Effectiveness of Acceptance and Commitment Therapy on Mood Swings and Emotional Expression of Couples with Marital Conflict
Subject Areas : Journal of Excellence in counseling and psychotherapy
Maryam Aghazade
1
(
1. Master of Family Counseling, Shabestar Branch, Islamic Azad University, Shabestar, Iran.
)
saeed Najarpour Ostadi
2
(
2. Assistant Professor, Department of Psychology, Shabestar Branch, Islamic Azad University, Shabestar, Iran
)
Keywords: Emotional expression, Acceptance and Commitment Therapy, Mood Swings,
Abstract :
Purpose: the purpose of the present study was to investigate the effectiveness of acceptance and commitment therapy on mood swings and emotional expression of couples with marital Conflict.
Methodology: The present study was a semi-experimental type of pre-test post-test with the control group. The statistical community of this study was made up of all couples with marital Conflict visiting counseling and Family Therapy Clinics in faramehr, the path of tranquility and yasham in Tabriz. The sample of the study consisted of 30 couples with marital Conflict who were selected from among the statistical community by targeted sampling, taking into account the acceptance of people to participate in the study and having entry criteria. The king and Ammons emotional expression questionnaires (1990) and the positive and negative emotion of Watson et al. (1988) were used to collect data. The data was analyzed by the multivariate variance analysis test (MANCOVA) in version 24 of the SPSS statistical software.
Findings: The Results showed that there is a significant difference between the post-test scores of mood swings and emotional expressiveness. The effectiveness of treatment based on acceptance and commitment has caused a decrease in the average negative emotion component and an increase in the positive emotion component of the intervention group and an increase in the average scores of the subjects in emotional expressiveness (P>0.01).
Conclusion: Treatment based on acceptance and commitment has a significant effect on mood swings and emotional expression; Therefore, it is possible to reduce the mood swings and increase the expressiveness of emotions through treatment based on acceptance and commitment.
Amani, A., Isanejad, O., Alipour, E. (2018). Effectiveness of acceptance and commitment group therapy on marital distress, marital conflict and optimism in married women visited the counseling center of Imam Khomeini Relief Foundation in Kermanshah.. Shenakht Journal of Psychology and Psychiatry, 5 (1) , 42-64. [Link].
Araghi, Y., Bazzazian, S , Amirimajd, M., Ghamari, M. (2020). The Effectiveness of Acceptance and Commitment Based Approach on Decrease Alexitimya and Hopelessness of Divorced Demanding Couples. Journal of Analytical - Cognitive Psychology, 11 (42), 83-97. [Link]
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM), fifth edition, (DSM5). Washington, DC London, England, American Psychiatric Publishing; pp: 309-11. [Link]
Brodahl, K., Finset, A., Storøy, H. E., & Pedersen, R. (2021). Medical students’ expressions of empathy: A qualitative study of verbal interactions with patients expressing emotional issues in a medical interview. Patient Education and Counseling, 104 (12), 2936- 2943. [Link]
Barzegari dehaj, A., Jahandari, P., Hossein Sabet, F., & Borjali, A. (2019). Effects of Group-Based Acceptance and Commitment Therapy on the Adolescent’s Emotional Regulation and Mood States. MCS, 6 (3) , 238-247. [Link].
Bakhshipour, R., & Dezhkam, M. (2006). A confirmatory factor analysis of the Positive Affect Negative Affect Schedule (PANAS). Journal of Psychlogy, 9(4 (36)), 351-365. [Link].
Choi, H., & Marks, N. (2008). Marital Conflict, Depressive Symptoms, and Functional Impairment. J Marriage Fam. 2008; 70(2): 377–390. [Link]
Ducasse, D., Van Gordon, W., & Courtet, P. (2021). A spotlight on acceptance and commitment therapy. Minerva Psychiatry, 62, 132-9. [Link]
Dindo, L., Van Liew, J. R., & Arch, J. J. (2017). Acceptance and commitment therapy: a transdiagnostic behavioral intervention for mental health and medical conditions. Neurotherapeutics, 14(3), 546-553. [Link]
Frye-Cox, N., Ganong, L., Jensen, T., & Colman, M. (2021). Marital Conflict and Health: The Moderating Roles of Emotion Regulation and Marriage Order. Journal of Divorce & Remarriage, 62 (2). [Link]
Graham, C. D., Gillanders, D., Stuart, S., & Gouick, J. (2015). An acceptance and commitment therapy (ACT)–based intervention for an adult experiencing post-stroke anxiety and medically unexplained symptoms. Clin Case Stud, 14 (2), 83-97. [Link]
Hajloo, N., pourabdol, S., Saravani, S., Sobhi Gharamaleki, N., & mousavi, B. (2021). The Effectiveness of Cognitive-Behavioral Couple Therapy on Components Social Well-being in Couples with Marital Conflict. Clinical Psychology Studies, 12(45), 113-137. [Link].
