{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:54:04Z","timestamp":1774572844934,"version":"3.50.1"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Family Process"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Emotionally Focused Couple Therapy (EFCT) is an empirically validated treatment for relationship distress with well\u2010established efficacy. However, there is an increased need to understand its effectiveness and applicability in real\u2010life clinical environments, including hospital and training clinics, and across varying therapist training backgrounds. Our clinical training program in a multidisciplinary US Veterans Affairs (VA) hospital follows a standardized protocol of Sue Johnson's externship in EFCT (ICEEFT 2023; Johnson 2019). Healthcare professional trainees complete a 6\u2010month EFCT didactic and experiential series while delivering EFCT to veterans and their partners. We utilized dyadic analyses to evaluate (a) changes in relationship satisfaction and (b) moderating factors, such as therapist training background, treatment modality, and length of treatment, and (c) demographic characteristics, including age, race\/ethnicity, combat status, and service\u2010rated disability associated with changes in relationship satisfaction. The sample consisted of 79 diverse couples (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009158) that completed a mean of 16 sessions. Reliable change indices (RCI) showed 18.9% and 40.4% of individuals significantly improved in relationship satisfaction from pre\u2010 to posttreatment on the Dyadic Adjustment Scale and Couples Satisfaction Index, respectively. Results were robust across telehealth\/face\u2010to\u2010face modality, session count, or therapist training background and demographic characteristics. These findings suggest that EFCT is a therapeutic intervention teachable in a multidisciplinary training setting and remains effective in improving relationship satisfaction for the veterans and their partners. The present study is the largest to date to examine the effectiveness of EFCT for veterans and their partners in a VA training hospital.\n                  <\/jats:p>","DOI":"10.1111\/famp.70110","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T15:48:22Z","timestamp":1769442502000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Emotionally Focused Couple Therapy in a Multidisciplinary Veterans Health Care Setting"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3967-5852","authenticated-orcid":false,"given":"Alejandra","family":"Ceja","sequence":"first","affiliation":[{"name":"San Francisco VA Health Care System  San Francisco California USA"},{"name":"University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sree","family":"Sinha","sequence":"additional","affiliation":[{"name":"San Francisco VA Health Care System  San Francisco California USA"},{"name":"University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa H.","family":"Bond","sequence":"additional","affiliation":[{"name":"University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reilly E.","family":"Gallin","sequence":"additional","affiliation":[{"name":"San Francisco VA Health Care System  San Francisco California USA"},{"name":"Palo Alto University  Palo Alto California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya L.","family":"Wong","sequence":"additional","affiliation":[{"name":"San Francisco VA Health Care System  San Francisco California USA"},{"name":"Palo Alto University  Palo Alto California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith","family":"Armstrong","sequence":"additional","affiliation":[{"name":"San Francisco VA Health Care System  San Francisco California USA"},{"name":"University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Shonkwiler","sequence":"additional","affiliation":[{"name":"San Francisco VA Health Care System  San Francisco California USA"},{"name":"University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerika C.","family":"Norona","sequence":"additional","affiliation":[{"name":"San Francisco VA Health Care System  San Francisco California USA"},{"name":"University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmft.12507"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1545\u20105300.1987.00415.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/14779757.2021.1993968"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/23761407.2018.1563013"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.145516"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1348\/147608305x52595"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/acm.0b013e3181722e97"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/1040\u20103590.5.2.238"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006x.72.2.176"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/15332690903048820"},{"key":"e_1_2_9_12_1","unstructured":"Department of Veterans Affairs.2020.\u201cHiring VA Health Professions Trainees (HPT) Human Resources Development (HRD) Department of Veterans Affairs.\u201dhttps:\/\/www.docs.lms.va.gov\/LMSDocs\/Docs\/133115\/HiringVAHealthProfessionsTrainees508VersionPPTHandout08\u201031\u20102020.pdf."},{"key":"e_1_2_9_13_1","unstructured":"Department of Veterans Affairs.2023.\u201cVA Health Professions Education Week 2023. U.S. Department of Veterans Affairs.\u201dhttps:\/\/www.va.gov\/chicago\u2010health\u2010care\/news\u2010releases\/va\u2010health\u2010professions\u2010education\u2010week\u20102023\/."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/fam0000349"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0038541"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmft.12552"},{"key":"e_1_2_9_17_1","volume-title":"Applied Missing Data Analysis","author":"Enders C. K.","year":"2010"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893\u20103200.21.4.572"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/cfp0000210"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741\u20103737.2006.00284.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201300307"},{"key":"e_1_2_9_22_1","unstructured":"International Center for Excellence in Emotionally Focused Therapy [ICEEFT].2023.\u201cEmotionally Focused Therapy for Couples.\u201dhttps:\/\/iceeft.com\/what\u2010is\u2010emotionally\u2010focused\u2010therapy\u2010for\u2010couples\/."},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jomf.12077"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022\u2010006x.59.1.12"},{"key":"e_1_2_9_25_1","first-page":"207","volume-title":"Attachment Issues in Psychopathology and Intervention","author":"Johnson S.","year":"2004"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781351168366"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022\u2010006x.60.6.916"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/lrh2.10333"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893\u20103200.19.1.86"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12824"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119013563.ch10"},{"key":"e_1_2_9_32_1","volume-title":"Attachment in Adulthood: Structure, Dynamics, and Change","author":"Mikulincer M.","year":"2016"},{"key":"e_1_2_9_33_1","volume-title":"Cognitive\u2010Behavioral Conjoint Therapy for PTSD: Harnessing the Healing Power of Relationships","author":"Monson C. M.","year":"2012"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/21635781.2020.1864526"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12889"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1300\/j398v01n03_01"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2016.303574"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmft.12336"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000514"},{"key":"e_1_2_9_40_1","volume-title":"SAS Documentation [Version 9.4]","author":"SAS Institute","year":"2015"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.2307\/350547"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1037\/cfp0000233.supp"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22768"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.4088\/pcc.17m02118"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/15332691.2017.1285261"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.22921"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmft.12319"}],"container-title":["Family Process"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/famp.70110","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/famp.70110","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/famp.70110","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:02:36Z","timestamp":1774569756000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/famp.70110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,26]]},"references-count":46,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/famp.70110"],"URL":"https:\/\/doi.org\/10.1111\/famp.70110","archive":["Portico"],"relation":{},"ISSN":["0014-7370","1545-5300"],"issn-type":[{"value":"0014-7370","type":"print"},{"value":"1545-5300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,26]]},"assertion":[{"value":"2024-01-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70110"}}