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[PMID]:28934302
[Au] Autor:Nasir M; Baucom BR; Georgiou P; Narayanan S
[Ad] Endereço:Department of Electrical Engineering, University of Southern California, Los Angeles, United States of America.
[Ti] Título:Predicting couple therapy outcomes based on speech acoustic features.
[So] Source:PLoS One;12(9):e0185123, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Automated assessment and prediction of marital outcome in couples therapy is a challenging task but promises to be a potentially useful tool for clinical psychologists. Computational approaches for inferring therapy outcomes using observable behavioral information obtained from conversations between spouses offer objective means for understanding relationship dynamics. In this work, we explore whether the acoustics of the spoken interactions of clinically distressed spouses provide information towards assessment of therapy outcomes. The therapy outcome prediction task in this work includes detecting whether there was a relationship improvement or not (posed as a binary classification) as well as discerning varying levels of improvement or decline in the relationship status (posed as a multiclass recognition task). We use each interlocutor's acoustic speech signal characteristics such as vocal intonation and intensity, both independently and in relation to one another, as cues for predicting the therapy outcome. We also compare prediction performance with one obtained via standardized behavioral codes characterizing the relationship dynamics provided by human experts as features for automated classification. Our experiments, using data from a longitudinal clinical study of couples in distressed relations, showed that predictions of relationship outcomes obtained directly from vocal acoustics are comparable or superior to those obtained using human-rated behavioral codes as prediction features. In addition, combining direct signal-derived features with manually coded behavioral features improved the prediction performance in most cases, indicating the complementarity of relevant information captured by humans and machine algorithms. Additionally, considering the vocal properties of the interlocutors in relation to one another, rather than in isolation, showed to be important for improving the automatic prediction. This finding supports the notion that behavioral outcome, like many other behavioral aspects, is closely related to the dynamics and mutual influence of the interlocutors during their interaction and their resulting behavioral patterns.
[Mh] Termos MeSH primário: Terapia de Casal
Reconhecimento Automatizado de Padrão
Acústica da Fala
Interface para o Reconhecimento da Fala
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Prognóstico
Cônjuges
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170922
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185123


  2 / 563 MEDLINE  
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[PMID]:28390493
[Au] Autor:Shnaider P; Sijercic I; Wanklyn SG; Suvak MK; Monson CM
[Ad] Endereço:Ryerson University. Electronic address: philippe.shnaider@psych.ryerson.ca.
[Ti] Título:The Role of Social Support in Cognitive-Behavioral Conjoint Therapy for Posttraumatic Stress Disorder.
[So] Source:Behav Ther;48(3):285-294, 2017 May.
[Is] ISSN:1878-1888
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The current study examined the effect of total, as well as different sources (i.e., family, friends, significant other) of, pretreatment/baseline social support on posttraumatic stress disorder (PTSD) severity and treatment response to cognitive-behavioral conjoint therapy (CBCT) for PTSD. Thirty-six patients were randomized to receive treatment immediately or to a waitlist condition. Those in the treatment condition were offered CBCT for PTSD, a couple-based therapy aimed at reducing PTSD symptoms and improving relationship functioning. PTSD symptoms were assessed at pre-/baseline, mid-/4 weeks of waiting, and posttreatment/12 weeks of waiting using the Clinician-Administered PTSD Scale, and patients self-reported on their levels of pretreatment/baseline social support using the Multidimensional Scale of Perceived Social Support. Total support, as well as social support from family and friends, was not associated with initial PTSD severity or treatment response. However, there was a significant positive association between social support from a significant other and initial PTSD severity (g = .92). Additionally, significant other social support moderated treatment outcomes, such that higher initial significant other support was associated with larger decreases in PTSD severity for those in the treatment condition (g = -1.14) but not the waitlist condition (g = -.04). Social support from a significant other may influence PTSD treatment outcomes within couple therapy for PTSD. The inclusion of intimate partners and other family members may be a fruitful avenue for improving PTSD treatment outcomes; however, future studies are needed to examine whether support can be increased with treatment and whether those improvements lead to greater PTSD symptom response.
[Mh] Termos MeSH primário: Terapia Cognitiva/métodos
Terapia de Casal/métodos
Apoio Social
Transtornos de Estresse Pós-Traumáticos/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Escalas de Graduação Psiquiátrica
Autorrelato
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170410
[St] Status:MEDLINE


