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This study employed a mixed‐methodssecondary data analysis to further validate the Systemic Clinical Outcome and Routine Evaluation for Couples (C‐SCORE), a routine outcome measure (ROM) designed for assessment, treatment planning and outcome monitoring in couple therapy. Using existing survey data from an international community sample of individuals in committed relationships ( N = 300, mean age = 41.61, 49% females), both quantitative scores and responses to two embedded open‐ended qualitative questions from the C‐SCORE were analysed. Reflexive thematic analyses of the qualitative responses revealed that individuals in the highest C‐SCORE quartiles tended to describe their relationships more positively and perceived their problems as less negatively impactful on relational functioning. Quantitative ratings of the positivity of relationship descriptions and the perceived impact of relational problems were significantly correlated with the C‐SCORE's quantitative scales. This study provides further validation of the C‐SCORE, as a routine outcome measure for use in couple therapy.
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