Fostering connection: A dyadic analysis of the relationships between mattering, attachment, and mental health.

In this study, we used data from 100 heterosexual couples in a committed, romantic relationship to better understand the relationship between perceived mattering (PM) and attachment, and to explore how PM relates to various mental health and relationship outcomes. A linear mixed-effects model examining both actor and partner effects revealed that men reported lower PM in the relationship when their female partner was higher in attachment avoidance. In addition, higher levels of attachment avoidance or attachment anxiety were significantly associated with lower PM for both men and women. A dyadic path analysis model revealed that higher actor and partner PM was significantly associated with higher couple satisfaction and stronger constructive communication patterns for men and women. Stronger needs-based communication was significantly associated with stronger constructive communication for men and women, as well as lower anxiety for women.

Lost in translation: Therapeutic Alliance as a mediator in the relationship between teletherapy and marital satisfaction.

The global impact of the SARS-COV-2 pandemic necessitated a rapid shift to online/teletherapy psychotherapy services. While research suggests the feasibility and efficacy of teletherapy, there is limited investigation into couple teletherapy's impact on satisfaction and therapeutic alliance. This study aimed to address this gap by examining changes in couple satisfaction during tele- and in-person therapy sessions over 12 sessions and exploring whether therapeutic alliance development mediates these changes. Using growth curve modeling in a sample of 416 couples, it found that teletherapy participants initially reported higher couple satisfaction, but improvement in this domain was slower than in-person therapy recipients. The development of the therapeutic alliance mediated this effect via two indirect paths. Implications include the need for focused attention on alliance development in teletherapy and more empirically-informed approaches in couple teletherapy.

The diversity of well-being indicators: a latent profile analysis.

Introduction: Research on the dimensional structure of subjective well-being (SWB) suggests a five-dimensional solution, consisting of the three established dimensions of life satisfaction, positive affect, and negative affect, and two additional empirically supported dimensions: domain satisfaction and happiness. While these dimensions can be aggregated into a superordinate SWB construct, little research has explored how these dimensions differ in their variation across subpopulations of individuals. Methods: The present study addresses this gap via secondary analysis of a sample of 1,487 partnered individuals, using the five dimensions of SWB as indicators for latent profile analysis. Results: Analyses returned five profiles, which we labeled Satisfied, Ambivalent, Indifferent, Dissatisfied, and Very Dissatisfied. In the Ambivalent and Indifferent profiles, the dimensions of negative affect and happiness exhibit discrepant behavior, resulting in shape differences. The five profiles are organized with reference to the external criterion of couple satisfaction. At the theoretical level, the results of the present study have the potential to inform current debates about the structure of well-being. Discussion: These findings suggest that, while SWB can usually be measured as a unidimensional construct, there is still merit to using multidimensional approaches and alternative forms of measurement-such as LPA-that capture complexities normally absent from unidimensional treatments. At the practical level, the results of the current study have the potential to inform well-being interventions (both clinical and otherwise), suggesting that those dealing with well-being in real life situations should pause before concluding that the absence of negativity implies the presence of positivity, or vice versa.

Call me maybe? In-person vs. teletherapy outcomes among married couples.

ABSTRACTObjective: The objective of this study was to investigate the effectiveness of teletherapy compared to in-person couple therapy in outcomes such as couple satisfaction, sexual satisfaction, and the therapeutic alliance.Method: Data from 1157 married clients seeking couple therapy were examined. Individual growth curve models were used to analyze changes in the aforementioned outcomes, with teletherapy as a predictor. The study also examined client age and clinic type as moderators.Results: The results indicated that overall, teletherapy is as effective as in-person therapy in improving outcomes. However, there were notable differences in the development of the therapeutic alliance. The alliance improved at twice the rate in in-person therapy as in teletherapy. Clinic type was also found to be a moderator of changes in sexual satisfaction. Clients in group and private practices reported improvements in sexual satisfaction; whereas clients seen in training clinics reported decreases in sexual satisfaction.Conclusion: The study concludes that although teletherapy may be a viable alternative to in-person couple therapy, there are nevertheless differences in the development of the therapeutic alliance that warrant care and further investigation. The setting of the therapy also plays a role in the effectiveness of therapy, although not specific to therapy modality.

