اثربخشی تلفیق دو روش روایت‌درمانی و زوج درمانی هیجان- مدار بر سازگاری زناشویی و افسردگی زوجین نابارور
محورهای موضوعی : روانشناسیابراهیم نامنی 1 , ملیحه میرزایی 2 * , حسین کشاورز افشار 3 , زهرا فرازی 4
1 - دانشیار مشاوره، گروه علوم تربیتی، دانشکده ادبیات و علوم انسانی، دانشگاه حکیم سبزواری، سبزوار، ایران
2 - دانشیار مشاوره، دانشکده روانشناسی، دانشگاه تهران، تهران، ایران.
3 - دکترای مشاوره، دانشگاه آزاد اسلامی واحد مشهد، مشهد، ایران.
4 - دکترای مشاوره، دانشکده روانشناسی، دانشگاه تهران، تهران، ایران
کلید واژه: رواﻳﺖ درﻣﺎﻧﻲ, زوج درمانی هیجان¬مدار, سازگاری زﻧﺎﺷﻮﻳﻲ, اﻓﺴﺮدﮔﻲ, ﻧﺎﺑﺎروري.,
چکیده مقاله :
هدف: اثربخشی تلفیق دو روش درمانی روایتی و زوج‌درمانی هیجان- مدار بر کاهش افسردگی و افزایش سازگاری روانشناختی زوجین نابارور روش کار: طرح پژوهش، نیمه آزمایشی و از نوع پیش‌آزمون_پس‌آزمون و پیگیری با گروه کنترل بود که در سال 1396 بر روی 30 زوج نابارور شهر بیرجند انجام شد. افراد به طور تصادفی در دو گروه آزمایش و کنترل(15 زوج در هر گروه( قرار گرفتند. ابتدا زوجین به پرسش‌نامه‌های سازگاری زناشویی و افسردگی بک پاسخ دادند، سپس افراد گروه آزمایش به مدت 12 جلسه تحت آموزش قرار گرفتند در نهایت هر دو گروه در یک پیگیری دو ماه مورد ارزیابی مجدد قرار گرفتند. به منظور تجزیه و تحلیل داده‌ها از آزمون تجزیه و تحلیل واریانس با اندازه‌گیری‌های مکرر استفاده شد. یافته‌ها: بر اساس مقایسه پیش‌آزمون و پس‌آزمون دو گروه، تلفیق دو روش درمانی روایتی و زوج‌درمانی هیجان- مدار تأثیر معناداری بر سازگاری زناشویی (34/0 p=)، رضایت زناشویی (09/0 p=) ، توافق دونفره (09/0 p=)، ابراز عواطف دو نفره ( 10/0 p=) ، همبستگی دو نفره (11/0 p=) ، و افسردگی (09/0 p=) زوجین داشت. لازم به ذکر است، ماندگاری اثر درمان بعد از دو ماه حفظ شده است (05/0›p).
The aim of this study was to investigate the effectiveness of combining the two narrative and couple therapy methods of emotion-focuses therapy to reduce depression and increase the marital adjustment of infertile couples. The method of this study semi-experimental and pre-test, post-test and follow-up with the control group, which was conducted on 30 infertile couples in Birjand in 2017. Individuals were randomly assigned to two experimental and control groups (15 pairs in each group). In order to analyze the data, analysis of covariance, repeated measures analysis of variance and Bonferroni post hoc test were used. The results showed that the combination of narrative therapy and emotion-oriented couple therapy had a significant effect on marital adjustment and depression in the experimental group compared to the control group (p> 0.01). It should be noted that the effect of the treatment is maintained after two months (p 0.01). Considering the effectiveness of combining two methods of narrative therapy and emotion-oriented couple therapy on depression and marital adjustment, the combination of these two methods can be a good option for clients who consult counseling centers to receive effective treatment.
