فراتحلیل و مقایسه اثربخشی های درمان مبتنی بر پذیرش و تعهد و زوج درمانی رفتاری تلفیقی بر مولفه های کیفیت زناشویی زوجین

الموضوعات :

طلوع کیب الهی ¹ , آدیس کراسکیان موجمباری ² , ناهید هواسی سومار ³ , محسن منصوبی فر ⁴ , آرزو تاری مرادی ⁵

1 - دانشجوی دکتری روان شناسی، گروه روان شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.
2 - استادیار، گروه روان شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.
3 - استادیار، گروه روان شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.
4 - استادیار، گروه روان شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.
5 - استادیار، گروه روان شناسی، واحد کرج، دانشگاه آزاد اسلامی، کرج، ایران.

تاريخ الإرسال : 05 الخميس , ذو الحجة, 1442 تاريخ التأكيد : 14 الأربعاء , ذو الحجة, 1443 تاريخ الإصدار : 20 الخميس , رمضان, 1443

الکلمات المفتاحية: فراتحلیل, درمان مبتنی بر پذیرش و تعهد, زوج درمانی رفتاری تلفیقی, مولفه های کیفیت زناشویی,

ملخص المقالة :

زمینه و هدف:درسال های اخیر در ایران پژوهش های متعددی اثربخشی درمان های مبتنی بر پذیرش و تعهد و رفتاری تلفیقی را در حیطه حل تعارض و پربار ساختن رابطه زوجین بررسی کرده اند. این پژوهش با هدف یکپارچه سازی نتایج بدست آمده از این پژوهش ها و مقایسه میزان اثر گذاری این مداخلات بر مولفه‌های کیفیت زناشویی صورت گرفته است. مواد و روش:به این منظور از فراتحلیل به عنوان یک فن آماری جهت تعیین، گردآوری، ترکیب و خلاصه کردن یافته های پژوهشی مرتبط با اثر بخشی های درمان مبتنی بر پذیرش و تعهد و زوج درمانی رفتاری تلفیقی بر مولفه های کیفیت زناشویی زوجین استفاده شد. جامعه آماری پژوهش شامل پژوهش‌های انجام شده در ایران در حوزه درمان های یاد شده است و نمونه آماری شامل پژوهش های انجام شده در این حوزه در داخل ایران است. به این منظور 22 پژوهش انتخاب و پس از بررسی 17 پژوهش که از لحاظ روش شناختی مورد قبول بود، انتخاب ومورد تحلیل قرار گرفت. ابزار پژوهش چک لیست فراتحلیل بود و برای تحلیل داده ها از نرم افزار CMA استفاده شد. یافته ها:نتایج نشان داد میزان اندازه اثر ترکیبی درمان ها برابر با 513/2d₌که معادل 458/2g₌ ، 791/0r₌و075/1z_r= (01/0>P) است و بر اساس جدول تفسیر کوهن به معنای اندازه اثر بزرگ یا بالا است. هم‌چنین، نتایج تفاوت معناداری میان اندازه اثر درمان مبتنی بر پذیرش و تعهد و زوج درمانی رفتاری تلفیقی نشان نداد. نتیجه گیری:بنابراین، می‌توان گفت بر اساس نتایج این فراتحلیل زوج درمانی درمان های مبتنی بر پذیرش و تعهد و رفتاری تلفیقی بر بهبود مولفه‌های کیفیت زناشویی زوجین اثربخش است.

المصادر:

1. Gholipour, S., Mousavian, S., & Namazi, L. (2017). Evaluation of the effectiveness of short-term solution-based couple therapy on marital vitality and adjustment of incompatible couples. Journal of Psychology, Educational Sciences and Social Sciences, Second Year. No. 4, pp. 1-23. https://journals.ihu.ac.ir/article_ 201736.html


2. Pak Gohar, M., Mahmoudi, M., Bonab; & Golian Tehrani, Sh. (2007). Investigating the effect of counseling on strengthening the marital relationship. Bi-Quarterly Journal of Daneshvar Pezeshki,Shahed University, Volume 15, Number 73. https://www.sid.ir/fa/journal/ViewPaper.aspx?ID=80929


3. Troxel, W. M. (2006). Marital quality communal strength and physical health Doctoral Thesis, University of Pittsburgh. http://d-scholarship.pitt.edu/7631/


4. Young, J., Closco, J., & Vichar, M. (2012). Schema therapy (practical guide forclinicians). (Translated by Hassan Hamidpour and Zahra Andouz, (2013). Tehran: Arjmand.


