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Comparing Brief Psychoanalytic Couple Therapy and Emotionally Focused Therapy in Reducing Relationship Distress

ClinicalTrials.gov IDNCT07100951

PhaseNA

Enrollment120

SponsorBeykoz University

Age24 Years

SexALL

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Conditions studied

Depressive Disorder, Anxiety Disorders, Emotion Regulation, Attachment, Relationship Distress

About this study

This study compares the effects of two different couple therapy approaches-Brief Psychoanalytic Couple Therapy (BPCT) and Emotionally Focused Therapy (EFT)-on reducing relationship problems and emotional symptoms like depression and anxiety. Many couples struggle with emotional distance, repeated arguments, and dissatisfaction in their relationships. While EFT is a widely used and research-supported therapy that focuses on rebuilding emotional bonds, BPCT is a less-studied method that aims to help couples understand how early relationship experiences and unconscious patterns affect their current interactions. The purpose of this study is to find out whether one of these therapies is more effective than the other in improving relationship satisfaction and reducing emotional distress. The study also looks at changes in how people regulate their emotions and how secure they feel in their relationships after therapy. In this randomized controlled trial, 60 heterosexual couples experiencing relationship distress and symptoms of anxiety or depression will be randomly assigned to one of three groups: BPCT group - couples receive weekly online therapy focusing on deep emotional and psychological patterns in their relationship. EFT group - couples receive weekly online therapy focusing on emotional connection and improving communication. Waitlist control group - couples do not receive therapy during the study but will be offered therapy afterward. Each therapy lasts 12 weeks, and follow-up assessments will be conducted up to 6 months after therapy ends. Data will be collected before, during, and after treatment using questionnaires that measure relationship satisfaction, depression, anxiety, emotional regulation, and attachment style. The results of this study will help determine which type of therapy is more beneficial for couples experiencing emotional and relational difficulties and may provide important insights for mental health professionals working with distressed couples.

Interventions

Behavioral: Brief Psychoanalytic Couple Therapy — Brief Psychoanalytic Couple Therapy (BPCT) consists of 12 weekly online sessions (50 minutes each) focused on uncovering unconscious relational dynamics, symbolic conflict meanings, and early attachment schemas. Techniques include relational interpretations, exploration of projective identification and transference, and analysis of emotional defenses. Therapists maintain a neutral, reflective stance to promote insight and self-awareness within the couple dynamic.
Behavioral: Emotionally Focused Therapy — Emotionally Focused Therapy (EFT) involves 12 weekly online sessions (50 minutes each) focusing on repairing emotional bonds and enhancing attachment security. The intervention targets maladaptive emotional interaction cycles and promotes the expression of primary emotions and attachment needs. Therapists actively guide couples through restructuring emotional responses and rebuilding secure, responsive communication patterns.

Primary outcomes

Change in Relationship Satisfaction (DAS-32) (Baseline, Week 6, Week 12, and 6-month Follow-up)
Change in Depressive Symptoms (BDI-II) (Baseline, Week 6, Week 12, and 6-month Follow-up)
Change in Anxiety Symptoms (BAI) (Baseline, Week 6, Week 12, and 6-month Follow-up)
Change in Emotion Dysregulation (DERS) (Baseline, Week 12, and 6-month Follow-up)

Eligibility information

Inclusion Criteria: * Heterosexual couples (both partners must participate) * Age between 24 and 65 years * Minimum 2 years of relationship duration * At least one partner scoring ≤ 30 on the Dyadic Adjustment Scale (DAS-32), indicating clinically significant relationship distress * At least one partner scoring in the mild, moderate, or severe range on the Beck Depression Inventory-II (BDI-II) or Beck Anxiety Inventory (BAI) Exclusion Criteria: * Current participation in individual or couple psychotherapy * Use of psychiatric medication during the past 3 months * Presence of severe psychiatric disorders (e.g., psychosis, bipolar disorder) * History or presence of physical or severe psychological partner violence, assessed via Conflict Tactics Scale (CTS-2) * Active substance use disorder within the past 6 months

Study locations

Beykoz University, Istanbul, Turkey (Türkiye)

Before you participate: Varda Clinical is an independent discovery tool, not the study sponsor or a medical provider. Eligibility can only be determined by the official study team. Discuss potential risks and benefits with a qualified healthcare professional.

Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.