Abbasi, M., Gharlipour, Z., Rahbar, A., Arsang-Jang, S., Ebraze, A., & Kazazlou, Z. (2018). Comparison of psychological characteristics in fertile and infertile women referring to health centers and infertility center in Qom-2017. Arak Uni Med Sci, 21(6), 47-55. (In Persian)
Alipour, A., & Sharif, N. (2012). Validity of Antonovsky Sense of Coherence scale at students. Pejouhandeh, 17(1), 50-65.
Aghayi, A., Kahrazeni, F., & Farnam, A. (2019). The comparison of the effectiveness of group schema therapy and group emotional-based couple therapy on couples’ maladaptive schemas and life satisfaction. Journal of Psychologicalscience, 18(73), 133-142. (In Persian)
Ahmadi. S., Maredpoor, A., & Mahmoodi, A. (2019). Comparison the effectiveness of narrative therapy on early maladaptive schemas, increasing the quality of life And marital satisfaction in couples divorce applicant in Shiraz city. Psychological Methods and Models, 10(36), 67-85. (In Persian)
Alavi, K., Modarres-Gharavi, M., Amin-Yazdi, A., & Salehi, J. (2011). Effectiveness of group dialectical behavior therapy in reducing symptoms in university students. Journal of Fundamentals of Mental Health, 2(50), 124-135. (In Persian)
Amani. R., & Majzoobi, M. (2013). Comparing effectiveness of emotional focused, cognitive behavioral and cognitive behavior emotional couple therapy on the change process of spouses' marital satisfaction and women depression. Family Counseling and Psychotherapy, 3(3), 439-469. (In Persian)
Ball, J., Mitchell, P., malhi, G., Skillecorem, A., & smith, M. (2011). Co-constructing a marriage: Analyses of young couples' relationship narratives. Monographs of the Society for Research in Child Developmen, 12(2), 37-51.
Besharat, M A., Lashkari, M., & Rezazadeh, M. (2015). Explaining adjustment to infertility according to relationship quality, couples' beliefs and social support. Journal of Family Psychology, 1(2), 41-54.
Boustan, A., Hashemian, k., Shafieabadi, A., Delavar, A. (2008). A Comparative Study of Effectiveness Between Group Couple Therapy with Teaching the "Redecision Therapy" and the "Narrative Therapy" Approaching on Increasing Marital Satisfaction of College-Student Marriages. Counseling Research and Development, 6(24), 79-102. (In Persian)
Bokaie, M., Simbar, M., Yassini-Ardekani, S. M., & Alavi-Majad, H. (2017). Does infertility influence couples’ relationships? A qualitative study. Journal of Qualitative Research in Health Sciences, 6(1) 63-77. (In Persian)
Davaie Markazi, M., Karimi, J., Goodarzi, K. (2021). Investigating the Effectiveness of Couple Therapy based on Reality Therapy and Emotionally Focused Therapy (EFT) on Couples Happiness and Resilience. Counseling Research Development, 20(77), 89-121. (In Persian)
Dessaulles, A., Johnson, S., & Denton, W. H. (2003). Emotion-focused therapy for couples in the tTreatment of depression: A pilot study. The American Journal of Family Therapy, 31(5), 345-353.
Denton, W. H., Burleson, B. R., Clark, T. E., Rodriguez, C. P., & Hobbs, B. V. (2000). Randomized trial of emotion‐focused therapy for couples in a training clinic. Journal of Marital and Family Therapy, 26(1), 65-78.
Etkinson, R., Nolen Hoksema, S., Bam, D., Smith, E., & Etkinson, R. (2016). Hilgard the field of psychology. Trans: Zamani, R., Beik, M., Birashk, B., Braheny, M.T., & Shahr-Aray, M. Tehran: Roshd Publications. (In Persian)
Freedman, J., & Combs, G. (2002). Narrative therapy with couples and a whole lot more! A collection of papers, Essays and Exercises. Adelaide: Dulwich Centre.
