Partner Accommodation Research Articles

Partner accommodation associations in intimate couples with posttraumatic stress disorder.

Partner accommodation associations in intimate couples with posttraumatic stress disorder.

Supplemental Material for Partner Accommodation Associations in Intimate Couples With Posttraumatic Stress Disorder

Supplemental Material for Partner Accommodation Associations in Intimate Couples With Posttraumatic Stress Disorder

Pretreatment relationship characteristics predict outcomes from an uncontrolled trial of intensive, multicouple group PTSD treatment.

Cognitive behavioral conjoint therapy for posttraumatic stress disorder (CBCT for PTSD; Monson & Fredman, 2012) is associated with improvements in patients' and partners' mental health and relationship satisfaction. Some pretreatment relationship characteristics have predicted CBCT for PTSD outcomes for patients, but findings were limited to a single community sample consisting primarily of female patients with male partners. A better understanding of whether pretreatment relationship characteristics predict outcomes in other patient populations and whether there are partners who may be particularly responsive to couple therapy for PTSD could optimize treatment matching. This study investigated whether pretreatment partner accommodation and relationship satisfaction predicted patient and partner treatment outcomes from an uncontrolled trial of an abbreviated, intensive, multicouple group version of CBCT for PTSD conducted with 24 active-duty military or veteran couples (96% male patients/female partners). In general, changes in patients' PTSD and comorbid symptoms and relationship satisfaction did not vary by pretreatment partner accommodation or patients' own pretreatment relationship satisfaction. In contrast, pretreatment relationship characteristics predicted partner outcomes. Partners who engaged in higher levels of accommodation pretreatment and partners who reported lower levels of pretreatment relationship satisfaction experienced greater declines in psychological distress following treatment. Also, partners who began the study relationally distressed exhibited significant increases in relationship satisfaction following treatment, whereas those who were not relationally distressed did not. Findings suggest that improvements generally do not vary by pretreatment relationship characteristics for patients, whereas partners who begin treatment with elevated relationship risk factors may be especially likely to experience improvement across outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Applying relational turbulence theory to examine partner (under)accommodation during conversations about relational stressors

AbstractUtilizing the prepositions of relational turbulence theory (RTT), the present study proposes that relational uncertainty and partner interference assessed before the conversation about a relational stressor may polarize perceptions of partner (under)accommodation during the conversation, and those perceptions may further associate with global evaluations of relationships as turbulent measured post conversation. Fifty heterosexual couples (100 individuals) participated in the pre‐survey, lab visit, and post‐survey. Findings uncovered that for men, perceptions of partner (under)accommodation mediated the association between relational uncertainty and relational turbulence, and perceptions of partner accommodation mediated the association between partner interference and relational turbulence. Further, for women, perceptions of partner underaccommodation mediated the association between relational partner interference and relational turbulence. The results extend the utility of RTT in examining perceptions of partners' (under)accommodative behaviors during conversations about relational stressors.

An exploration of potential pressures to engage in parenting accommodation of PTSD symptoms for military couples.

In the context of service member posttraumatic stress disorder (PTSD) symptoms, intimate partners may experience pressure to take over parenting roles and run interference between the service member and the children; that is, to engage in partner accommodation focal to parenting. The current study quantitatively assessed potential pressures to engage in parenting accommodation (PPEPA) in a sample of 207 female partners married to male service members with at least one child in the home and the convergence of PPEPA with service member PTSD symptoms, general partner accommodation, couple functioning, parenting, and child functioning. Partners' reports of PPEPA were associated with higher levels of service member PTSD symptoms and partners' general accommodation of PTSD symptoms. When controlling for service member PTSD symptoms and general partner accommodation, partner reports of PPEPA still accounted for unique variance in lower parenting alliance (as reported by both service member and partner), lower levels of service members' reports of closeness with children in the home, higher levels of harsh parenting by both the service member and partner, and greater child behavioral difficulties. Findings support PPEPA as related to partners' accommodative responses to PTSD but demonstrating unique associations with parenting alliance, parenting, and child outcomes. Parenting interventions in the context of PTSD may benefit from conjoint or family approaches that attend to the intersection of PTSD and broader family functioning, including pressures to engage in accommodation focal to the parenting domain.

