مقایسه اثر بخشی مشاوره گروهی مبتنی بر زوج درمانی گاتمن و زوج درمانی رفتاری تلفیقی بر کیفیت زناشویی، آزار عاطفی و سرخوردگی زنان دارای همسر معتاد شهر تهران
محورهای موضوعی : اعتیاد
1 - (نویسنده مسئول)، دکتری تخصصی، گروه روانشناسی، واحد رودهن، دانشگاه آزاد اسلامی، تهران، ایران email: nazanin¬_haghighatbayan@yahoo.com, tell: 0912887584993
کلید واژه: آزار عاطفی, زوج درمانی رفتاری تلفیقی, زوج درمانی گاتمن, سرخوردگی, کیفیت زناشویی, مشاوره گروهی,
چکیده مقاله :
چکیده مقدمه: این مطالعه با هدف مقایسه اثر بخشی مشاوره گروهی مبتنی بر زوج درمانی گاتمن و زوج درمانی رفتاری تلفیقی بر کیفیت زناشویی، آزار عاطفی و سرخوردگی زنان دارای همسر معتاد شهر تهران طراحی و انجام شد. روش پژوهش: مطالعه حاضر به روش آزمایشی با طرح تکرار سنجش آمیخته با گروه کنترل بود. جامعه آماری پژوهش متشکل از کلیه ی زنان دارای همسر معتاد مراجعه‌کننده در سال 1401 به سازمان بهزیستی شهرستان تهران بود. نمونه این مطالعه 45 نفر از زنان دارای همسر معتادی بودند که بر اساس ملاک های ورود و خروج به مطالعه و بر اساس نمرات اکتسابی در پرسشنامه، و با گمارش تصادفی در دو گروه آزمایشی و یک گروه کنترل جایگزین شدند. ابزار گردآوردی داده ها پرسشنامه کیفیت روابط زناشویی باسبی، پرسشنامه آزار عاطفی براهیمی و پرسشنامه سرخوردگی زناشویی پاینز بود که در مراحل پیش آزمون، پس آزمون و پیگیری یک ماهه توسط آزمودنی های هر سه گروه تکمیل گردید. برای تحلیل داده های پژوهش از تحلیل واریانس با اندازه گیری مکرر با بهره گیری از نرم افزار 26SPSS استفاده گردید. یافته ها: نتایج مطالعه اثربخشی هر دو روش مشاوره گروهی مبتنی بر زوج درمانی گاتمن و مشاوره گروهی مبتنی بر نظریه رفتاری تلفیقی را در بهبود کیفیت رابطه زناشویی و کاهش آزار عاطفی و سرخوردگی در مرحله پس آزمون و پیگیری یک ماهه تایید نمود. نتیجه گیری: یافته ها حاکی از آن بود که روش مشاوره گروهی مبتنی بر نظریه گاتمن نسبت به روش رفتاری تلفیقی دارای اثر بخشی بیشتری در آزار عاطفی و سرخوردگی بود. همچنین مشاوره گروهی مبتنی بر نظریه رفتاری تلفیقی نسبت به روش مشاوره گروهی مبتنی بر نظریه گاتمن دارای اثر بخشی بیشتری در کیفیت زناشویی بود.
Abstract Introduction: This study was designed and conducted with the aim of comparing the effectiveness of group counseling based on Gutman couple therapy and integrated behavioral couple therapy on marital quality, emotional abuse and frustration of women with addicted husbands in Tehran. Research method: The present study was an experimental method with a repeated measurement design mixed with a control group. The statistical population of the research consisted of all women with addicted husbands who referred to the welfare organization of Tehran city in 1401. The sample of this study was 45 women with addicted husbands who were randomly assigned to two experimental groups and one control group based on the criteria for entering and exiting the study and based on the scores obtained in the questionnaire. Data collection tools were Busby Marital Relationship Quality Questionnaire, Brahimi Emotional Abuse Questionnaire, and Pines Marital Frustration Questionnaire, which were completed by subjects of all three groups in pre-test, post-test and one-month follow-up stages. To analyze the research data, analysis of variance with repeated measurements was used using SPSS 26 software. Findings: The results of the study confirmed the effectiveness of both group counseling methods based on Gutman couple therapy and group counseling based on integrated behavioral theory in improving the quality of marital relationship and reducing emotional abuse and frustration in the post-test and one-month follow-up phase. Conclusion: The findings indicated that the group counseling method based on Guttman's theory was more effective in emotional abuse and frustration than the integrated behavioral method. Also, group counseling based on integrated behavioral theory was more effective in marital quality than the group counseling method based on Guttman's theory.
1. American Psychology Association. The Road to resilience, 2015, Available at http://www.apa.org/helpcenter/road-resilience.aspx.
