Stress
Conditions
Keywords
couples stress, health, psychology
Brief summary
This study will compare the effect of three different stress reduction intervention techniques compared to a non-intervention control group on the psychological and relationship functioning in 40 romantic couples. The current study will serve two purposes. Results will inform future efforts to develop effective brief stress reduction interventions for physically healthy couples and will inform future iterations of stress reduction-based intervention for cancer patients and their caregivers. The investigators hypothesize that couples in the three stress-reduction interventions will report greater relationship health and greater mindfulness after the intervention than couples in the non-intervention control group. The investigators also hypothesize that the stress-reduction groups will be most beneficial for individuals who report higher distress, indifferent relationship style, and insecure attachment at baseline.
Detailed description
Participants will be randomly assigned to one of four conditions, each of which involve participating in two 45-minute sessions (via Zoom) with a study interventionist. Sam Houston State University (SHSU) clinical psychology master's or doctoral students or graduates of the SHSU clinical psychology master's program will implement the mind-body intervention, under the supervision of Dr. Chelsea Ratcliff, who is a licensed psychologist. Dr. Ratcliff will provide weekly group supervision to all students implementing the treatment. Participation in this study will last a total of 6 weeks (+/- 1 week). The T1 survey will last approximately 45 minutes. Within 1 week of both partners completing baseline, eligible dyads will be scheduled for Session 1. For the intervention, all participants will be emailed a PDF of the appropriate workbook prior to Session 1. Participants will also be informed that they may pick up a hard copy (printed version). For participants in the stress-reduction groups, after each session the interventionist will send each participant an email with: 1) the audio recording of the appropriate guided stress-reduction activity (transcript provided in workbook), 2) a fillable PDF document with instructions regarding completing and documenting home-practice, and 3) a link to a Qualtrics survey that asks them to evaluate their experience in the session. The instructor will also inform participants that they may pick up hard copies of all session materials if it is convenient/preferable. For participants in the non-intervention control group, the interventionist will email each participant a link to a Qualtrics survey that asks them to evaluate their experience in the session. Session 2 will take place approximately 1 week after Session 1. After completing session 2, the interventionist will send a link to another Qualtrics survey that asks them to evaluate their experience in the session. Within 1 week of completing Session 2, both members of the dyad will be emailed the link to the second Qualtrics survey (T2), which will last approximately 30 minutes. Finally, within 1 month (+/- 1 week) of completing Session 2, both members of the dyad will be emailed the third Qualtrics survey (T3), which will last approximately 20 minutes.
Interventions
BEHAVIORALMindfulness Compassion (MC)
The interventionist will review the tools the couples had learned over the course of this program and help them proactively identify strategies to continue to implement them into their lives. Couples will receive instructions on how to continue with this program when no longer meeting with the interventionist.
BEHAVIORALMindfulness Gratitude (MG)
The interventionist will review the tools the couples had learned over the course of this program and help them proactively identify strategies to continue to implement them into their lives. Couples will receive instructions on how to continue with this program when no longer meeting with the interventionist.
BEHAVIORALMindfulness Value-Based Living (MV)
The interventionist will review the tools the couples had learned over the course of this program and help them proactively identify strategies to continue to implement them into their lives. Couples will receive instructions on how to continue with this program when no longer meeting with the interventionist.
Sponsors
Sam Houston State University
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
Participants will not be informed of their group condition, i.e., MC, MG, MV, or AC.
Intervention model description
The intervention conditions are divided into Mindfulness + Compassion (MC), Mindfulness + Gratitude (MG), Mindfulness + Value-Based Living (MV), and Attention Control (AC)) on Mindfulness (FFMQ).
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
ADULT ROMANTIC COUPLES in a relationship for a minimum of 6 months COHABITATING for a minimum of 6 months STRESS. At least one member of the romantic dyad reports stress above the normative mean for young adults (i.e., Perceived Stress Scale score \> 17; Cohen & Janicki-Deverts, 2012).
Exclusion criteria
INDIVIDUALS UNDER AGE 18: This study only involves adult participants. NON-ENGLISH SPEAKING INDIVIDUALS: This study only involves participants who can speak English. ATTENDING PSYCHOTHERAPY: This stud only involves individuals who are not currently (self-defined) participating in psychotherapy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perceived Stress Scale | Within 1 week of treatment ending | Perceived Stress Scale (PSS) (Cohen & Janicki-Deverts, 2012) is a 10-item scale to measure stress. Scores range from 0-40, with higher scores indicating greater perceived stress |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dyadic Adjustment Scale Total Score | within 1 week of treatment ending | Dyadic Adjustment Scale (DAS-7) (Hunsley, Best, Lefebvre, & Vito, 2001; Spanier, 1976) is a 7-item scale designed to measure adjustment and satisfaction among married or cohabitating couples. Scores range from 0 to 36, with a higher score indicating more positive relationship quality. It has been used in sample of college-aged couples in previous literature. |
| Five Facet Mindfulness Scale Total Score | Within 1 week of treatment completion | Five Facet Mindfulness Scale (FFMQ) (Baer, Smith, Hopkins, Krietemeyer, & Toney, 2006) is a 39-item scale based on a factor analytic study of five independently developed mindfulness questionnaires, which yielded five factors of mindfulness: observing, describing, acting with awareness, non-judging of inner experience, and non-reactivity to inner experience. Total scores range from 39-196 with higher scores indicating greater trait mindfulness. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Acceptance & Action Questionnaire-II Total Score | Within 1 week of treatment completion | Acceptance & Action Questionnaire-II (AAQ-II), a 10 question measure of psychological flexibility (Bond et al., 2011). Scores range from 20-70, with higher scores representing greater psychological flexibility. |
| Medical Outcomes Study 36-item Short-Form Survey (SF-36) Mental Component Summary (MCS) | Within 1 week of treatment completion | Mental health-related QOL will be assessed with the Medical Outcomes Study 36-item short-form survey (SF-36) mental component summary.(Ware, Johnston, Davies-Avery, & al, 1994). Scores range from 0-100, with higher scores indicating better mental health-related QOL. |
| Center for Epidemiologic Studies Depression Scale | Within 1 week of treatment completion | Center for Epidemiologic Studies Depression Scale (CES-D; Radloff, 1977) a 20-item self-report measure of depression. Scores range from 0-60 with higher scores indicating greater depression symptoms. |
| Medical Outcomes Study 36-item Short-Form Survey (SF-36) Physical Component Summary (PCS) | Within 1 week of treatment completion | Physical health-related QOL will be assessed with the Medical Outcomes Study 36-item short-form survey (SF-36) Physical Component Summary (Ware, Johnston, Davies-Avery, & al, 1994). Scores range from 0-100, with higher scores indicating better physical health-related QOL. |
Countries
United States
Outcome results
None listed