Longitudinal Associations Among Service Members’ PTSD Symptoms, Partner Accommodation, and Partner Distress

Romantic partners’ accommodation of trauma survivors’ posttraumatic stress disorder (PTSD) symptoms (e.g., participating in avoidance and safety behaviors, not expressing one’s thoughts and feelings) is a putative mechanism linking PTSD symptoms and partner distress, but this hypothesis has never been empirically tested. The current study investigated this proposed within-couple mediation process from service members’ PTSD symptoms to partners’ depressive symptoms and relationship satisfaction through partner accommodation, as well as between-couple associations among these constructs and the possible moderating role of partners’ conflict avoidance and helplessness (CAH) motivations for accommodating service members’ PTSD symptoms. We examined these questions in 272 male service member/female civilian couples assessed four times over an 18-month period using the multiple-group version of the random intercept cross-lagged panel model. Within couples, service members’ higher levels of PTSD symptoms at one time point significantly predicted partners being more accommodating at the next time point (βs = .14–.19), which, in turn, significantly predicted higher levels of partner depressive symptoms at the subsequent time point (βs = .09–.19) but did not predict partners’ subsequent relationship satisfaction. At the between-couple level, partner accommodation was significantly positively associated with partners’ depressive symptoms only among those endorsing high CAH motivations for accommodation (r = .50). In addition, accommodation was significantly negatively associated with partners’ relationship satisfaction regardless of CAH motivation level (rs = −.43 to −.49). These findings are discussed in light of the potential for couple-based treatments for PTSD to enhance partner individual and relational well-being.

DIGITAL MARKETING FOR ACCOMMODATION SERVICE BUSINESSES IN BAWEAN ISLAND, GRESIK

Background: The success of developing a tourist village starts from the accommodation manager at a tourist site and depends on the level of acceptance and support of the local community. Local communities will later act as hosts and become important actors in the development of tourist villages in all stages, starting from planning, monitoring, and implementation so that their success will also be enjoyed with a multiplier effect on the surrounding community. However, tourists often do not get information because of the lack of promotion in the media about the condition of the tourist area and also the readiness of accommodation. Objective: To provide digital marketing training for accommodation service businesses on Bawean Island. Methods: The method used is training and mentoring related to what digital marketing is, the urgency of using digital marketing, how to compose interesting content, execution of social media usage and also making attractive social media layouts. Results: The result of this activity is the implementation of digital marketing in the partner accommodation business. This activity was also accompanied by the creation of a film concept about the activities of the community community in Bawean Island which was accurate. Conclusion: the community, in this case the business actors, is still traditional. They still really need information and knowledge about digital marketing promotion efforts. Therefore, this tourism training activity is important so that the knowledge and skills of the tourism business community will increase.

Relationship Beliefs and Communication Skills in Turkish Married Individuals: Examining the Mediating Role of Partner Accommodation Behavior and Emotional Dependency

In this study, the mediating role of partner accommodation behavior and emotional dependency in the relationship between relationship beliefs and communication skills was investigated. The study was carried out with 400 married participants. The results of the multiple analysis revealed that relationship belief, emotional dependency, and partner accommodation behavior had an 11.20% variance in communication skills. Relationship belief was associated with lower partner accommodation behavior and greater emotional dependency. Further analysis revealed that communication skills were significantly predicted by partner accommodation behavior but not predicted by emotional dependency. Additionally, the indirect effect of relationship belief on communication skills through partner accommodation behavior was significant. As a result, it has been achieved that partner accommodation behavior has a partial mediating role between the relationship beliefs and communication skills of married individuals. Possible explanations and the implications and limitations of the study were discussed.

Effectiveness of cognitive behavioral conjoint therapy for posttraumatic stress disorder (PTSD) in a U.S. Veterans Affairs PTSD clinic.

Cognitive behavioral conjoint therapy (CBCT) for posttraumatic stress disorder (PTSD) is a 15-session conjoint treatment for PTSD designed to improve PTSD symptoms and enhance intimate relationship functioning. Numerous studies of CBCT for PTSD document improvements in patient PTSD and comorbid symptoms, partner mental health, and relationship adjustment. However, little is known about its effectiveness in real-world clinical settings. Using an intention-to-treat sample of couples who participated in CBCT for PTSD in an outpatient U.S. Veterans Affairs (VA) PTSD clinic (N = 113), trajectories of session-by-session reports of veterans' PTSD symptoms and both partners' relationship happiness were examined. Across sessions, there were significant reductions in veteran-rated PTSD symptoms, d = -0.69, and significant increases in veteran- and partner-rated relationship happiness, ds = 0.36 and 0.35, respectively. Partner ratings of veterans' PTSD symptoms increased before significantly decreasing, d = -0.24. Secondary outcomes of veteran and partner relationship satisfaction, ds = 0.30 and 0.42, respectively; veteran and partner depressive symptoms, ds = -0.75 and -0.29, respectively; and partner accommodation of PTSD symptoms, d = -0.44, also significantly improved from pre- to posttreatment. The findings suggest that CBCT for PTSD was effective for decreasing PTSD and comorbid symptoms in veterans, as well as for improving relationship functioning and partners' mental health, among a sample of real-world couples seeking treatment in a VA PTSD specialty clinic.