  3 / 563 MEDLINE  
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[PMID]:28337786
[Au] Autor:McKinnon JM; Greenberg LS
[Ad] Endereço:York University.
[Ti] Título:Vulnerable Emotional Expression In Emotion Focused Couples Therapy: Relating Interactional Processes To Outcome.
[So] Source:J Marital Fam Ther;43(2):198-212, 2017 Apr.
[Is] ISSN:1752-0606
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study examined whether interactions characterized by high expression of emotional vulnerability in one partner followed by a highly supportive response style by the other partner predicted greater improvement on domains of forgiveness, unfinished business, trust, and relationship satisfaction in a sample of 32 couples presenting for Emotion Focused Couples Therapy with unresolved emotional injuries. For each outcome measure, two separate hierarchical regression models were tested (injured partner vulnerability and offending partner supportiveness; offending partner vulnerability and injured partner supportiveness). Both models significantly predicted improvement on the majority of outcome measures. Practice suggestions for working with emotionally injured couples are provided in light of the findings.
[Mh] Termos MeSH primário: Terapia de Casal/métodos
Emoções
Relações Interpessoais
Avaliação de Processos e Resultados (Cuidados de Saúde)/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170325
[St] Status:MEDLINE
[do] DOI:10.1111/jmft.12229


  4 / 563 MEDLINE  
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[PMID]:28333533
[Au] Autor:O'Farrell TJ; Schumm JA; Murphy MM; Muchowski PM
[Ad] Endereço:Families and Addiction Program, VA Boston Healthcare System.
[Ti] Título:A randomized clinical trial of behavioral couples therapy versus individually-based treatment for drug-abusing women.
[So] Source:J Consult Clin Psychol;85(4):309-322, 2017 Apr.
[Is] ISSN:1939-2117
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Behavioral couples therapy (BCT) is more efficacious than individually-based therapy (IBT) for substance and relationship outcomes among substance use disorder patients. This study compared BCT with IBT for drug-abusing women. METHOD: Sixty-one women, mostly White, late 30s, with primary substance use disorder other than alcohol (74% opioid), and male partners were randomized to 26 sessions over 13 weeks of BCT plus 12-step-oriented IBT (i.e., BCT + IBT) or IBT. Substance-related outcomes were percentage days abstinent (PDA), percentage days drug use (PDDU), Inventory of Drug Use Consequences. Relationship outcomes were Dyadic Adjustment Scale (DAS), days separated. Data were collected at baseline, posttreatment, and quarterly for 1-year follow-up. RESULTS: On PDA, PDDU, and substance-related problems, both BCT + IBT and IBT patients showed significant (p < .01) large effect size improvements throughout 1-year follow-up (d > .8 for most time periods). BCT + IBT showed a significant (p < .001) large effect size (d = -.85) advantage versus IBT on fewer substance-related problems, while BCT + IBT and IBT did not differ on PDA or PDDU (ps > .47). On relationship outcomes, compared to IBT, BCT + IBT had significantly higher male-reported Dyadic Adjustment Scale (p < .001, d = .57) and fewer days separated (p = .01, d = -.47) throughout 1-year follow-up. CONCLUSION: BCT + IBT for drug-abusing women was more efficacious than IBT in improving relationship satisfaction and preventing relationship breakup. On substance use and substance-related problems, women receiving both treatments substantially improved, and women receiving BCT + IBT had fewer substance-related problems than IBT. (PsycINFO Database Record
[Mh] Termos MeSH primário: Terapia Comportamental/métodos
Terapia de Casal/métodos
Transtornos Relacionados ao Uso de Substâncias/terapia
Mulheres
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.1037/ccp0000185


  5 / 563 MEDLINE  
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[PMID]:28287797
[Au] Autor:Halford WK; Rahimullah RH; Wilson KL; Occhipinti S; Busby DM; Larson J
[Ad] Endereço:School of Psychology, University of Queensland.
[Ti] Título:Four year effects of couple relationship education on low and high satisfaction couples: A randomized clinical trial.
[So] Source:J Consult Clin Psychol;85(5):495-507, 2017 May.
[Is] ISSN:1939-2117
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Relationship education (RE) usually is conceived of as relationship enhancement for currently satisfied couples, with a goal of helping couples sustain satisfaction. However, RE also might be useful as a brief, indicated intervention for couples with low satisfaction. The current study evaluated the effect of RE on couples with low and high relationship satisfaction. METHOD: The study was a randomized controlled trial in which 182 couples were randomly assigned to: a book reading control condition (control); RELATE online assessment with feedback and relationship goal setting (RELATE); or RELATE with CoupleCARE (RCC), a flexible delivery skill-based education program. Couples were assessed on relationship satisfaction and individual mental health before and after RE, and through to 4-year follow-up. RESULTS: Couples with high initial satisfaction showed no effects of RE on satisfaction. RCC but not RELATE increased satisfaction in couples with low initial satisfaction, but effects dissipated between 6 and 12 months after RE. There were no effects of RE on mental health. CONCLUSION: Flexible delivery RE produces immediate effects as an indicated early intervention for couples with low relationship satisfaction, but the effects attenuate. Future research needs to seek methods to produce better maintained effects. (PsycINFO Database Record
[Mh] Termos MeSH primário: Terapia de Casal
Satisfação Pessoal
Parceiros Sexuais/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Estresse Psicológico/psicologia
Estresse Psicológico/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170314
[St] Status:MEDLINE
[do] DOI:10.1037/ccp0000181


