Comparison of the Effectiveness of Emotionally-Focused Couples Therapy (EFCT) and Reality Therapy in Reducing the Symptoms of Depression and Resilience of Couples with Marital Problems

Document Type : Original Article


1 Master of Clinical Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran

2 Master of General Psychology, Research Sciences, Ilam Campus Branch, Islamic Azad University, Ilam, Iran

3 Master of Clinical Psychology, Roodehen Branch, Islamic Azad University, Roodehen, Iran

4 M.Sc., Educational Psychology, Saveh Branch, Islamic Azad University, Saveh, Iran

5 M.Sc., Clinical Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran

6 PhD Student in Health Psychology, Islamic Azad University, Karaj Branch, Iran


Aim: This study was conducted to compare the effectiveness of emotionally-focused couples therapy (EFCT) and reality therapy in reducing the symptoms of depression and resilience of couples with marital problems in women in Tehran. Methods: This is a quasi-experimental study with a pretest-posttest design and follow-up with a control group. The statistical population included 106 couples referring to counseling centers in Tehran in the first six months of 2021, of which 30 couples were purposefully selected and randomly assigned to EFCT group (10 couples), reality therapy group (10 couples), and control group (10 couples) after screening with Beck Depression Inventory (BDI) (2001) and Connor-Davidson Resilience Scale (CD-RISC) (2001). The EFCT group received the Johnson (2012) training package for ten sessions, and the reality therapy group received the Glasser (2003) training package for nine sessions. The control group received no intervention and was placed on a waiting list. Data were analyzed by repeated-measures ANOVA. Results: The results indicated that EFCT and reality therapy affected the improvement of depression (F = 55.74, P = 0.001) and resilience (F = 76.18, P = 0.001) of couples and that this effect was stable at the follow-up phase. Conclusion: According to the findings, EFCT and reality therapy are two effective methods to reduce the symptoms of depression and resilience of couples with marital problems.


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