In the last decade the popularity of structured treatment protocols and even computer assisted therapy has been increasingly rapidly
Treatment protocols exist for different disorders such as anxiety, post traumatic stress, depression, and eating disorders including bulimia nervosa
Interactional problems in couples often develop in rather fixed patterns, few structured treatment protocols are available with their efficacy tested
This last criterion was established by using cut-off scores on the Dutch adaptation of the Symptom Check List-90 (SCL-90:
If one or both partners had a higher score on the SCL-90 than the average of the psychiatric norm group, the couple were excluded from the study
The first pre-test on the Interactional Problem-Solving Inventory revealed a low quality of the relationship in the participating couples; their average scores fell in the second decile, which means that 80% of the couples in the general Dutch population are better able to solve their interactional problems
At follow-up the Interactional Problem-Solving Inventory scores of most couples were still below the average of the general Dutch population
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