Abstract
The relationship between marital adjustment and behavioral treatment of agoraphobia was examined for 42 agoraphobic women and their spouses. The husbands of 28 of these women were directly involved and active participants in the treatment process, while the spouses of the remaining 14 agoraphobics did not attend treatment sessions. Results revealed that level of pretreatment marital adjustment was independent of treatment outcome for agoraphobia and treatment-produced improvement in phobic symptomatology led to an overall improvement in marital satisfaction. Furthermore, no deleterious treatment effects on spouses' psychological functioning were evident. These data suggest that spouse involvement in treatment, the use of a graduated, exposure-based treatment and more effective communication patterns between marital partners may preclude the negative effects on treatment outcome from a preexisting problematic marriage as well as any negative impact on the marriage from improvement in the client's phobic symptomatology.
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