Effectiveness of Emotionally-Focused Couples Therapy on Marital Violence, Marital Adjustment, and Sexual Intimacy of Couples Visiting Counseling Centers of Ahvaz
Advances in Nursing & Midwifery,
Vol. 31 No. 1 (2022),
15 January 2022
,
Page 1-7
https://doi.org/10.22037/anm.v31i1.38541
Abstract
Introduction: Successful sexual relationships and intimacy would improve marital adjustment in couples, acting as a significant predictor of marital satisfaction. The present study aimed to investigate the effectiveness of emotionally-focused couples therapy (EFCT) on marital violence, marital adjustment, and sexual intimacy of couples visiting counseling centers of Ahvaz.
Methods: This study adopted a single-case research design with the noncurrent multiple baseline approach. The statistical population included all the volunteer couples with lack of marital adjustment visiting the counseling centers of Ahvaz, Khuzestan Province (Iran) in 2021. Purposive sampling was employed to select two couples (i.e., four individuals). The therapy protocols were administered to all participants in two phases: an 18-session intervention and four baseline steps including a first 45-day follow-up and a later 3-month follow-up. Research questions were employed to analyze the participants before the therapy in sessions 4, 8, 12, 16, and 18 as well as the 45-day and 3-month follow-ups. The Dyadic Adjustment Scale (DAS), Couples' Sexual Intimacy Questionnaire and the Violence Against Women Questionnaire were used to collect data. The visual analysis method, the reliable change index (RCI), and the recovery percentage formula were used for data analysis.
Results: According to the results, the EFCT managed to significantly improve sexual intimacy, mitigate marital violence, and improve poor marital adjustment among participants at the end of the therapy and during the 45-day and 3-month follow-ups.
Conclusions: This study achieved promising results concerning the applicability of EFCT. Hence, the EFCT can alleviate both marital violence and poor marital adjustment in addition to enhancing sexual intimacy among couples.
- Couples therapy
- Emotion-focused therapy
- Domestic violence
- Marital relationships
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References
REFERENCES
Raj A. Public health impact of marital violence against women in India. Indian J Med Res. 2019;150(6):525-31. doi: 10.4103/ijmr.IJMR_1427_19 pmid: 32048616
Omidi K, Pakseresht S, Niknami M, Kazem Nezhad Leilie E, Salimi Kivi M. Violence and Its Related Factors in Infertile Women Attending Infertility Centers: A Cross-Sectional Study. J Midwife Reproduct Health. 2021;9(4):3023-33.
Labrecque LT, Whisman MA. Extramarital Sex and Marital Dissolution: Does Identity of the Extramarital Partner Matter? Fam Process. 2020;59(3):1308-18. doi: 10.1111/famp.12472 pmid: 31290150
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). doi: 10.3390/ijerph17124547 pmid: 32599777
van Lankveld J, Jacobs N, Thewissen V, Dewitte M, Verboon P. The associations of intimacy and sexuality in daily life: Temporal dynamics and gender effects within romantic relationships. J Soc Pers Relat. 2018;35(4):557-76. doi: 10.1177/0265407517743076 pmid: 29899585
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-QC7. doi: 10.7860/JCDR/2017/24972.9935 pmid: 28658854
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.
Mallory AB, Stanton AM, Handy AB. Couples' Sexual Communication and Dimensions of Sexual Function: A Meta-Analysis. J Sex Res. 2019;56(7):882-98. doi: 10.1080/00224499.2019.1568375 pmid: 30777780
Gottman J, Gottman J. The Natural Principles of Love. J Famil Theory Rev. 2017;9(1):7-26. doi: 10.1111/jftr.12182
Stulhofer A, Jurin T, Graham C, Janssen E, Traeen B. Emotional intimacy and sexual well-being in aging European couples: a cross-cultural mediation analysis. Eur J Ageing. 2020;17(1):43-54. doi: 10.1007/s10433-019-00509-x pmid: 32158371
Luk BHK, Loke AY. Sexual satisfaction, intimacy and relationship of couples undergoing infertility treatment. J Reprod Infant Psychol. 2019;37(2):108-22. doi: 10.1080/02646838.2018.1529407 pmid: 30317866
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):965-76. doi: 10.1007/s10943-018-0566-6 pmid: 29380176
Basharpoor S, Sheykholeslami A. The Relation of Marital Adjustment and Family Functions With Quality of Life in Women. Eur J Psychol. 2015;11(3):432-41. doi: 10.5964/ejop.v11i3.859 pmid: 27247668
Bilal A, Rasool S. Marital Satisfaction and Satisfaction with Life: Mediating Role of Sexual Satisfaction in Married Women. J Psychosex Health. 2020;2(1):77-86. doi: 10.1177/2631831820912873
Beasley CC, Ager R. Emotionally Focused Couples Therapy: A Systematic Review of Its Effectiveness over the past 19 Years. J Evid Based Soc Work (2019). 2019:1-16. doi: 10.1080/23761407.2018.1563013 pmid: 30605013
Shahar B. New Developments in Emotion-Focused Therapy for Social Anxiety Disorder. J Clin Med. 2020;9(9). doi: 10.3390/jcm9092918 pmid: 32927706
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.
