Addressing a Mental Health Intervention Gap in Juvenile Detention: A Pilot Study.

Research suggests that 60-70% of adolescents detained in the juvenile justice system meet criteria for a mental health disorder compared to 20% of the general adolescent population; however, the vast majority do not receive services. Unfortunately, mental health symptoms often worsen during detainment, and detainment is linked to lower levels of educational attainment and increased risk of adult recidivism. Thus, not only are these adolescents unlikely to receive needed mental health care, but also the lack of interventions in detention may exacerbate inequities of contact with the criminal justice system in adulthood. In addition to these youth being an underserved population broadly, youth of color are also disproportionately incarcerated compared to their white counterparts. The current paper describes results of a pilot study of an Acceptance and Commitment Therapy (ACT)-based behavioral skills intervention, aimed at providing evidence-based mental health treatment for an adolescent population at risk of long-term adverse mental health outcomes. The study included 128 males aged 14-17 who resided in juvenile detention. Results demonstrated that the intervention was acceptable to participants, feasible to provide in detention, and could be implemented with fidelity and competency. Intervention participants demonstrated declines in symptoms of mental health, and ACT-specific constructs of experiential avoidance, cognitive fusion, and perceived barriers to moving toward their values. These results have important implications for the possibility of an effective intervention that could disrupt systemic inequity in youth mental health, and thus support further testing of this intervention in a randomized controlled trial.

Covariations among attachment, attributions, self-esteem, and psychological aggression in early marriage.

The associations between insecure attachment (anxious and avoidant dimensions), maladaptive relational attributions, self-esteem, and psychological aggression were examined in a sample of couples (N = 96 couples) across the early years of marriage. Studying these constructs within a single sample is a novel contribution to the literature. Attachment was assessed at marriage, whereas maladaptive attributions, self-esteem, and psychological aggression were evaluated annually over the first 7 years of marriage. For the present study, specific maladaptive relational attributions about the spouse's hypothetical aggressive behavior were investigated. Data from both spouses were examined simultaneously using growth curve analytic and actor-partner interdependence modeling techniques. Results indicated that self locus attributions (i.e., attributing the cause of the spouse's hypothetical aggressive behavior to the self), intentionality attributions (i.e., attributing the spouse's motivation for the hypothetical behavior as intentional), and self-esteem were predicted by insecure attachment and covaried longitudinally with psychological aggression. Husbands' self-esteem and wives' intentionality attributions were particularly consistent in these associations. The results replicate and extend previous research by examining these constructs using a longitudinal dyadic approach. The findings of this study provide specific targets for intervention efforts to reduce psychological aggression and support conceptualizing psychological aggression within a dyadic and dynamic framework. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Ending the silo effect: A test of the relational domain spillover model.

Couple interventions are limited in their effectiveness for reducing marital distress and dissolution. One explanation for this may be the narrow focus on conflict management and a limited understanding of how other domains in marriage influence one another over time. We present the first test of the relational domain spillover model (RDSM) to understand the extent to which poor functioning in either positive or negative areas of the relationship spill over into other aspects of relationship functioning across time. Husbands and wives reported annually on the quality of five relationship domains (emotional intimacy, sex, support, power/control, and conflict) over the first seven years of marriage. Longitudinal dyadic multilevel modeling techniques were used to examine how domains change over time and how earlier declines in positive areas of couple functioning predict later problems in negative areas of couple functioning and vice versa. We found support for both directions of the RDSM model. Earlier declines in sexuality and support predicted later declines in conflict, and, for wives, earlier declines in couple sexuality were linked to later control issues. Earlier declines in conflict communication and control predicted later problems with emotional intimacy. For men, longitudinal associations between sexuality and conflict, and control, were bidirectional. These findings point to the need to move toward a multi-dimensional, dynamic conceptualization of relationship functioning across time and the importance of focusing on different relational domains as targets for couple interventions.

A controlled trial of two mind-body interventions for grief in widows and widowers.

