The objective of this study is to examine the types of problems faced by Brazilian couples in the sample, the gender differences in the perception of marital problems, and the associations between marital problems and marital satisfaction. The sample used in this study was part of the third wave of data collection of a longitudinal study of 126 families living in Porto Alegre, a city in southern Brazil. The RDAS was the instrument used to assess marital satisfaction. Marital problems were identified by asking participants to check the problems they perceive in their marriage from a list of common marital problems (money, children, sex, jealousy, mother's family of origin, father's family of origin, drugs, alcohol, other). Data analysis consisted of the study of frequencies, Pearson's correlations between the number of problems identified by husbands and wives and their RDAS scores and test comparisons between groups of husbands and wives. A total of 16 regression analyses were performed to identify the impact of each marital problem on marriage satisfaction of both husbands and wives. Husbands' and wives' RDAS scores were the dependent variable in all regressions and each problem, age, race, number of children, and income were the independent variables. Results showed that money, children, jealousy, sex, and family of origin were common problems faced by Brazilian couples in the sample. There were few gender differences, with the only differences being that wives were more likely to report sex as a problem and husbands were more likely to report that their wife's family of origin was a problem. The number of problems had a negative effect on marital satisfaction of husbands and wives. Results also show that sex had a significant impact on marital satisfaction of both wives and husbands and alcohol had a significant impact on marital satisfaction of wives in the sample.

Despite a call by researchers for estimates of the treatment clinical and cost effectiveness for relational problems, very little has been done to answer this call. The present study is an examination of actual treatment costs and recidivism rates for patients treated for a relational problem (either in individual or conjoint therapy sessions) in the CIGNA network. Despite the fact that this study compares treatment provider cost-effectiveness for treating relational problems, analyses do not control for average amounts paid by provider license type. Policymakers and third-party payers may use such clinical-effectiveness and cost-effectiveness data to make decisions regarding treatment of relational problems and funding allocation. The present study is also the first to compare the costs of couples therapy versus family therapy for relational problems.

Research suggests that interracial couples are more distressed and have lower stability compared to their endogamous counterparts. Interracial relationships involving Whites and Asians, however, seem to be an exception. To explore this exception, the pathways to relationship stability among endogamous and exogamous Asian-White couples were compared. Using Analysis of Covariance, partner empathy, social approval, relationship satisfaction, and relationship stability for endogamous and exogamous Asian-White couples were compared, while holding length of relationship constant. Actor and partner effects of partner empathy and social approval on relationship satisfaction and relationship stability, as well as that of relationship satisfaction on relationship stability, were compared between the racial pair groups using structural equation modeling. Endogamous Asian couples consistently scored lowest in relational and social factors, as well as in relationship outcomes. Relational factors more strongly predict relationship satisfaction and stability among White men regardless of partner's race than among Asian men. Empathy predicts relationship satisfaction and stability among exogamous women no differently than among endogamous women. Social contexts, however, influence relationship outcomes differently between endogamous and exogamous couples. Lastly, both actor and partner effects of relationship satisfaction on relationship stability did not differ across groups.

Using a sample of married individuals employed full-time (N = 1,139), this study examined the mediating effects of constructive and destructive communication between partners on the relationship between work-family conflict and marital satisfaction. Results from structural equation modeling revealed that work-family conflict was significantly and negatively related to marital satisfaction. This relationship became insignificant when constructive and destructive communication were added to the model, evidence for full mediation. This was confirmed with Sobel's test for mediation. Results suggest that teaching communication skills may be a potent point of intervention for couples who experience high levels of work-family conflict.

This study examined the direct actor/partner effects of self-esteem, coming to terms, and relationship quality and the indirect effects of self-esteem on relationship quality when mediated by coming to terms. The sample included 160 interracial couples of which 69.4% were made up of an African-American male and a Caucasian female, while 30.6 were made up of an African-American female and a Caucasian male. These couples completed the RELATionship Evaluation (RELATE), a survey questionnaire. This study used three variables from the RELATE: self-esteem, coming to terms, and relationship quality. Results from Structural Equation Modeling indicated that self-esteem had a negative effect on relationship quality in men and women. Female partner's negative self-esteem increased her male partner's likelihood of coming to terms, but male partner's negative self-esteem decreased his own likelihood of coming to terms. Coming to terms did not predict relationship quality in this study. The relatively satisfied couples of this sample suggest that interracial couples may not have poorer relationship quality than intraracial couples, as some previous research purports.

This is a longitudinal couples therapy process study using coded data from eleven couples to identify which therapist behaviors (warmth, listener responsiveness, communication, dominance) influenced positive couples exchanges (warmth and listener responsiveness) over time in Emotionally Focused Couples Therapy (EFT). A mixed effects model was used to examine within- and between-individual variability. Men and women were modeled separately. A series of two-level multilevel models of change were examined, where Time is Level 1 and Individual is Level 2. Results indicated no significant relationship between variables of therapist warmth, listener responsiveness, communication, and dominance with couple listener responsiveness. Where client warmth was an outcome variable, the only significant relationship was between therapist warmth toward husband and husband warmth toward wife. Findings demonstrated that 62.9% of the variance in husband warmth toward wife was accounted for by therapist warmth to husband across time in therapy. Specifically, therapist warmth toward husband was significantly and positively related to husband warmth toward wife over time in therapy. Clinical implications and directions for future research are discussed.