Relationship standards and Malay Muslim couples' marital satisfaction.

Relationship standards are beliefs about what is important in high-quality couple relationships. Clarifying standards cross-culturally informs theory about relationship quality and goals for culturally appropriate couple therapy. The current study assessed four standards (Couple Bond, Family Responsibility, Relationship Effort, and Religion) in n = 113 Malay Muslim couples, and the association of those standards with marital satisfaction. All four standards were strongly endorsed, Religion was the most strongly endorsed, and there were minimal sex differences. Separate actor-partner interdependence models showed actor effects of all four standards on own satisfaction for husbands and wives, partner effects of three of the four husbands' standards (not Relationship Effort) on wives' satisfaction, but no partner effects of female standards on male satisfaction. The findings underscore the importance of all four standards in Malay Muslim marriages and that attention to all these standards might need to be part of couple therapy with Malay couples.

Sense of Relational Entitlement and Couple Outcomes: The Mediating Role of Couple Negotiation Tactics.

Previous research shows a link between the sense of relational entitlement and various couple outcomes. However, the mechanisms linking these variables are less discussed. With this study, the aim was to test the associations between individuals' excessive and restricted sense of relational entitlement and their levels of couple satisfaction and conflict. In addition, it was tested whether the use of different negotiation tactics (cooperative and competitive) mediated the links. Six hundred and eighty-seven adults (55.2% women) participated in this study. Mediation analyses showed that a restricted sense of relational entitlement is associated with couple satisfaction and conflict through higher competitive negotiation use. Additionally, an excessive sense of relational entitlement is linked with couple satisfaction and conflict through lower cooperative negotiation use. This study has important implications for couples therapy addressing satisfaction issues, showing why and when educating couple interactions, especially those regarding negotiation, can improve relational functioning. Additionally, one's relational well-being is strongly related to one's mental health, and the applicability of the findings can be extended to all outcomes of the therapeutic process.

Association between endometriosis and sexual satisfaction among a sample of lebanese women.

BACKGROUND: Endometriosis is a complex disease that affects approximately 10% of women of childbearing age. It is characterized by the presence of endometrial-like tissue outside the uterus and often results in symptoms such as pelvic pain and infertility. This condition may disturb mental health and decrease both the mental and physical health related quality of life of women. The aim of this study was to assess the emotional state and the intimate relational aspect of life in Lebanese women living with endometriosis. METHODS: This is a case-control study that included 317 women (65 participants with endometriosis and 252 controls (1:3 ratio)). Participants completed an online survey that included questions related to endometriosis, Sexual Satisfaction Scale for Women, Couple Satisfaction Index, Perceived Partner Responsiveness Scale and the Depression, Anxiety and Stress Scale. RESULTS: A significantly higher mean sexual satisfaction score was found in women without endometriosis compared to those with endometriosis (90.83 vs. 83.42; p = 0.006). No significant difference was found in terms of couple satisfaction, depression, anxiety, stress, and perceived partner responsiveness between the two groups. Higher couple satisfaction (Beta = 1.30) and perceived partner responsiveness (Beta = 0.16) were significantly associated with higher sexual satisfaction, whereas higher depression (Beta=-1.70) and having endometriosis compared to not (Beta=-6.51) were significantly associated with lower sexual satisfaction. CONCLUSION: This study validated the link between endometriosis and sexual satisfaction and invalidated the association between endometriosis and emotional state, as well as couple satisfaction and perceived partner responsiveness. Greater sexual satisfaction was, however, linked to greater perceived partner responsiveness and greater couple satisfaction, as well as decreased signs of depression, anxiety, and stress. More research is warranted to better understand how Lebanese women are coping with the disease and how clinicians may help them further.

Eating behaviors and body self-esteem in couple's satisfaction during COVID-19 quarantine.

