Volume 10, Issue 4 (12-2021)
JCHR 2021, 10(4): 316-327 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Sadeghi M, Moheb N, Alivandi Vafa M. The Effectiveness of Group Acceptance and Commitment Therapy and Cognitive Therapy on Alexithymia and Marital Boredom, Case study: Women Affected by Marital Infidelity in Mashhad, Iran. JCHR 2021; 10 (4) :316-327
URL: http://jhr.ssu.ac.ir/article-1-670-en.html
URL: http://jhr.ssu.ac.ir/article-1-670-en.html
1- PhD student of General Psychology, Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran
2- Assistant Professor of Clinical Psychology, Department of Clinical Psychology, Faculty of Medicine, Tabriz Medical Sciences, Islamic Azad University, Tabriz, Iran ,moheb.n@yahoo.com
3- Assistant Professor of Psychology, Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran
2- Assistant Professor of Clinical Psychology, Department of Clinical Psychology, Faculty of Medicine, Tabriz Medical Sciences, Islamic Azad University, Tabriz, Iran ,
3- Assistant Professor of Psychology, Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran
Abstract: (1766 Views)
Introduction: The aim of current paper was to compare the effectiveness of acceptance and commitment group therapy (ACT) and group cognitive therapy (GCT) on Alexithymia and marital boredom (MB) among women affected by marital infidelity in Mashhad.
Method: This clinical trial was a double- blind study with a pretest-posttest design in which two intervention groups and one control group were investigated. The study performed on women who realized their spouse infidelity and referred to Azad University Counseling Center in Mashhad in 2018. The sample consisted of 30 women who were selected by purposive sampling and were randomly assigned to two intervention groups and a control group (n=10 per group). The intervention groups were put under ACT training (twelve 90-minute sessions) and GCT training (twelve 90-minute sessions), but the control group did not receive any intervention. Data was obtained by the Toronto Alexithymia Scale-20 and Pines Marital Boredom Scale and was analyzed by multivariate analysis of covariance with SPSS (version 22) software.
Results: The results showed a significant reduction in the mean score of MB in the ACT group, also there was a significant reduction in the mean score of Alexithymia in the GCT group (P <0.05). So comparing both therapies, ACT was more influential on reducing marital boredom whereas GCT was more effective on reducing alexithymia.
Conclusion: Although both intervention methods were effective on Alexithymia and Marital Boredom in women affected by marital infidelity, it was demonstrated that ACT and GCT have more effect on Marital Boredom and Alexithymia, respectively.
Method: This clinical trial was a double- blind study with a pretest-posttest design in which two intervention groups and one control group were investigated. The study performed on women who realized their spouse infidelity and referred to Azad University Counseling Center in Mashhad in 2018. The sample consisted of 30 women who were selected by purposive sampling and were randomly assigned to two intervention groups and a control group (n=10 per group). The intervention groups were put under ACT training (twelve 90-minute sessions) and GCT training (twelve 90-minute sessions), but the control group did not receive any intervention. Data was obtained by the Toronto Alexithymia Scale-20 and Pines Marital Boredom Scale and was analyzed by multivariate analysis of covariance with SPSS (version 22) software.
Results: The results showed a significant reduction in the mean score of MB in the ACT group, also there was a significant reduction in the mean score of Alexithymia in the GCT group (P <0.05). So comparing both therapies, ACT was more influential on reducing marital boredom whereas GCT was more effective on reducing alexithymia.
Conclusion: Although both intervention methods were effective on Alexithymia and Marital Boredom in women affected by marital infidelity, it was demonstrated that ACT and GCT have more effect on Marital Boredom and Alexithymia, respectively.
Keywords: Marital Infidelity, Marital Boredom, Alexithymia, Group Cognitive Therapy, Acceptance and Commitment Therapy
Review: Research |
Subject:
General
Received: 2020/08/19 | Accepted: 2021/12/29 | Published: 2022/01/10
Received: 2020/08/19 | Accepted: 2021/12/29 | Published: 2022/01/10
References
1. 1. Isma MNP, Turnip SS. Personality Traits and Marital Satisfaction in Predicting Couples' Attitudes Toward Infidelity. Journal of Relationships Research. 2019; 10(13): 1-5. [DOI:10.1017/jrr.2019.10]