Objective: Following bereavement, yearning and grief rumination are repetitive cognitive processes that can lead to disordered grief. Mindfulness training (MT) has been shown to reduce maladaptive repetitive thought. The current quasi-randomized controlled trial examined the feasibility, acceptability, and preliminary efficacy of MT for bereavement-related grief. Method: Ninety-five widow(er)s (Mage = 67.5, 79% women, 98% White) between 6 months to 4 years post-loss were assigned to a 6-week MT intervention or a progressive muscle relaxation (PMR) intervention, or a wait-list condition. Outcome measures were grief severity (Revised Inventory of Complicated Grief), yearning (Yearning in Situations of Loss), rumination (Utrecht Grief Rumination Scale), and decentering (Experiences Questionnaire-Decentering) assessed at baseline, Weeks 2 and 4 of intervention, post-intervention, and 1-month post-intervention. Growth curve analysis examined group differences in rates of improvement in outcomes through follow-up and associations with improvement in grief severity. Results: The MT and PMR groups showed significant rates of decline in grief severity and yearning, though only the PMR group showed a greater rate of decline in grief severity than wait-list. All groups showed significant rates of decline in grief rumination. The PMR and wait-list groups showed significant rates of increase in decentering compared to the MT group. Conclusions: Results support the feasibility and acceptability of MT and PMR for widow(er)s as well as the preliminary efficacy of PMR for improving grief severity in widow(er)s compared to a wait-list control condition. With replication, PMR could be a standalone intervention for non-disordered grief or a component of treatment for disordered grief. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Comparing recidivism rates among domestically violent men enrolled in ACTV versus Duluth/CBT.

Objective: The goal of the present study was to replicate and extend published preliminary evidence demonstrating that a relatively new treatment (Achieving Change through Value-Based Behavior [ACTV]) for men convicted of domestic violence significantly reduces recidivism compared to the standard treatment offered across the United States (the Duluth Model and/or cognitive-behavioral approaches). Method: Men convicted of domestic assault (DA) and court-mandated to a Batterers Intervention Program [N = 725; Mage = 34.9 years (SDage = 10.37 years)] were assigned to attend ACTV or treatment-as-usual (TAU). Participants were predominantly Black (63.3%). Recidivism, defined as any new convictions, any violent convictions, and any DA convictions, was examined up to 5 years posttreatment. Only men classified as medium or high risk were included. Results: Men in TAU were more likely to receive any conviction (95% CI [1.61, 4.40]), a violent conviction (95% CI [1.67, 9.60]), and a DA conviction (95% CI [1.36, 4.90]) compared to men in ACTV. Time to new conviction posttreatment was shorter for men in TAU versus ACTV (95% CI [2.16, 4.11]). Finally, the risk of receiving any new conviction (95% CI [1.46, 7.11]) was more strongly associated with noncompletion for TAU than ACTV participants. Conclusions: ACTV shows great promise for reducing recidivism compared to TAU. The present study represents the first time this intervention has been implemented in a state other than where it was developed and provides initial evidence for its generalizability and robustness. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Understanding the perception of stakeholders in reducing adolescent-to-parent violence/aggression.

INTRODUCTION: Adolescent-to-parent violence/aggression (APV/A) is an understudied yet increasingly common social problem for adolescents and families, particularly those involved in the juvenile justice system. The current study focused on improving interventions for this population by gathering qualitative data from stakeholders to inform treatment targets. METHODS: Participants (N = 23) comprised of court professionals (n = 7), parents/guardians (n = 9), and their male adolescent children (n = 7) in the United States. Parent and adolescent participants were recruited through monthly court-mandated domestic violence education classes offered by the juvenile court. Parent/guardian participants were between the ages of 38 and 77 and consisted of four males and five females. Adolescents were between the ages of 14 and 17. Court professional participants consisted of judges, probation officers, and court psychologists. Semi-structured interviews were analyzed qualitatively using grounded theory. RESULTS: Results indicated that, from the perspective of key stakeholders, an effective intervention to reduce APV/A likely involves a two-pronged approach: (1) address specific and theoretically modifiable emotional, behavioral, and psychological factors at the adolescent-level; and (2) induce change in the family system by addressing environmental barriers to seeking treatment and by creating positive family relationships. CONCLUSIONS: The present study aimed to gather the perspectives of court professionals, adolescents, and parents/guardians regarding the development of an effective intervention for APV/A-involved families. This study represents the first step toward the development of a feasible, acceptable, sustainable, and effective intervention for adolescents and their families who are involved in the juvenile justice system due to APV/A.

Multidisciplinary partnership: Targeting aggression and mental health problems of adolescents in detention.