  6 / 563 MEDLINE  
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[PMID]:28150956
[Au] Autor:Kivlighan DM; Owen J; Antle B
[Ad] Endereço:Department of Psychological and Quantitative Foundations.
[Ti] Título:Members' attendance rates and outcomes of relationship education groups: A consensus-dispersion analysis.
[So] Source:J Fam Psychol;31(3):358-366, 2017 Apr.
[Is] ISSN:1939-1293
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Relationship education programs (REPs) are an effective way to enhance relationship communication, prevent relational distress, and increase relationship quality. Most REPs are delivered in a group format; however, there is little known about the influence of group processes on outcomes for these programs, such as group members' attendance. Therefore, the current study applied a dispersion-consensus model to test the impact of attendance at the member and group levels on group members' REP outcomes. In a sample of 558 lower income, primarily African American participants, we examined whether individual and group attendance rates influenced posttreatment communication patterns and relationship quality. Results indicated that an individual group member's attendance was significantly and positively related to their posttreatment relationship quality, although this relationship is complex. Specifically, this relationship was stronger in groups with higher levels of attendance as well as groups with more attendance variability. In addition, results indicated that group members reported better posttreatment relationship quality in groups with less variability in members' attendance. However, we found a significant interaction between attendance consensus and variability, and an individual group member's posttreatment relationship quality, suggesting that group members report higher levels of relationship quality in groups where the attendance of the group as a whole is lower yet more consistent. No significant relationships were found for group member's posttreatment communication patterns. Our findings suggest that the rate and variability in the group's attendance, as well as an individual group member's own attendance significantly impacts their posttreatment relationship quality in complex ways. (PsycINFO Database Record
[Mh] Termos MeSH primário: Consenso
Terapia de Casal/métodos
Processos Grupais
Avaliação de Processos e Resultados (Cuidados de Saúde)
Psicoterapia de Grupo/métodos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170620
[Lr] Data última revisão:
170620
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170203
[St] Status:MEDLINE
[do] DOI:10.1037/fam0000287


  7 / 563 MEDLINE  
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[PMID]:28146337
[Au] Autor:Pruett MK; Pruett K; Cowan CP; Cowan PA
[Ad] Endereço:Smith College School for Social Work.
[Ti] Título:Enhancing Father Involvement in Low-Income Families: A Couples Group Approach to Preventive Intervention.
[So] Source:Child Dev;88(2):398-407, 2017 Mar.
[Is] ISSN:1467-8624
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To address the problem of fathers' absence from children's lives and the difficulty of paternal engagement, especially among lower income families, government agencies have given increasing attention to funding father involvement interventions. Few of these interventions have yielded promising results. Father involvement research that focuses on the couple/coparenting relationship offers a pathway to support fathers' involvement while strengthening family relationships. Relevant research is reviewed and an exemplar is provided in the Supporting Father Involvement intervention and its positive effects on parental and parent-child relationships and children's outcomes. The article concludes with policy implications of this choice of target populations and the need to develop new strategies to involve fathers in the lives of their children.
[Mh] Termos MeSH primário: Terapia de Casal/métodos
Relações Pai-Filho
Pai/psicologia
Poder Familiar/psicologia
Pobreza/psicologia
[Mh] Termos MeSH secundário: Adulto
Criança
Terapia de Casal/normas
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170202
[St] Status:MEDLINE
[do] DOI:10.1111/cdev.12744


