OBJECTIVES This study updated existing meta-analyses of couple therapy that typically do not include multiple treatment modalities, various research designs, long-term outcomes, or recent studies. Eligibility Criteria: Studies published in English that reported relationship satisfaction or other outcomes of couple therapy were included; over 70% of studies have not been included in previous meta-analyses. Methods of Synthesis: Using random effects models across 58 studies representing 40 unique samples and 2,092 couples, effect sizes were summarized within measure domains as mean gains for treatment groups and waitlist groups as well as between-groups comparisons. RESULTS Couple therapy has a large effect on relationship satisfaction (pre to post within-group Hedges ḡ = 1.12, CI [0.92, 1.31], p < .001) and couples assigned to waitlists do not significantly improve (pre-to-post within-group satisfaction Hedges ḡ = 0.12, CI [-0.04, 0.29], p > .05). Additionally, couple therapy has significant impacts on key domains including self-reported and observed communication, emotional intimacy, and partner behaviors. Moderation analyses of pre-to-post gains in relationship satisfaction for treatment groups were generally nonsignificant; however, greater baseline distress was associated with larger gains. CONCLUSIONS Couple therapy has large effects on key relationship domains and gains are generally maintained over short- and long-term follow-up with minimal impact of tested moderators. Limitations include sample of exclusively opposite sex couples and inability to fully model dependencies within studies. The relationship between mean gain effect sizes and between-groups comparisons is discussed with implications for future research. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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夫妻疗法的荟萃分析：跨结局，设计，时间表和其他主持人的影响。

目的本研究更新了现有的夫妇疗法的荟萃分析，这些分析通常不包括多种治疗方式，各种研究设计，长期结果或近期研究。资格标准：以英语发表的研究报告了夫妻关系治疗的满意度或其他结局；超过70％的研究未包含在以前的荟萃分析中。合成方法：使用58项代表40个独特样本和2,092对夫妇的随机效应模型，将效应量总结为测量域，作为治疗组和候补组的平均收益以及组间比较。结果夫妻治疗对关系满意度有很大影响（组内Hedges to = 1.12，CI [0.92，1.31]，p <。001）和分配给候补名单的夫妇并没有显着改善（事前，事后组内满意度Hedgesḡ= 0.12，CI [-0.04，0.29]，p> .05）。此外，夫妻疗法对关键领域有重大影响，包括自我报告和观察到的交流，情感亲密感以及伴侣行为。治疗组关系满意度前后变化的中度分析通常无统计学意义。然而，更大的基线困扰与更大的收益相关。结论夫妻疗法对关键的关系领域有很大的影响，并且在短期和长期的随访过程中，收益通常在维持中的主持人影响最小的情况下得以维持。局限性包括完全异性伴侣的样本以及无法完全模拟研究中的依存关系。讨论了平均增益效应大小与组间比较之间的关系，并对未来的研究产生了影响。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。