Associations Between Service Members' Posttraumatic Stress Disorder Symptoms and Partner Accommodation Over Time.

When service members manifest symptoms of posttraumatic stress disorder (PTSD), intimate partners may engage in behaviors to accommodate their partners' experiences (e.g., helping service members avoid situations that could make them uncomfortable, not expressing own thoughts and feelings to minimize PTSD-related conflict), which may inadvertently serve to maintain or increase PTSD symptoms over time. In a sample of 274 male service member/female civilian couples, we evaluated hypothesized bidirectional pathways between self-reported service member PTSD symptoms and partner accommodation, assessed four times over an approximately 18-month period. A random-intercept cross-lagged panel model disaggregating between and within effects revealed that, on average, couples in which the service member had higher levels of total PTSD symptoms also scored higher in partner accommodation, between-couple correlation, r = .40. In addition, at time points when service members' PTSD symptoms were higher relative to their own average symptom level, their partners' level of accommodation was also higher than their personal average, within-couple correlation r = .22. Longitudinally, service member PTSD symptom scores higher than their personal average predicted subsequent increases in partner accommodation, β = .19, but not vice versa, β = .03. Overall, the findings indicate both stable and time-specific significant associations between service member PTSD symptoms and partner accommodation and suggest that higher levels of PTSD symptoms are a significant driver of later increases in partner accommodation. These findings add further support for treating PTSD in an interpersonal context to address the disorder and concomitant relational processes that can adversely impact individual and relational well-being.

Does Testosterone Influence Young Adult Romantic Partners' Accommodation During Conversations About Stressors?

Abstract The present study contributes to a growing line of research exploring the associations between physiology and communication behavior. Specifically, this study investigated the influence of testosterone (T) on perceptions of partners' accommodative and nonaccommodative behaviors during a conversation about a relational stressor, and their subsequent association with satisfaction with the conversation. One hundred individuals participated in the study, which included a pre-survey, lab visit, and post-survey. Results revealed that for women, T was negatively associated with perceived partner accommodation and satisfaction with the conversation. Findings uncovered significant mediation effects of women's perceived partner (non)accommodation, while revealing several partner effects. Furthermore, the study found that satisfaction with the conversation was positively predicted by partner accommodation and negatively predicted by partner nonaccommodation for both women and men. These results indicate the utility of communication accommodation theory in examining conflict conversations and imply that T may influence communicative behaviors during conversation about a relational stressor.

Harnessing the Healing Power of Relationships in Trauma Recovery: a Systematic Review of Cognitive-Behavioral Conjoint Therapy for PTSD

The goal of this systematic review was to examine the empirical literature on cognitive-behavioral conjoint therapy for PTSD (CBCT). The aims were to (1) review the efficacy of CBCT for PTSD, relationship satisfaction, and related symptoms; (2) describe novel adaptations to the treatment; and (3) identify potential moderators and mediators of treatment outcomes. A systematic search of peer-reviewed publications was conducted across three databases (PsycINFO, PubMed, and SCOPUS). Relevant publications were rated by two authors using a validated checklist. Fourteen articles met inclusion criteria. Quality ratings ranged from “fair” to “good”. The majority of studies were uncontrolled designs; no studies compared CBCT to an active control condition. Three studies adapted standard CBCT. Nearly all studies found improvements in patient- and partner-rated PTSD symptoms and patient depression, anxiety, and anger. Findings on relationship satisfaction and partner accommodation as outcomes were somewhat mixed. Baseline relationship satisfaction, partner accommodation, and social support moderated outcomes. Overall, CBCT has demonstrated initial efficacy for PTSD and comorbid problems. Future studies should examine moderators and mediators to answer how and for whom this treatment works. Controlled trials on novel adaptations to CBCT are also needed.

