https://aub.ie/MilitaryREACH-SippelKnopp2023

Sippel, L. M., Knopp, K. C., Wachsman, T., Khalifian, C. E., Glynn, S. M., & Morland, L. A. (2023). An examination of relationship satisfaction as a predictor of outcomes of brief couple therapy for posttraumatic stress disorder. Journal of Traumatic Stress, 36(6), 1115–1125. https://doi.org/10.1002/jts.22984

This study examined the impact of two couple-focused treatments for posttraumatic stress disorder (PTSD) and whether couples’ relationship distress prior to initiating treatment impacted clinical outcomes ~6 months after treatment. 137 Veterans and their partners (N = 137 dyads) completed 7 or 8 sessions of either brief cognitive behavioral conjoint therapy (bCBCT) or PTSD family education (PFE). Before and after treatment, each partner reported their relationship satisfaction. Veterans’ PTSD symptoms were determined via clinical interview, and Veteran psychosocial functioning (e.g., difficulties with intimate relationships, friendships, self-care) was self-reported. Across both treatment groups, Veterans’ PTSD and psychosocial functioning generally improved over time; positive change tended to occur regardless of initial levels of relationship distress. Additionally, across both groups, relationship satisfaction improved primarily among those who began treatment in distressed relationships.

https://doi.org/10.1002/jts.22984

Veterans
Couples
Programming
Mental health

Multiple branches

Veteran

Veteran
Spouse of service member or veteran

Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

Sippel, Lauren M., Knopp, Kayla C., Wachsman, Tamara, Khalifian, Chandra E., Glynn, Shirley M., Morland, Leslie A.

The pretreatment quality of intimate relationships can promote or interfere with couple therapy for posttraumatic stress disorder (PTSD) treatment response. We tested whether baseline relationship satisfaction predicted clinical and process outcomes in two dyadic treatments for PTSD. Using data from a randomized trial comparing brief cognitive behavioral conjoint therapy (bCBCT) for PTSD to PTSD family education (PFE) among 137 military veterans and their partners (N = 274, Mage = 42.3 years, 46.7% White, 81.0% male veteran partner), we examined whether baseline relationship satisfaction (Couples Satisfaction Index; CSI-32) predicted change in PTSD symptom severity (Clinician Administered PTSD Scale for DSM-5; CAPS-5), psychosocial functioning (Brief Inventory of Psychosocial Functioning; B-IPF), and relationship satisfaction at posttreatment and 6-month follow-up. We also explored associations with process outcomes (working alliance, treatment satisfaction, dropout). In both treatment conditions, neither partner's baseline CSI-32 score moderated change in veteran CAPS-5 or B-IPF score or any process variable. However, baseline CSI-32 scores moderated both partners’ CSI-32 score change during bCBCT and PFE; participants who scored in the distressed range at baseline (n = 123) experienced significant improvements in relationship satisfaction, β = .199, whereas there was no change among those in the nondistressed range at baseline (n = 151), β = .025. Results suggest bCBCT and PFE are effective in improving PTSD symptoms and psychosocial functioning regardless of whether a couple is experiencing clinically significant relationship distress; further, these treatments improve relationship satisfaction for the most distressed individuals.

Article
REACH Publication

relationship satisfaction, brief couple therapy, posttraumatic stress disorder, PTSD

https://onlinelibrary.wiley.com/doi/abs/10.1002/jts.22984

Research Summary

  March 2024