Journal of Health And Care
Volume 24, Issue 3 (Autumn 2022)
JHC 2022, 24(3): 205-220 |
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Ethics code: IR.MUK.REC.1398.279
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Amini M, Goudarzi M, Shahgheibi S. Comparing the Effectiveness of Cognitive Behavioral and Emotionally Focused Couple Therapy on Perceived Stress and Marital Satisfaction among Primiparous Pregnant Women. JHC 2022; 24 (3) :205-220
URL: http://hcjournal.arums.ac.ir/article-1-1370-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1370-en.html
2. Department of Family Counseling, Faculty of Humanities, Sanandaj Branch, Islamic Azad University, Sanandaj, Iran
Abstract: (852 Views)
Background & aim: Pregnancy causes several physical and psychological changes. Therefore, pregnant women may face with numerous issues and problems including stress and marital dissatisfaction. This study was conducted to compare the effectiveness of two cognitive-behavioral and emotion-oriented couple therapy training methods on perceived stress and marital satisfaction in primiparous women.
Methods: In a semi-experimental design using a pre-test and post-test with the control group plan, 60 pregnant women were chosen by considering the inclusion criteria, and then they randomly divided into three 20-subject groups (two experimental groups and one control group). The Experimental groups were trained on cognitive-behavioral and emotionally focused in 8 sessions of 90 minutes, while the control group did not receive any training during this time. The tools which are used to collect data were the Perceived Stress Scale of Cohen and Enrich Marital Satisfaction questionnaire. Data were analyzed by using mean, multivariate analysis of covariance in SPSS software version 23 at a significance level of 0.05.
Results: Findings showed that both cognitive-behavioral and emotionally focused approaches are practical on perceived stress, marital satisfaction (and its subscales) (p<0.05). Cognitive-behavioral couple therapy (17.6±2.99) was more effective than emotionally focused therapy (24.8±4.74) on perceived stress (p<0.05). On the other hand, emotionally focused couple therapy (158.7±6.64) was more effective than cognitive-behavioral therapy (144.9±4.9) on marital satisfaction and some of its components including personality issues and marital relationship.
Conclusion: Due to the greater effectiveness of cognitive-behavioral couple therapy on perceived stress and also the greater effectiveness of emotionally focused couple therapy on marital satisfaction, they reduce stress and improve marital satisfaction and then can be used as effective methods during pregnancy
Methods: In a semi-experimental design using a pre-test and post-test with the control group plan, 60 pregnant women were chosen by considering the inclusion criteria, and then they randomly divided into three 20-subject groups (two experimental groups and one control group). The Experimental groups were trained on cognitive-behavioral and emotionally focused in 8 sessions of 90 minutes, while the control group did not receive any training during this time. The tools which are used to collect data were the Perceived Stress Scale of Cohen and Enrich Marital Satisfaction questionnaire. Data were analyzed by using mean, multivariate analysis of covariance in SPSS software version 23 at a significance level of 0.05.
Results: Findings showed that both cognitive-behavioral and emotionally focused approaches are practical on perceived stress, marital satisfaction (and its subscales) (p<0.05). Cognitive-behavioral couple therapy (17.6±2.99) was more effective than emotionally focused therapy (24.8±4.74) on perceived stress (p<0.05). On the other hand, emotionally focused couple therapy (158.7±6.64) was more effective than cognitive-behavioral therapy (144.9±4.9) on marital satisfaction and some of its components including personality issues and marital relationship.
