مقایسه اثربخشی درمان پردازششناختی و درمان مبتنی بر کارآمدی هیجانی بر اعتماد بین‌فردی، بخشش بین‌فردی و صمیمیت زنان آسیب‌دیده از ترومای پیمان¬شکنی همسر
مهشید نیک نژادی
1
(
دانشجوی دکتری گروه روانشناسی، واحد اصفهان(خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران
)
ایلناز سجادیان
2
(
*دانشیار گروه روانشناسی بالینی ، مرکز تحقیقات سلامت جامعه، واحد اصفهان(خوراسگان)، دانشگاه آزاد اسلامی، اصفهان ، ایران( نویسنده مسئول)i.sajjadian@ khuisf.ac.ir
)
غلامرضا منشئی
3
(
دانشیار گروه روانشناسی، مرکز تحقیقات سلامت جامعه، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران
)
کلید واژه: پردازششناختی, کارآمدی هیجانی, اعتماد, بخشش, صمیمیت,
چکیده مقاله :
چکیده: پژوهش حاضر با هدف بررسی مقایسه اثربخشی درمان پردازش شناختی و درمان مبتنی بر کارآمدی هیجانی بر اعتماد بین‌فردی و صمیمیت زنان آسیب‌دیده از ترومای پیمان‌شکنی همسر بود. این پژوهش نیمه‌آزمایشی با طرح پیش‌آزمون _ پس‌آزمون و گروه گواه و پیگیری دو ماهه بود. جامعه آماری زنان آسیب‌دیده از پیمان‌شکنی همسر مراجعه کننده به مراکز مشاوره شهر اصفهان بودند، 42 نفر به صورت نمونه¬گیری دردسترس انتخاب و در دو گروه آزمایش و گواه جایگزین شدند (هرگروه 14 نفر). دو گروه درمانی هر یک به مدت 8 جلسه 90 دقیقه‌ای مداخلات درمانی را دریافت نمودند و گروه گواه هیچ مداخله‌ای دریافت ننمود. ابزار پژوهش پرسشنامه اعتماد در روابط بین¬فردی رمپل و هولمز ، بخشش بین‌فردی احتشام¬زاده و صمیمیت واکر و تامپسون بود. داده¬های پژوهش با روش تحلیل واریانس ¬اندازه‌گیری مکرر انجام گرفت. نتایج نشان داد هر دو روش درمان در بهبود متغیرهای اعتماد در روابط بین¬فردی، بخشش بین‌فردی و صمیمیت در زنان آسیب¬دیده از پیمان¬شکنی همسر با گروه گواه تفاوت معنادار است (01/0>p). همچنین در مقایسه دو روش¬ درمان، مداخله درمان پردازش¬شناختی اثربخش¬تر از درمان مبتنی بر کارآمدی هیجانی در متغیرهای پژوهش بود.
چکیده انگلیسی :
Abstract The purpose of this study was to Comparison the effectiveness of Cognitive Processing Therapy and Emotion efficacy therapy on Trust in close Relationships, Interpersonal Forgiveness and Intimacy of women Injured by trauma Husbands Infidelity. The research method was quasi-experimental and pretest-posttest design with two-months follow-up. The statistical population was the women injured by trauma husband infidelity who referred to counseling centers in Isfahan city, The sample included 42 women Injured by trauma Husbands Infidelity in Isfahan who were selected purposefully in two experimental group were randomly replaced (each group, n= 14). Two treatment groups received 8 sessions of intervention for each treatment, but the control group received no treatment. Data collection tools included Trust in close Relationships Questionnaire, Interpersonal Forgiveness Questionnaire, and Intimacy. The Data were analyzed using repeated measures mixed variance. findings, it also showed that there is a difference between cognitive processing therapy and emotional efficacy therapy in improving variables with control group, trust in interpersonal relationships, interpersonal forgiveness, and intimacy in women Injured by trauma Husbands Infidelity (p <0/01). Also, the results comparing the two treatment methods showed that the intervention of cognitive processing therapy was more effective than the treatment based on emotional efficacy in all research variables.
References
1-Aghagadi, P., Golparvar, M., Aghaei, A., & Khayatan, F. (2019). The Effects of Forgiveness-Based Mindfulness Therapy and Emotionally Focused Therapy on Depression and Resiliency in Women Affected by Their Husbands Infidelity.Journal of Community Health. Vol 12, Issue 1(25): 1-11[in persian].
2- Ajari, M,. Amiri, H,. Sadat Houseini, S,. & Afshainia, K,. (2022). The Effectiveness of Group Cognitive-Behavioral Couple Therapy in improving the Quality of Marital Relationships, Mrital Intimacy, and Marital Depression of Women Affected by Infidelity,.Journal of Applided Family Therapy,. 2(4):52-70[in persian].
