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Couples Counseling - Coggle Diagram
Couples Counseling
Substance Use
Frequency
The effect of significant other involvement equates to an approximate 6% reduction in substance use frequency beyond individually-focused treatments—translating to approximately two fewer days a month or three fewer weeks a year of drinking/drug use. (Ariss & Fairbairn, 2020)
Quantity
Abstinence
Supportive behaviors from a significant other (when it came to an Antabuse behavior contract) was correlated with a greater amount of days the partner in treatment was abstinent (McCrady et al. 2016)
Women who received BCT for substance use disorder plus 12- step-oriented drug counseling had a greater percentage of days abstinent at 12 months compared to just 12-step-oriented drug counseling (Hogue et al, 2022).
Motivation is a primary factor in maintaining abstinence, and promotes change on the individual and couples level (Kumar et al. 2022)
Greater use of couples interaction skills taught during treatment (ABCT) was correlated with a higher percentage of abstinent days (McCrady et al. 2016)
Harm-reduction
Significant other integration into SUD treatment led to a reduction in substance use (Ariss & Fairbairn, 2020)
Cisgender male couples who had substance use concerns and successfully negotiated shared limits were associated with fewer heavy drinking days. (Starks & Cain, 2025)
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Misc/other
Cisgender male couples who had substance use concerns and successfully negotiated shared limits were associated with fewer substance-use-related problems (Starks & Cain, 2025)
Women who received BCT for substance use disorder plus 12- step-oriented drug counseling had fewer SU-related problems at 12 months compared to just 12-step-oriented drug counseling (Hogue et al, 2022).
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Findings suggest that BCT for couples where both parties are abusing substances would be beneficial, and could be more beneficial to recovery efforts if the male user would be willing to be open sharing his emotions (O'Farrell et al 2017)
Longevity
Support from significant other can increase the longevity of abstinence, depending on the environment in which the relationship exists (McCrady et al. 2016)
Significant other integration into SUD treatment led to a reduction in substance use problems enduring as long as 12 to 18 months post-treatment (Ariss & Fairbairn, 2020)
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Relationship Functioning
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Longevity
Significant other integration into SUD treatment led to a reduction in substance use problems enduring as long as 12 to 18 months post-treatment (Ariss & Fairbairn, 2020)
Child and partner abuse outcomes lasted for over a year; however, relationship outcomes faded after around 6-9 months, and substance use outcomes lasted 6 months or more depending on what substance was previously being abused (Love et al. 2022)
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Misc/other
Children of participants were also found to have better emotional and behavioral outcomes (Love et al. 2022)