Conclusion: Due to the greater effectiveness of cognitive-behavioral couple therapy on perceived stress and also the greater effectiveness of emotionally focused couple therapy on marital satisfaction, they reduce stress and improve marital satisfaction and then can be used as effective methods during pregnancy
Keywords: Marital Satisfaction, Pregnant Women, Cognitive-Behavioral Therapy, Emotionally Focused Therapy, Perceived Stress
Type of Study: quasi-experimental |
Subject:
Pregnancy and childbirth
Received: 2022/05/8 | Accepted: 2022/11/6 | Published: 2022/12/1
Received: 2022/05/8 | Accepted: 2022/11/6 | Published: 2022/12/1
References
1. Lara MA, Letechipia G, Hochhausen L. Prenatal depression in Latinas in the United States and Mexico. Maternal and Child 1- Ameli S, Aslzaker M, Salehpour S, Jafari M. The effectiveness of emotion regulation group training in improving quality of life and mitigating emotion regulation difficulties of women during pregnancy. Shenakht Journal of Psychology and Psychiatry. 2021;7(6):28-42 [Persian]. [DOI:10.52547/shenakht.7.6.28]
2. Naghizadeh S. Comparison of pregnancy self-care, perceived social support and perceived stress in low-risk and high-risk groups. Journal of Health and Care. 2019;21(1):16-25 [Persian]. [DOI:10.29252/jhc.21.1.16]
3. Stoll K, Swift EM, Fairbrother N, Nethery E, Janssen P. A systematic review of nonpharmacological prenatal interventions for pregnancy‐specific anxiety and fear of childbirth. Birth. 2018;45(1):7-18. [DOI:10.1111/birt.12316] [PMID]
4. Hoyer J, Wieder G, Höfler M, Krause L, Wittchen H-U, Martini J. Do lifetime anxiety disorders (anxiety liability) and pregnancy-related anxiety predict complications during pregnancy and delivery? Early Human Development. 2020;144:105022 [DOI:10.1016/j.earlhumdev.2020.105022] [PMID]
5. Shirazi Aria R. Evaluation and comparison of high and low self-control in relation to coping styles with stress among students of Tehran universities. Master Thesis. Al-Zahra University; 2009 [Persian].
6. Jabbari Z, Hashemi H, Haghayegh SA. Survey on effectiveness of cognitive behavioral stress management on the stress, anxiety, and depression of pregnant women. Journal of Community Health Research. 2013;8(7):1341-47 [Persian].
7. Cuhadaroglu F. Observing depression and anxiety together in adolescents: a review. Turkish Journal of Psychiatry. 2014;4:183-88.
8. Keye WR, Chang RJ, Rebar RW, Soules MR. Infertility: Evaluation and Treatment. Philadelphia: WB Saunders; 1995.
9. Shobeiri F, Ahang Poor P, Parsa P, Yazdi-Ravandi S. Comparing health condition between wanted and unwanted pregnancy of women in hamadan city. Avicenna Journal of Nursing and Midwifery Care. 2019;27(2):82-88 [Persian]. [DOI:10.30699/sjhnmf.27.2.82]
10. Sepahvand T, Gilani B, Zamani R. The relationship between perceived stress and general health, according to explanatory styles. Psychology & Educational Science. 2009;38(4):87-104.
11. Norhayati M, Hazlina N, Asrene A, Emilin W. Magnitude and risk factors for postpartum symptoms: a literature review. Journal of Affective Disorders. 2015;175:34-52. [DOI:10.1016/j.jad.2014.12.041] [PMID]
12. Salayani F, Asghari EbrahimAbad M, Rasoolzadeh Tabatabaei K, Abbaszadeh Rougoushouee R. Mediating role of loving styles in the relationship between personality characteristics and marital satisfaction. Journal of Psychology. 2020;24(1):23-40 [Persian].
13. Fathi A, Rostami H, Pourfathiyeh A, Mohammadi S, Khanalizadeh R. Investigate the relationship between marital satisfaction and pregnancy concerns in pregnant women. Nursing and Midwifery Journal. 2020;18(1):11-19 [Persian].
14. Shoja M, Jouybari L, Sanagoo A. Changes in sexual and behavioral relationships among couples during pregnancy. Qom University of Medical Sciences Journal. 2011;5(3):18-22 [Persian].