5. Yorgason, J.B., Booth, A., & Johnson, D., (2008). Health disability, and marital quality is the association different for younger versus older cohorts? Res Aging. 30(6):48-623. https://scholarsarchive.byu. edu/facpub/4756/


6. Gutman, A., & Jacobson, N., (2015). Therapy with couples: A Coming of age. Clinical Hand book of Couple Therapy. 2nd Ed. New York: Guilford press; pp. 255- 330.


7. Oraki, M., Jamali, Ch., Faraj Elahi, M., & Firoozjaei, A. (2012).The effectiveness of communication enrichment program training on the marital adjustment of married students. Social Cognition, 1 (2), 52-61. https://www.sid.ir/fa/Journal/ View Paper. aspx? ID=195975


8. Hayes, S.C., Strosahl, K.D., & Wilson, K.G. (1999). Acceptance andcommitment therapy: expriential approach to behavior change. New York: The Guilford Press.


9. Peterson, B.D., Eifert, G.H., Feingold, T., & Davidson, S. (2009). Using acceptance and commitment therapy to treat distressed couples: A case study with two couples. Cognitive and Behavioral Practice, 16, 430-442. https://psycnet. apa.org/record/2010-13971-006


10. Moradzadeh, F., & Pirkhaefi, A.R., (2017). The effectiveness of treatment based on acceptance and commitment on marital satisfaction and cognitive flexibility of married employees of the Welfare Department. Psychiatric Nursing, 5 (6), -1-7. https://www.sid.ir/fa/journal/View Paper. aspx?id=349087


11. Brown, F.L., Whittingham, K., Boyd, R.N., McKinlay, L., & Sofronoff, K. (2015). Does stepping stones triple plus acceptance and commitment therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomised controlled trial. Behaviour Research and Therapy73, 58-66. https://doi.org/10.1016/j.brat.2015.07.001


12. Tjak, J. G., Davis, M. L., Morina, N., Powers, M. B., Smit s J. A., & Emmelkamp, P. M. (2015). A. meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Journal of Psychother Psychosom 84(1), 6-30. https://doi.org/10.1159/000365764


13. Jacobson NS, Christensen A. Integrative couple therapy: Promoting acceptance and change. 1st Ed. New York NY, US: WW Norton & Co 2000.


14. Baucom B, Sevier M, Eldridge K, Doss B Christensen A. Observed Communication in Couples Two Years after Integrative and Traditional Behavioral CoupleTherapy: Outcome and Link with Five-Year Follow-Up. J Consult Clin Psychol 2011; 79(5): 565-576. https://doi.org/10.1037/a0025121


15. Baucom, B., Atkins, D., Simpson, L., & Christensen, A. (2009). of Response toTreatment in a Randomized Clinical Trial of Couple Therapy:A 2-Year Follow-Up. J Consult Clin Psychol, 77(1): 160-173. https://psycnet.apa.org/doi/10. 1037/a0014405


16. Yoo, H., Bartle, S., Day, R.D., & Gangamma, R. (2014). Couple communication, emotional and intimacy and relationship satisfaction. J Sex Marit Ther 40(4): 275-293. https://doi.org/10.1080/0092623x.2012.751072


17. Montesi, J.L., Conner, B.T., Gordon, E.A., Fauber, R.L. Kim, K.H., & Heimberg, E. (2013). On the relationship among social anxiety, intimacy, sexual sommunication, and sexual satisfaction in young couples. Arch Sex 42(1): 81-91. https://doi.org/10.1007/s10508-012-9929-3


