Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-30T19:13:27.975Z Has data issue: false hasContentIssue false
  • English
  • Français

Marital Adjustment and Obsessive–Compulsive Disorder

Published online by Cambridge University Press:  02 January 2018

P. M. G. Emmelkamp ,
E. De Haan  and
C. A. L. Hoogduin
P. M. G. Emmelkamp*
Affiliation:
University of Groningen
E. De Haan
Affiliation:
Department of Psychiatry, Reinier de Graaf Hospital and Centre Sint Joris
C. A. L. Hoogduin
Affiliation:
K. U. Nijmegen, and Reinier de Graaf Hospital and Centre Sint Joris, The Netherlands
*
∗Academic Hospital, Department of Clinical Psychology, Oostersingel 59, 9713 EZ Groningen, The Netherlands
Get access Rights & Permissions [Opens in a new window]

Abstract

Fifty obsessive–compulsives were treated by behavioural therapy (self-exposure in vivo and response prevention) either with their partner directly involved in all aspects of treatment or without their partner. The two treatment formats were equally effective. Although a substantial number of obsessive–compulsives were found to have marital problems, behavioural treatment directed at the obsessive–compulsive disorder resulted in improvement irrespective of marital quality and partner involvement in the therapy. The effects of treatment led neither to a deterioration of the marriage nor to adjustment problems in the partner.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 156 , Issue 1 , January 1990 , pp. 55 - 60
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
Arrindell, W. A., Boelens, W. & Lamberts, H. (1983a) On the psychometric properties of the Maudsley Marital Questionnaire. Personality and Individual Differences, 4, 293–306.CrossRefGoogle Scholar
Arrindell, W. A., Emmelkamp, P. M. G. & Bast, S. (1983b) The Maudsley Marital Questionnaire (MMQ): a further step toward its validation. Personality and Individual Differences, 4, 457–464.Google Scholar
Arrindell, W. A., Emmelkamp, P. M. G. & Sanderman, R. (1986) Marital quality and general life adjustment in relation to treatment outcome in agoraphobia. Advances in Behaviour Therapy, 19, 335–338.Google Scholar
Barlow, D. H., O'Brien, G. T. & Last, C. G. (1984) Couples treatment of agoraphobia. Behaviour Therapy, 15, 41–58.CrossRefGoogle Scholar
Bland, K. & Hallam, R. S. (1981) Relationship between response to graded exposure and marital satisfaction in agoraphobics. Behaviour Research and Therapy, 19, 335–338.Google Scholar
Cobb, J. P., Mathews, A. M., Childs-Clarke, A., et al (1984) The spouse as co-therapist in the treatment of agoraphobia. British Journal of Psychiatry, 144, 282–287.CrossRefGoogle ScholarPubMed
Derogatis, L. R. (1977) Symptom Checklist–90: Administration, Scoring and Procedures Manual for the Revised Version. Baltimore: Johns Hopkins University, School of Medicine.Google Scholar
Emmelkamp, P. M. G. (1980) Agoraphobics' interpersonal problems. Archives of General Psychiatry, 37, 1303–1306.Google Scholar
Emmelkamp, P. M. G. (1982) Phobic and Obsessive–Compulsive Disorders: Theory, Research and Practice. New York: Plenum.Google Scholar
Emmelkamp, P. M. G. (1988) Marital quality and treatment outcome in anxiety disorders. In Panic and Phobias II (eds I. Hand & H. V. Wittchen). New York: Springer.Google Scholar
Emmelkamp, P. M. G. & Kraanen, J. (1977) Therapist controlled exposure in vivo versus self-controlled exposure in vivo: a comparison with obsessive–compulsive patients. Behaviour Research and Therapy, 15, 491–495.CrossRefGoogle ScholarPubMed
Emmelkamp, P. M. G. & de Lange, I. (1983) Spouse involvement in the treatment of obsessive–compulsive patients. Behaviour Research and Therapy, 21, 341–346.Google Scholar