Wiebe SA, Johnson SM. A Review of the Research in Emotionally Focused Therapy for Couples. Fam Process. 2016;55(3):390-407. doi: 10.1111/famp.12229 pmid: 27273169
McKinnon JM, Greenberg LS. Vulnerable Emotional Expression In Emotion Focused Couples Therapy: Relating Interactional Processes To Outcome. J Marital Fam Ther. 2017;43(2):198-212. doi: 10.1111/jmft.12229 pmid: 28337786
Woldarsky Meneses C, McKinnon JM. Emotion-focused therapy for couples. Clinical handbook of emotion-focused therapy. Washington, DC, US: American Psychological Association2019. 447-69 p.
Spanier GB. Measuring Dyadic Adjustment: New Scales for Assessing the Quality of Marriage and Similar Dyads. J Marriage Famil. 1976;38(1):15-28. doi: 10.2307/350547
Maroufizadeh S, Omani-Samani R, Hosseini M, Almasi-Hashiani A, Sepidarkish M, Amini P. The Persian version of the revised dyadic adjustment scale (RDAS): a validation study in infertile patients. BMC Psychol. 2020;8(1):6. doi: 10.1186/s40359-020-0375-z pmid: 31996245
Botlani S, Ahmadi A, Bahrami F, Shahsiah M, Mohebbi S. Effect of attachment-based couple therapy on sexual satisfaction and intimacy. J Fundament Mental Health. 2010;12(2):496-505.
Haj-Yahia MM. Wife abuse and its psychological consequences as revealed by the first Palestinian National Survey on Violence Against Women. J Fam Psychol. 1999;13(4):642-62. doi: 10.1037/0893-3200.13.4.642
Sotoodeh Ghorbani S, Ghaffari M, Hashemi Nazari SS. Psychometric properties of Haj-Yahia's questionnaire of violence against women in a sample of married women in Tehran, Iran. BMC Public Health. 2022;22(1):448. doi: 10.1186/s12889-022-12831-8 pmid: 35255890
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
Akhavan Bitaghsir Z, Sanaee Zaker B, Navabinejad S, Farzad VA. Comparative 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):121-8. doi: 10.30699/acadpub.ijhehp.5.2.121
Hazrati M, Hamid TA, Ibrahim R, Hassan SA, Sharif F, Bagheri Z. The Effect of Emotional Focused Intervention on Spousal Emotional Abuse and Marital Satisfaction among Elderly Married Couples: A Randomized Controlled Trial. Int J Communit Based Nurs Midwife. 2017;5(4):329-34.
Girard A, Woolley SR. Using Emotionally Focused Therapy to Treat Sexual Desire Discrepancy in Couples. J Sex Marital Ther. 2017;43(8):720-35. doi: 10.1080/0092623X.2016.1263703 pmid: 27892795
Halchuk R, Makinen JA, Johnson SM. Resolving Attachment Injuries in Couples Using Emotionally Focused Therapy: A Three-Year Follow-Up. J Couple Relation Therap. 2010;9(1):31-47. doi: 10.1080/15332690903473069
Torkan A, Farhadi H, Golparvar M. Comparative Study of the Effectiveness of Emotional-Focused Couple Therapy and Narrative Couple Therapy on Marital Conflicts. RBS. 2019;17(1):159-70. doi: 10.52547/rbs.17.1.159
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