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Applying these criteria to 40 eligible studies, we found that, in contrast to Baucom and colleagues, no couple therapy models met the standards for strong empirical support; insufficient sample size and lack of independent replication were the most frequent limitations. Seven models demonstrated modest support: behavioral, cognitive\u2010behavioral, emotionally focused, Gottman, integrative behavioral, insight\u2010oriented, and strategic couple therapies. Findings highlight the need for rigorous large\u2010scale studies with more diverse couples to strengthen the empirical foundation and generalizability of couple therapies. Limitations of the Chambless criteria underscore the importance of evaluating couple therapy models with the recently adopted Tolin criteria, which synthesize a broader base of evidence via meta\u2011analysis and emphasize clinical significance to improve treatment recommendations.<\/jats:p>","DOI":"10.1111\/jmft.70162","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T12:05:26Z","timestamp":1786709126000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Empirically Supported Couple Therapy Models for Couple Relationship Distress: A Replication and Update"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9756-7841","authenticated-orcid":false,"given":"Jeffrey B.","family":"Jackson","sequence":"first","affiliation":[{"name":"School of Family Life Brigham Young University Provo Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6553-5577","authenticated-orcid":false,"given":"Luca","family":"Codec\u00e1","sequence":"additional","affiliation":[{"name":"Department of Couple and Family Therapy Nova Southeastern University Fort Lauderdale Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8962-6269","authenticated-orcid":false,"given":"Richard B.","family":"Miller","sequence":"additional","affiliation":[{"name":"School of Family Life Brigham Young University Provo Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7707-9840","authenticated-orcid":false,"given":"Jessica E.","family":"Simpson","sequence":"additional","affiliation":[{"name":"Department of Family Social Science University of Minnesota Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9855-9685","authenticated-orcid":false,"given":"Abigail M.","family":"O'Leary","sequence":"additional","affiliation":[{"name":"Clinical Practice Portland  Maine USA"},{"name":"Clinical Practice McLean Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8594-5016","authenticated-orcid":false,"given":"Samantha M.","family":"Renner","sequence":"additional","affiliation":[{"name":"Clinical Practice Fairfax Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12302"},{"key":"e_1_2_9_3_1","unstructured":"American Psychological Association Commission on Accreditation.2023.Standards of Accreditation for Health Service Psychology.https:\/\/www.apa.org\/ed\/accreditation\/standards-of-accreditation.pdf."},{"key":"e_1_2_9_4_1","unstructured":"American Psychological Association Society of Clinical Psychologyn.d. 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