{"id":12629,"date":"2024-02-08T15:52:23","date_gmt":"2024-02-08T15:52:23","guid":{"rendered":"https:\/\/www.golive.clarku.edu\/news\/2024\/02\/08\/with-nearly-m-in-defense-funding-clark-based-startup-expands-mental-health-research\/"},"modified":"2025-05-19T09:26:29","modified_gmt":"2025-05-19T13:26:29","slug":"with-2m-in-defense-funding-clark-based-startup-expands-mental-health-research","status":"publish","type":"story","link":"https:\/\/www.clarku.edu\/news\/2024\/02\/08\/with-2m-in-defense-funding-clark-based-startup-expands-mental-health-research\/","title":{"rendered":"With nearly $2M in defense funding, Clark-based startup expands mental health research"},"content":{"rendered":"\n            \n            <p class=\"intro news-subhead\">\u2018Relationship checkups\u2019 are key tool for treating depression in veterans, Professor C\u00f3rdova\u2019s pilot study shows<\/p>\n            <p><html><body><\/p>\n<p>Clark psychologist James C&oacute;rdova envisions that, one day, couples&rsquo; &ldquo;relationship checkups&rdquo; with mental health professionals will be as easy to schedule as dental appointments.<\/p>\n<p>That could have significant effects on individuals&rsquo; mental health, he adds. Even just one or two brief sessions of relationship counseling have been proven to decrease individual depression and suicidal ideation, according to studies conducted by C&oacute;rdova and his co-authors &mdash;&nbsp;psychiatrists, psychologists, and public health experts from research institutions in Texas and Ohio.<\/p>\n<p>&ldquo;The thing about relationships is, a rising tide raises all boats,&rdquo; says C&oacute;rdova, professor of psychology and director of the&nbsp;<a href=\"https:\/\/wordpress.clarku.edu\/coupleslab\/\">Center for Couples and Family Research<\/a> at Clark. &ldquo;If you improve relationship health, everything else comes with it.&rdquo;<\/p>\n<div class=\"csidebar right\"><\/p>\n<h4>If you need help<\/h4>\n<p>If you are experiencing depression or suicidal thoughts, call 988, the 24-hour, confidential <a href=\"https:\/\/988lifeline.org\/\">Suicide and Crisis Lifeline<\/a>.<\/p>\n<p><\/div>\n<p>C&oacute;rdova&rsquo;s Clark-based startup company, <a href=\"https:\/\/arammu.com\/\">Arammu Inc.<\/a>, has an almost $2 million multiyear contract with the U.S. Department of Defense to train more than 1,000 military family life counselors around the world to apply his Relationship Checkup model to couples counseling.<\/p>\n<p>He created the model &mdash; originally called the <a href=\"https:\/\/clarknow.clarku.edu\/2015\/02\/10\/clark-u-prof-s-marriage-checkup-helps-couples-improve-intimacy-marital-satisfaction\/\">Marriage Checkup<\/a> and consisting of two 1-hour sessions &mdash; 25 years ago. His <a href=\"https:\/\/www.amazon.com\/Marriage-Checkup-Scientific-Sustaining-Strengthening\/dp\/0765706393\">book<\/a>, &ldquo;The Marriage Checkup: A Scientific Program for Sustaining and Strengthening Marital Health,&rdquo; was published in 2009, and it has been popular ever since with psychologists and couples alike.<\/p>\n<div class=\"csidebar right\"><\/p>\n<h4>Study psychology<\/h4>\n<p>Do you want to study with researchers like James C&oacute;rdova and help others with their mental health?<\/p>\n<p><a class=\"arrow-link\" href=\"https:\/\/www.clarku.edu\/academics\/undergraduate\/programs\/major\/psychology\/\">Major in psychology<\/a><\/p>\n<p><\/div>\n<p>&ldquo;We&rsquo;re starting in the military with regular relationship health checkups and then hoping to be able to follow that path out into the civilian world,&rdquo; C&oacute;rdova explains.<\/p>\n<p>The next &ldquo;stop&rdquo; on this path includes military veterans, who have re-entered civilian life, often with stress in tow, he says. Arammu has extended its Relationship Checkups to couples obtaining mental health services through the Veterans Administration (VA) and veterans hospitals.<\/p>\n<p>When military personnel retire and leave active duty, &ldquo;they experience a lot of relationship&nbsp; upheaval as they cross that transition back into civilian life,&rdquo; C&oacute;rdova notes. &ldquo;They also can experience PTSD, depression, anxiety, interpersonal violence, substance abuse, and a higher risk of suicide.&rdquo;<\/p>\n<blockquote class=\"pullquote center\"><\/p>\n<p>&ldquo;The thing about relationships is, a rising tide raises all boats. If you improve relationship health, everything else comes with it.&rdquo;<\/p>\n<p>&mdash; Professor James C&oacute;rdova<br \/>\n<cite><\/cite>\r\n<\/blockquote>\r\n<style>\r\n  .content > blockquote.pullquote,\r\n  .content > blockquote.pullquote p,\r\n  .content > .pullquote cite {\r\n    font-style: normal;\r\n  }\r\n  .content > blockquote.pullquote.tint {\r\n    background-color: #eaeaea;\r\n    border: 0;\r\n  }\r\n  .content > blockquote.pullquote p {\r\n  }\r\n  .content > blockquote.pullquote::before {\r\n    display: none;\r\n  }\r\n  .content > .pullquote cite {\r\n    display: block;\r\n    font-size: .75em;\r\n    font-weight: normal;\r\n    text-align: right;\r\n  }\r\n  @media all and (min-width: 650px) {\r\n\t.content > blockquote.pullquote.left,\r\n    .content > blockquote.pullquote.right {\r\n      \tclear: both;\r\n\t    max-width: 50%;\r\n      \ttext-align: left;\r\n\t}\r\n\t.content > blockquote.pullquote.left {\r\n      float: left;\r\n      margin: 10px 40px 40px 0;\r\n    }\r\n\t.content > blockquote.pullquote.right {\r\n      float: right;\r\n      margin: 10px 0 40px 40px;\r\n    }\r\n  }\r\n<\/style>\n<p>A <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10591926\/\">pilot study<\/a> by C&oacute;rdova and his co-authors focused on &ldquo;couples experiencing the dual suicide risk factors of relationship distress and mental health problems,&rdquo; they explain in an article published last fall in the journal <em>Suicide and Life-Threatening Behavior<\/em>. The study found that three 30-minute sessions deploying the Relationship Checkup model helped military veterans and their partners not only improve their relationships but also led to a decrease in individuals&rsquo; depression and suicidal ideation.<\/p>\n<p>&ldquo;Both the Defense Department and the VA are laser-focused on trying to drive down the rates of suicide, which is why this study is looking specifically at the variables that have an effect on suicide risk,&rdquo; C&oacute;rdova says.<\/p>\n<p>The study &ldquo;found that if you improve a relationship, even if you&rsquo;re not in any way targeting depressive symptoms, depressive symptoms are always alleviated,&rdquo; he adds.<\/p>\n<p>One to two sessions of the Relationship Checkup, according to C&oacute;rdova, had the same effect of alleviating depression as did a more commonly prescribed approach &mdash; individual cognitive behavioral therapy plus medication such as Prozac.<\/p>\n<figure id=\"attachment_17148\" aria-describedby=\"caption-attachment-17148\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-17148\" src=\"https:\/\/www.clarku.edu\/news\/wp-content\/uploads\/sites\/37\/2022-james-cordova-2.jpeg\" alt=\"Clark University Professor James Cordova\" width=\"300\" height=\"361\"><figcaption id=\"caption-attachment-17148\" class=\"wp-caption-text\">Psychology Professor James C&oacute;rdova<\/figcaption><\/figure>\n<p>The outcomes with veterans were similar to those of other groups &mdash; including expecting parents, active military, LGBTQ, low-income unmarried, and married couples &mdash; that he and fellow researchers have studied over more than two decades of trials, according to C&oacute;rdova.<\/p>\n<p>&ldquo;We&rsquo;re getting outcomes on par with those in all our other studies showing positive effects on relationship health, like relationship satisfaction and intimacy and cohesion and connectedness, and also on broader mental health variables like depression,&rdquo; C&oacute;rdova says.<\/p>\n<p>Relationship therapy is not usually considered when individuals seek treatment for suicidal ideation, he and his co-authors point out in their study on veterans. In addition, research around family-based treatments for suicide &ldquo;has disproportionately focused on adolescents,&rdquo; the authors note.<\/p>\n<p>&ldquo;The great majority of empirically supported treatments target psychiatric diagnoses, without addressing the health of key interpersonal relationships,&rdquo; the authors write. &ldquo;Nevertheless, systematic reviews consistently link romantic relationship distress, conflict, and separation\/breakup to suicidal behavior.&rdquo;<\/p>\n<p>The statistics are stark. &ldquo;National psychological autopsy studies found romantic relationship problems occurred in the two weeks prior to 24% of veteran suicide deaths and were found for 50% of suicide deaths for veterans below 35 years of age,&rdquo; the authors report.<\/p>\n<p>However, brief relationship counseling, they emphasize, highlights &ldquo;an opportunity to expand [suicide] prevention efforts.&rdquo;<\/p>\n<p>C&oacute;rdova&rsquo;s co-authors on the study included faculty experts from the Peter O&rsquo;Donnell Jr. Brain Institute, Center for Depression Research and Clinical Care, Department of Psychiatry, and Peter O&rsquo;Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas; Nationwide Children&rsquo;s Hospital, The Ohio State University, Columbus; University of Texas Health Science Center, San Antonio; Department of Psychiatry, Texas Tech University Health Science Center, Lubbock; and Department of Psychiatry and Behavioral Sciences,&nbsp;University of Texas Medical Branch, Galveston.<\/body><\/html><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2018Relationship checkups\u2019 are key tool for treating depression in veterans, Professor C\u00f3rdova\u2019s pilot study shows<\/p>\n","protected":false},"featured_media":12630,"template":"","meta":{"story_color":"#525250","story_headerImg":12630,"section_label":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[246],"displayed_author":[242],"featured":[],"topic":[160,316,177,162],"class_list":["post-12629","story","type-story","status-publish","has-post-thumbnail","hentry","category-health-wellbeing","displayed_author-meredith-woodward-king","topic-faculty-research","topic-mental-health","topic-psychology","topic-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>With nearly $2M in defense funding, Clark-based startup expands mental health research | ClarkU News<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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