The effects of marital adjustment and spouse involvement on the behavioral treatment of agoraphobia: A meta-analytic review

Abstract

In a meta-analysis of 12 recently published therapy outcome studies, the effects of marital distress and spouse-involved therapy on the outcome of exposure-based treatments for agoraphobiawere evaluated. Analyses indicated that the better the pre-treatment marital functioning of the patient, the greater the reduction in agoraphobic symptomatology up to one year following treatment. The effectiveness of spouse-involved exposure treatment, at least as currently practiced, was not found to be significantly different from the effectiveness of the more commonly used spouse-noninvolved exposure treatments. Specific research suggestions which may assist in providing a better understanding of the relations among agoraphobia, marital functioning, treatment modality, and treatment outcome are offered. In addition, we present guidelines for the conduct and reporting of future agoraphobia treatment research.