18. Sobral, M.P., Matos, P.M., Costa, M.E. (2015). Fear of intimacy among couples: dyadic and mediating effects of parental inhibition of exploration and individuality and partner attachment. Volume 6, - Issue 1. pp. 380-388. https://doi.org/10.1080/19424620.2015.1106416


19. Adib Haj Bagheri, M., Parvizi, S., & Salsali, M. (2007). Qualitative research methods. Tehran: Boshra.


20. Pahlevanzade, S., Navisian, A., & Yazdani, M. (2010) .The effect of psycho education on derpression, anxity and strees family caregivers of patients with mental disorders. Jornal of Kermanshah university of medical Sinece, 14(3). https://www.sid.ir/en/journal/ViewPaper.aspx?id=189544


21. Hooman, H. A. (2008). Handbook on meta-analysis in scientific research (Persian). Tehran: SAMT.


22. Delavar, A. (2020). Theoretical and practical foundations of research in humanities and social sciences. Tehran: Roshd Publications.                                         


23. Dunn, R.L., & Schwebel. A.I. (1995). Meta-analytic review of marital therapy out comeresearch. Journal of Family Psychology, 9: 58-68. https://psycnet.apa.org/doi/10.1037/0893-3200.9.1.58


24. Shadish, W., & Baldwin, S. (2005). Effects of behavioral marital therapy: A meta analysis of randomized controlled trials. Journal of Consulting and Clinical Psychology, 73: 6-14. https://psycnet.apa. org/doi/10.1037/0022-006X.73.1.6


25. Shariat, A., Abedi, A., Ghamrani, A., & Sharifi, T., (2015). Extra-analysis of the effectiveness of couple therapy on increasing marital satisfaction. Journal of Women and Family Studies, Volume 3, Number 1, spring 2015, pp. 93-109. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=289811


26. Abedi, A., Infallibility, M., & Transverse, H.R. (2013). Meta-analysis of the effectiveness of group psychological interventions on marital satisfaction: (Iran, 2004-2010), Family Counseling and Psychotherapy Quarterly, Year 3, No. 2, pp. 258-233. https://journals.uok.ac.ir/ article_9626.html


27. Mohammad Yari, E., & Hosseinian, S. (2017). Meta-analysis of the effectiveness of short-term solution-based treatment on couple therapy (Iran: 2006-2017). Cultural-Educational Quarterly of Women and Family, Year 13, No. 43, pp. 52-33. https://cwfs.ihu.ac.ir/article_201736.html


28. Kamali, A., Dehghani Firoozabadi, S., & Ghasemi, H. (2013). Meta-analysis of the effectiveness of counseling psychology interventions on increasing marital satisfaction of Iranian couples (2012-2013), Quarterly Journal of Counseling and Psychotherapy Culture, Fifth Year, No. 19, Fall 93, pp.155-180. https://qccpc.atu.ac.ir/


29. Bustanipour, A.R. (2007). Meta-analysis of the effectiveness of cognitive-behavioral patterns in the treatment of marital problems. Journal of Consulting News and Research, No. 22, pp. 6-25. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=66331


30. Heydarian, N., Amanollahi, A., Khojasteh Mehr, R., & Imani, M. (2015). The effectiveness of acceptance and commitment based treatment in increasing the quality and marital adjustment of couples in Dezful, Journal of Clinical Psychology Achievements, Shahid Chamran University of Ahvaz, Fall 2015, Volume 1, Year 1, Number 3, pp. 49-66. https://jacp.scu.ac.ir/article_12409_d142d2888731675d48e1a4426ccc8310.pdf


31. Kavoosian, J., Opponent, H., & Karimi, K. (2014). The effectiveness of acceptance and commitment based therapy on marital satisfaction of couples. Journal of Health and Care, Year 18, Issue 4, pp. 75-87. http://hcjournal.arums.ac.ir/article-1-706-fa.html


32. Azimi Fard, Sh., Fatehi, M., Bahrami, F. Ahmadi, A., & Abedi, A. (2016). Comparison of the effectiveness of cognitive-behavioral therapy and acceptance and commitment on increasing the happiness of dissatisfied couples. Journal of Cognition Psychology and Psychiatry, Third Year No. 2, pp. 56-81. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=311853