2. Papalia DE, Olds SW, Feldman RD. Human development, 10th ed. New York, NY, US: McGraw-Hill; 2007. 738 p.
3. Baron R, Branscombe N, Byrne D. Social psychology. Boston MA: Pearson 2008.
4. Asayesh M, Farahbakhsh K, Delavar A, et al. Cognitive Experiences and Reactions of Women to Infidelity: A Phenomenological Study. Journal of Qualitative Research in Health Sciences. 2020; 7(2): 188-203. [Persian]
5. Atapour N, Falsafinejad M, Ahmadi K, et al. A study of the Processes and Contextual Factors of Marital Iinfidelity. Journal of Practice in Clinical Psychology. 2021; 9(3): 211-26. [Persian] [DOI:10.32598/jpcp.9.3.758.2]
6. Modarresi F, Zahedian H, Hashemi MohammadAbad S. The Rate of Marital Fidelity and Quality of Love in Divorce Applicants with and Without Marital Infidelity Precedent. Armaghane danesh. 2014; 19(1): 78-88.[ Persian]
7. Fathi M, Fekazad H, Ghaffary G, et al. Recognizing the fundamental factors of married men engaged in marital infidelity. Social Welfare Quarterly. 2014; 13(51): 109-37. [Persian]
8. Kaveh S. Encountering with disloyalty and infidelity of spouse Tehran. Iran: Andishe Kohan Pardaz Publications; 2014. [Persian]
9. Pamuk M, Durmuş E. Investigation of burnout in marriage. International Journal of Human Sciences. 2015; 12(1): 162-79. [DOI:10.14687/ijhs.v12i1.3002]
10. Safipouriyan S, Ghadami A, Khakpour M, et al. The effect of group counseling using interpersonal therapy (IPT) in reducing marital boredom in female divorce applicants. Journal of Nursing Education. 2016; 5(1): 1-11. [Persian]
11. Vladut CI, Kállay É. Work stress, personal life, and burnout. Causes, consequences, possible remedies: a theoretical review. Cognition, Brain, Behavior. 2010; 14(3): 261.
12. Nicolò G, Semerari A, Lysaker PH, et al. Alexithymia in personality disorders: Correlations with symptoms and interpersonal functioning. Psychiatry Research. 2011; 190(1): 37-42. [DOI:10.1016/j.psychres.2010.07.046]
13. Hemming L, Haddock G, Shaw J, et al. Alexithymia and Its Associations With Depression, Suicidality, and Aggression: An Overview of the Literature. Frontiers in Psychiatry. 2019; 10(1): 1-7. [DOI:10.3389/fpsyt.2019.00203]
14. Taylor GJ, Bagby RM. New Trends in Alexithymia Research. Psychotherapy and Psychosomatics. 2004; 73(2): 68-77. [DOI:10.1159/000075537]
15. Franz M, Popp K, Schaefer R, et al. Alexithymia in the German general population. Social Psychiatry and Psychiatric Epidemiology. 2007; 43(1): 54-62. [DOI:10.1007/s00127-007-0265-1]
16. Pirani Z, Abbasi M, Kalvani M, et al. Effectiveness of Acceptance and Commitment Therapy on Sexual Self-Esteem, Emotional Skillfulness and Marital Adjustment in Veterans' Wives. Iranian Journal of War and Public Health. 2017; 9(1): 25-32. [Persian] [DOI:10.18869/acadpub.ijwph.9.1.25]
17. Frye-Cox NE, Hesse CR. Alexithymia and marital quality: The mediating roles of loneliness and intimate communication. Journal of Family Psychology. 2013; 27(2): 203-11. [DOI:10.1037/a0031961]
18. Lee V. The impact of alexithymia, emotional intelligence, marital. USA: Howard University; 2010.
19. Khezri-Moghadam N. The relationships between alexithymia and interpersonal problems with marital satissaction in married female nurses of the public hospitals in kermaa city. Nurs Midwifery Journal. 2016; 14(7): 630-8. [Persian]
20. Shafiabadi A, Naseri G. Naseri G Theories of counseling and psychotherapy. Tehran: University Publication Center; 2016. [Persian]
21. Nasiri Kalmarzi R, Moradi G, Asmayee Majd S, et al. The effect of mindfulness-based cognitive therapy on mindfulness and quality of life for patients with asthma. Shenakht Journal of Psychology and Psychiatry. 2018; 5(5): 1-14. [Persian] [DOI:10.29252/shenakht.5.5.1]
22. Hajihasani A, Rouhani M, Salavati M, et al. The Influence of Cognitive Behavioral Therapy on Pain, Quality of Life, and Depression in Patients Receiving Physical Therapy for Chronic Low Back Pain: A Systematic Review. American Academy of Physical Medicine and Rehabilitation. 2019; 11(2): 167-76. [DOI:10.1016/j.pmrj.2018.09.029]
23. Rezapour Mirsaleh Y. The Comparison of Self-Talking-Based Cognitive Therapy Considering the Iranian-Islamic Models with Common Self-Talking-Based Cognitive Therapy on Marital Conflicts of Women. A Quarterly Research Psychological. 2016; 7(1): 69-57. [Persian]
24. Sohrabi F, Sangpahni T, Borjali A. The effectiveness of cognitive therapy based on Michal feri model on reducing depression of women prisoners in Tehran. Quarterly of Counselling Culture & Psychotherapy. 2015; 6(23): 1-20. [Persian]
25. Gawęda Ł, Krężołek M. Cognitive mechanisms of alexithymia in schizophrenia: Investigating the role of basic neurocognitive functioning and cognitive biases. Psychiatry Research. 2019; 271: 573-80. [DOI:10.1016/j.psychres.2018.12.023]
