مقایسه‌ی اثربخشی زوج‌درمانی شناختی-رفتاری و زوج‌درمانی مبتنی بر پذیرش و تعهد بر کاهش دلزدگی زناشویی زوجین

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد بجنورد، دانشگاه آزاد اسلامی، بجنورد، ایران.

2 استادیار، گروه روانشناسی و مشاوره، دانشگاه پیام نور، تهران، ایران.

3 استادیار، گروه روانشناسی، واحد بجنورد، دانشگاه آزاد اسلامی، بجنورد، ایران.

چکیده

مقدمه: کاهش ارتباط بین زوجین و بروز دلزدگی، با اثرات و عواقب بالقوه آسیب‌رسان و مخاطره‏آمیز برای زوجین و فرزندان همراه است. دو رویکرد زوج‎درمانی مبتنی بر پذیرش و تعهد و زوج‎درمانی شناختی-رفتاری از جمله رویکردهای ارزشمندی هستند که توسط پژوهش‎های فراوانی حمایت شده‎اند. بنابراین، این پژوهش با هدف مقایسه اثربخشی زوج‎درمانی شناختی-رفتاری و زوج‎درمانی مبتنی بر پذیرش و تعهد بر کاهش دلزدگی زناشویی زوجین انجام شد.  
مواد و روش‌ها: این مطالعه از نوع نیمه­آزمایشی با پیش­آزمون، پس­آزمون و گروه گواه با پیگیری دو ماهه بود. جامعه آماری شامل تمامی زوجین مراجعه‏کننده به مرکز مشاوره و روان‏درمانی مهرسای شهر آشخانه طی سال 1398 بود که از بین آن‏ها با روش در دسترس، تعداد 60 نفر انتخاب و در سه گروه مساوی گمارش شدند. مداخلات درمانی برای هر یک از دو رویکرد زوج‏درمانی طی 12 جلسه (1 جلسه در هفته و هر جلسه 90 دقیقه) اعمال شد. اما گروه گواه مداخله درمانی دریافت نکردند. برای گردآوری داده‏ها از پرسش‎نامه دلزدگی زناشویی پاینز استفاده شد. داده‏ها با روش‏های آمار توصیفی و تحلیل واریانس با اندازه‏گیری‎های مکرر تحلیل شد.
یافته‌ها: برحسب نتایج، دو رویکرد زوج‎درمانی تغییرات معنی­داری در کاهش دلزدگی زناشویی و ابعاد آن در مراحل پس‏آزمون و پیگیری دو ماهه ایجاد کردند (05/0>p)، و بین اثربخشی این دو روش درمانی تفاوت معنی­داری وجود نداشت (05/0<p).
نتیجه‌گیری: در مجموع، یافته‏های تحقیق حاضر حمایتی تجربی برای هر دو رویکرد درمانی در جهت کاهش دلزدگی زناشویی زوجین فراهم می‏کند و آگاهی درمانگران حوزه خانواده و زناشویی از این رویکردها می‎تواند کمک­کننده باشد.   

کلیدواژه‌ها


عنوان مقاله [English]

Comparing the Effectiveness of Cognitive-Behavioral Couple Therapy And Couple Therapy Based on Acceptance and Commitment On Reducing Marital Burnout in Couples

نویسندگان [English]

  • H Salehi 1
  • A Jahangiri 2
  • A BakhshiPour 3
1 Ph.D Student, Dept. of Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
2 Assistant Prof, Dept. of Psychology and Counseling, Payame-Noor University, Tehran. Iran.
3 Assistant Prof, Dept. of Psychology, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.
چکیده [English]

Introduction: The decline of communication between couples and the occurrence of burnout can bring about potentially harmful and dangerous effects and consequences for couples and children. Both couple therapy based on acceptance and commitment and cognitive-behavioral couple therapy are valuable and evidence-based approaches that a great deal of research has supported. . Therefore, this study was conducted to compare the effectiveness of cognitive-behavioral couple therapy and acceptance and commitment couple therapy in reducing marital burnout in couples.
Materials and Methods: This study was a quasi-experimental study with pretest, posttest and control group with 2-month follow-up. The statistical population included all couples who visited Mehrsai Counseling and Psychotherapy Center in Ashkhaneh in 2019, among whom, 60 people were selected by  convenience sampling technique and assigned to three equal groups. Therapeutic interventions were applied for each of the two couple therapy approaches in 12 sessions, 1 session per week and 90 minutes per session. But the control group did not receive any medical intervention. The Pines couple burnout measurement was used to collect data. Data were analyzed by descriptive statistics and repeated measures analysis of variance/ repeated measures ANOVA.
Results: According to the results of this study, the two approaches to couple therapy made significant changes in reducing marital burnout and its dimensions in the post-test and 2-month follow-up stages(p<0.05), and there was no significant difference between the effectiveness of these two treatments(p>0.05).
Conclusion: Overall, the findings of the present study provide empirical support for both therapeutic approaches to reduce marital burnout in couples, and the knowledge of family and marital therapists about these therapies can be helpful.