3-Ameri S, Marashian FS.(2023). Effectiveness od Emotion-Focused Therapy on Marital Dissaffection and Psychological Distress in Women Traumatized by Their Husband’s Betrayal. Women . Health. Bull,. 10(3): 182- 190.
4-Asayesh, M, H ,. Golpasha, E,. & Bahonar, F,. (2022). Explaning the Behavioral Experiences and Psychological Coping of Women Who Are Victims of an Extramarital Relationship: A Qualitative Study,. Journal of Applied Psychological Reserch,. 12(4): 251-269. [in persian].
5-Andrada D, Neacsiu A, Jeremy W, Eberle R, Kramer R, Wiesmann T, Linehan M. (2014). Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trial. Behave Res Ther;59(12):40-51.
6-Allison R.T. (2017). Communication and parental infidelity: A qualitative analysis of how adult children cope in a topic-avoidant environment. Journal of Divorce & Remarriage, 58(3): 175-193.
7-Basharpoor, S. (2012). The effectiveness of cognitive processing therapy on the improvement of posttraumatic symptoms, quality of life, self-esteem and marital satisfaction in the women exposed to infidelity. Family Counseling and psychotherapy, 2(2), 193-208 [persian].
8-Dehghani, M., Aslani, Kh., Amanelahi, A., & Rajabi, Gh. (2020). The Effectiveness of Attachment Injury Resolution Model (AIRM) on Increasing Trust among the Injured Women with Marital Infidelity: A Case Study Approach. The American Journal of family Therapy, Volume 48, Issue 3: 283-297. [in persian].
9-Ehteshamzadeh, P., Ahadi, H., Enayati, M, S., & Heidari, A.(2011). Construct and Validation of A Scale for Measuring Interpersonal Forgiveness. IJPCP; 16(4): 443-455 [in persian].
10-Imanirad, A., Golmohammadian, M., Moradi, O., & Godarzi, M. (2021). The effectiveness of emotion-oriented couple therapy on forgiveness and communication beliefs of couples involved in marital infidelity. Journal of Psychological Science. 20(100),: 653-665 [in persian].
11-Garza, L. (2020). The Role of Gender and Attitudes Toward Infidelity in Therapists Treatment Decisions for Couples Presenting with Physical Infidelity. PhD thesis, Clinical Psychology Department, Fielding Graduate University.
12-Gharadaghi, A., & Seyyed Mirzaei, M. (2020). The Effectiveness of Acceptance and Commitment Bsed Therapy on the Symptoms of Emotional PTSD in Women Affected by Infidelity. Journal of Family Research. 16(2): 217-299 [in persian].
13-Goodarzi, M.A. (2004). Evaluation Validity and Reliability of Mississippi Post Traumatic Stress Disorder Scale. Journal of Psychology, Vol 7, Issue 2 (26): 153-178 [in persian].
14-Khandandel S, & Kavianfar H. (2015). Role of trust in interpersonal relationships and family hardiness in marital satisfaction in working couples. FPJ 2015;1(1): 14-31. [in persian].
15-Kouba, R. (2017). Group Cognitive Processing Therapy for Veterans Experiencing Trauma:A Systematic Review .Review.Retrieved from Sophia,the St. Catherine University reposity Website: https://sophia. Stkate.edu/msw-paper/760.
16-Lisman, C.G., & Holman, C.A., (2021). Cheating under the Circumstances in Marital Relationships: The Development and Examination of Propensity towards Infidelity Scale. Social Sciences 10:392.
17-Meyers LL, Strom TQ, Leskela J, Thuras P, Kehle-Forbes SM, Curry KT. (2013). Service utilization following participation in cognitive processing therapy or prolonged exposure therapy for post-traumatic stress disorder. Mil Med, 178(1):95-9.
18-Movahedi, M., Movahedi, Y., & Karimenejad, K,.(2015). The Study of the Relationship among Marital Satisfaction, Intimacy and Marital Relationship Quality in Forgiving Married. Family Counseling and Psychotherapy, 4(16): 652-633. [in persian].
19-Murray, M.S., Augustinavicius, D., Kaysen, D., Rao, L., Murray, K., Wachter, J., Annan,K., Falb, P., Bolton & Bass, J.K. (2018). The impact of Cognitive Procsssing Therapy in Stigma among survivors of sexual violence in eastern Democratic Republic of Congo: results from a chuster randomized controlled trial. Conflict and Health Open Access,12:1, 2-9.DOI 10.1186/s13031-018-0142-4.
20-Niknezhadi, M., Sajjadian, I., & Manshaee, G. (2023). The Effectiveness of Emition Efficacy Therapy on Self-control and Intimacy of Women Injured by trauma Husband Infidelity. aftj, 4(1):29-46. [in persian].