Partners’ motivations for accommodating posttraumatic stress disorder symptoms in service members: The reasons for accommodation of PTSD scale

Emerging research reinforces the importance of partner accommodation in the interpersonal context of posttraumatic stress disorder (PTSD). A better understanding of partners’ motivations for accommodation is needed to help refine or design interventions that target accommodation. To explore partners’ motivations, we created the Reasons for Accommodation of PTSD Scale (RAPS) and evaluated it in 263 female partners of male Army soldiers who had returned from a deployment within the past 2 years. Soldiers completed a measure of military-related PTSD, and partners completed a measure of accommodation and the newly created RAPS. Factor analysis of the RAPS yielded a clear, 3-factor solution suggesting the following reasons for accommodating: (1) Relationship & Obligation, or a desire for positive relationship outcomes and a sense of duty or responsibility; (2) Helping Recovery, or a belief that avoidance was helpful for the service member; and (3) Conflict Avoidance/Helplessness, or a desire to avoid conflict or simply not knowing what else to do. Analyses of these factors in relation to soldiers’ PTSD clusters indicated that hyperarousal symptoms were uniquely associated with relationship and obligation motivations, re-experiencing symptoms were uniquely associated with helping recovery motivations, and emotional numbing symptoms were uniquely associated with conflict avoidance and helplessness motivations. Furthermore, conflict avoidance and helplessness accounted for the greatest variance in partners’ accommodation frequency and distress. Assessment of partners’ accommodative behaviors, as well as their motivations for engaging in accommodation, may aid in treatment planning and enhance outcomes for couples in which one individual has PTSD.

Insomnia and bed partner accommodation: preliminary exploration

Insomnia and bed partner accommodation: preliminary exploration

Missing or seizing the opportunity? The effect of an opportunity hire on job offers to science faculty candidates

PurposeAs universities grapple with broadening participation of women in science, many ADVANCE funded institutions hone in on transforming search committee practices to better consider dual-career partners and affirmative action hires (“opportunity hires”). To date, there is a lack of empirical research on the consequences and processes underlying such a focus. The purpose of this paper is to examine whether and how two ADVANCE-recommended hiring practices, dual-career hiring and affirmative action hiring, help or hinder women’s participation in academic science.Design/methodology/approachIn two experiments, the authors tested what happens to a science candidate’s evaluation and offer when that candidate reveals he or she has a dual-career partner (vs is a solo-candidate, Experiment 1) or if it is revealed that the candidate under review is the dual-hire partner or is a target of opportunity hire (vs primary candidate, Experiment 2). A random US national sample of academic scientists provided anonymous external recommendations to an ostensible faculty search committee.FindingsEvaluators supported the job offer to a primary candidate requiring a heterosexual partner accommodation. This good news, however, was offset by the results of Experiment 2, which showed that support for the partner or affirmative action candidate depended on the evaluator’s gender. Taken together, the research identifies important personal and contextual features that sometimes do – and sometimes do not – impact hiring perceptions of women in science.Originality/valueThe authors believe the effects of such an emphasis on opportunity hires within ADVANCE funded institutions may be considerable and inform changes to policies and practices that help bring about gender equality.

The Association between Symptom Accommodation and Emotional Coregulation in Couples with Binge Eating Disorder.

Intense negative emotions and maladaptive behavioral strategies to reduce emotional distress occur not only in patients with various forms of psychopathology but also in their committed partners. One common strategy to reduce distress is for partners to accommodate to the symptoms of the disorder, which reduces distress short term but maintains symptoms long term. Accommodation is believed to be motivated by the partner reacting behaviorally to the patient's emotions, but the emotions of the partner in this context have yet to be examined. This pilot study examined how partner accommodation related to specific patterns of emotional coregulation between patients with binge eating disorder (BED) and their partners, before and after a couple-based intervention for BED. Vocally encoded emotional arousal was measured during couples' (n=11) conversations about BED. As predicted, partners' emotional reactivity to patients' emotional arousal was associated with high accommodation before treatment. Thus, partners may use accommodation as a strategy to reduce both the patients' and their own distress. After treatment, partners' arousal was no longer associated with the patients' emotional arousal; instead, partners showed greater emotional stability over time, specifically when accommodation was low. Additionally, patients were less emotionally aroused after treatment. Therefore, treatment may have decreased overall emotionality of patients and altered the association between accommodation and partners' emotional reactivity. If replicated, this understanding of the emotional context associated with accommodation in BED can inform couple-based treatment by targeting specific emotional precipitants of behaviors that maintain symptoms.

