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The Journal of the American Board of Family Medicine 20 (1): 36-44 (2007)
DOI: 10.3122/jabfm.2007.01.060053
© 2007 American Board of Family Medicine
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Original Research

Effects of a Couple Communication Program on Marital Adjustment

Bektas Murat Yalcin and Tevfik Fikret Karahan

Department of Family Medicine (BMY), Ondokuz Mayis University, Kurupelit/Samsun, Turkey
Faculty of Education, Department of Psychological Counseling and Guidance (TFK), Ondokuz Mayis University, Kurupelit/Samsun, Turkey

Correspondence: Corresponding author: Dr. Bektas Murat Yalcin, Ondokuz Mayis University of Medicine Department of Family Medicine University Hospital, 55132 Kurupelit/Samsun, Turkey (E-mail: myalcin{at}omu.edu.tr)

Background: Couples are usually advised to improve their communication skills to increase harmony and avoid conflicts. However, studies aimed at increasing marital adjustment in primary care are limited.

Methods: A Couple Communication Program was announced at the Ondokuz Mayis University Permanent Education Center, and the Dyadic Adjustment Scale was administered to 67 couples who volunteered. Twenty-eight persons (14 couples) with the lowest test scores were randomized into study and control groups. At the end of the program (post-test), the scale was again administered to the study group. Afterward, the pretest and post-test scores of the study and control groups were compared. The study group’s pretest, post-test, and follow-up test scores were also examined.

Results: No difference in marital adjustment was found between the study and control groups before the start of the program (P > .05). The post-test scores of the couples attending the Couple Communication Program proved to be higher in total than the scores of those who did not attend (P < .001). The post-test and follow-up scores of the study group were significantly higher than their pretest scores (P < .001). There was no significant difference between the post-test and follow-up scores of the study group (P = 1.0).

Conclusion: This program may have a positive effect on marital adjustment levels by improving communication skills and may lead to long-term behavioral modifications in couples.








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