Background: Many experts agree that the Covid-19 pandemic and lockdown restriction have had an impact on relationships and eating habits in couples, but this hypothesis lacks evidence and empirical studies. Aim: The aim of the study was to investigate the relationship between satisfaction with the couple's relationship, body self-esteem, and eating behaviors during the Covid-19 lockdown. Method: Three hundred and eighty-one subjects, aged between 18 and 60 years (M = 26.88; SD = 9.22), of whom 89.8% women, participated in the survey. The online assessment included: the Relationship Assessment Scale; the Multidimensional Self Concept Scale and the Eating Disorder Examination Questionnaire. Results: The results showed that the relationship and the levels of couple's satisfaction are independent of respect to body experience and eating behavior. On the contrary, bodily experience is negatively correlated with diet, weight, body shape, and restriction attempts. However, the eating style of couple showed a change during the quarantine period, both in healthy and at-risk of ED subjects. Conclusion: The psychological impact of Covid-19 and its lockdown has had profound repercussions on the subjective relationship with body and food but have apparently preserved stable and satisfying bonds. The importance of the study confirmed the primary relation between self and body's satisfaction in subjective dimensions of life.

Couples relationship standards and satisfaction in Pakistani couples.

Relationship standards are beliefs about what is important in a satisfying couple relationship, which vary considerably between cultures, and might mean that what couples seek from couple therapy differs across cultures. We assessed the standards of n = 49 Pakistani couples and whether those standards predicted couple satisfaction. To provide referents for the Pakistani standards, we also assessed selfreported relationship standards in n = 33 Western couples and n = 30 Chinese couples. Pakistani couples endorsed couple bond standards (e.g., expressions of love) as similarly important, and family responsibility (e.g., extended family relations) standards as more important, than Western or Chinese couples. In Pakistani couples, Couple Bond predicted couples' relationship satisfaction, but family responsibility and Religion predicted only wives' satisfaction. Modest sample sizes necessitate caution in interpreting results but suggest existing couple therapies might need modification to address the distinctive relationship standards of Pakistani couples.

Emotional interdependence: the key to studying extrinsic emotion regulation.

The literature on extrinsic emotion regulation or the intention to modify other people's emotions has grown in recent years, accompanied by proposals in which its definition is made more precise, the way to understand it in relation to other related processes is delimited, and the consequences of its use in the quality of close relationships are evidenced. Conceptual reviews on this topic recognize the importance of examining the affect and dyadic dynamics that arise between those who regulate each other extrinsically. This dynamic refers to emotional interdependence, the potential of the members of a dyad to shape each other's emotions reciprocally, particularly in those who share a close bond, such as that of a romantic couple. There is little theoretical development regarding the relevance of this characteristic in relation to EER. This article has two objectives: (1) to make a narrative synthesis of the characteristics that define EER and (2) to expand and complexify the existing model by including the emotional interdependence as a vital component in the understanding of the functioning of EER. Lastly, the role of emotional interdependence in the emergence, maintenance, and satisfaction concerning couple relationships is made explicit through phenomena such as shared reality.

The Moderator Role of Interpersonal Emotion Regulation on the Associations between Commitment, Intimacy, and Couple Satisfaction.

Couple satisfaction is seen as very important by all those in a romantic relationship; however, there are no recipes for it. Using a dyadic approach, we investigate how commitment and intimacy influence couple satisfaction and the moderator role of interpersonal emotion regulation (affect-improving and -worsening strategies). To achieve the scope of the study, we collected data from 131 couples, which were later analyzed using the actor-partner interdependence model with moderation (APIMoM). The results showed that the actor-effect of both commitment and intimacy on couple satisfaction is significant. We found mixed results for the partner-effect of the two variables. Both partners' strategies moderated the association between commitment and couple satisfaction. Women's use of affect-worsening strategies moderated the link between men's intimacy and women's couple satisfaction. The impact of the interactions of commitment or intimacy with interpersonal affect-improving and -worsening strategies on couple satisfaction is discussed further, as well as the implications and importance of the results.

Marital Satisfaction and Perceived Family Support in Families of Children with Autistic Spectrum Disorder: Dyadic Analysis.

