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Comparison of the Effects of Cognitive Behavioral Couple Therapy and Acceptance and Commitment Therapy on Intimacy and Marital Adjustment among Couples Applying for Divorce in Bushehr (Iran)

Document Type : Original Article

Authors

1 Department of Psychology, Bushehr Branch, Islamic Azad University, Bushehr, Iran

2 Department of Psychology, Payame Noor University, Tehran, Iran

Abstract

Background: Family and marital abnormalities are among the risk factors of psychological trauma in family members and threaten the family system, which is the basis of any healthy society. The aim of the present study was to compare the effects of cognitive-behavioral couple therapy (CBCT) and acceptance and commitment therapy (ACT) on intimacy and marital adjustment among couples applying for divorce.
Methods: This is a quasi-experimental study based on a pretestposttest design with a control group. The study population consisted of all married people applying for divorce in Bushehr city, (Iran) in 2021, 45 of whom were selected as the sample through convenience sampling and randomly and equally assigned to three groups (n= 15 per group). The first and second experimental groups received CBCT and ACT (twelve 90-minute sessions for each), respectively. The research instruments included Walker and Thompson’s Intimacy Scale and Revised Dyadic Adjustment Scale. The data were statistically analyzed using univariate and multivariate analysis of covariance in SPSS-26.
Results: The results showed a significant difference between the experimental groups and the control group in the post test scores of intimacy and marital adjustment (P<0.001). There was a significant difference between CBCT and ACT in improving marital adjustment (P=0.012), whereas these two interventions did not exhibit such a difference in improving intimacy.
Conclusion: The study findings suggested that both CBCT and ACT can be used for improving the intimacy between the couples applying for divorce. However, CBCT is more recommended for improving the marital adjustment of such couples because it exhibited more effectiveness than ACT in this regard.