Justice-involved adolescents meet diagnostic criteria for mental health disorders at much higher rates than their counterparts, and this increased risk persists into young adulthood (Abram et al., 2015; Teplin, Abram, McClelland, Dulcan, & Mericle, 2002). Despite growing recognition of this problem, there remains a dearth of adequate therapeutic services in juvenile detention and marked variation in the quality and availability of community-based services (Kretschmar, Butcher, Flannery, & Singer, 2016). This article presents the development of a multidisciplinary partnership among clinical research psychologists and court professionals to address aggressive behaviors and unmet mental health needs of adolescents in the juvenile justice system. We describe the early stages of collaboration, in which experts from disparate disciplines joined forces to address a mounting problem in the juvenile justice system that represented both a gap in the research-practice continuum and a lack of vital mental health resources in the local community. We delineate the team composition, outline key players' roles and contributions, and describe the principles that guided our collaboration across disciplines and agencies. We were effective in developing a sustainable multidisciplinary team, developing a new intervention, and implementing this new intervention in a challenging setting. The challenges we encountered throughout the process as well as the solutions that were generated and the lessons learned are discussed in detail. We discuss the substantive outcomes of our research and conclude with recommendations for readers interested in organizing similar academic-research/community partnerships. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

The Dynamic Interplay Between Satisfaction With Intimate Relationship Functioning and Daily Mood in Low-Income Outpatients.

Substantial research supports bidirectional links between intimate relationship discord and individual psychopathology, including depressive symptoms. However, few studies have utilized daily diary methods to capture the micro-level processes underlying the association between couple discord and depression, particularly among populations that are at elevated risk for both interpersonal and individual dysfunction. To address this gap, we examined whether daily changes in satisfaction with relationship functioning were associated with daily changes in negative affect and positive affect over the span of 2 weeks among mental health outpatients of low socioeconomic status. Participants were 53 low-income outpatients from community mental health clinics who completed a semi-structured interview about the quality of their intimate relationships followed by 14 daily reports of positive and negative mood and satisfaction with relationship functioning across several domains. Growth curve analytic techniques revealed the hypothesized bidirectional relations. Decline in satisfaction with relationship functioning predicted escalation in negative affect and deterioration in positive affect over 2 weeks, and deterioration of mood predicted declining satisfaction with relationship functioning. This study extends existing knowledge about couple dysfunction and individual psychopathology by highlighting the immediate nature of this dynamic process as it unfolds over time.

Gran cantidad de investigaciones respaldan las conexiones bidreccionales entre los desacuerdos en las relaciones afectivas y la psicopatología individual, incluidos los síntomas depresivos. Sin embargo, pocos estudios han utilizado los métodos de registro diario para captar los procesos a pequeñísima escala que subyacen a la asociación entre el desacuerdo entre las parejas y la depresión, particularmente entre poblaciones que tienen un riesgo elevado de disfunción interpersonal e individual. Para abordar esta brecha, analizamos si los cambios diarios en la satisfacción con el funcionamiento de la relación estuvieron asociados con los cambios diarios en el afecto negativo y el afecto positivo durante el periodo de dos semanas entre los pacientes ambulatorios de salud mental de bajo nivel socioeconómico. Los participantes fueron 53 pacientes ambulatorios de bajos ingresos de clínicas comunitarias de salud mental que se sometieron a una entrevista semiestructurada acerca de la calidad de sus relaciones afectivas seguida de 14 informes diarios de estado de ánimo positivo y negativo y de satisfacción con el funcionamiento de la relación en varias áreas. Las técnicas analíticas de la curva de crecimiento revelaron las relaciones bidireccionales planteadas como hipótesis. La disminución de la satisfacción con el funcionamiento de la relación predijo un aumento del afecto negativo y un deterioro del afecto positivo durante dos semanas, y el deterioro del estado de ánimo predijo una disminución de la satisfacción con el funcionamiento de la relación. Conclusiones: Este estudio amplía el conocimiento existente sobre la disfunción en la pareja y la psicopatología individual destacando la índole inmediata de este proceso dinámico a medida que se desarrolla poco a poco con el tiempo.

Physical aggression, compromised social support, and 10-year marital outcomes: Testing a relational spillover model.

The purpose of the present study was to test a relational spillover model of physical aggression whereby physical aggression affects marital outcomes due to its effects on how spouses ask for and provide support to one another. Newlywed couples (n = 172) reported levels of physical aggression over the past year and engaged in interactions designed to elicit social support; marital adjustment, and stability were assessed periodically over the first 10 years of marriage. Multilevel modeling revealed that negative support behavior mediated the relationship between physical aggression and 10-year marital adjustment levels whereas positive support behavior mediated the relationship between physical aggression and divorce status. These findings emphasize the need to look beyond conflict when explaining how aggression affects relationships and when working with couples with a history of physical aggression who are seeking to improve their relationships.

