Couple HOPES (Helping Overcome PTSD and Enhance Satisfaction) is a guided, online couple intervention adapted from Cognitive-Behavioral Conjoint Therapy for posttraumatic stress disorder (PTSD). It was created to overcome a range of barriers to accessing evidence-based treatments for PTSD and the intimate relationship problems associated with it. This manuscript describes initial outcomes of the intervention in a series of 10 couples. Participants were military, veteran and first responders with probable PTSD and their intimate partners. Couples completed the program and measurements of PTSD, relationship satisfaction, and secondary outcomes at pre-, mid-, and post-intervention. Mean satisfaction for the program was high and it was completed by seven of ten couples. Participants with PTSD evidenced significant and large pre- to post-intervention effect size improvements in PTSD symptoms (g = 0.80) and perceived health (g = 1.13). They also exhibited non-significant but medium effect size pre- to post-intervention improvements in quality of life (g = 0.62), and depression (g = 0.53), and small effect size pre- to post-intervention improvements in argumentativeness (g = 0.43), anger (g = 0.31), and anxiety (g = 0.31). Partners reported significant and moderate pre- to post-intervention effect size improvements in relationship satisfaction (g = 0.68), and medium but not significant effect size improvements in accommodation of PTSD (g = 0.56). Results provide initial support for the feasibility, acceptability, and efficacy of Couple HOPES for improving PTSD and relationship satisfaction. However, more testing in larger samples, including with randomized controlled designs, is needed.

夫妻希望（帮助克服 PTSD 和增强满意度）是一种指导性的在线夫妻干预，改编自针对创伤后应激障碍 (PTSD) 的认知行为联合疗法。它的创建是为了克服获得基于证据的 PTSD 治疗以及与之相关的亲密关系问题的一系列障碍。这份手稿描述了对 10 对夫妇进行干预的初步结果。参与者是可能患有 PTSD 的军人、退伍军人和急救人员以及他们的亲密伙伴。夫妻在干预前、干预中和干预后完成了 PTSD、关系满意度和次要结果的计划和测量。该计划的平均满意度很高，十对夫妇中有七对完成了它。g  = 0.80）和感知健康（g  = 1.13）。他们在干预前到干预后的生活质量改善 ( g  = 0.62) 和抑郁 ( g  = 0.53) 方面也表现出不显着但中等效应量，并且干预前后争论性改善 ( g  = 0.43)、愤怒 ( g  = 0.31) 和焦虑 ( g  = 0.31)。合作伙伴报告了干预前后关系满意度的显着和中度效应量改善（g  = 0.68 ），以及在 PTSD 调节中的中等但不显着效应量改善（g = 0.56）。结果为夫妻希望改善 PTSD 和关系满意度的可行性、可接受性和有效性提供了初步支持。然而，需要在更大样本中进行更多测试，包括随机对照设计。