School of Public Health
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The collections in this community comprise faculty research works, as well as graduate theses and dissertations.
Note: Prior to July 1, 2007, the School of Public Health was named the College of Health & Human Performance.
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Item The Influence of Religiosity on Relationship Satisfaction and Therapeutic Outcome as Mediated by Commitment Level(2011) Dresser, Ciara Nicole; Werlinich, Carol A.; Family Studies; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)The purpose of this study was to examine the common factor and client characteristic of religiosity in order to determine its effect on relationship satisfaction and therapy outcome, as well as to determine whether commitment level was a mediator of those associations within a clinical sample of couples who had experienced mild/moderate psychological, verbal, or physical abuse. Results indicated several trends. For males, a non-significant positive trend was found suggesting that their religiosity was positively associated with relationship satisfaction at the initiation of therapy. Another trend was for more religious females to be more committed to their relationships. Both females and males' commitment level was significantly correlated with their relationship satisfaction. A trend towards a negative association between religiosity and relationship satisfaction was found for females when commitment level was controlled for, and for males there was a trend towards a negative association between commitment level and therapy outcome.Item PARTNER'S CONFLICT BEHAVIOR AND RECIPIENT'S ATTACHMENT STYLE AS PREDICTORS OF PERCEIVED CRITICISM IN CLINICAL COUPLES(2011) Savory, Kara Lee; Epstein, Norman B; Family Studies; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)The association between critical communication behavior exhibited by one member of a couple during a conversation and the amount of criticism that is perceived by the person's partner was explored. The study investigated whether that association is moderated by the degrees to which the recipient of messages identifies with each of four attachment styles (secure, fearful, preoccupied, and dismissing). The sample was 95 couples who had sought therapy at a university-based couple and family therapy clinic. Each couple engaged in a 10-minute discussion of a conflictual issue in their relationship, which was video-recorded and subsequently coded for constructive and destructive communication behavior, including criticism. For both men and women, the amount of actual criticism predicted the amount perceived. Attachment styles did not directly predict the amount of criticism perceived, but there was evidence that for both genders attachment styles moderated the relationship between the degree of conflict behavior exhibited by the partner and the amount of criticism that the recipient perceived.Item Couple Therapy Process and Its Relation to Therapy Outcome(2011) Evans, Laura Melisa; Epstein, Norman B.; Family Studies; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Research on psychotherapy has found that characteristics of clients and therapists often are more strongly associated with treatment outcome than are specific therapeutic models or techniques. This study examined the relations between client and therapist common factors and outcomes of couple therapy. The sample was 40 couples presenting with mild to moderate psychological and physical abuse and who received ten sessions of couple therapy at a university-based clinic. The study investigated relations of client common factor characteristics (negative communication and negative attributions) and the therapist common factor characteristics (warmth, empathy, presence, validation and systemic techniques and session structuring) with couple therapy outcomes (changes in overall relationship satisfaction and in level of psychologically abusive behavior). Hierarchical linear modeling analyses testing an Actor-Partner Interdependence Model (APIM) revealed that males' negative attributions were associated with a decrease over treatment in their own use of psychological abuse, whereas females' negative attributions were associated with increased use of psychological abuse by males. Females' negative communication was associated with increased psychological abuse by females. As expected, therapist use of technique factors was associated with decreased psychological abuse by males. Unexpectedly, therapist presence was associated with less positive change in relationship satisfaction for males, and therapist use of technique factors was associated with less positive change in relationship satisfaction and increased use of psychological abuse for females. Therapist factors moderated the relationships between the client pre-treatment negative characteristics and therapy outcome, such that in some cases higher levels of therapist factors (warmth, presence, validation) enhanced a positive relationship between pre-treatment negativity and positive therapeutic outcomes and in others higher levels of the therapist factors (technique factors, presence, validation) amplified a negative relationship between pre-treatment characteristics and poor therapeutic outcomes. Therapist factors did not buffer the negative relationship between client negativity and positive therapy outcomes as expected, although there were instances in which therapist factors enhanced a positive relationship between these variables. Actor and partner effects, as well as gender differences, are discussed. The study's implications and limitations are considered as they contribute to understanding how client and therapist common factors influence the course of couple therapy.Item Depression in One or Both Partners and the Efficacy of Couple Therapy(2010) Juzaitis, Leanne Marie; Epstein, Norman B; Family Studies; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Although considerable research has been conducted on common factors affecting individual therapy, little research has investigated common factors in couple therapy. The present study examines depression in one or both partners as one of the potential common client factors affecting couple therapy. The study uses data from 55 couples who sought therapy for relationship issues at a large university-based family therapy clinic that serves an ethnically diverse population. The results suggest that, at least within the range of depression represented in this couple and family therapy clinic sample, there is no difference in therapy outcome between couples experiencing mild depression and those with minimal to no depression. However, there was some evidence that therapy was less effective when the male partner suffered from depression. This study is important in redirecting the attention of couple therapists to males' depression as opposed to the traditional focus on females' depression.