BACKGROUND: Raising children with autism spectrum disorder (ASD) causes tremendous stress for parents that may lead to marital conflict and relationship dissatisfaction. Many factors are associated with parent relationships including severity of autistic behaviors and social support. This study aimed to investigate whether severity of autistic behaviors, perceived family support, and complementarity of interpersonal styles between husbands and wives predicted couple satisfaction among the parents of children with ASD. METHOD: Seven hundred ninety-seven parent dyads of children aged 7-14 years old with ASD participated in the study. Measurements used included couple satisfaction index, perceived family support using the Multidimensional Scale of Perceived Social Support, inter-personal style using the inventory of interpersonal problems, the ABC autism checklists as well as sociodemographic and related factors. The Actor Partner Interdependence Model estimated by multilevel modeling was used for analysis. RESULTS: Perceived family support was relevant in married couples regarding their marital relationship, but the effects on husbands and wives differed. Husbands' relationship satisfaction was predicted by how they perceived being supported by family. The severity of autistic behaviors predicted relationship satisfaction but only actor effect. Negative prediction of interpersonal complementarity on couple satisfaction was observed. In addition, time spent on raising children had a negative impact on the quality of the relationship. Partner effect of time spent was observed among women. CONCLUSION: Dyadic analysis using an actor-partner independence model confirmed perception of family support predicts relationship satisfaction among parents of children with ASD in addition to the severity of autistic behaviors and time spent caring for children. Complementarity of individual interpersonal style had no effect on couple satisfaction. This research suggests implications for interventions regarding building skills that elicit support from family members.

Harmful Stress-Related Couple Processes During the COVID-19 Pandemic and Lockdown: A Longitudinal Dyadic Perspective.

In March 2020, the World Health Organization declared the disease caused by SARS-CoV-2 coronavirus "pandemic." To reduce the risk of contamination, many countries have ordered a lockdown characterized by social distancing and restrictive isolation measures. While the lockdown has proven to be quite effective in terms of physical health, little is known about its impact on couple satisfaction in a dyadic perspective. The current research was a 4-waves longitudinal study (i.e., from March to July 2020) with the objective to examine the trajectory of couple satisfaction during the lockdown with a dyadic perspective (N = 108 couples), including the presence (or absence) of children at home, the number of hours spent together, and the duration of the relationship as time-invariant predictors and the partner's couple satisfaction trajectory as a time-varying covariate. Results showed positive intraindividual changes in couple satisfaction during the lockdown, especially an increase in partners' effectiveness for resolving couple conflicts and a decrease in partners' aggressiveness. Partners had also perceived the influence of the lockdown as more and more positive over time on couple and family functioning. Finally, the couple satisfaction of both partners changed in tandem during the lockdown: The perception of the couple relationship seems to similarly evolve between partners.

Couple's Satisfaction among Lebanese adults: validation of the Toronto Alexithymia Scale and Couple Satisfaction Index-4 scales, association with attachment styles and mediating role of alexithymia.

BACKGROUND: Lebanon is passing through an economic crisis leading to a decreased monthly income within a couple and more couple's dissatisfaction. Furthermore, many studies postulate that the different types of attachment styles affect the romantic relationship experienced between adults. The main objectives of our study were to (1) validate the Toronto Alexithymia Scale (TAS) and Couple Satisfaction Index-4 (CSI-4) scales, and (2) assess the association between attachment styles and couple satisfaction and evaluate the mediating role of alexithymia in these associations. METHODS: This cross-sectional study involved 445 Lebanese participants (April-May 2021). A confirmatory factor analysis (CFA) was carried out using SPSS AMOS v.24 on the couple satisfaction index and Toronto alexithymia scales' items. A linear regression was conducted, taking the couple satisfaction index as the dependent variable. RESULTS: The CFA results of the CSI-4 scale indicated an excellent fit (χ2/df = 3.845/2 = 1.92, TLI = 0.992, RMSEA = 0.046 [95% CI 0.001-0.115] (pclose = 0.436) and CFI = 0.998). The CFA of the TAS indicated a good/acceptable fit (χ2/df = 422.31/132 = 3.2, TLI = 0.89, RMSEA = 0.07 [95% CI 0.063-0.078] (pclose < 0.001) and CFI = 0.91) (items 4 and 8 were removed due to low factor loading (< 0.4)). Being married and higher secure attachment style were significantly associated with more couple satisfaction, whereas older age, higher household crowding index, more alexithymia and mode depression were significantly associated with less couple satisfaction. In addition, alexithymia mediated the association between secure attachment style and couple satisfaction, between preoccupied attachment style and couple satisfaction and between dismissing attachment style and couple satisfaction. CONCLUSION: Couple's satisfaction is positively associated with secure attachment style. In addition, alexithymia plays a mediating role between couple's satisfaction and attachment styles. Upcoming studies should determine if other mental illnesses play a mediating role between attachment style and couple satisfaction.