Keywords

References
  1. van Scheppingen MA, Leopold T. Trajectories of life satisfaction before, upon, and after divorce: Evidence from a new matching approach. J Pers Soc Psychol. 2020;119(6):1444-1458. doi: 10.1037/pspp0000270. PMID:31580108
  2. Iri H, Makvandi B, Bakhtiarpour S, Hafezi F. The Effect of Dialectical Behavior Therapy on Divorced Women’s Psychosocial Adjustment and Cognitive Emotion Regulation. J Occupation Health Epidemiol. 2020;9(2):68-75. doi: 10.29252/johe.9.2.68
  3. Sbarra DA, Hasselmo K, Bourassa KJ. Divorce and Health: Beyond Individual Differences. Curr Dir Psychol Sci. 2015;24(2):109-113. doi: 10.1177/0963721414559125. PMID: 25892857; PMCID: PMC4399802.
  4. Auersperg F, Vlasak T, Ponocny I, Barth A. Long-term effects of parental divorce on mental health - A meta-analysis. J Psychiatr Res. 2019; 119:107-115. doi: 10.1016/j.jpsychires.2019.09.011. PMID:31622869
  5. Dargahi S, Rezaiee Ahvanuiee M, Ghasemi Jobaneh R, Khorasani A. The effect of relationship enhancement approach training on job stress and quality of marital relationship among municipality staffs. Journal of Occupational Health and Epidemiology. 2017;6(4):199-206. doi: 10.29252/johe.6.4.199.
  6. Pasha H, Basirat Z, Esmailzadeh S, Faramarzi M, Adibrad H. Marital Intimacy and Predictive Factors Among Infertile Women in Northern Iran. J Clin Diagn Res. 2017;11(5): QC13-QC17. doi: 10.7860/JCDR/2017/24972.9935. PMID:28658854 PMCID: PMC5483756.
  7. Choi SY, Kim HR, Myong JP. The Mediating Effects of Marital Intimacy and Work Satisfaction in the Relationship between Husbands' Domestic Labor and Depressive Mood of Married Working Women. Int J Environ Res Public Health. 2020;17(12):4547. doi: 10.3390/ijerph17124547. PMID: 32599777; PMCID: PMC7345565.
  8. Luo B, Fang W, Shen J, Cong XF. Gift–image congruence and gift appreciation in romantic relationships: The roles of intimacy and relationship dependence. Journal of Business Research. 2019; 103:142-52. doi: 10.1016/j.jbusres.2019.06.018.
  9. Lee JY, Kim JS, Kim SS, Jeong JK, Yoon SJ, Kim SJ, Lee SM. Relationship between Health Behaviors and Marital Adjustment and Marital Intimacy in Multicultural Family Female Immigrants. Korean J Fam Med. 2019;40(1):31-38. doi: 10.4082/kjfm.17.0059. PMID: 30400700; PMCID: PMC6351797.
  10. Ghafouri SF, Ghanbari S, Fallahzadeh H, Shokri O. The Relation Between Marital Adjustment and Posttraumatic Growth in Infertile Couples: The Mediatory Role of Religious Coping Strategies. J Reprod Infertil. 2016;17(4):221-229. PMID: 27921001; PMCID: PMC5124341.
  11. Mirghafourvand M, Farshbaf-Khalili A, Ghanbari-Homayi S. Marital Adjustment and Its Relationship with Religious Orientations Among Iranian Infertile and Fertile Women: A Cross-Sectional Study. J Relig Health. 2019;58(3):965-976. doi: 10.1007/s10943-018-0566-6. PMID:29380176.
  12. Epstein NB, Zheng L. Cognitive-behavioral couple therapy. Curr Opin Psychol. 2017; 13:142-147. doi: 10.1016/j.copsyc.2016.09.004. PMID:28813285
  13. Shayan A, Taravati M, Garousian M, Babakhani N, Faradmal J, Masoumi SZ. The Effect of Cognitive Behavioral Therapy on Marital Quality among Women. Int J Fertil Steril. 2018;12(2):99-105.
  14. Gregory VL Jr. Cognitive-Behavioral Therapy for Relationship Distress: Meta-analysis of RCTs with Social Work Implications. J Evid Based Soc Work (2019). 2021;18(1):49-70. doi: 10.1080/26408066.2020.1806164. PMID:32808591.
  15. Allen B. Implementing Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) With Preteen Children Displaying Problematic Sexual Behavior. Cog Behavior Pract. 2018;25(2):240-249. doi: 10.1016/j.cbpra.2017.07.001.
  16. Alizadeh M, Akbari Torkestani N, Oohadi B, Mehrabi Razveh F. Effectiveness of Cognitive-Behavioral Counseling Based on Film Therapy on the Marital Satisfaction of Women with Low Sex Drive. Preven Care Nurs Midwif J. 2018;8(1):19-27. doi: 10.29252/pcnm.8.1.19.
  17. Wynne B, McHugh L, Gao W, Keegan D, Byrne K, Rowan C, et al. Acceptance and Commitment Therapy Reduces Psychological Stress in Patients with Inflammatory Bowel Dis. Gastroenterol. 2019;156(4):935-45.e1. doi: 10.1053/j.gastro.2018.11.030. PMID:30452919
  18. Tahmasebi zadeh B, Kooshki S, Nemat Tavousi M, Oraki M. The Effectiveness of Acceptance-commitment Therapy and Emotion Regulation Training on Impulsivity and Distress Tolerance in People with a History of Drug Addiction. Preven Care Nurs Midwif J. 2021;11(2):65-74. doi: 10.52547/pcnm.11.2.65.
  19. Østergaard T, Lundgren T, Zettle R, Jonassen R, Harmer CJ, Stiles TC, Landrø NI, Haaland VØ. Acceptance and Commitment Therapy preceded by an experimental Attention Bias Modification procedure in recurrent depression: study protocol for a randomized controlled trial. Trials. 2018;19(1):203. doi: 10.1186/s13063-018-2515-9. PMID: 29587807; PMCID: PMC5870819.
