اثربخشی زوج‌درمانی مبتنی بر طرحواره و اکت بر دلزدگی زناشویی و تنظیم هیجان در پرستاران دارای تعارضات زناشویی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران

2 استادیار، گروه روانشناسی، واحد ساری، دانشگاه آزاد اسلامی، ساری، ایران

چکیده

هدف: پژوهش حاضر با هدف بررسی مقایسه اثربخشی رویکرد زوج‌درمانی مبتنی بر طرحواره و اکت بر دلزدگی زناشویی، تنظیم هیجان در پرستاران دارای تعارضات زناشویی انجام شد. روش پژوهش: روش پژوهش حاضر، آزمایشی است. طرح پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون - پس‌آزمون و پیگیری یک‌ماهه با گروه گواه است. جامعه آماری شامل تمامی پرستاران مشغول به خدمت در بیمارستان دولتی امام سجاد شهرستان رامسر در سال 1399 بود. از این بین تعداد 30 زوج (90 نفر) به روش نمونه‌گیری غیرتصادفی در دسترس انتخاب و در گروه آزمایشی (زوج‌درمانی مبتنی بر طرحواره و اکت) و یک گروه گواه به‌صورت تصادفی ساده جایگزین شدند (15 زوج در هر گروه). سپس 10 جلسه 90 دقیقه‌ای (هفته‌ای 2 جلسه) زوج‌درمانی مبتنی بر طرحواره و اکت (لیو و مک کی، 2017) در گروه‌های آزمایشی انجام شد. داده‌ها با استفاده از پرسشنامه تعارضات زناشویی ثنایی و براتی (۱۳۷۹)، پرسشنامه‌های دلزدگی زناشویی پاینز (1996) و تنظیم هیجان گراس و جان (2003) جمع‌آوری شد. داده‌ها با استفاده از نرم‌افزار SPSS-24 و از طریق آزمون تحلیل واریانس با اندازه‌گیری مکرر تحلیل شد. یافته‌ها: نتایج پژوهش نشان داد که زوج‌درمانی مبتنی بر طرحواره و اکت بر دلزدگی زناشویی (001/0>P، 53/13=F) و تنظیم هیجان (001/0>P، 86/49=F) در پرستاران دارای تعارضات زناشویی اثربخش است. نتیجه گیری: باتوجه‌به اثربخشی زوج‌درمانی مبتنی بر طرحواره و اکت در پرستاران دارای تعارضات زناشویی، پیشنهاد می‌شود درمانگران از این رویکرد درمانی و آموزشی استفاده نمایند.

کلیدواژه‌ها


عنوان مقاله [English]

The effectiveness of couple therapy based on schema and ACT on marital boredom and emotion regulation in nurses with marital conflicts

نویسندگان [English]

  • Mina Deldadeh Mehraban 1
  • Ramezan Hasanzadeh 1
  • Bahram Mirzaian 2
1 Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
2 Assistant Professor, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran
چکیده [English]

Aim: The aim of this study was to compare the effectiveness of schema-based couple therapy approach and act on marital boredom, emotion regulation in nurses with marital conflicts. Method: The present research method is experimental. The research design is quasi-experimental with pre-test-post-test design and one-month follow-up with the control group. The statistical population included all nurses serving in Imam Sajjad Government Hospital in Ramsar in 2020. Among them, 30 couples (90 people) were selected by available non-random sampling method and were replaced in the experimental group (couple therapy based on schema and act) and a control group by simple random sampling (15 couples in each group). Then, 10 90-minute sessions (2 sessions per week) of schema and act-based couple therapy (Leo and McKee, 2017) were performed in experimental groups. Data were collected using the Sanai and Barati Marital Conflict Questionnaire (2000), the Pines Marital Boredom Questionnaire (1996) and the Gross and John Emotion Regulation Questionnaire (2003). Data were analyzed using SPSS-24 software and repeated measures analysis of variance. Results: The results showed that schema-based couple therapy based on marital boredom (P<0.001, F=13.53) and emotion regulation (P<0.001, F=49.86) in nurses with Marital conflicts are effective. Conclusion: Considering the effectiveness of couple therapy based on schema and act in nurses with marital conflicts, it is recommended that therapists use this therapeutic and educational approach

کلیدواژه‌ها [English]