15. khodakarami B, Masoumi SZ, asadi R. The status and marital satisfaction factors in nulliparous pregnant females attending clinics in asadabad city during years 2015 and 2016. Journal of Hamadan Nursing & Midwifery Faculty. 2017;25(1):52-59 [Persian]. [DOI:10.21859/nmj-25017]
16. Solati K, Lo'Bat Ja'Farzadeh AH. The effect of stress management based on group cognitive-behavioural therapy on marital satisfaction in infertile women. Journal of Clinical and Diagnostic Research. 2016;10(7):VC01-VC03. [DOI:10.7860/JCDR/2016/17836.8077] [PMID] []
17. Zarei Abolkheir A, Allahdadian M, Mosharraf S, Ghasemi Tehrani H. Exploring the effect of cognitive - behavioral counseling on marital satisfaction and quality of life through virtual education. Journal of Hamadan Nursing & Midwifery Faculty. 2021;29(1):53-60 [Persian]. [DOI:10.30699/ajnmc.29.1.53]
18. Morteza H, Ghorbani R, Alibeigi M, Mirakhorloo S, Arjaneh M. Relationship between marital and occupational satisfaction in the Iranian health center employees. Koomesh. 2018;14(9):151-74 [Persian].
19. Botha F, Booysen F. Family functioning and life satisfaction and happiness in South African households. Social Indicators Research. 2014;119(1):163-82. [DOI:10.1007/s11205-013-0485-6]
20. Imanparast R, Bermas H, Danesh S, Ajoudani Z. The effect of cognitive behavior therapy on anxiety reduction of first normal vaginal Delivery. Journal of Shahid Sadoughi University of Medical Sciences. 2014;22(1):79-91 [Persian].
21. Karami K, Mardani A, ShakeriNejad G, Saki A. Effectiveness of a codified educational behavioral program on the mental health of pregnant women. Journal of Shahid Sadoughi University of Medical Sciences . 2015;23(9):879-89 [Persian].
22. Goudarzi M, Boostanipoor A. Effectiveness of systemic-behavioral couple therapy on marital adjustment. Journal of Family Counseling and Psychotherapy. 2013;3(2):281-97 [Persian].
23. Karimi B, Khalatbari J, Reza Ostovar J. Comparison of the effectiveness of cognitive behavioral intervention with Logo therapy on marital burnout, marital satisfaction and marital intimacy. Family Pathology, Counseling & Enrichment. 2018;3(2):81-102 [Persian].
24. Momeni Kh, Jalilian J, Yazdanbakhsh K, Mokari M, Rezaei M. Effects of sexual education skills on the treatment outcomes of infertile women. Iranian Journal of Obstetrics Gynecology and Infertility. 2018;21(3):5-14 [Persian].
25. Pouryahya SM, Davarniya R, Shakarami MA. Study on the effectiveness of cognitive-behavioral group couple therapy (CBGCT) on reducing couple burnout and improving marital quality of couples. Journal of Student Research Committee Sabzevar University of Medical Sciences. 2018;23(45):1-15 [Persian].
26. Tajari M, Karimi J, Goodarzi G. The effectiveness of couple therapy through CBT method on life expectancy and self-compassion in couples seeking divorce. Women Studies. 2020;11(31):1-20 [Persian].
27. Bélanger C, Laporte L, Sabourin S. The effect of cognitive-behavioral croup marital therapy on marital happiness and problem solving self-appraisal. American Journal of Family Therapy. 2015;43(2):143-59. [DOI:10.1080/01926187.2014.956614]
28. Dharsana IK, Suarni NK, Sudarsana GN, Paramartha WE, Ahmad M. Cognitive behavioral therapy counseling in developing cross-gender friendship in adolescents. Enfermería Clínica. 2020;30(2):206-208. [DOI:10.1016/j.enfcli.2019.07.079]
29. Goudarzi M, Shiri F, Mahmoudi B. Effectiveness of cognitive-behavioral family therapy on parent-child conflicts and marital conflict. Applied Psychology Journal. 2019;4(48):531-51 [Persian].
30. Salehzadeh M, Kajbaf M, Mavlavi H, Zolfaghari M. Effectiveness of cognitive- behavior therapy on sexual dysfunction in women. Quarterly Journal of Psychological Studies. 2012;7(1):11-31 [Persian].
31. Ramesh S, Rostami R, Merghati-Khoei E, Hemmat Boland E. Effectiveness of combination of cognitive-behavioral therapy and biofeedback on vaginismus patients′ sexual function and marital status. Biannual Journal of Applied. 2016;6(1):1-22 [Persian].
32. Naghdi H, Hatami M, Kayamanesh A, Navobinejad Sh. The comparison of the effect of emotion focused couple therapy and the problem- centered systemic therapy on marital conflict of spouses of the men under treatment of substance dependence. Family Counseling & Psychotherapy. 2017;1(23):23-44 [Persian].