Bed partner accommodation of insomnia in treatment‐seeking couples

Bed partner accommodation of insomnia in treatment‐seeking couples

A Daily Diary Study of Posttraumatic Stress Symptoms and Romantic Partner Accommodation

Little is known about the role of romantic partner symptom accommodation in PTSD symptom maintenance. To explore the bidirectional associations of posttraumatic stress disorder (PTSD) symptoms and romantic partner symptom accommodation over time, military servicemen (n=64) with symptoms of PTSD and their cohabiting heterosexual civilian romantic partners (n=64) completed a 2-week daily diary study. Cross-lagged, autoregressive models assessed the stability of men’s PTSD symptoms and partners’ accommodation, as well as the prospective associations of earlier PTSD symptoms with later accommodation and vice versa. Analyses used Bayesian estimation to provide point estimates (b) and Credible Intervals (CIs). In all models, PTSD symptoms (total and individual clusters) were highly stable (b=0.91; CI: 0.88-0.95), and accommodation was moderately stable (b=0.48; CI: 0.40-0.54). In all models, earlier PTSD symptoms (total and clusters) were significantly, positively associated with later accommodation (b=0.04; CI: 0.02-0.07). In contrast, earlier accommodation was significantly associated only with later situational avoidance (b=0.02; CI: 0.00-0.07). Thus, PTSD symptoms may lead to subsequent accommodating behaviors in romantic partners, but partner accommodation seems to contribute only to survivors’ future situational avoidance symptoms. The findings reinforce the notion that PTSD symptoms have an impact on relationship behaviors, and that accommodation from partners may sustain avoidant behaviors in particular. Clinicians should attend to romantic partners’ accommodating behaviors when working with survivors.

Relationship-Specific Hope and Constructive Conflict Management in Adult Romantic Relationships: Testing an Accommodation Framework

Using sequenced conflict interaction scenarios, this study tested Rusbult and colleagues’ partner accommodation framework. In addition, we examined the unique effects of relationship-specific hope, a variable we argue contributes to constructive conflict communication in adult romantic relationships. Results generally, but not completely, supported the predictive power of the partner accommodation model. Consistent with predictions, relationship-specific hope positively predicted partner accommodation in multiple scenarios. Moreover, relationship-specific hope positively predicted postconflict relational evaluations through its effects on partner accommodation. Supporting the tenets of hope theory, relationship-specific hope was found to be a more robust predictor of accommodation in multiple scenarios when partner responses were nonconciliatory (compared with conciliatory). This suggests that hope is most consequential to relational communication in especially trying relational circumstances. We interpret our findings, and their implications, based on interdependence theory, hope theory, and existing conflict management research.

Couple Therapy for PTSD

Research has consistently documented a bidirectional association between posttraumatic stress disorder (PTSD) symptoms and intimate relationship functioning. PTSD symptoms are associated with greater relationship distress, higher likelihood of divorce, decreased emotional intimacy, and increased sexual dysfunction. Conversely, specific relational factors and interaction patterns (e.g., hostility, partner accommodation of PTSD symptoms) can serve to maintain or exacerbate PTSD symptoms. Given this reciprocal relationship, several couple therapies for PTSD have been created and empirically examined. Therapies that have been empirically studied include behavioral family therapy, emotionally focused couple therapy, strategic approach therapy, and cognitive-behavioral conjoint therapy for PTSD (CBCT for PTSD). To date, CBCT for PTSD has accumulated the most supporting evidence in the most diverse samples. Collectively, these empirical studies suggest that CBCT for PTSD is associated with improvements in PTSD, comorbid mental health symptoms, some partners’ mental health symptoms, and relationship satisfaction. CBCT for PTSD is a 15-session, trauma-focused PTSD treatment that occurs within a conjoint context. The therapy includes three phases: (1) psychoeducation and safety building, (2) communication skills and dyadic approach tasks to undermine avoidance, and (3) cognitive change regarding historical trauma appraisals and here-and-now maladaptive cognitions that maintain PTSD symptoms and/or relationship problems. Given the evidence supporting conjoint therapies for PTSD, clinicians should consider systematically involving partners in PTSD treatments to facilitate treatment by targeting both individual and relationship factors maintaining PTSD symptoms, as well as cultivate the strength within the couple’s relationship to encourage them to confront PTSD as a team.