26. Asgari B, Gharegaghi A, Shirzadi S. The effectiveness of group cognitive therapy based on Michal feri model on reducing marital conflicts among couples referring to Shahid Beheshti University Counselling Center. Journal of Educational Administration Research. 2015; 6(1): 148-68. [Persian]
27. Vaghee S, Salarhaji A, Kashani Lotfabadi M, et al. Comparing the Effect of Contact-based Education with Acceptance and Commitment Training on Destigmatization Toward Psychiatric Disorders in Nursing Students. Iranian Journal of Psychiatry and Behavioral Sciences. 2017; 11(2): 1-9. [Persian] [DOI:10.5812/ijpbs.9672]
28. Wilski M, Gabryelski J, Brola W, et al. Health-related quality of life in multiple sclerosis: Links to acceptance, coping strategies and disease severity. Disability and Health Journal. 2019; 12(4): 608-14. [DOI:10.1016/j.dhjo.2019.06.003]
29. Berghoff CR, Forsyth JP, Ritzert TR, et al. Comparing paths to quality of life: Contributions of ACT and cognitive therapy intervention targets in two highly anxious samples. Journal of Contextual Behavioral Science. 2014; 3(2): 89-97. [DOI:10.1016/j.jcbs.2014.04.001]
30. Razmpush M, Ramezani K, Maredpoor A, et al. The Effect of Acceptance and Commitment Training on Quality of Life and Resilience of Nurses. The Neuroscience Journal of Shefaye Khatam. 2019; 7(1): 62-51.[Persian] [DOI:10.29252/shefa.7.1.62]
31. Amani A, Eisa Nejad O, Alipour E. Effectiveness of acceptance and commitment group therapy on marital distress, marital conflict and optimism in married women visited the counseling center of Imam Khomeini Relief Foundation in Kermanshah. Shenakht Journal of Psychology and Psychiatry. 2018; 5(1): 42-64. [Persian] [DOI:10.29252/shenakht.5.1.42]
32. Mohammadi Z, Borjali A, Sohrabi F. Effectiveness based on acceptance and commitment therapy on quality of life women heads of household conducted in Tehran welfare Organization. Shenakht Journal of Psychology and Psychiatry. 2018; 5(5): 81-91. [Persian] [DOI:10.29252/shenakht.5.5.81]
33. Keyvanpour P, LotfiKashani F. The impact of acceptance -commitment therapy(ACT) in increasing rate of marital satisfaction in married women. Journal of Educational and Management studies 2014; 4(3): 614-6.[ Persian]
34. Peterson BD, Eifert GH, Feingold T, et al. Using Acceptance and Commitment Therapy to Treat Distressed Couples: A Case Study With Two Couples. Cognitive and Behavioral Practice. 2009; 16(4): 430-42. [DOI:10.1016/j.cbpra.2008.12.009]
35. Fiorillo D, McLean C, Pistorello J, et al. Evaluation of a web-based acceptance and commitment therapy program for women with trauma-related problems: A pilot study. Journal of Contextual Behavioral Science. 2017; 6(1): 104-13. [DOI:10.1016/j.jcbs.2016.11.003]
36. Sri Suyanti T, Anna Keliat B, Catharina Daulima NH. Effect of logo-therapy, acceptance, commitment therapy, family psychoeducation on self-stigma, and depression on housewives living with HIV/AIDS. Enfermería Clínica. 2018; 28: 98-101. [DOI:10.1016/S1130-8621(18)30046-9]
37. Parker JDA, Taylor GJ, Bagby RM. The 20-Item Toronto Alexithymia Scale. Journal of Psychosomatic Research. 2003; 55(3): 269-75. [DOI:10.1016/S0022-3999(02)00578-0]
38. Besharat MA, Naghshineh N, Ganji P, et al. The Moderating Role of Attachment Styles on the Relationship of Alexithymia and Fear of Intimacy with Marital Satisfaction. International Journal of Psychological Studies. 2014; 6(3): 324-35.[ Persian] [DOI:10.5539/ijps.v6n3p106]
39. Pines AM. Adult attachment styles and their relationship to burnout: a preliminary, cross-cultural investigation. Work & Stress. 2004; 18(1): 66-80. [DOI:10.1080/02678370310001645025]
40. Navidi F. Investigating and comparing the relationship between marital boredom and organizational climate factors in education staff And Nursing and Nurses of Tehran Hospitals. Tehran: Shahid Beheshti University2005. [Persian]
41. Free ML, Elliott CH. Cognitive Therapy in Groups: Guidelines and Resources for Practice. Journal of Cognitive Psychotherapy. 2001; 15(2): 147-9. [DOI:10.1891/0889-8391.15.2.147]
42. Khammar A, Yarahmadi M, Madadizadeh F. What Is Analysis of Covariance (ANCOVA) and How to Correctly Report its Results in Medical Research? Iranian Journal of Public Health. 2020; 49(5): 1016-7. [DOI:10.18502/ijph.v49i5.3227]
43. Momeni javid M, Shoaakazemi M. The effect of couple psychotherapy on the quality of life of couples affected by marital infidelity in Tehran. Journal of Research and Health. 2016; 1(1): 54-63. [Persian]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution 4.0 International License. |
