What does this research mean for the field?

Cognitive-behavioral couple therapy integrated with mindfulness improves dyadic adjustment, mindful attention, and reduces depressive symptoms in low-income couples. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

Evaluate the efficacy of cognitive-behavioral couple therapy integrated with mindfulness on mindful attention, depressive symptoms, and dyadic adjustment in low-income couples.

September 2, 2026Journal of Marital and Family TherapyOpen Access

Effects of Cognitive Behavioral Couple Therapy With Integrated Mindfulness on Mindful Attention, Depressive Symptoms, and Dyadic Adjustment in Low‐Income Couples: A Pilot Randomized Clinical Trial

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Authors

RDRicardo S. S. DurãesUniversidade de Brasília ZVZila Elizabeth Pulache VargasInstituto Federal de Educação, Ciência e Tecnologia de Brasília ADAna Cristina Garcia DiasUniversidade Federal do Rio Grande do Sul

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Implication

Randomized trial demonstrates that mindfulness-integrated couple therapy improves relationship adjustment and depressive symptoms in low-income couples, indicating therapeutic feasibility.

Key Points

Evaluate the efficacy of cognitive-behavioral couple therapy integrated with mindfulness on mindful attention, depressive symptoms, and dyadic adjustment in low-income couples.
Conducted a pilot randomized clinical trial in Brazil with 34 low-income individuals (17 heterosexual couples) randomly allocated via computer sequence to an intervention group (n=16) or waitlist control (n=18).
Delivered eight 80-minute conjoint sessions combining cognitive-behavioral couple therapy with mindfulness exercises, complemented by daily home practice.
Assessed dyadic adjustment (R-DAS), mindful attention (MAAS), marital social skills (IHSC), and depressive symptoms (BDI-II) at baseline, post-treatment, and 3-month follow-up.
Time × group interaction effects significantly favored the intervention arm for dyadic adjustment, mindful attention, and depressive symptoms (all p < 0.001, effect size = 0.20–0.37).
No statistically significant group differences emerged for marital social skills (p = 0.14).

Cite This Study

Durães et al. (2026) studied this question.

synapsesocial.com/papers/6a97e275c562ede874ec68db https://doi.org/10.1111/jmft.70169

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Implication

Randomized trial demonstrates that mindfulness-integrated couple therapy improves relationship adjustment and depressive symptoms in low-income couples, indicating therapeutic feasibility.

Effects of Cognitive Behavioral Couple Therapy With Integrated Mindfulness on Mindful Attention, Depressive Symptoms, and Dyadic Adjustment in Low‐Income Couples: A Pilot Randomized Clinical Trial

Discussion

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Implication

Key Points

Cite This Study

Effects of Cognitive Behavioral Couple Therapy With Integrated Mindfulness on Mindful Attention, Depressive Symptoms, and Dyadic Adjustment in Low‐Income Couples: A Pilot Randomized Clinical Trial

Discussion

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Implication

Key Points

Cite This Study

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