Individual's pretreatment psychological symptoms and progress in couples therapy: A person-centered analysis.

This study examined how individual pretreatment symptoms (depression and anxiety) predicted longitudinal, relational processes in couples therapy (the therapeutic alliance and couple satisfaction). This study included 99 heterosexual couples receiving systemic couples therapy. Partners reported their individual pretreatment symptoms of depression and anxiety before intake. Each member reported their therapeutic alliance with the therapist at the end of sessions 2-8, as well as their couple satisfaction before intake and at the end of sessions 4 and 8. A Latent Profile Analysis revealed four profiles characterizing couples on their pretreatment psychological symptoms, namely both higher (where both members of the couple had higher depressive and anxiety symptoms), female higher, male higher, and both lower profiles. Furthermore, longitudinal, dyadic multilevel models revealed that men in male higher, female higher, and both higher profiles had higher initial alliance levels, compared to men in the both lower profile. In contrast, only female partners in the both higher profile had a higher initial therapeutic alliance than those in the both lower profile. Men in the both higher profile had faster reductions in their alliance, whereas other profiles did not predict changes in male or female alliance. Additionally, the male higher and both higher profiles predicted a lower initial level of couple satisfaction in males but not females. The profiles did not predict changes in couple satisfaction, which may be a result of lowered power due to missing data. Findings were discussed in the context of systemic family theory, with clinical implications for distressed couples.

En este estudio se analizó como los síntomas individuales previos al tratamiento (depresión y ansiedad) predijeron procesos longitudinales y relacionales en la terapia de pareja (la alianza terapéutica y la satisfacción con la pareja). En este estudio participaron 99 parejas heterosexuales que recibían terapia sistémica de pareja. Antes de la admisión, las parejas informaron sus síntomas individuales de depresión y ansiedad previos al tratamiento. Cada miembro informó su alianza terapéutica con el terapeuta al final de las sesiones 2-8, así como su satisfacción con la pareja antes de la admisión y al final de las sesiones 4 y 8. Un análisis de perfiles latentes indicó cuatro perfiles que caracterizaron a las parejas en sus síntomas psicológicos previos al tratamiento, por ejemplo, los perfiles ambos más altos (donde ambos miembros de la pareja tenían síntomas más altos de depresión y ansiedad), mujeres más altos, hombres más altos y ambos más bajos. Además, los modelos multinivel longitudinales y diádicos revelaron que los hombres de los perfiles hombres más altos, mujeres más altas y ambos más altos tuvieron niveles iniciales de alianza más altos en comparación con los hombres del perfil ambos más bajos. Por el contrario, solo las mujeres del perfil ambos más altos tuvieron una alianza terapéutica inicial más alta que los del perfil ambos más bajos. Los hombres del perfil ambos más altos tuvieron reducciones más rápidas en su alianza, mientras que otros perfiles no predijeron cambios en la alianza masculina o femenina. Además, los perfiles hombres más altos y ambos más altos predijeron un nivel inicial más bajo de satisfacción con la pareja en los hombres, pero no en las mujeres. Los perfiles no predijeron cambios en la satisfacción con la pareja, lo cual puede ser un resultado de la reducción del poder debido a datos faltantes. Se comentaron los resultados en el contexto de la teoría sistémica familiar, con consecuencias clínicas para las parejas con distrés.

