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Effects of Cognitive Behavioral Couple Therapy With Integrated Mindfulness on Mindful Attention, Depressive Symptoms, and Dyadic Adjustment in Low-Income Couples: A Pilot Randomized Clinical Trial.

Ricardo S S Durães·Zila Elizabeth Pulache Vargas·Ana Cristina Garcia Dias·Francisco Lotufo-Neto·Renato T Ramos·Antonio de Pádua Serafim
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Abstract

Psychosocial distress can exacerbate marital conflict, maladjustment, and mental health vulnerability. This pilot randomized clinical trial examined cognitive-behavioral couple therapy (CBCT) integrated with mindfulness in low-income Brazilian couples (per-capita household income up to one minimum wage). Thirty-four participants (17 heterosexual couples) were randomized (independent computer-generated sequence) to an experimental (n&#x2009;=&#x2009;16) or waitlist control group (n&#x2009;=&#x2009;18). We assessed dyadic adjustment, mindful attention, marital social skills, and depressive symptoms (R-DAS, MAAS, IHSC, BDI-II) at baseline, post-treatment, and 3-month follow-up. The intervention was eight 80-min conjoint sessions plus daily home exercises. Time&#x2009;&#xd7;&#x2009;group effects favored the experimental group for dyadic adjustment, mindful attention, and depressive symptoms (all p&#x2009;<&#x2009;0.001,&#x2009;=&#x2009;0.20-0.37), but not marital social skills (p&#x2009;=&#x2009;0.14). Because two outcomes differed at baseline, effects were confirmed with baseline- and dependence-adjusted sensitivity analyses. These findings provide preliminary evidence that CBCT with mindfulness may benefit disadvantaged couples.

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AdultFemaleHumansMaleMiddle AgedBrazilCognitive Behavioral TherapyCouples TherapyDepressionInterpersonal RelationsMindfulnessPilot ProjectsPovertySpousesCognitive Behavioral Couple Therapydepressive symptomsdyadic adjustmentmindful attentionmindfulnessJournal ArticleRandomized Controlled Trial

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Ricardo S S Dur&#xe3;es, Zila Elizabeth Pulache Vargas, Ana Cristina Garcia Dias, Francisco Lotufo-Neto, Renato T Ramos, Antonio de P&#xe1;dua Serafim. 2026. Effects of Cognitive Behavioral Couple Therapy With Integrated Mindfulness on Mindful Attention, Depressive Symptoms, and Dyadic Adjustment in Low-Income Couples: A Pilot Randomized Clinical Trial.. https://doi.org/10.1111/jmft.70169

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Journal Article; Randomized Controlled Trial resourceAdult subjectBrazil subjectCognitive Behavioral Therapy subjectDepression subjectFemale subjectHumans subjectJournal Article subjectMale subjectMiddle Aged subjectPilot Projects subjectPoverty subjectRandomized controlled trials study

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