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Emotion Regulation and Relationship Satisfaction in Couple Therapy: What Happens Across Sessions?
Min Xu1, Lee N Johnson2, Shayne R Anderson2
1University of San Diego, San Diego, California, USA.
Family Process
|February 10, 2026
Summary
Difficulties in emotion regulation (ER) impact couple therapy, yet some ER challenges surprisingly correlate with increased relationship satisfaction. Understanding these dynamics is key for effective couple counseling.
Area of Science:
- Psychology
- Clinical Psychology
- Relationship Science
Background:
- Previous research links partners' emotion regulation (ER) to well-being.
- Knowledge gaps exist regarding ER within clinical couples during therapy.
Purpose of the Study:
- Examine intra- and interpersonal effects of ER difficulties on relationship satisfaction trajectory in couple therapy.
- Investigate gender differences in ER and relationship satisfaction.
- Analyze changes in relationship satisfaction and ER across therapy sessions.
Main Methods:
- Longitudinal study of 174 mixed-sex couples in initial couple therapy sessions.
- Assessed ER difficulties (awareness, acceptance, strategies, impulsivity).
- Tracked relationship satisfaction changes over eight therapy sessions.
Main Results:
- Relationship satisfaction generally improved across therapy sessions.
- Partners' rates of change in satisfaction were similar regardless of gender.
- ER difficulties showed both intra- and interpersonal effects on satisfaction.
- Counterintuitively, some ER difficulties (e.g., lack of awareness, nonacceptance) were positively associated with relationship satisfaction.
Conclusions:
- ER difficulties significantly influence relationship satisfaction dynamics in couple therapy.
- Clinicians may benefit from focusing on ER processes, potentially using emotion-focused approaches.
- Further research with diverse samples is recommended to validate findings.
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