  8 / 563 MEDLINE  
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[PMID]:27997704
[Au] Autor:Wiebe SA; Johnson SM; Lafontaine MF; Burgess Moser M; Dalgleish TL; Tasca GA
[Ad] Endereço:University of Ottawa, The Ottawa Hospital.
[Ti] Título:Two-Year Follow-up Outcomes in Emotionally Focused Couple Therapy: An Investigation of Relationship Satisfaction and Attachment Trajectories.
[So] Source:J Marital Fam Ther;43(2):227-244, 2017 Apr.
[Is] ISSN:1752-0606
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Emotionally Focused Couple Therapy (EFT; The practice of emotionally focused couple therapy: Creating connection. New York, NY: Brunner-Routledge) is an evidence-based couple therapy that aims to create lasting change for couples (Clinical Psychology: Science and Practice, 6(1), 67-79). Although studies have demonstrated strong results in follow-up (Journal of Marital and Family Therapy, 28(4), 391-398), less is known about relationship functioning across time after therapy has ended. We modelled change in relationship satisfaction and attachment from pre-therapy through 24 months follow-up in 32 couples. HLM results confirmed a significant growth pattern demonstrating increases in relationship satisfaction and secure base behaviour and decreases in relationship specific attachment anxiety over the course of therapy and across follow-up at a decelerated rate. These findings support the theoretical assumption that EFT helps couples engaged in therapy create lasting relationship satisfaction and attachment change.
[Mh] Termos MeSH primário: Terapia de Casal/métodos
Emoções
Relações Interpessoais
Apego ao Objeto
Avaliação de Resultados (Cuidados de Saúde)
Satisfação Pessoal
[Mh] Termos MeSH secundário: Adulto
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161221
[St] Status:MEDLINE
[do] DOI:10.1111/jmft.12206


  9 / 563 MEDLINE  
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[PMID]:27991810
[Au] Autor:Zemp M; Merz CA; Nussbeck FW; Halford WK; Schaer Gmelch M; Bodenmann G
[Ad] Endereço:Department of Psychology, University of Zurich.
[Ti] Título:Couple relationship education: A randomized controlled trial of professional contact and self-directed tools.
[So] Source:J Fam Psychol;31(3):347-357, 2017 Apr.
[Is] ISSN:1939-1293
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this randomized controlled trial was to examine the efficacy of an evidence-based relationship distress prevention program, the Couples Coping Enhancement Training (CCET), in dual well-earning couples and to investigate whether effects vary by (a) hours of professional contact and (b) mode of delivery (face to face vs. self-learning DVD). N = 159 couples were randomly assigned to 1 of 4 intervention conditions: (1) standard CCET (15 hours face to face), (2) compact CCET (12 hr face to face), (3) short CCET (self-learning DVD + 8 hr face to face), or (4) wait-list control group. Relationship satisfaction and dyadic coping skills were assessed by means of questionnaires completed prior to and 2 weeks after completion of the treatment, at 3-month follow-up, and at 6-month follow-up. Baseline latent change models for 2 factors showed that the CCET enhanced relationship satisfaction and dyadic coping skills in couples relative to the wait-list control group, albeit effects were small. The standard format of the CCET was not more effective than the compact or the short format indicating that reduced amount of professional contact did not decrease the treatment's efficacy and that the self-learning DVD successfully replaced the psycho-educational part of the program. Since dual earner couples usually face multiple stressors, it is a promising finding that they can strengthen their relationship with a relatively short time investment. (PsycINFO Database Record
[Mh] Termos MeSH primário: Adaptação Psicológica
Terapia de Casal/métodos
Características da Família
Relações Interpessoais
Satisfação Pessoal
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Relações Profissional-Paciente
Autocuidado
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170620
[Lr] Data última revisão:
170620
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161220
[St] Status:MEDLINE
[do] DOI:10.1037/fam0000257


  10 / 563 MEDLINE  
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[PMID]:27874215
[Au] Autor:Wiebe SA; Johnson SM; Burgess Moser M; Dalgleish TL; Tasca GA
[Ad] Endereço:The Ottawa Hospital, University of Ottawa.
[Ti] Título:Predicting Follow-up Outcomes in Emotionally Focused Couple Therapy: The Role of Change in Trust, Relationship-Specific Attachment, and Emotional Engagement.
[So] Source:J Marital Fam Ther;43(2):213-226, 2017 Apr.
[Is] ISSN:1752-0606
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Emotionally Focused Couple Therapy (EFT), an evidence-based couple therapy (Johnson, Hunsley, Greenberg, & Schindler, 1999), strives to foster lasting change through the creation of secure attachment bonds in distressed couples. Although studies have demonstrated lasting change in follow-up (Wiebe et al., in press), research is needed to investigate predictors of long-term outcomes. Our goal was to investigate predictors of long-term outcomes in relationship satisfaction. Relationship satisfaction was assessed across 24 months in a sample of 32 couples who received an average of 21 EFT sessions. Decreases in attachment avoidance were most predictive of higher relationship satisfaction across follow-up. These findings support the theoretical assumption that EFT helps couples foster lasting change in relationship satisfaction through the facilitation of secure attachment bonds.
[Mh] Termos MeSH primário: Terapia de Casal/métodos
Emoções
Apego ao Objeto
Avaliação de Resultados (Cuidados de Saúde)/métodos
Satisfação Pessoal
Confiança/psicologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Prognóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161123
[St] Status:MEDLINE
[do] DOI:10.1111/jmft.12199



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