Ghodsi, M., Barabadi, H.A., & Heydarian, A. (2018). Effectiveness of narrative therapy on reducing divorce tendency and its components in women with early marriage. Culture of Counseling and Psychotherapy, 9(33), 73-98. (In Persian)
Greenberg, L., Warwar, S., & Malcolm, W. (2010). Emotion-focused couples therapy and the facilitation of forgiveness. Journal of Marital and Family Therapy, 36(1), 28-42.
Jafari, F., Hajhosseini, M., & Ghobari-bonab, B. (2017). Effectiveness of emotion-focused counseling based on islamic ethics on happiness of incompatible couples. Applied Psychological Research Quarterly, 8(3), 121-144. (In Persian)
Johnson, S. M. (2007). The contribution of emotionally focused couple’s therapy. Journal of Contemporary Psychotherapy, 37(1), 47-52.
Johnson, S. (2008). Hold me tight: Seven conversations for a lifetime of love. New York: Little Brown.
Karimi, F. Z., Taghipour, A., Latifnejad Roudsari, R., Kimiaee, S.A., Mazloum, S.R., & Amirian, M. (2016). Psycho - social effects of male infertility in iranian women: A qualitative study. Iranina Journal of Obstetrics Gynecology and Infertility, 19(1), 20-32. (In Persian)
Khojasteh-Mehr, R., Shiralinia, Kh., Rajabi, Gh., & Beshlideh, K. (2013). The effects of emotion-focused couple therapy on depression symptoms reduction and enhancing emotional regulation distressed couples. Applied Counseling, 3(1), 1-18. (In Persian)
Lopesa, R. T., Gonçalvesa, M. M., Machadoa, P.P., Sinaib, D. B. & Salgado, J. (2014). Narrative therapy vs. cognitive-behavioral therapy for moderate depression. Empirical evidence from a controlled clinical trial. Psychotherapy Research, 4(8), 45-54.
Madani, Y., Hashemi-Golpayegani, F., & Lavasani, M. G. (2017). Proposing an integrated model of emotional focused approach and Gottman model and its effectiveness on quality of marital relationship in married women. Quarterly Research Psychological Applied, 7(4), 73-88. (In Persian)
Maroufizadeh, S., Ghaheri, A., AlmasiHashiani, A., Mohammadi, M., Navid, B., Ezabadi, Z., & Omani Samani, R. (2018). The prevalence of anxiety and depression among people with infertility referring to Royan institute in Tehran, Iran: A cross-sectional questionnaire study. Middle East Fertility Society Journal, 23(2), 103-106.
Monga, M., Alexandrescu, B., Katz, S. E., Stein, M., & Ganiats, T. (2004). Impact of infertility on quality of life, marital adjustment, and sexual function. Urology, 63(1), 126-130.
Moslemi, M., Aghaei, H., Shabani, Z. (2017). The Effectiveness of Education Training Based on Group Narrative Therapy on Communicational Patterns of Students Couples. Knowledge & Research in Applied Psychology, 18(2), 51-60. (In Persian)
Naghdi, H., Hatami, M., Kiamanesh, A., & Navabinejad, S. (2017). The comparison of the effect of emotion focused couple therapy and the problem-centered systemic therapy on marital conflict of Spouses of the men under treatment of substance dependence. Family Counseling & Psychotherapy, 7(23), 23-44. (In Persian)
Naghinasab-Ardehaee, F., Jajarmi, M., & Mohammadipour, M. (2018). Effectiveness of emotion focused couple therapy on marriage function and psychological well-being of women with marrital conflicts. Journal of Gorgan University of Medical Sciences, 20(3), 1-10. (In Persian)
Najafi, M., Soleimani, A., Ahmadi, Kh., Javidi, N, Hoseini, E., & Pirjavid, F. (2014). The study of the effectiveness of couple emotionally focused therapy (EFT) on increasing marital adjustment and improving the physical and psychological health of the infertile couples. The Iranian journal of Obstetrics, Gynecology and Infertility, 17(133), 8-21. (In Persian)
Naziri, G., Ghaderi Z., Zare F. (2010). On The Effectiveness of Narrative Therapy Approach in Reducing Women’s Depression a Case Study of Marvdasht Women. Sociology of Women (Journal of Woman and Society), 1(2): 65-78. (In Persian)
Nuri-Tirtashi, E., & Kazemi, N. (2012). The effectiveness of narrative therapy on amount of forgiveness in women. Journal of Clinical Psychology, 4(2), 71-78. (In Persian)
Parooi, M., Bastami Katuli, M., Karbalaee Esmaeil, E., Rezai, S. A., & Kazemi Rezai, S. V. (2018). Prediction of nurses' marital satisfaction based on attachment styles, defensive mechanisms, and quality of life. Iranian Journal of Psychiatric Nursing, 6(2), 24-32. (In Persian)
Pozza, A., Dettore, D., & Coccia, M. E. (2019). Depression and anxiety in pathways of medically assisted reproduction: The role of infertility stress dimensions. Clinical Practice and Epidemiology in Mental Health, 15, 101-109.