  • Schema therapy
  • acceptance and commitment therapy
  • marital boredom
  • emotion regulation
Aalami, M., Taimory, S., & Ahi, G. (2020). The Effectiveness of an Integrated Approach of Schema Therapy based Acceptance and Commitment Therapy on Marital Conflicts and Divorce Tendency in Divorce Applicant Couples. Journal of Research in Behavioural Sciences. 10;18(1):132-41. (In Persian)
Aalami, M., Taimory, S., & Ahi, Q., Bayazi, M. (2020). Comparison of the effect of acceptance and commitment therapy based on ACT and the integrated approach of schema therapy based on acceptance and commitment on improving the intimacy of couples seeking divorce. Recent advances in the behavioral sciences. 47: 46-60. (In Persian)
Arianfar, N., Purshahriary, M. (2017). Structural Equation Modeling of the predicting marital conflict on the basis of initial maladaptive schemas of the cuts and rejection areas and the mediatory variable of the lovemaking style. Counseling Culture and Psychotherapy. 8(29): 107-134. (In Persian)
Asadpour, A., Karimi, A., & Amini, M. (2020). Investigating the relationship between primary maladaptive schemas and marital conflict and burnout in female nurses. Journal of North Khorasan University of Medical Sciences. 12(3): 23-30. (In Persian)
Ascher, E. A (2010). Relationship satisfaction and emotional language in from dementia and Alzheimer disease patient’s d spousal caregivers. Alzheimer Disease &Associated Disorders, 24, 49-55
Asgari, M., Falehkar, A., Zarei, A., Mirzahoseini, F., & Amani, O. (2018). Comparison of the Efficacy of Acceptance Commitment Therapy and Electrical Stimulation with Alternating Current on Mood Symptoms in Depressed Patients. (In Persian)
Bashkar, S. (2004). Investigating the effectiveness of anger management skills training in reducing marital conflicts of couples referred to dispute resolution councils in Baghmolek city. Master's Thesis of Family Counselor, Faculty of Educational Sciences and Psychology, Shahid Chamran University of Ahvaz. (In Persian)
Behari, F., Fatehizadeh, M.A., Ahmadi, S.A., Molavi, H., & Bahrami, F. (2016). The effect of training spouses' communication skills in reducing marital conflicts of conflicted couples applying for divorce. Journal of Clinical Psychology and Counseling Research. 1 (1): 59-70.
Benson, L. A., & Nguyen, T. P. (2019). Integrative Behavioral Couple Therapy. Encyclopedia of Couple and Family Therapy. Springer International Publishing; 1506–13.
Engen, H. G., & Anderson, M. C. (2018). Memory control: a fundamental mechanism of emotion regulation. Trends in Cognitive Sciences, 22(11), 982-995.
Fotuhi, S., Makaili, N., Atadakht, A., & Hajlo, N. (2018). Comparing the effectiveness of emotional-based couple therapy with narrative couple therapy on marital adjustment and loneliness of conflicted couples. The culture of counseling and psychotherapy. 9(34): 77-101. (In Persian)
Goran Savadkohi, L., & Ghorbannejad, A. (2017). The effectiveness of emotion-oriented couple therapy on increasing emotional regulation and depression of couples applying for divorce. Quarterly Journal of Excellence in Counseling and Psychotherapy. 6: 28-39. (In Persian)
Gross, J. J., & Feldman Barrett, L. (2011). Emotion generation and emotion regulation: One or two depends on your point of view. Emotion review, 3(1), 8-16.
Gross, J. J., & Feldman Barrett, L. (2011). Emotion generation and emotion regulation: One or two depends on your point of view. Emotion review, 3(1), 8-16.
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of personality and social psychology, 85(2), 348.
Hakemabadi, M.A., Bigdeli, A., Asghari, M.J., Abad, A., & Asadi, J. (2020). Comparing the effectiveness of schema therapy with acceptance and commitment-based therapy on type D personality type syndromes. Journal of Clinical Psychology.12(1):25-36.
Hatmian, P., & Hatmian, P. (2020). The effect of psychological intervention based on emotion regulation on reducing job stress among nurses working in Kermanshah hospitals: a case study of Imam Reza Hospital (AS). Yazd specialized scientific quarterly journal of work medicine. 12 (2): 29-35. (In Persian)
Hayes, S. C., Pistorello, J., & Levin, M. E. (2012). Acceptance and commitment therapy as a unified model of behavior change. The Counseling Psychologist, 40(7), 976-1002.
Hoseinzade Z, Ghorbanshirodi S, Khalatbari J, Rahmani M. (2021). The comparison of the effectiveness of emotionally focused couples therapy and reality therapy for couples on marital communication beliefs and marital expectations of couples. Journal of Assessment and Research in Applied Counseling. 3(2), 1-13. doi:10.52547/jarcp.3.2.1