Risk moderates the outcome of relationship education: a randomized controlled trial.

OBJECTIVE: To test whether the effects of relationship education programs generalize across couples regardless of their baseline levels of risk for relationship distress, or whether intervention effects vary systematically as a function of risk. The former result would support primary prevention models; the latter result would support a shift toward secondary prevention strategies. METHOD: Engaged and newlywed couples (N = 130) were randomized into 1 of 3 relationship education programs. Individual and relational risk factors assessed at baseline were tested as moderators of 3-year changes in relationship satisfaction, overall and in each of the 3 treatment conditions. RESULTS: Treatment effects varied as a function of risk, and more so with variables capturing relational risk factors than individual risk factors. High-risk couples (e.g., couples with lower levels of baseline commitment and satisfaction) tended to decline less rapidly in satisfaction than low-risk couples following treatment. Couples with acute concerns at baseline, including higher levels of physical aggression and alcohol use, benefitted less from intervention than couples without these concerns. Comparisons across treatment conditions indicate that couples with relatively high baseline satisfaction and commitment scores declined faster in satisfaction when assigned to an intensive skill-based intervention, as compared with a low-intensity intervention. CONCLUSIONS: Outcomes of skill-based relationship education differ depending on premarital risk factors. Efficient identification of couples at risk for adverse relationship outcomes is needed to refine future prevention efforts, and deploying prevention resources specifically to at-risk populations may be the most effective strategy for strengthening couples and families.

A randomized controlled trial of acceptance and commitment therapy for aggressive behavior.

OBJECTIVE: The objective of the current research was to test the efficacy of a group-based Acceptance and Commitment Therapy (ACT) intervention for partner aggression, compared with a support and discussion control group, in a clinical sample of adults. METHOD: One hundred one participants (mean age = 31; 68% female; 18% minority) who endorsed recently engaging in at least 2 acts of partner aggression were randomly assigned to receive ACT or a support-and-discussion control condition. Both interventions consisted of 12 weekly 2-hr sessions. Assessments at pretreatment, during treatment, posttreatment, and 3 and 6 months after treatment measured psychological aggression (Multidimensional Measure Emotional Abuse Scale [MMEA]), physical aggression (Conflict Tactics Scales [CTS-2]), experiential avoidance (Avoidance and Action Questionnaire [AAQ]), and emotion dysregulation (Difficulties in Emotion Regulation Scale [DERS]). RESULTS: RESULTS of growth curve modeling analyses demonstrated that participants in the ACT group had significantly greater declines in psychological and physical aggression from pre- to posttreatment and from pretreatment to follow-up and that 6-month treatment outcomes were partially mediated by levels of experiential avoidance and emotion dysregulation at posttreatment. CONCLUSIONS: The results of this first trial of ACT for aggressive behavior indicate that the ACT group significantly reduced both physical and psychological aggression and that these changes were significantly greater than those of the control group, suggesting that an ACT approach to aggression may serve as an efficacious treatment for aggression.

Marital Processes, Neuroticism, and Stress as Risk Factors for Internalizing Symptoms.

OBJECTIVE: Marital discord has a robust association with depression, yet it is rarely considered within broader etiological frameworks of psychopathology. Further, little is known about the particular aspects of relationships that have the greatest impact on psychopathology. The purpose of the present study was to test a novel conceptual framework including neuroticism, specific relationship processes (conflict management, partner support, emotional intimacy, and distribution of power and control), and stress as predictors of internalizing symptoms (depression and anxiety). METHOD: Questionnaire and interview data were collected from 103 husbands and wives 5 times over the first 7 years of marriage. RESULTS: Results suggest that neuroticism (an expression of the underlying vulnerability for internalizing disorders) contributes to symptoms primarily through high levels of non-marital stress, an imbalance of power/control in one's marriage, and poor partner support for husbands, and through greater emotional disengagement for wives. CONCLUSIONS: Marital processes, neuroticism, and stress work together to significantly predict internalizing symptoms, demonstrating the need to routinely consider dyadic processes in etiological models of individual psychopathology. Specific recommendations for adapting and implementing couple interventions to prevent and treat individual psychopathology are discussed.

Intrapersonal, interpersonal, and contextual risk factors for overprovision of partner support in marriage.