21-Olamijuwon, E., Odimegwu, C., & Chemhaka, G. (2020). Involuntary Childlessness and Marital Infidelity Among Women in Sub-Saharan Africa Countries: An Assessment of the Moderating Role of Womens Education. Archives of Sexual Behavior, 1-14.
22-Omarzu J., Miller AN., Schultz C., & Timmerman A. (2012). Motivations and emotional consequencesrelated to engaging in extramarital relationships. Int J Sex Health; 24(2): 154-62.
23-Parker, M. L., & Campbell, K. (2017). Infidelity and attachment: the Moderating Role of Race/Ethnicity. Cont. Contempoemporary Family Therapy, 39(3): 172-183.
24-Ramezani S., shafiei M., & heidarirad H., Effectiveness of Cognitive Processing Therapy in Negative Emotional Representations and Reduction of Self – destructive Behaviors among Addicts with Post- traumatic Stress. (2019). Etiadajohi ; (48):241-256. [in persian].
25-Rempel, J.K. Holmes, J.G. (1986). Trust in close relationships. Journal of Personality, 49,95-112.
Resick, P.A., Galovaski,T.E., Uhlmansiek, M.O., Scher, C.D., Clum.G.A., & Young-Xu, Yinong.(2008).A Randomized Clinical Trial to Dismantle Components of Cognitive Processing Therapy for Posttraumatic Stress Disorder in Female Victims of Interpersonal Violence. Journal of Consulting and Psychology, 76,243-258.
26-Resick, P.A., Monson, C.M., & Chard, k .M. (2016). Cognitive Processing Therapy for PTSD, A comprehensive Manual.
27-Resick, P.A., Wachen JS., Dondanville K.A., Pruiksma, K. E., Yarvis, J. S., Peterson, A. L., & Litz, B. T. (2017). Effect of group vs individual cognitive processing therapy in activeduty military seeking treatment for posttaumatic stress disorder: a randomized clinical trial. JAMA Psychiatry. 74(1): 28-36.
28-Rokach, A., & Chan, S.H., (2023). Love and Infidelity. Causes and Consequences. Int. J.Environ.Res. Public Health, 20, 3904. https:// doi. Org/10.3390/ijerph20053904.
29-Sarlak, M., & Heydari, H. (2017). Comparing Marital Status, Personal and Interpersonal Forgiveness, and Quality of Life in Couples Who are Married for 1-2 and 3-10 years. 16(62):170-188 [in persian].
30-Shoaa Kazemi M. (2017). Effect of cognitive-behavior therapy for betrayed women. J Research & Health. 7(3):796-802. [in persian].
31-Schade, L. & Sandberg, G. (2012). Healing the Attachment injury of marital infidelity using emotionaly focused couples therapy: A case illustration. The American journal of family therapy,: 40: 434-444.
32-Soudani, M., Ghommohamadi, H., Khojastehmehr, R., & Abbaspour, Z.(2019). An investigation in to the effectiveness of Robert Enright Forgiveness Inventory (EFI) on the marital quality of women affected by infi delity. Beiomedical Research, 30(4), 563-570.
33-Walker, A.J., & Thompson, L. (1983). Intimacy and intergenerational aid and contact among mother and daughter. Journal of Marriage and family, 45:842-849.
34-Weathers, F W., Litz, B.T., Herman D.S., Huska , J.A & Keane. T. (1994). The PTSD Cheklist (PCL). Reliability. Validity and diagnostic utility. Presented at the 9 Th Annual Meeting of the International Society for Traumatic Seress Hisser Studies. October 1993.605-614.
35-Weiser, A. D., & Weigel, J. D. (2015). Personality & individual differences. Personality & Individual Differences, 85 (1), 176-181.
36-Zolfaghri, D., Mohammadkhani, S., Mahdavian, A., & Akbari, M. (2021). Transdiagnostic model of healing from marital infidelity with emphasis on the role of metacognitions, schemas, intimacy, emotional efficiency and forgiveness. Journal of Clinical Psychology & Personality. Vol. 19(36): 27-39 [in persian].
37-Zolrahim, R., Vahedi, Sh., & Moheb, N., (2022). The Effecte of Positive Psychology Based Therapy on Marital Satisfaction of Women Affected by Infidelity. KNOWLEDGE & RESEARCH IN APPLIED PSYCHOLOGY, 22(4 (86)), 112-119. SID. [in persian].
38-Yoosefi, N., & Karimipoor, B. (2019). Comparison of the Effectiveness of Metacognitive Therapy and Couple Therapy Basedon Self-Regulation on Coping Strategies and Couples Self-Control., Journal Research in Clinical Psychology and Counseling., 8(10: 52-72.