Karami, J., Momeni, K. M., & Hatamian, P. (2017). The relationship between emotion dysregulation with psychoactive substance abuse in nurses working at hospitals of Kermanshah Iran 2016. Bali Medical Journal, 6(3), 502-506. (In Persian)
Mardani F, Yousefi S A, Ghorbani E, Mirzaei Z. (2023). The effectiveness of realistic acceptance and commitment therapy (RACT) on marital burnout and alexithymia in couples. Journal of Assessment and Research in Applied Counseling. 5(1), 9-18. doi:10.52547/jarac.5.1.10
Najafi, Y., Ahmadi, S., & Zahrakar, K. (2020). The effectiveness of training based on behavioral-integrated couple therapy on the cognitive regulation of emotion and marital intimacy of married women. Women and family studies. 13(50): 49-62. (In Persian)
Naragon-Gainey, K., McMahon, T. P., & Chacko, T. P. (2017). The structure of common emotion regulation strategies: A meta-analytic examination. Psychological Bulletin, 143(4), 384.
Navidi, F. (2002). Investigating and comparing the relationship between marital burnout and organizational climate factors in employees of education departments and nurses in Tehran hospitals. Master's thesis in the field of industrial and organizational psychology, Shahid Beheshti University. (In Persian)
Nikkhah, S., Behbodi, P., & Vakili, P. (2020). Comparing the effectiveness of treatment based on acceptance and commitment and imagotherapy on the resilience of married women referring to counseling centers in Tehran. Journal of Psychological Sciences. 13 (18): 597-607. (In Persian)
Nikkhah, S., Vakili, P., & Behbodi, M. (2020). Comparing the effectiveness of treatment based on acceptance and commitment and imagotherapy on the quality of married life of women with marital conflicts. Cognitive analytical psychology. 2(3): 69 to 83. (In Persian)
Onsy, E., & Amer, M. M. (2014). Attitudes toward seeking couples counseling among Egyptian couples: Towards a deeper understanding of common marital conflicts and marital satisfaction. Procedia-Social and Behavioral Sciences, 140, 470-475.
Panahi, M., Jamarani, S. K., Shahrbabaki, M. E., & Rostami, M. (2017). Effectiveness of integrative behavioral couple therapy on reducing marital burnout and fear in couples of intimacy. Journal of applied psychology, 11(3), 43.
 Pines A. M. (1996). Couple burnout: Couses and cures. London Routledge, ISBNO-415-916. 32-1. 27Opp
Sanai, b. (2000). family and marriage measurement scales. Tehran. Bethat Publications.
Sayadi, M., Shahhosseini Tazik, S., Madani, Y., & Lavasani, M.G. (2017). The effectiveness of emotion-oriented couple therapy on marital commitment and marital burnout in infertile couples. Journal of Education and Community Health. 4 (3): 26-37. (In Persian)
Shahvardi, A., Mirzabigi, A., Azizi, H.R., & Razani, M. (2020). Management of marital conflicts of nurses in relation to sexual performance and emotion regulation. Nursing Management Research Quarterly. 9(3): 33-42. (In Persian)
Tavakolizadeh.J, Nejatian.M, Soori.A(2015). The Effectiveness of Communication Skills Training on Marital Conflicts and its Different Aspects in Women. Procedia - Social and Behavioral Sciences. 171(16), 214-221. (In Persian)
Wagner, Adriana. Mosmann ,Clarisse Pereira. Scheeren ,Patrícia. Levandowski, Daniela Centenaro.(2019). Conflict, Conflict Resolution and Marital Quality. Paidéia (Ribeirão Preto) vol.29  Ribeirão Preto  2019  Epub Aug 12, 2019.http://dx.doi.org/10.1590/1982-4327e2919 
Wilson, S. J., Andridge, R., Peng, J., Bailey, B. E., Malarkey, W. B., & Kiecolt-Glaser, J. K. (2017). Thoughts after marital conflict and punch biopsy wounds: Age-graded pathways to healing. Psychoneuroendocrinology, 85, 6-13.
Young, M., & Wilmott, P. (2013). Family and kinship in East London. Routledge.
Zanganeh Motlaq, F., Banijamali, S., Ahadi, H., & Hatami, H.R. (2017). The effectiveness of couple therapy based on acceptance and commitment and emotion-oriented couple therapy on improving intimacy and reducing emotional failure of couples, the effectiveness of couple therapy based on acceptance and commitment and emotion-oriented couple therapy on improving intimacy and reducing emotional failure of couples. Journal of thought and behavior in clinical psychology. 11 (44): 47-56. (In Persian)
Zarnaghash.M, Zarnaghash.M, Shahni.R (2013).The Influence of Family Therapy on Marital Conflicts, Procedia - Social and Behavioral Sciences, Volume 84, 9 July 2013, Pages 1838-1844. (In Persian)