Emotional interdependence: the key to studying extrinsic emotion regulation

The literature on extrinsic emotion regulation or the intention to modify other people's emotions has grown in recent years, accompanied by proposals in which its definition is made more precise, the way to understand it in relation to other related processes is delimited, and the consequences of its use in the quality of close relationships are evidenced. Conceptual reviews on this topic recognize the importance of examining the affect and dyadic dynamics that arise between those who regulate each other extrinsically. This dynamic refers to emotional interdependence, the potential of the members of a dyad to shape each other's emotions reciprocally, particularly in those who share a close bond, such as that of a romantic couple. There is little theoretical development regarding the relevance of this characteristic in relation to EER. This article has two objectives: (1) to make a narrative synthesis of the characteristics that define EER and (2) to expand and complexify the existing model by including the emotional interdependence as a vital component in the understanding of the functioning of EER. Lastly, the role of emotional interdependence in the emergence, maintenance, and satisfaction concerning couple relationships is made explicit through phenomena such as shared reality. (AU)

The Power of Words: Appearance Comments from One's Partner Can Affect Men's Body Image and Women's Couple Relationship.

BACKGROUND: The purpose of the present study was to examine, through an experimental vignette design, the effects of appearance-related comments from one's partner on body image and the perceived quality of one's relationship. Body image was considered both in negative (body dissatisfaction) and positive (body compassion) terms. METHODS: Appearance-related commentary from one's partner was manipulated through a vignette describing the purchase of a swimsuit. The participants (n = 211) were women and men who were randomly assigned to one of the three experimental conditions (positive comment, negative comment, no comment). RESULTS: A series of ANOVAs showed different findings for women and men. Being criticized for body weight and shape caused an increase in body dissatisfaction and a decrease in body compassion in men but not in women. Regarding couple satisfaction, women who imagined receiving a compliment about their body perceived being more accepted by their partner and were less afraid of being abandoned or rejected. CONCLUSIONS: Our findings highlight the importance of appearance-based comments from one's partner on men's body image and on women's perception of their couple relationship. Therefore, appearance comments might be addressed by interventions aimed at enhancing positive body image, reducing body dissatisfaction, and fostering couple relationships, carefully considering sex differences.

Improved couple satisfaction and communication with marriage and relationship programs: are there gender differences?-a systematic review and meta-analysis.

BACKGROUND: The aspects of marriage and relationship and their effect on couples' satisfaction are essential and critical aspects to be explored in this globalized and contemporary world. Since there are no reported meta-analysis and systematic reviews conducted in the last two decades in this area, we aimed to investigate the effect of marriage and relationship programs (MRP) on couples' relationship satisfaction (CRS) and couples' relationship communication (CRC) and also to determine the gender differences if any. METHOD: In this systematic review and meta-analysis, the randomized clinical trials (RCTs) published between 2000 and July 26, 2019, were retrieved from several online electronic databases such as Medline, Embase, ProQuest, and Cochrane Library. Inclusion and exclusion criteria were developed using the PICO (Population, Intervention, Comparison, Outcome) framework of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). The mean differences (MDs) and 95% confidence intervals (CIs) were calculated. The reported summary statistics were calculated as random effects models based on the heterogeneity between the studies model. Funnel plots and the Egger regression test was used to confirm the presence of any publication bias. RESULTS: Of the total 12 intervention studies included, five (5) are education/communication skills programs, three (3) enrichment programs, and four (4) therapy programs. The impact of these programs was investigated on CRS and CRC. Therapy programs had a larger effect than other programs (pooled MD: 0.53 (95% CI = 0.35 to 0.71, I2 = 71.5% p = 0.0001) and had a larger effect size on wives (pooled MD: 0.53 (95% CI 0.25 to 0.80, I2 = 74.1% p = 0.0001) than husbands RS (pooled MD: 0.26 (95% CI 0.25 to 0.76, I2 = 72.4% p = 0.0001). In RC (relationship communication) area, the Enhancement programs showed the small to large effect on CRC (pooled MD: 1.31 (95% CI = 0.13 to 2.50, I2 = 94.7% p = 0.0001)) and educational programs showed small to medium effect (pooled MD: 0.32 (95% CI = 0.13 to 0.50, I2 = 74.5% p = 0.0001) on women and no effect on men. CONCLUSION: Due to the high effect of the therapy programs on CRS and enhancement program on CRC in the current meta-analysis, the priority of their utilizations in interventions, especially by psychologists and mental health professionals, should be emphasized. Therefore, mental health planning in communities to develop MRP and care for couples' health should be given special attention to men's health. Due to the high heterogeneity of the results and with scanty literature in this specific domain, we are uncertain about their actual effect. However, well-designed RCTs with a larger sample size would be beneficial in closely examining the effect of MRPs on CRS and CRC.