Hayes, S. C., Luoma, J. B., Bond, F.W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther, 44(1), 1-25. [Link]
Hayes, S. C., Strosahl, K. D., Wilson, K .G. (2012). Acceptance and Commitment Therapy: The process and practice of mindful change. New York: Guilford Press. [Link]
Haskett, M. E., Stelter, R., Proffit, K., & Nice, R. (2012). Parent emotional expressiveness and children's self-regulation: Associations with abused children's school functioning. Child Abuse & Neglect, 36(4), 296-307. [Link]
Hayes, S. C, Pistorello, J., & Levin, M. E. (2012). Acceptance and commitment therapy as a unified model of behavior change. Couns Psychol, 40 (7), 976-1002. [Link]
Haji Mashhadi, B., Khajevand Khoshli, A., Asadi, J. (2022). Effectiveness of Desensitizing Treatment with Eye Movements and Reprocessing and Acceptance and Commitment Therapy on Emotional Expression and Somatic Symptoms. Razavi International Journal of Medicine, 10(1), 102-107. [Link]
Kallesøe, K.H., Schröder, A., Wicksell, R.K. et al. (2020). Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: a pilot study. BMC Psychiatry, 20, 457.[Link]
King, L. A., & Emmons, R. A. (1990). Conflict over emotional expression: Psychological and physical correlates. Journal of personality and social psychology, 58(5), 864. [Link]
Li, S., Ma, X., & Zhang, Y. (2023). Intergenerational transmission of aggression: A meta-analysis of relationship between interparental conflict and aggressive behavior of children and youth. Current Psychology, 1-16. [Link]
Liu, Z., Wang, H., Yang, Z., Lu, Y., Wang, J., & Zou, C. (2024). Genetically predicted mood swings increased risk of cardiovascular disease: Evidence from a Mendelian randomization analysis. Journal of Affective Disorders, 354, 463-472. [Link]
Mahmoodi Chalbatan, H., Motaghi, M., & Torkashvand, R. (2020). (ACT) on Recipients Having Alexithymia under Maintenance with Methadone. Zanko J Med Sci, 20 (67) , 76-86. [Link].
Meier, T., Stephens, J. E., & Haase, C. M. (2024). Feelings in words: Emotion word use and cardiovascular reactivity in marital interactions. Emotion, 24(3), 733–744.[Link]
Musapur, H., Mehravar, M., Batue, A., Hosseini, S. H., & Changi Ashtiani, J. (2020). Outcomes of procrastination in marital conflicts: A qualitative study. RJMS, 27 , 174-185. [Link].
Monfaredi, Z., Malakouti, J., Farvareshi, M., & Mirghafourvand, M. (2022). Effect of acceptance and commitment therapy on mood, sleep quality and quality of life in menopausal women: a randomized controlled trial. BMC psychiatry, 22(1), 1-12. [Link]
Marwaha, S., Broome, M. R., Bebbington, P., Kuipers, E., & Freeman, D. (2014). Mood instability and psychosis: analyses of British national survey data. Schizophr Bull, 40, 269–77. [Link]
Nikolaeva, A. (2014). Realization of the category of expressivity in communicative situations. Social and Behavioral Sciences, 158(19), 12-17. [Link]
Pinks, D., Warren-James, M., & Katsikitis, M. (2021). Does a peer social support group intervention using the cares skills framework improve emotional expression and emotion-focused coping in paramedic students? Australasian Emergency Care, 24(4), 308-313. [Link]
Riley, T. N., Sullivan, T. N., Hinton, T. S., & Kliewer, W. (2019). Longitudinal relations between emotional awareness and expression, emotion regulation, and peer victimization among urban adolescents. Journal of Adolescence, 72(12), 42- 51. [Link]
Roemer, L., & Orsillo, S. M, (2011). Salters-Pedneault K. Efficacy of an acceptancebased behavior therapy for generalized anxiety disorder: evaluation in a randomized controlled trial. J Consult Clin Psychol, 76(6), 1083-9. [Link]
Rafienia, P., Rasoulzade Tabatabaei, S.K., & Azad falah, P.. (2006). the relationship between Emotional Expression Styles And General Health In Collage Students. Journal of Psychlogy, 10(1 (37)), 84-105. [Link]
