The relationship of marital adjustment to agoraphobia treatment outcome |
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| Authors: | W G Himadi J A Cerny D H Barlow S Cohen G T O'Brien |
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| Affiliation: | 1. Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea;2. Department of Neurology, Yonsei University College of Medicine, Seoul, Republic of Korea;3. Department of Neurology and Research Institute of Clinical Medicine, Jeonbuk National University School of Medicine and Hospital, Jeonju, Republic of Korea;4. Department of Neurology, Keimyung University School of Medicine, Daegu, Republic of Korea;5. Department of Neurology, Kyungpook National University School of Medicine, Daegu, Republic of Korea;6. Department of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Republic of Korea;7. Department of Neurology, Daegu Catholic University School of Medicine, Daegu, Republic of Korea;8. Department of Neurology, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Republic of Korea;9. Department of Neurology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea;10. Department of Neurology, Kyung Hee University School of Medicine, Seoul, Republic of Korea;11. Department of Neurology, Chung-Ang University College of Medicine, Seoul, Republic of Korea;12. Departments of Neurology, Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea;13. Department of Neurology, Gachon University Gil Medical Center, Incheon, Republic of Korea;14. Department of Neurology, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Republic of Korea;15. Department of Neurology, Kangwon National University School of Medicine, Chuncheon, Republic of Korea;1. Macquarie University, Australia;2. Victoria University of Wellington, New Zealand;3. The University of Sydney, Australia;1. Pediatric Neurology Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy;2. Neonatal Intensive Care Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy |
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| Abstract: | The relationship between marital adjustment and behavioral treatment of agoraphobia was examined for 42 agoraphobic women and their spouses. The husbands of 28 of these women were directly involved and active participants in the treatment process, while the spouses of the remaining 14 agoraphobics did not attend treatment sessions. Results revealed that level of pretreatment marital adjustment was independent of treatment outcome for agoraphobia and treatment-produced improvement in phobic symptomatology led to an overall improvement in marital satisfaction. Furthermore, no deleterious treatment effects on spouses' psychological functioning were evident. These data suggest that spouse involvement in treatment, the use of a graduated, exposure-based treatment and more effective communication patterns between marital partners may preclude the negative effects on treatment outcome from a preexisting problematic marriage as well as any negative impact on the marriage from improvement in the client's phobic symptomatology. |
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