Priscilla, W. B. (2001). Marital therapy and marital power: Constructing narratives of sharing relational and positional power. Contemporary Family Therapy, 23(3), 259-308.
Rastgari, M. K., & Moradi, O. (2014). Efficacy of narrative therapy in reducing depressive symptoms in women 20 to 40 years in Sanandaj. Shenakht journal of psychology & psychiatry, 1(2), 47-57. (In Persian)
Rodríguez-Vega, B., Bayón-Pérez, C., Palao-Tarrero, A., Fernández-Liria, A. (2014). Mindfulness‐based narrative therapy for depression in cancer patients. Clinical psychology & psychotherapy, 21(5), 411-419
Rostami, M., Taheri, A., Abdi, M., & Kermani, N. (2014). The effectiveness of instructing emotion-focused approach in improving the marital satisfaction in couples. Procedia - Social and Behavioral Sciences, 23(2), 693 – 698.
Rooney, K. L., & Domar, A. D. (2018). The relationship between stress and infertility. Dialogues in Clinical Neuroscience, 20(1), 41-47.
Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 15(1), 15-26.
Shafi abadi, A., Honarparvaran, N., Tabrizi, M., Navabinejad, SH. (2010). Efficacy of Emotion-Focused Couple Therapy Training with Regard to Increasing Sexual Satisfaction Among, Couples. Journal of Thought & Behavior in Clinical Psychology, 4(15), 59-70. (In Persian)
Sheidanfar, N., Navabinead, SH., Farzad, V. (2020). Comparison of the effectiveness of treatment of focused emotional couples and imago couples therapy on individual adjustment in couples (in the first years). Journal of Psychological Science, 19(89), 593-606. (In Persian)
Tajikesmaeili, A., & Hakim-Abadi, M. (2016). Sexual functions and marital adjustment married in woman with multiple sclerosis. Journal of Research in Psychological Healt, 10(2), 1-10. (In Persian)
Taghavi, N., & Fathi-Ashtiyani, A. (2009). Psychological charasteristcs of men and women infertile compared with fertile groups. Thought Behav, 3(11), 45-54. (In Persian)
Tghiyar, Z. and Pahlavanzadeh, F. (2019). The Effectiveness of Narrative Therapy on Marital commitment and Sexual satisfaction. Knowledge & Research in Applied Psychology, 2(76), 110-120. (In Persian)
Ussher, J. M., & Perz, J. (2019). Infertility‐rRelated distress following cancer for women and men: A mixed method study. Psycho‐Oncology, 28(3), 607-614.
Vander Borght, M., & Wyns, C. (2018). Fertility and infertility: Definition and epidemiology. Clinical Biochemistry, 62, 2-10.
Valiani, M., & Abedian, S. (2015). Infertile women's satisfaction with the stress reduction care process during their treatment period: A clinical trial. Scientific Journal of Hamadan Nursing & Midwifery Faculty, 23(1), 38-48. (In Persian)
White, M., & Epston, D. (1990). Narrative Means to Therapeutic Ends. New York: W.Norton.