33. Khanjani Veshki, S., Shafiabadi, A., Farzad, W. A., & Fatehizadeh, M. (2016). Comparison of the effectiveness of cognitive-behavioral couple therapy and couple therapy based      marital quality of conflicting couples in Isfahan. Journal of Behavioral Sciences Research,         Fourteenth Year, No. 4, pp. 464-471. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=291648


34. Hoshyar, F., & Afshari Nia, K. (2020). Comparison of the effectiveness of behavioral couple therapy and treatment based on acceptance and commitment on the quality of marital relationships of maladapted couples in Shiraz. Journal of Women and Society, Year 11, Number 2, summer (2020), pp.1-18. http://jzvj.miau.ac.ir/article_4183.html


35. Zanganeh motlagh, T., Bani Jamali, Sh. S., Ahadi, H., & Hatami, H. R. (2017). The effectiveness of couple therapy based on acceptance, commitment and emotion based on improving marital adjustment and commitment of couples. Women and Family Education Quarterly, Eleventh Year, No. 38, Spring 2017, pp. 49-68. https://www.sid.ir/Fa/Journal/ViewPaper.aspx?ID=353012


36. Yousef Zadeh, P., Farzad, W. A., Nawabi Nejad, G., & Nouranipour, R.A. (2016). Comparison of the effectiveness of integrated behavioral couple therapy and behavioral system on increasing couples' psychological well-being. Ibn Sina Scientific Quarterly, 19th year, first issue, pp. 22-29. http://ebnesina.ajaums.ac.ir/browse.php?a_id=411&sid=1&slc_lang=fa


37. Nazari V., Mohammad Khani, P., & Royal Government, B. (2011). Comparison of the effectiveness of cognitive-behavioral and behavioral combination couple therapy in increasing marital satisfaction. Quarterly Journal of New Psychological Research, Year 6, No. 22, pp. 149-175. https://www.sid.ir/fa/ journal/ViewPaper. aspx?id=139774


38. Baharloo, Gh., Mohammadi, K., Fallah Chai, S. R., & Eternal, M. (2019). Comparison of the effectiveness of positivist couple therapy with integrated behavior on marital adjustment of couples. Journal of Women and Family Studies, Volume 7, Number 3, pp. 83-107. https://jwfs.alzahra.ac.ir/article_4742.html


39. Panahi, M., Kazemi Jamarani, Sh., Enayatpour, M., & Rostami, M. (2017). The .effectiveness of integrated behavioral couple therapy on reducing marital boredom and fear of intimacy of couples. Journal of Applied Psychology, Volume 11, Number 3, pp. 332-373. https://apsy.sbu.ac.ir/article_96914.html


40. Soheili, N., Zahrakar, K., Asadpour, I., & Mohsenzadeh, F. (2019). The effectiveness of group counseling based on integrated behavioral couple therapy on the quality of nn urses' marital relationship. Journal of Psychiatric Nursing, Volume 7, Number 5, pp. 73-78. http://ijpn.ir/article-1-1383-fa.html


41. Karimian, N., Mohammadi, K., Zarei, I., & Andrew, Ch. (2016). Combination Therapies, Gender, and Couples Therapy: Evaluating the Effectiveness of Eclectic Behavioral Couples Therapy and Resolving Treatment in Improving the Marital Commitment of Conflicting S Spouses. Journal of Family Counseling and Psychotherapy, 2016, 6, 2 (22 consecutive): 21-38. https://www.sid.ir/fa/journal/ViewPaper.aspx?ID=316450


42. Dastan, N., Sudani, M., Khojasteh Mehr, R., & Rajabi, Gh. (2015). Comparison of the effectiveness of narrative couple therapy and combined behavioral couple therapy on conflict resolution and marital adjustment of couples.Journal of Women and Society in the sixth year, No. 3, Fall 2015, pp. 1-12. https://www.sid.ir/fa/journal/ViewPaper.aspx?id=256071