33. Behradfar R, Jazayeri R, Bahrami F, Abedi MR, Etemadi O, Fatemi SM. A comparative scrutiny of the effectiveness of Emotionally-Focused Couple Therapy (EFCT) and Narrative Couple Therapy (NCT) in the marital quality and emotional, cognitive and behavioral impaired functioning of distressed couples. Psychology Family. 2016;(1):4-14 [Persian].
34. Zaraati F, Mosavi R. Efficacy of emotion-focused couple therapy on the Change of adult attachment atyles and sexual intimacy of couples. Quarterly of Counseling Culture and Psychotherapy. 2016;7(25):71-90 [Persian].
35. Goldenberg I, Goldenberg H. Family Therapy. Translated by Hamid Reza Hossein Shahi Braouti; Siamak Naqshbandi Valham Arjmand, 19th edition. Tehran: Ravan Publishing; 2018.
36. Hounarparvaran N. Emotion-oriented approach in couple therapy. First Edition, Tehran: Danjeh Publishing; 2013.
37. Daugirdaitė V, van den Akker O, Purewal S. Posttraumatic stress and posttraumatic stress disorder after termination of pregnancy and reproductive loss: a systematic review. Journal of Pregnancy. 2015:345-70. [DOI:10.1155/2015/646345] [PMID] []
38. Soleimanian AA. Investigating irrational thoughts based on cognitive approach to marital dissatisfaction. MSc Thesis. Teacher Training University: Faculty of Psychology and Educational Sciences; 1994 [Persian].
39. Mahdavian F. Examining the effect of communication training on marital satisfaction and mental health. Bachelor Thesis. Tehran: Tehran Institute of Psychiatry; 1997 [Persian].
40. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior. 1983;24:385-39. [DOI:10.2307/2136404]
41. Rathgeber M, Bürkner P.C, Schiller, E.M, Holling H. The efficacy of emotionally focused couples therapy and behavioral couples therapy: a meta-analysis. Journal of Marital and Family Therapy. 2018;45(3):1-17. [DOI:10.1111/jmft.12336] [PMID]
42. Fakhr M, Masomi R. The effectiveness of rational-emotional group training on amateur musicians' performance anxiety. Moosighi Va Namayeshi-Ye-Ha-Honar: Ziba-Ye-Ha-H. 2018;23(18):29-36 [Persian].
43. Sanagavi Moharrar Gh, Shirazi M, Mohammadi R, Maghsoodloo F. Effectiveness of emotional eherapy on reducing anxiety and depression in patients with multiple sclerosis. Medical Journal of Mashhad University of Medical Sciences. 2019;61(1):190-200 [Persian].
44. Sheybani H, Mikaeili N, Narimani M. The efficacy of emotion regulation training on stress, anxiety, depression and irritability of students with disruptive mood dysregulation disorder. International Journal of Palliative Nursing. 2018;5(6):37-44 [Persian]. [DOI:10.21859/ijpn-05066]
45. Van der Riet P, Francis L, Rees A. Exploring the impacts of mindfulness and yoga upon childbirth outcomes and maternal health: an integrative review. Scandinavian Journal of Caring Sciences 2020;34(3):552-65 [DOI:10.1111/scs.12762] [PMID]
46. Amani R, Majzoobi MR. Comparison of the effectiveness of emotional, cognitive-behavioral and cognitive-behavioral-emotional couple therapy on the change in marital satisfaction of couples and depression in women. Family Psychotherapy Counseling Quarterly. 2014;3(3):463-40 [Persian].
47. Wiebe SA, Johnson SM. Creating relationships that foster resilience in emotionally focused therapy. Current Opinion Psychology. 2017;13:65-69. [DOI:10.1016/j.copsyc.2016.05.001] [PMID]
48. PourMohamad Ghouchani K, Zare MR, Mandanizade Safi S. The effectiveness of Emotionally Focused Couple Therapy (EFT) on improving marital satisfaction and reduction tendency to extramarital relationships women affected by domestic violence. Rooyesh. 2019;8(8):221-30 [Persian].
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