Because relationship discord and dissolution are common and costly, interventions are needed to treat distressed couples and to prevent distress among vulnerable couples. We review meta-analytic evidence showing that 60-80% of distressed couples benefit from behavioral and emotion-focused approaches to couple therapy, but we also note that treatment effects are weaker in actual clinical practice than in controlled studies, dissipate following treatment for about half of all couples, and may be explained by factors that are common across models. Meta-analyses of prevention programs reveal reliable but smaller effects, reflecting a need to know more about whether and how communication mediates effects, about how risk and diversity moderate effects, and about how technology-enabled interventions can reduce attrition in vulnerable populations. Interventions for couples are improving and expanding, but critical questions remain about how and for whom they work.

中文翻译：

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夫妻干预。

由于关系不和和解体很常见且代价高昂，因此需要采取干预措施来治疗陷入困境的夫妇并防止弱势夫妇陷入困境。我们回顾了荟萃分析证据，表明 60-80% 的痛苦夫妻受益于以行为和情绪为中心的夫妻治疗方法，但我们也注意到实际临床实践中的治疗效果比对照研究中的要弱，在治疗后消散约占所有夫妇的一半，并且可以通过模型中的共同因素来解释。对预防计划的荟萃分析揭示了可靠但较小的影响，这反映了需要更多地了解传播是否以及如何调节影响、风险和多样性如何调节影响，以及技术支持的干预措施如何减少弱势群体的流失。