The Role of Relational Entitlement, Self-Disclosure and Perceived Partner Responsiveness in Predicting Couple Satisfaction: A Daily-Diary Study.

Recent research has investigated how the sense of relational entitlement (SRE, the extent to which a person expects that his/her needs and wishes will be fulfilled by the romantic partner) diminishes couple satisfaction, but little is known about how SRE affects the daily quality of close, romantic relationships. Moreover, the evidence on how SRE interacts with other features of a satisfying relationship (such as the variables of the interpersonal process model of relationships-self-disclosure, perceived partner disclosure, and perceived partner responsiveness) is scarce. Using an electronic daily diary, we examined 99 couples (198 participants) for 7 days, with two daily measurements for each partner. We used a dyadic double intercept multilevel model, which simultaneously computes effects for men and women. We tested a model where one partner's daily couple satisfaction was predicted by their overall levels of SRE (excessive, restricted, and assertive) and by their daily and overall levels of self-disclosure, perceived partner self-disclosure, and perceived partner responsiveness. The model also included person-level interactions and cross-level interactions between the SRE types and variables of the interpersonal process model of relationships for each gender. The analysis indicated that person-level excessive SRE lowers couple satisfaction. Also, day and person-level perceived partner responsiveness and person-level self-disclosure are related to couple satisfaction, but the latter association is significant only for men. Finally, we found some significant person-level interactions that account for changes in couple satisfaction. For men, the links between couple satisfaction, excessive and restricted SRE were moderated by self-disclosure and perceived partner responsiveness, respectively, perceived partner self-disclosure and perceived partner responsiveness. For women, the associations between couple satisfaction, restricted and assertive SRE were moderated by self-disclosure, respectively, perceived partner self-disclosure. This study advances our understanding of the general implications of SRE in the dynamics of couple relationships. More specifically, it shows how SRE interacts with other couple-specific variables in shaping day-to-day couple satisfaction. The theoretical and clinical implications for couple therapy are discussed.

New Parents Experienced Lower Parenting Self-Efficacy during the COVID-19 Pandemic Lockdown.

Background: The COVID-19 pandemic is a global issue which affects the entire population's mental health. This study evaluates how restrictions to curtail this pandemic change parenting self-efficacy, depressive symptoms, couple satisfaction and health-related quality of life in parents after delivery of a newborn. Methods: In this prospective single center evaluation of parental self-efficacy and quality of life, four validated questionnaires were used to repeatedly assess parenting self-efficacy (Tool to measure Parental Self-Efficacy, TOPSE), depressive symptoms (Edinburgh Postnatal Depression Scale, EPDS), couple satisfaction (Couple Satisfaction Index, CSI) and health-related quality of life (short form 12, SF12). Fifty-three parents of 50 infants answered a total number of 63 questionnaires during the lockdown period to limit the spread of COVID-19. These questionnaires were matched with 63 questionnaires of 58 other parents that had answered them before or after strong pandemic related measures. Results: Parents experienced lower parenting self-efficacy during the strict pandemic measures as compared to before and after (p = 0.04). In terms of age, socioeconomic, marital status and duration of hospitalization we detected no significant difference between both groups. On univariate linear regression, TOPSE scores were associated with gestational age (p = 0.044, parameter estimate 1.67, 95% CI: 0.048 to 3.301), birth weight (p = 0.035, parameter estimate 0.008, 95% CI: 0.001 to 0.015), number of newborns' siblings (p = 0.0554, parameter estimate 7.49, 95% CI: -0.174 to 15.145) and distance of home from hospital (p = 0.043, parameter estimate -0.38, 95% CI: -0.745 to -0.011). Interestingly, there was a positive correlation between quality of life and TOPSE scores, suggesting that those who experience a higher self-efficacy also have a higher quality of life. Conclusions: When implementing a lock-down period psychological effects such as lower experience of parental self-efficacy have to be considered.