Predicting change in relationship distress and depressive symptoms among couples in Taiwan: The role of attachment, emotional expressivity, and gender roles in Emotionally Focused Therapy

This pilot study examined predictors of change in relationship distress and depressive symptoms over the course of Emotionally Focused Therapy (EFT) in a one-arm, pragmatic clinical trial of 17 couples in Taiwan. Results revealed that masculine ideology, feminine ideology, traditionalism, and emotional expressivity at intake predicted change in relationship distress. Specifically, women's high traditional gender roles and traditionalism and both partners' high emotional expressivity at intake were associated with decreases in relationship distress over time. In addition, attachment and emotional expressivity predicted change in depressive symptoms. Specifically, high attachment avoidance, high attachment anxiety, and high emotional expressivity at intake were associated with decreases in depressive symptoms over time. While more research is needed, these findings offer preliminary support for the types of partners who may experience more improvement after receiving EFT in Taiwan.