to be better predictor of wives' neuroticism than whether or not wives are employed outside the home.     

Marital conflict and acculturation among Mexican American husbands and wives

This study examined the relationship between acculturation and multiple dimensions of marital conflict among Mexican American husbands and wives. Participants were 151 husbands and wives who were recruited from a health maintenance organization in northern California and individually interviewed. More acculturated husbands and wives engaged in less avoidance of conflict and were more expressive of their feelings in an argument. Husbands who were more acculturated reported more conflict concerning sex and consideration for the other. Bicultural and more acculturated husbands reported that their wives were more verbally and physically aggressive, compared with mono-Mexican husbands. The findings provide evidence that more acculturated husbands and wives are involved in more direct expressions of conflict in their marriages, compared with less acculturated husbands and wives.     

Stability and Change in Family-of-Origin Recollections Over the First Four Years of Parenthood

This article, one of several from a longitudinal family study, examines stability and change in family-of-origin recollections. Family-of-origin data were collected by means of a questionnaire from both husbands and wives prior to the birth of their first child and 4½ years later. The questionnaire probed the subjects’ recollections of their relationships with their mothers and fathers and of their parents’ marital relationships. With median correlations for the women and men of .70 and .72, family-of-origin recollections appear relatively stable over this 4½-year period. One exception to the relative stability was that women recalled their fathers and the closeness of their parent's marriage less positively after 4 years of parenthood. These changes in women's recollections were related to contemporaneous experiences with husbands’ depression and qualities of the husband's parenting.     

Effect of couple illness perception congruence on psychological adjustment in women with rheumatoid arthritis.

OBJECTIVE: To characterize similarities and differences in illness perceptions between women with rheumatoid arthritis (RA) and their husbands, and examine whether illness perception congruence predicted wives' subsequent psychological adjustment. DESIGN: Women with RA and their husbands (N=190 couples) recruited from community and clinical settings completed mailed surveys at baseline and 4-month follow-up. MAIN OUTCOME MEASURES: Data for this investigation included illness perceptions in partners and illness severity, marital variables, and psychological adjustment in wives. RESULTS: In general, wives and husbands had similar views of RA. Couple congruence concerning women's personal control over RA and its cyclic nature predicted better psychological adjustment in women 4 months later. Post hoc tests showed better psychological adjustment in wives from couples with similar optimistic beliefs about personal control, illness coherence, and RA consequences, when compared to those in couples with similar pessimistic beliefs. Furthermore, when partners disagreed about RA's consequences, wives fared better when husbands overestimated rather than underestimated their beliefs. In contrast, couple congruence about the emotions and timeline of RA was unrelated to adjustment. CONCLUSION: It may be important for husbands to understand wives' views on their control over RA and its cyclic nature. Furthermore, wives may benefit when they share optimistic views with their husbands about RA, and when their husbands avoid underestimating RA's consequences. Developing interventions to enhance partners' illness understanding may be beneficial.     

Coorientation of body image among older married couples

This study examined how older husbands and wives perceived their bodies and appearance in the framework of coorientation effect. Data were collected via a mail survey of older married couples residing in three metropolitan areas in Florida. A total of 94 married couples who were 60 years older participated in this study. Results indicated that older husbands’ self-assessment of appearance was positively correlated with wives’ self-assessment of appearance. Husbands’ evaluation of their wives’ appearance was positively associated with wives’ self-assessment of their own appearance (self-other agreement), and wives’ evaluation of their husbands’ appearance was also positively correlated with husbands’ self-assessment of their own appearance (self-other agreement). In addition, husbands’ evaluation of their wives’ appearance corresponded to wives’ evaluation of their husbands’ appearance (reciprocity). These results indicated that the agreement in two spouses’ self-assessment of appearance can be explained by the two coorientation effects (self-other agreement and reciprocity) occurred in two partners of married couples.     

Double challenges: How working from home affects dual-earner couples’ work-family experiences

Against the backdrop of COVID-19 pandemic, we draw on family systems theory to elucidate how daily work-from-home status (WFH) affects both members in dual-earner couples. We propose that the WFH exerts intra-individual and inter-individual influences on employees’ and their partners’ work task and family task completion and their subsequent reactions to their work and family experiences. We examined the hypothesized relationships with two daily survey studies on dual-earner couples conducted during the pandemic (i.e., 1,559 daily responses of 165 dual-earner couples from China in Study 1, and 773 daily responses of 57 dual-earner couples from South Korea in Study 2). The two studies provide converging results that working from home (vs. office) increased employees’ family task completion for both husbands and wives and that wives working from home (vs. office) decreased husbands’ family task completion. Further, in both studies, daily work task completion increased felt guilt toward family (for wives only) through increased work-family conflict, and daily family task completion increased psychological withdrawal from work through increased family-work conflict for both husbands and wives. Moreover, we found in Study 2 that on days when husbands had flexible work schedule, wives completed more work tasks when working from home (vs. office) and that on days when wives had inflexible work arrangement, husbands completed more family tasks when working from home (vs. office). Across the two studies, there were no clear gender-difference patterns in husbands’ and wives’ work and family experiences.     

Predictors of treatment outcome for youth receiving intensive residential treatment for obsessive–compulsive disorder (OCD)

ABSTRACT

Little is known about the predictors of outcome from intensive residential treatment of OCD. This study aimed to examine age, gender, and baseline OCD severity, as well as measures of comorbid anxiety and depressive, internalizing/externalizing, and inattention symptoms, as predictors of treatment outcome in adolescents receiving intensive residential treatment for OCD.

The sample comprised 314 adolescents aged 13–17 years with treatment-resistant OCD and a Children’s Yale–Brown Obsessive–Compulsive Scale Self-Report (CY-BOCS-SR) total score ≥16. Bivariate and multiple regression models were used to evaluate the predictors of continuous OCD severity outcome and treatment response.

Results of the bivariate regression analyses of predictors demonstrated that length of treatment, pre-treatment OCD severity, and symptoms of anxiety and depression significantly predicted post-treatment OCD severity, while only symptoms of depression and anxiety predicted treatment response. When including all predictors in the same model, only baseline OCD severity remained a significant predictor of post-treatment OCD severity, and none of the assessed variables significantly predicted treatment response.

Results indicate that low pre-treatment OCD severity predicts lower OCD severity following treatment, although it did not predict treatment response.