Recent research indicates that receiving too much support from one's spouse (i.e., overprovision of support) is actually more detrimental to marriage than not receiving enough support. The principal goal of the present study was to develop a novel framework for explaining the pathways through which couples experience overprovision of support in their marriages. Intrapersonal factors (anxious and avoidant attachment), interpersonal factors (conflict management and emotional intimacy), and contextual factors (stress originating outside of the marriage) were assessed during the transition into marriage as potential risk factors for experiencing higher levels of support overprovision during the first 5 years of marriage in a sample of 103 couples using growth curve analytic techniques. To the extent that (a) husbands were higher in avoidant attachment, (b) husbands reported greater chronic role strain, and (c) couples had lower levels of emotional intimacy, support overprovision was greater for both husbands and wives. In addition, emotional intimacy (lower levels) was a partial pathway through which husband avoidant attachment contributed to support overprovision. Finally, factors placing couples at risk for support overprovision in their marriages appear to be distinct from those increasing the risk for support underprovision. The potential for results to inform contemporary marital theories and marital preparation programs is discussed.

Internalizing and externalizing symptoms in young children exposed to intimate partner violence: examining intervening processes.

Children's emotion dysregulation, children's appraisals, maternal psychological functioning, and harsh discipline were investigated as potential mediators in the putative link between exposure to intimate partner violence and poor child outcomes. Participants included 132 children ages 6-8 and their mothers who had been enrolled in a longitudinal study of parenting and children's social development. The mothers were receiving some form of government-based economic assistance or other social services, and were currently involved in a romantic relationship. Results of structural equation modeling indicated children's emotion dysregulation mediated the links between exposure to intimate partner violence (IPV) and both internalizing and externalizing problems. Harsh discipline mediated the link between exposure to IPV and externalizing, but not internalizing, symptoms. Child appraisals and maternal psychological functioning mediated the link between exposure to IPV and internalizing, but not externalizing, symptoms.

Is skills training necessary for the primary prevention of marital distress and dissolution? A 3-year experimental study of three interventions.

OBJECTIVE: Evidence in support of skill-based programs for preventing marital discord and dissolution, while promising, comes mainly from studies using single treatment conditions, passive assessment-only control conditions, and short-term follow-up assessments of relationship outcomes. This study overcomes these limitations and further evaluates the efficacy of skill-based programs. METHOD: Engaged and newlywed couples (N = 174) were randomly assigned to a 4-session, 15-hr small-group intervention designed to teach them skills in managing conflict and problem resolution (PREP) or skills in acceptance, support, and empathy (CARE). These couples were compared to each other, to couples receiving a 1-session relationship awareness (RA) intervention with no skill training, and to couples receiving no treatment on 3-year rates of dissolution and 3-year trajectories of self-reported relationship functioning. RESULTS: Couples in the no-treatment condition dissolved their relationships at a higher rate (24%) than couples completing PREP, CARE, and RA, who did not differ on rates of dissolution (11%). PREP and CARE yielded unintended effects on 3-year changes in reported relationship behaviors. For example, wives receiving PREP showed slower declines in hostile conflict than wives receiving CARE, and husbands and wives receiving CARE showed faster declines in positive behaviors than husbands and wives receiving PREP. CONCLUSIONS: These findings highlight the potential value of cost-effective interventions such as RA, cast doubt on the unique benefits of skill-based interventions for primary prevention of relationship dysfunction, and raise the possibility that skill-based interventions may inadvertently sensitize couples to skill deficits in their relationships.

"Don't stand so close to me": an attachment perspective of disengagement and avoidance in marriage.

Theory and research support a link between disengaging or avoidant communication and global marital distress; however, questions remain regarding individual differences and situational influences associated with partners' tendency to disengage. Guided by an attachment framework, this study addressed two aims. The first aim was to replicate and extend previous research that has found mixed support for a link between higher attachment avoidance and more disengaging or avoidant behaviors during conflict interactions. To accomplish this aim, the authors examined two moderators of this link. The second aim was to clarify the relation between avoidant attachment and disengaging behaviors across two relationship contexts central to both the attachment and marital literatures-couples' conflictual and supportive interactions. In addressing these aims the authors proposed two hypotheses: first, spouses with higher attachment avoidance would be more disengaged during interactions in which their partners evidenced greater negative affect; second, spouses with higher attachment avoidance would be more disengaged during conflict interactions that they perceived as more destructive. Couples were assessed annually over 5 years. Aims were addressed both cross-sectionally and longitudinally and via questionnaire and behavioral observation data. During both conflictual and supportive interactions, wives' negative affect predicted husbands' disengagement when husbands were higher on avoidant attachment. Longitudinally, the link between husbands' perceptions of their couple conflict as destructive and husbands' conflict avoidance was stronger for husbands who were higher on attachment avoidance. Theoretical and clinical implications are discussed.

