The effect of mindfulness interventions on couple relationship satisfaction: A systematic review and meta-analysis.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2025-06-01 DOI:10.1037/ccp0000954

Andreas Voldstad,Ananda Zeas-Sigüenza,Anton Skolzkov,Mari Walthaug,Jesús Montero-Marín,Willem Kuyken

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引用次数: 0

Abstract

OBJECTIVE Mindfulness interventions (MIs) train nonjudgmental attention to present-moment experience and aim to improve mental health and well-being. The evidence for their effect on interpersonal relationships is promising but uncertain. This study examines the effect of MIs on couple relationship satisfaction (RS). METHOD Randomized controlled trials of MIs including RS were selected based on systematic searches in Web of Science, PubMed, APA PsycInfo, Embase, Cochrane Central, ProQuest, and Google Scholar. We applied three-level meta-analysis with robust variance estimation to pool effects and multimodel approaches to explore moderators. RESULTS We calculated 90 effect sizes (k) nested within 28 studies (K) including 6,097 participants in a couple relationship. MIs had a significant medium effect on RS with high heterogeneity (g = 0.60, 95% confidence interval [0.16, 1.04], I2 = 97 [95, 99]). The effect on RS was influenced by extreme outliers (e.g., g up to 7.48). Removing outliers resulted in a significant small effect with low heterogeneity (g = 0.21 [0.11, 0.31], I2 = 25 [0, 67], k = 85, K = 26). Effects were moderated by intervention length, baseline satisfaction, and risk of bias. There were significant effects for both clinical and community samples. The certainty of the evidence is very low due to inconsistency, imprecision, risk of bias, and suspicion of publication bias. Generalization is limited by insufficient reporting. CONCLUSIONS This meta-analysis indicates that MIs have a consistent small effect on RS, but the quality of evidence points to the need for program theory and rigorous methodology. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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正念干预对夫妻关系满意度的影响：系统回顾与元分析。

目的正念干预（MIs）训练对当下体验的非判断性关注，旨在改善心理健康和幸福感。他们对人际关系的影响的证据是有希望的，但不确定。本研究探讨MIs对夫妻关系满意度（RS）的影响。方法系统检索Web of Science、PubMed、APA PsycInfo、Embase、Cochrane Central、ProQuest和谷歌Scholar，选择包括RS在内的MIs的随机对照试验。我们采用三水平荟萃分析和稳健方差估计来分析池效应，并采用多模型方法来探索调节因子。结果我们在28项研究(k)中计算了90个效应量(k)，其中包括6097名夫妻关系参与者。MIs对RS有显著的中等效应，异质性高（g = 0.60, 95%可信区间[0.16,1.04],I2 = 97[95,99]）。对RS的影响受到极端异常值的影响（例如，g高达7.48）。剔除异常值后，影响较小，异质性较低（g = 0.21 [0.11, 0.31], I2 = 25 [0,67], k = 85, k = 26）。效果受干预时间、基线满意度和偏倚风险的影响。临床和社区样本均有显著效果。由于不一致、不精确、偏倚风险和怀疑发表偏倚，证据的确定性非常低。泛化受到报告不足的限制。结论：本荟萃分析表明，MIs对RS有一致的小影响，但证据质量表明需要程序理论和严格的方法。（PsycInfo Database Record (c) 2025 APA，版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.