Effectiveness of an Educational Package Based on an Integrative Self-Analytical Framework to Attachment Styles of Couples with Marital Conflicts
Advances in Nursing & Midwifery,
Vol. 31 No. 3 (2022),
15 Tir 2022
Introduction: Most couples with marital conflicts lack secure attachment styles that are necessary to improve the quality of their relationships and consolidate their family foundations. The present study aimed to investigate the role of an educational package based on an integrative self-analytical framework to the attachment styles of couples with marital conflicts.
Methods: The study was a randomized controlled trial with a pre-test/post-test/control group/follow-up design. The statistical population consisted of all couples with marital conflicts visiting the counseling centers in Isfahan, Iran in 2021, of whom 30 couples were selected as the sample through convenience sampling and randomly assigned to an experimental group and a control group. The participants in the experimental group attended a 12-session educational package based on an integrative self-analytical framework while those in the control group received no intervention. All participants were assessed again two months later. The research instruments included the Adult Attachment Scale. The data were statistically analyzed using Repeated Measures ANCOVA in SPSS-24. The significance level of the research was considered to be α=0.05.
Results: The mean ± SD of close subscale in the post-test and follow-up stages were 23.06±3.99 and 23.76±4.51 in the experimental group and 21.63±4.67 and 21.53±4.59 in the control group. The mean ± SD of anxiety subscale in the post-test and follow-up stages were 16.06±5.11 and 15.10±4.99 in the experimental group and 16.33±4.61 and 16.66±5.04 in the control group. Moreover, the mean ± SD of depend subscale in the post-test and follow-up stages were 15.06±3.26 and 14.80±3.01 in the experimental group and 15.40±3.77and 15.60±3.86 in the control group. The results showed that the educational package based on an integrative self-analytical framework improved the attachment styles (i.e., close, depend, and anxiety) of the participants (P<0.001) and the effects persisted during the follow-up period.
Conclusions: Consequently, Therefore, consultants and psychologists can use this intervention to improve attachment styles in couples with marital conflicts.
- Marital Therapy
- Couples Therapy
- Object Attachment
How to Cite
Mohammadi K, Samavi A, Ghazavi Z. The Relationship Between Attachment Styles and Lifestyle With Marital Satisfaction. Iran Red Crescent Med J. 2016;18(4):e23839. doi: 10.5812/ircmj.23839 pmid: 27433349
Sandberg JG, Bradford AB, Brown AP. Differentiating Between Attachment Styles and Behaviors and their Association with Marital Quality. Fam Process. 2017;56(2):518-31. doi: 10.1111/famp.12186 pmid: 26498111
Kamel Abbasi AR, Tabatabaei SM, Aghamohammadiyan Sharbaf H, Karshki H. Relationship of Attachment Styles and Emotional Intelligence With Marital Satisfaction. Iran J Psychiatry Behav Sci. 2016;10(3):e2778. doi: 10.17795/ijpbs-2778 pmid: 27843473
Sheikhan Z, Ozgoli G, Zahiroddin A, Khodakarami N, Nasiri M, Kavosi F. Effective Factors on Sexual Quality of Life in Iranian Women: A Path Model. Advance Nurs Midwife. 2019;28(3):15-21.
Ferdosi S. The prediction of attitudes toward infidelity based on attachment behavior in couple relationships, marital quality relationship and attachment styles in married women. Contempor Psychol. 2018;13(2):149-57. doi: 10.29252/bjcp.13.2.149
Huang CY, Sirikantraporn S, Pichayayothin NB, Turner-Cobb JM. Parental Attachment, Adult-Child Romantic Attachment, and Marital Satisfaction: An Examination of Cultural Context in Taiwanese and Thai Heterosexual Couples. Int J Environ Res Public Health. 2020;17(3). doi: 10.3390/ijerph17030692 pmid: 31973100
Abdollahi N, Jazini S, Aslani K, Amanelahi A. The Mediating Role of Automatic Thoughts in Relationship Between Attachment Style with Sexual Dysfunction and Marital Commitment: A Path Analysis. J Res Health. 2020;10(2):91-102. doi: 10.32598/JRH.10.2.5
Brandao T, Matias M, Ferreira T, Vieira J, Schulz MS, Matos PM. Attachment, emotion regulation, and well-being in couples: Intrapersonal and interpersonal associations. J Pers. 2020;88(4):748-61. doi: 10.1111/jopy.12523 pmid: 31674659
Trumbell JM, Hibel LC, Mercado E, Posada G. The impact of marital withdrawal and secure base script knowledge on mothers' and fathers' parenting. J Fam Psychol. 2018;32(6):699-709. doi: 10.1037/fam0000402 pmid: 29927289
Matin H, Etemadi O. Effect of Compassion Focused Therapy (CFT) on Attachment Styles of couples with Marital Conflict. Clinic Psychol Stud. 2021;11(42):1-22.