Psychological victimization as a risk factor for the developmental course of marriage.

The relative influences of psychological versus physical aggression on marital distress and dissolution were investigated in 102 community couples using growth curve modeling techniques. Both spouses were assessed six times over the first 7 years of marriage. For both husbands and wives, psychological aggression was significantly more detrimental to marital satisfaction than physical aggression, and only husbands' psychological aggression predicted dissolution. Additionally, psychological aggression and marital satisfaction trajectories demonstrated bidirectional influences. Among subtypes of psychological aggression, restrictive engulfment (social isolation and control) was uniquely detrimental to husbands' marital satisfaction, whereas denigration (belittling) was particularly detrimental for wives. Recommendations are provided for ways of conducting more comprehensive and nuanced assessments of psychological aggression and for clarifying the relative and additive influences of psychological and physical aggression in normative relationships.

Internet administration of paper-and-pencil questionnaires used in couple research: assessing psychometric equivalence.

This study examined the psychometric equivalence of paper-and-pencil and Internet formats of key questionnaires used in couple research. Self-report questionnaires assessing interpersonal constructs (relationship satisfaction, communication/conflict management, partner support, emotional intimacy) and intrapersonal constructs (individual traits, psychological symptoms, contextual influences) were administered to young adults in committed dating relationships. The same measures were administered twice via paper-and-pencil and/or Internet methods over a 2-week period. Method order was counterbalanced among participants, and temporal stability was controlled. Intrapersonal and interpersonal measures generally remained reliable when administered online and demonstrated quantitative and qualitative equivalence across methods. The implications of online administration of questionnaires are discussed, and specific recommendations are made for researchers who wish to transition to online data collection.

Marriage as a risk factor for internalizing disorders: clarifying scope and specificity.

OBJECTIVE: Marital discord has been linked to both depression and anxiety; however, our understanding of how marriage contributes to the development of internalizing symptoms is limited in scope and lacking specificity. First, it is unclear whether the marital relationship contributes to the broad dimension of internalizing symptoms as opposed to specific diagnoses. Second, it is unclear how the marital relationship contributes to internalizing symptoms: through global marital dissatisfaction or through specific relationship processes (and which processes). The purpose of the present study was to address these 2 issues and, more generally, to develop a comprehensive and refined framework within which to understand the role of marriage in the developmental course of internalizing symptoms. METHOD: Questionnaire and interview data were collected from 102 husbands and wives 5 times over the first 7 years of marriage. RESULTS: Results indicated that marital discord during the transition into marriage was associated with the broad dimension of internalizing symptoms for husbands but not for wives. Further, both global marital dissatisfaction and an imbalance of power and control put husbands at significant risk for symptoms over the first 7 years of marriage, whereas low levels of emotional intimacy put wives at significant risk. CONCLUSIONS: Results exemplify the need to routinely consider intimate relationship processes in etiological models of depression and anxiety and to identify specific clinical targets that can be prioritized in interventions aimed at preventing internalizing disorders.

The Relationship Quality Interview: evidence of reliability, convergent and divergent validity, and incremental utility.

Relationship satisfaction and adjustment have been the target outcome variables for almost all couple research and therapies. In contrast, far less attention has been paid to the assessment of relationship quality. The present study introduces the Relationship Quality Interview (RQI), a semistructured, behaviorally anchored individual interview. The RQI was designed to provide a more objective assessment of relationship quality as a dynamic, dyadic construct across 5 dimensions: (a) quality of emotional intimacy in the relationship, (b) quality of the couple's sexual relationship, (c) quality of support transactions in the relationship, (d) quality of the couple's ability to share power in the relationship, and (e) quality of conflict/problem-solving interactions in the relationship. Psychometric properties of RQI ratings were examined through scores obtained from self-report questionnaires and behavioral observation data collected cross-sectionally from a sample of 91 dating participants and longitudinally from a sample of 101 married couples. RQI ratings demonstrated strong reliability (internal consistency, interrater agreement, interpartner agreement, and correlations among scales), convergent validity (correlations between RQI scale ratings and questionnaire scores assessing similar domains of relationship quality), and divergent validity (correlations between RQI scale ratings and (a) behavioral observation codes assessing related constructs, (b) global relationship satisfaction scores, and (c) scores on individual difference measures of related constructs). Clinical implications of the RQI for improving couple assessment and interventions are discussed.