There is substantial evidence that the strength of the therapeutic alliance in couples therapy is predictive of successful treatment outcome. However, little research has examined the factors that predict a strong therapeutic alliance in couples therapy. With evidence indicating that attachment styles play an important role in the development of healthy adult relationships, it was hypothesized that the attachment styles of partners in couples therapy would predict the development of a strong therapeutic alliance. Data from 115 heterosexual couples seen at a university-based MFT clinic in the southeastern region of the U.S. were used to test this hypothesis. Using multiple regression, results generally found that attachment styles generally predicted the therapeutic alliance among women, but there was only limited support among men. The results of the study suggest the importance of couples therapists being aware of attachment issues, especially among women, as they relate to the establishment of a strong therapeutic alliance.

Relationship self-regulation (RSR) refers to the “work”, or effort and strategies, that partners exert over time to maintain the health of their romantic relationships. Most research focuses on self-reports of RSR, however, several studies suggest that partner perceptions are more influential in relationship appraisal. In addition, most RSR research has focused not on partners' attitudes and virtues like commitment, but instead on personality traits, emotional health, and communication skills. In this study, we examine the relationship between partners' levels of commitment and forgiveness within their relationships, and how they perceive their partner's use of RSR behaviors. Using paired data from 679 cohabiting and married couples who took the RELATE questionnaire, we found that males' and females' self-reports of commitment and forgiveness were both positively associated with higher perceptions of partner RSR. Likewise, we found that, for females, higher self-reports of commitment and forgiveness were positively correlated with higher male perceptions of her RSR, and male forgiveness was positively correlated with female perceptions of his RSR. The variables of commitment and forgiveness explained an average of 44% of the variance in perceptions of partner RSR for both genders. Implications for future research and clinicians are discussed.

This is a longitudinal multilevel analysis using third party coded data of 15 couples therapy sessions to identify which therapist Emotion Focused Therapy interventions (Management of Couple's Interaction, Working with Primary Emotion, Managing Defensive Responses, Reframing the Problem in Terms of the Cycle, and Placing Emerging Emotions into the Cycle) influenced husband-to-wife and wife-to-husband exchanges of Positive Behaviors (warmth, prosocial behaviors, communication, assertiveness, and listening). A mixed effects model was used to examine within- and between-individual variability. Men and women were modeled separately. A series of two-level multilevel models of change were examined, where Time is Level 1 and Individual is Level 2. Results indicated no significant relationship between Management of the Couple's Interaction, Managing Defensive Responses, and Reframing the Problem in Terms of the Cycle with both wife-to-husband and husband-to-wife positive behavior. Findings demonstrated that 44.5% of the variance in wife-to-husband positive behaviors and 66.5% of the variance in husband-to-wife positive behaviors was accounted for by the therapist Working with Primary Emotion and Placing Emerging Emotions in the Cycle. Specifically, these therapist interventions were significantly and negatively related to wife-to-husband and husband-to-wife positive behaviors over time in therapy. Clinical implications and directions for future research will be discussed.

The purpose of this study was to examine the relationships between stigma, quality of life (QoL), and relationships satisfaction for prostate cancer (PCa) survivors and their intimate and/or romantic partners. The investigator tested a theoretical model that stigma (as measured by the Social Impact Scale [SIS; Fife & Wright, 2000]) influenced QoL (as measured by the Functional Assessment of Cancer Therapy – Prostate [FACT-P; Esper et al., 1997] and the Functional Assessment of Cancer Therapy – General Population [FACT-GP; Cella et al., 1993]) and relationship satisfaction (as measured by the Couples Satisfaction Index [CSI; Funk & Rogge, 2007]) for both PCa survivors and their partners (N = 72 couples). The investigator hypothesized that stigma would have a negative influence on both QoL and relationship satisfaction. Further, exploratory research questions pertained to the influence of race on stigma, QoL, and relationship satisfaction, as well as examining difference in experiences of stigma based on demographic variables (e.g., age and income). The results of the structural equation model analyses identified that stigma negatively influenced QoL (R2 = .84, p < .05) and relationship satisfaction (R2 = .19, p < .05) for both PCa survivors and their partners. Race did not have statistically significant (p > .05) relationships with stigma, QoL, or relationship satisfaction and stigma was not found to be statistically different (p > .05) based on demographic variables. Implications of the results of the study include (a) practical implications for PCa survivors and their partners; (b) strategies for effective individual, group, and couples-based counseling; (c) need for counselor educators to prepare counselors to work with medically ill populations and cancer survivors; (d) PCa stigma instrument development; and (e) the necessity to examine research with couples in a dyadic fashion.