Joulazadeh Esmaeili A, Karimi J, Goodarzi K, Asgari M. Comparison of the Effectiveness of Acceptance and Commitment-Based and Emotionally Focused Couple Therapy on Unadjusted Couples' depression. J Clinic Psychol. 2021;13(1):47-64.
Lebow JL. Current Issues in the Practice of Integrative Couple and Family Therapy. Fam Process. 2019;58(3):610-28. doi: 10.1111/famp.12473 pmid: 31334847
Fraenkel P. Love in Action: An Integrative Approach to Last Chance Couple Therapy. Fam Process. 2019;58(3):569-94. doi: 10.1111/famp.12474 pmid: 31334852
Reiter MD, Chenail RJ. Constructivist, Critical, and Integrative Approaches to Couples Counseling (1st ed.). Routledge. London, United Kingdom.2017.
Najafi M, Soleimani AA, Ahmadi K, Javidi N, Kamkar EH. The Effectiveness of Emotionally Focused Therapy on Enhancing Marital Adjustment and Quality of Life among Infertile Couples with Marital Conflicts. Int J Fertil Steril. 2015;9(2):238-46.
Behrang K, Koraei A, Shahbazi M, Abbaspour Z. Effects of Emotionally Focused Therapy on Sexual Assertiveness, Marital Forgiveness, and Marital Harmony in Maladjusted Couples. J Res Health. 2022;12(3):5. doi: 10.32598/JRH.12.3.1986.1
Welch TS, Lachmar EM, Leija SG, Easley T, Blow AJ, Wittenborn AK. Establishing Safety in Emotionally Focused Couple Therapy: A Single-Case Process Study. J Marital Fam Ther. 2019;45(4):621-34. doi: 10.1111/jmft.12398 pmid: 31355959
Soleimani AA, Najafi M, Ahmadi K, Javidi N, Hoseini Kamkar E, Mahboubi M. The Effectiveness of Emotionally Focused Couples Therapy on Sexual Satisfaction and Marital Adjustment of Infertile Couples with Marital Conflicts. Int J Fertil Steril. 2015;9(3):393-402.
Atashpour SH, Salahshouri N. The alphabet of psychotherapy based on integrative self-analytical framework integrative self-analytical framework. (1st ed.) Publisher: Psychology and Art Publications. Tehran. Iran.2018.
Collins NL, Read SJ. Adult attachment, working models, and relationship quality in dating couples. J Pers Soc Psychol. 1990;58(4):644-63. doi: 10.1037//0022-3518.104.22.1684 pmid: 14570079
Farhadi M, Mohagheghi H, Nesai Moghadam B. The Relationship between Attachment Styles and Student Interpersonal Problems: The Role of Mediating Emotional Intelligence. Razi J Med Sci. 2020;27(1):73-84. doi: 10.1155/2020/6204120 pmid: 32454805
Cohn A. Integrative Couple Therapy: The Functional Analytic Approach. In: Lebow J, Chambers A, Breunlin DC, editors. Encyclopedia of Couple and Family Therapy. Cham: Springer International Publishing2017. 1-4 p.
Barraca J, Nieto E, Polanski T. An Integrative Behavioral Couple Therapy (IBCT)-Based Conflict Prevention Program: A Pre-Pilot Study with Non-Clinical Couples. Int J Environ Res Public Health. 2021;18(19). doi: 10.3390/ijerph18199981 pmid: 34639282
Conradi HJ, Noordhof A, Kamphuis JH. Satisfying and stable couple relationships: Attachment similarity across partners can partially buffer the negative effects of attachment insecurity. J Marital Fam Ther. 2021;47(3):682-97. doi: 10.1111/jmft.12477 pmid: 33493361
Simpson JA, Steven Rholes W. Adult Attachment, Stress, and Romantic Relationships. Curr Opin Psychol. 2017;13:19-24. doi: 10.1016/j.copsyc.2016.04.006 pmid: PMC4845754
Karakurt G, Whiting K, Banford Witting A. Adult Attachment Security and Different Types of Relational Violence Victimization Among College-Age Couples. J Marital Fam Ther. 2019;45(3):521-33. doi: 10.1111/jmft.12352 pmid: 30125364
Hewison D, Casey P, Mwamba N. The effectiveness of couple therapy: Clinical outcomes in a naturalistic United Kingdom setting. Psychotherapy (Chic). 2016;53(4):377-87. doi: 10.1037/pst0000098 pmid: 27918188
Christensen A, Doss BD. Integrative Behavioral Couple Therapy. Curr Opin Psychol. 2017;13:111-4. doi: 10.1016/j.copsyc.2016.04.022 pmid: 27822489
- Abstract Viewed: 43 times
- pdf Downloaded: 35 times