کلیدواژه‌ها [English]

  • Cognitive-behavioral couple therapy
  • Acceptance and commitment couple therapy
  • Marital burnout
  1. Morley RM, Terranova VA, Cunningham SN, Kraft G. Self-compassion and predictors of criminality. Journal of Aggression, Maltreatment & Trauma 2016;25(5):503-17.
  2. Zeng L-N, Zhang J-W, Zong Q-Q, Chan SW-C, Browne G, Ungvari GS, et al. Prevalence of burnout in mental health nurses in China: A meta-analysis of observational studies. Archives of psychiatric nursing 2020;34(3):141-8.
  3. Kupcewicz E, Jóźwik M. Association of burnout syndrome and global self-esteem among Polish nurses. Archives of medical science: AMS 2020;16(1):135-45.
  4. Rajaei M, Heidari H. Relationship between Internet Addiction and Marital Satisfaction and Disaffection in Married Students of Islamic Azad University, Khomeini Shahr Branch in 2015. CHJ 2017;11(1):69-77. [Persian]
  5. Shayan A, Taravati M, Garousian M, Babakhani N, Faradmal J, Masoumi SZ. The effect of cognitive behavioral therapy on marital quality among women. International journal of fertility & sterility 2018;12(2):99-105.
  6. Shahbazfar R, Zarei E, Hajializadeh K, Dortaj F. Comparison of Effectiveness of Cognitive-Behavioral Couple Therapy and Acceptance Commitment Therapy Approaches in Affective-sexual Needs. Journal of Research in Behavioural Sciences 2020;18(3):403-15.
  7. Puolakanaho A, Lappalainen R, Lappalainen P, Muotka JS, Hirvonen R, Eklund KM, et al. Reducing stress and enhancing academic buoyancy among adolescents using a brief web-based program based on acceptance and commitment therapy: A randomized controlled trial. Journal of youth and adolescence 2019;48(2):287-305.
  8. Al‐Hammouri MM, Rababah JA, Aldalaykeh M. Exploring the potential of acceptance and commitment therapy model in self‐care behaviour in persons with heart failure. Nursing Open 2020;7(5):1560-7.
  9. Taheri AA, Foroughi AA, Mohammadian Y, Ahmadi SM, Heshmati K, Hezarkhani LA, et al. The effectiveness of acceptance and commitment therapy on pain acceptance and pain perception in patients with painful diabetic neuropathy: a randomized controlled trial. Diabetes Therapy 2020;11(8):1695-708.
  10. Kioskli K, Scott W, Winkley K, Godfrey E, McCracken LM. Online acceptance and commitment therapy for people with painful diabetic neuropathy in the United Kingdom: A single-arm feasibility trial. Pain Medicine 2020;21(11):2777-88.
  11. Elbarazi I, Loney T, Yousef S, Elias A. Prevalence of and factors associated with burnout among health care professionals in Arab countries: a systematic review. BMC health services research 2017;17(1):1-10.
  12. Assadi T, Sadeghi F, Noyani A, SeidAbadi AM, Yekesadat SM. Occupational Burnout and its related factors among Iranian nurses: a cross-sectional study in Shahroud, Northeast of Iran. Open access Macedonian journal of medical sciences 2019;7(17):2902-7.
  13. Keshavarz, Ghanbarian E, Eskandari N, Saeedi M. The effectiveness of mindfulness-based cognitive therapy on the life quality and the desire for divorce in newly married couples.Journal of family counseling psychotherapy 2020 ; 9(2):31-52. [Persian]
  14. Siddique J, Chung JY, Brown CH, Miranda J. Comparative effectiveness of medication versus cognitive-behavioral therapy in a randomized controlled trial of low-income young minority women with depression. Journal of consulting and clinical psychology 2012;80(6):995-1006.
  15. Pines AM. Couple burnout: Causes and cures. 1th ed. New York & London: Routledge; 1996: 167-71.
  16. Gehart DR. Mindfulness and acceptance in couple and family therapy. 1nd ed. New York: Springer Science-Business Media; 2012: 135-39.
  17. Baucom DH, Epstein NB, LaTaillade JJ. Cognitive-behavioral couple therapy. In AS Gurman & NS Jacobson. Clinical handbook of couple therapy. 3nded. New York: Guilford Press; 2002: 26-58.
  18. Abbadi M, SiahKamari R, Nosrati R, Tarighati Maram F. Relationship between quality of life and resiliency with marital disturbance among women teachers in Kermanshah. Rooyesh-e-Ravanshenasi Journal (RRJ) 2019;8(6):79-86. [Persian]
  19. Raglan GB, Swanson LM, Arnedt JT. Cognitive behavioral therapy for insomnia in patients with medical and psychiatric comorbidities. Sleep medicine clinics 2019;14(2):167-75.
  20. Law EF, Wan Tham S, Aaron RV, Dudeney J, Palermo TM. Hybrid Cognitive‐Behavioral Therapy Intervention for Adolescents With Co‐Occurring Migraine and Insomnia: A Single‐Arm Pilot Trial. Headache: The Journal of Head and Face Pain 2018;58(7):1060-73.
  21. de Groot M, Doyle T, Averyt J. Program ACTIVE: Cognitive behavioral therapy to treat depression in adults with Type 2 diabetes in rural Appalachia. Journal of cognitive psychotherapy 2017;31(3):158-70.
  22. O'Brien WH, Singh R, Horan K, Moeller MT, Wasson R, Jex SM. Group-based acceptance and commitment therapy for nurses and nurse aides working in long-term care residential settings. The Journal of Alternative and Complementary Medicine 2019;25(7):753-61.
  23. Afari N, Herbert M, Godfrey K, Cuneo J, Salamat J, Mostoufi S, et al. Acceptance and commitment therapy as an adjunct to the MOVE! programme: a randomized controlled trial. Obesity science & practice 2019;5(5):397-407.
  24. Cuneo JG, Godfrey KM, Wright LJ, Backhaus A, Miggantz E, Afari N. Feasibility, acceptability, and exploratory outcomes of acceptance and commitment therapy for binge eating symptoms in veterans: a preliminary clinic-based study. Journal of Cognitive Psychotherapy 2018;32(3):155-70.