Emmelkamp, P. M. G., van Linden van den Heuvell, C., Rüphan, M., et al (1989) Home-based treatment of obsessive–compulsive patients: intersession interval and therapist involvement. Behaviour Research and Therapy, 27, 89–93.CrossRefGoogle ScholarPubMed
Foa, E. B., Steketee, G. & Ozarow, B. J. (1985) Behavior therapy with obsessive–compulsives: from theory to treatment. In Obsessive–compulsive Disorders (eds M. Mavisakalian, S. M. Turner & L. Michelson). New York: Plenum.Google Scholar
Hafner, R. J. (1982) Marital interaction in persisting obsessive–compulsive disorders. Australian and New Zealand Journal of Psychiatry, 16, 171–178.Google Scholar
Hand, I., Spoehring, B. & Stanik, E. (1977) Treatment of obsessions, compulsions and phobias as hidden couple-counseling. In The Treatment of Phobic and Obsessive–Compulsive Disorders (eds J. C. Boulougouris & A. D. Rabavilas). New York: Pergamon Press.Google Scholar
Hand, I. & Tichatzky, M. (1977) Behavioral group therapy for obsessions and compulsions. In Trends in Behavior Therapy, (eds P. O. Sjöden, S. Bates & S. W. Dockens). New York: Academic Press.Google Scholar
Himadi, W. G., Cerny, J. A., Barlow, D. H., et al (1986) The relationship of marital adjustment to agoraphobia treatment outcome. Behaviour Research and Therapy, 24, 107–115.Google Scholar
Hoogduin, C. A. L. & Duivenvoorden, H. (1988) A decision model in the treatment of obsessive–compulsive neurosis. British Journal of Psychiatry, 152, 516–521.CrossRefGoogle Scholar
Hoogduin, C. A. L., Duivenvoorden, H., Schaap, C., et al (1989) On the outpatient treatment of obsessive–compulsives: outcome, prediction of outcome and follow-up. In Annual Series of European Research in Behavior Therapy, Vol. IV. Fresh Perspectives on Anxiety Disorders (eds P. M. G. Emmelkamp et al). Amsterdam: Swets.Google Scholar
Lange, A. (1984) Interactionele Probleem Oplossings Vragenlijst (IPOV). Deventer: Van Loghum Slaterus.Google Scholar
Marks, I. M. (1987) Fears, Phobias, and Rituals. Oxford: Oxford University Press.Google Scholar
Miller, B. C. (1976) A multivariate developmental model of marital satisfaction. Journal of Marriage and the Family, 38, 643–657.CrossRefGoogle Scholar
Milton, F. & Hafner, J. (1979) The outcome of behavior therapy for agoraphobia in relation to marital adjustment. Archives of General Psychiatry, 36, 581–595.CrossRefGoogle ScholarPubMed
Monteiro, W., Marks, I. M. & Ramm, E. (1985) Marital adjustment and treatment outcome in agoraphobia. British Journal of Psychiatry, 149, 383–390.Google Scholar
O'Brien, R. G. & Kaiser, M. K. (1985) MANOVA method for analyzing repeated measures designs: an extensive primer. Psychological Bulletin, 97, 316–333.Google Scholar
Rachman, S. J. & Hodgson, R. J. (1980) Obsessions and Compulsions. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
Spanier, G. B. (1976) Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15–28.CrossRefGoogle Scholar
Spielberger, C. D. (1980) Preliminary Manual for the State-Trait Personality Inventory (STPI). Unpublished manuscript, Tampa University of South Florida.Google Scholar
Spielberger, C. D., Gorsuch, R. L. & Lushene, R. E. (1970) Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologists Press.Google Scholar
Stern, R. S. & Marks, I. M. (1973) Contract therapy in obsessive–compulsive neurosis with marital discord. British Journal of Psychiatry, 123, 681–684.Google Scholar
van den Hout, M., Emmelkamp, P. M. G. & Kraaykamp, H. J. M. (1988) Behavioural treatment of obsessive–compulsives: inpatient versus outpatient. Behaviour Research and Therapy, 26, 331–332.Google Scholar
Zung, W. W. K. (1965) A self-rating depression scale. Archives of General Psychiatry, 12, 63–70.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.