Shafiee Amiri, M., Abbasi, G., & Fakhri, M. K. (2020). The Effects of Acceptance and Commitment Therapy on Cognitive Evaluation, Death Anxiety, Experimental Avoidance, and Emotional Expression in Nurses. MEJDS, 10, 220-220. [Link]
Singh, T., Mittal, S., Sharad, S., Bhanot, D., Das, S., Varma, R., ... & Bharti, B. K. (2022). The silver lining behind the dark cloud: Exploring the psycho-social factors impacting successful adaptation during the COVID-19 pandemic. Journal of Pacific Rim Psychology, 16, 18344909221102207. [Link]
Slavinskiene, J. A., & Zardeckaite-Matulaitiene, K. (2014). Importance of alcoholrelated expec-tations and emotional expressivity for prediction of motivation to refuse alcohol in alcohol dependent patients. Department of Theoretical Psychology, 50(6), 169-174. [Link]
Shawyer, F., Farhall, J., Thomas, N., Hayes, S. C., Gallop, R., Copolov, D., et al. (2017). Acceptance and commitment therapy for psychosis: Randomised controlled trial. Br J Psychiatry, 210 (2), 140–148. [Link]
Schudlich, T., Jessica, N. W., Erwin, S. E., & Rishor, A. (2019). Infants' emotional security: The confluence of parental depression, Interparental conflict, and parenting. Journal of Applied Developmental Psychology, 63(1), 42-53. [Link]
Trombello, J. M., Post, K. M, & Smith, D. A. (2019). Depressive symptoms, criticism, and counter‐criticism in marital interactions. Family process, 58(1): 165-178. [Link]
Valiensi, S. M., Belardo, M. A., Pilnik, S., Izbizky, G., Starvaggi, A. P., & Castelo Branco, C. (2019). Sleep quality and related factors in postmenopausal women. Maturitas, 123, 73–77. [Link]
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of personality and social psychology, 54(6), 1063. [Link]
Wang, P., Gan, X., Li, H., & Jin, X. (2023). Parental marital conflict and internet gaming disorder among Chinese adolescents: The multiple mediating roles of deviant peer affiliation and teacher-student relationship. PloS one, 18(1), e0280302. [Link]
Whisman, M., Weinstock, L., & Uebelacker. (2002). Mood reactivity to marital conflict: The influence of marital dissatisfaction and depression. Behavior Therapy, 33, 2, 299-314.[link]
Wisyaningrum, S., Epifani, I., & Ediati, A. (2021). Surviving Marital Relationship During the COVID-19 Pandemic: A Systematic Review on Marital Conflict. Advances in Social Science, Education and Humanities Research, 530, 103-108. [Link]
Yeon, E. M., & Choi, H. S. (2020). Trajectories of Mothers' Perceived Marital Conflict and its Relationship to Depression and Children'School Readiness, Self-esteem, and Happiness. Journal of the Korea Academia-Industrial cooperation Society, 21(5), 344-352. [Link]
Yuan, J., Zheng, M., Liu, D., & Wang, L. (2024). Effect of Acceptance and Commitment Therapy on Emotion Regulation in Adolescent Patients with Nonsuicidal Self-Injury. Alpha Psychiatry, 2024 Jan; 25(1): 47–53. [Link]
Zareei Mahmood Abadi, H. (2017). The effectiveness of the training of the positive psychology on the growth of devotion and trust to the life in the normal women of bafq city. TB, 16 (2) , 98-109. [Link].
Zhang, C. Q., Leeming, E., Smith, P., Chung, P.K., Hagger, M. S., & Hayes, S. C. (2017). Acceptance and Commitment Therapy for Health Behavior Change: A Contextually-Driven Approach. Front Psychol, 8, 2350. [Link]
Zhao, B., Wang, Q., Wang, L., & Chen, J. (2023). Effect of acceptance and commitment therapy for depressive disorders: a meta-analysis. Annals of General Psychiatry 22(1). [Link]
Zhou, N., & Buehler, C. (2019). Marital hostility and early adolescents’ adjustment: The role of cooperative marital conflict. The Journal of Early Adolescence, 39 (1), 5-27. [Link]