  20. Walser RD, Wharton E. Acceptance and commitment therapy: Using mindfulness and values in the treatment of moral injury. Addressing moral injury in clinical practice. Washington, DC, US: American Psychological Association; 2021. p. 163-81. doi: 10.1037/0000204-010.
  21. Gross M, Moore ZE, Gardner FL, Wolanin AT, Pess R, Marks DR. An empirical examination comparing the Mindfulness-Acceptance-Commitment approach and Psychological Skills Training for the mental health and sport performance of female student athletes. Int J Sport Exer Psychol. 2018;16(4):431-51. doi: 10.1080/1612197X.2016.1250802.
  22. Hayes SC, Levin ME, Plumb-Vilardaga J, Villatte JL, Pistorello J. Acceptance and commitment therapy and contextual behavioral science: examining the progress of a distinctive model of behavioral and cognitive therapy. Behav Ther. 2013;44(2):180-98. doi: 10.1016/j.beth.2009.08.002. PMID: 23611068; PMCID: PMC3635495.
  23. Amadian F, Haghayegh SA. Relationship model between sexual dissatisfaction and quality of life in married obese patients with mediating role of marital intimacy. J Shahid Sadoughi Uni Med Sci. 2020;28(1):2302-2314. doi: 0.18502/ssu.v 28i1.3133.
  24. Yoosefi N. Investigation of psychometric properties of the Revised Dyadic Adjustment Scales (RDAS). Res Clin Psychol Counsel 2012; 1(2):183-200. doi: 10.22067/IJAP.V1I2.9534.
  25. Ager RD. A Qualitative Study of Intimate Partner Violence from a Cognitive-Behavioral Perspective. J Interpers Violence. 2020;35(23-24):5198-5227. doi: 10.1177/0886260517719902. PMID: 29294835.
  26. Soltaninezhad K, Khosropour F, Mohammad Tehrani H. Effects of Cognitive-Behavioral Couple Therapy on Dysfunctional Attitudes and Marital Adjustment in Married Students. Mid East J Disabil Stud. 2021; 11:10-10. doi: 10.29252/mejds.0.0.123.
  27. Ebadi Z, Pasha R, Hafezi F, Eftekhar Z. The Effectiveness of Cognitive Behavioral Therapy on Marital Intimacy and Identification of the Basic Psychological Needs among Couples Referring to Counseling Centers. Avicenna J Neuro Psycho Physiology. 2018;5(4):189-196. doi: 10.32598/ajnpp.4.3.290.
  28. Topkaya N, Şahin E, Mehel F. Relationship-specific irrational beliefs and relationship satisfaction in intimate relationships. Cur Psychol. 2021. doi: 10.1007/s12144-021-01426-y.
  29. Reardon KW, Lawrence E, Mazurek C. Adapting Acceptance and Commitment Therapy to Target Intimate Partner Violence. Partner Abuse. 2020;(4):447-65. doi: 10.1891/PA-2020-0028.
  30. Naghavi M, Asadpour E, Kasaee A. The Effectiveness of Group counselling based on Acceptance and Commitment Therapy on increasing Psychological Flexibility and Marital Intimacy of Infertile Women. J Health Psychol. 2020;8(32):105-26. doi: 10.30473/hpj.2020.42918.4188.
  31. Khanjani S, Shafiabadi A, Farzad V, Fatehizadeh, M. A Comparison between the Effectiveness of Cognitive-Behavioral Couple Therapy and Acceptance and Commitment Couple Therapy on Conflicting Couples Marital Intimacy in Isfahan. Know Res Appl Psychol, 2017;17(4):31-40. doi: 10.32592/ajnpp.2020.7.2.107.
  32. Rahimi A, Amiri H, Afsharriniya K, Arefi M. Comparing the Effectiveness of Cognitive Behavioral Therapy (CBT) with Acceptance and Commitment Therapy (ACT) in the Enhancement of Marital Satisfaction and Sexual Intimacy in Couples Referred to Counseling Centers. Avicenna J Neuro Psycho Physiology. 2020;7(2):126-132. doi: 10.32592/ajnpp.2020.7.2.107.
  33. Durães RSS, Khafif TC, Lotufo-Neto F, Serafim A de P. Effectiveness of Cognitive Behavioral Couple Therapy on Reducing Depression and Anxiety Symptoms and Increasing Dyadic Adjustment and Marital Social Skills: An Exploratory Study. Fam J. 2020;28(4):344-355. doi: 10.1177/1066480720902410.
  34. Şafak Öztürk C, Arkar H. Effect of Cognitive Behavioral Therapy on Sexual Satisfaction, Marital Adjustment, and Levels of Depression and Anxiety Symptoms in Couples with Vaginismus. Turk Psikiyatri Derg. 2017;28(3):172-180. doi: 10.5080/u14872.
  35. Lavner JA, Karney BR, Bradbury TN. Does Couples' Communication Predict Marital Satisfaction, or Does Marital Satisfaction Predict Communication? J Marriage Fam. 2016;78(3):680-694. doi: 10.1111/jomf.12301. PMID: 27152050; PMCID: PMC4852543.
  36. Akhavan Bitaghsir Z, Sanaee Zaker B, Navabinejad S, Farzad V A. Comparetive of Emotional Focused Couple Therapy and Acceptance and Commitment Therapy on Marital Adjustment and Marital Satisfaction. Iran J Health Educ Health Promot. 2017;5(2):121-128. doi: 10.30699/acadpub.ijhehp.5.2.121.
  37. Brown FL, Whittingham K, Boyd RN, McKinlay L, Sofronoff K. Does Stepping Stones Triple P plus Acceptance and Commitment Therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomised controlled trial. Behav Res Ther. 2015; 73:58-66. doi: 10.1016/j.brat.2015.07.001. PMID:26255172.
Journal of Health Sciences & Surveillance System
Volume 11, Issue 3
July 2023
Pages 440-448
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