2. Bartolo G, Benedetto L Ingrassia M. Couple’s well-being and parenting in the transition to parenthood: what are the gender differences? Interdisciplinary Journal of Family Studies. 2013; 18(1): 30-50. [Link] https://doi.org/10.1111/jmft.12284
3. Bash A.R. A treatment model for marital satisfaction in couples with young children. A dissertation submitted to the Faculty of The Chicago School of Professional Psychology in partial fulfillment of the requirements for the degree of doctor of Philosophy in Psychology in Applied Clinical Psychology. 2016. [Link]
4. Bozorgmanesh K, Nazari A Zahrakar K. Effectiveness of family therapy on its cohesion and flexibility. Journal of Holistic nursing and midwifery. 2016; 26(4):27-35. [Link]
5. Dillon HN. Family violence and divorce: effect on marriage expectation. Athesis presented to the faculty of the department of psychology East Tennessee State University; 2015
6. Fouché PJ, Naidoo P, & Botha T. (2019). A psychobiographical portrait of Adam small’s eriksonian ego-strengths or virtues: Contextualized within South Africa’s apartheid-eras. In New trends in psychobiography, 2019: 423-442. Springer, Cham.
7. Harmon DK. Black men and marriage: The impact ofspirituality, religiosity, and marital commitment on maritalsatisfaction (Doctoral dissertation). University of Alabama. Alabama, 2015
8. Johnson S.M. Attachment in action. Changing the face of 21st century couple therapy. Current Opinion in Psychology, 2019; 25: 101–114.[ Link]
9. Jones D.E, Feinberg M.E, Hostetler M.L, Roettger M.E, Paul I.M Ehrenthal D.B. Family and child outcomes 2 years after a transition to parenthood intervention. Family Relations. 2018; 67: 270–286. [Link]
10. Khandandel S, Kaviyanfar H. The role of trust in interpersonal relationships and family resilience in marital satisfaction of working couples. Pathology, counseling and family enrichment. 2016; 1 (1): 14-31. .[ Link]
11. Khojastemehr R, Ahmadi A, Sodani M Shiralinia Kh. Effectiveness of brief integrative couples counseling on emotional intimacy and marital quality of couples. Contemporary Psychology. 2016; 10(2): 29-40. [Link]
12. Khoshkam S, Ahmadi A Abedi M.R. The effect of communication Training on couples' relationship in Isfahan. Counseling research and development. 2008; 6(24): 123-136. [Link]
13. Lute M. The Relationship between Gottman's Four Horsemen of the Apocalypse, Mindfulness, and Relationship Satisfaction. A Dissertation Submitted to the School of Graduate Studies and Research in Partial Fulfillment of the Requirements for the Degree Doctor of Psychology. Indiana University of Pennsylvania, 2015
14. Mansour L, Adibrad N. Comparison between marital conflict and its dimensions in female clients of Shahid Beheshti University Counseling Services and Normal Women. Counseling Reserch and Development, 2014; 3(11): 47-64.
15. Martins C.A. Transition to parenthood: consequences on health and well-being. A study. Enferm Clin. 2018.[Link] https://doi.org/10.1016/j.enfcli.
16. Gottman JM. Gottman method couple therapy. Clinical Handbook of Couple Therapy, 2008; 4(8): 138-164, http://ssu.ac.ir/cms/fileadmin/user_upload/vonline/etiad/manabeamoozeshi/Couple_therapy.pdf#page=155
17. Matysiak A, Mencarini L Vignoli D. Work–family conflict moderates the relationship between childbearing and subjective well-being. European Journal of Population. 2016; 32(3): 355–379. [Link]
18. Perissutti C, & Barraca J. Integrative Behavioral Couple Therapy vs. Traditional Behavioral Couple Therapy: A theoretical review of the differential effectiveness. Clinical y Saluda. 2021; 24: 11 -18. [Link]
19. Philipp A, Lee J, Stamm T, Wininger M, Datler Co-parenting Intervention for Expectant Parents Affects Relationship Quality: A Pilot Study, Tohoku J. Exp. Med. 2020; 252: 33-43.[Link] DOI:10.1111/fare.12089
20. Pielage S, Luteinjin F Arrindell W. Adult attachment, intimacy and psychological distress in a clinical and community sample. Clinical Psychology and 2005; 12: 455- 464. ][Link]doi:10.1111/j.17413737.2006.00349.x
21. Prager K.J Roberts L. Deep Intimate Connection: Self and Intimacy in Couple Relationships. In Mashek, D. and Aron, A. (Eds.) the Handbook on Closeness and Intimacy. Lawrence-Ehrlbaum, 2008[Link] doi:10.1016/j.cpr.2008.03.005
22. Schwartz AL. Marital quality, acculturation, and communication in Mexican American couples. [Dissertation]. Utah State University, Logan, Utah.,2011[Link]
23. Snyder DK, balderrama-durbin C. Integrative Approaches to Couple Therapy: Implications for Clinical Practice and Research. Behavior Therapy, 2012; 7: 13– 24. [Link].
24. Sobral M.P., Matos P.M., Costa M.E. Fear of intimacy among couples: Dyadic and mediating effects of parental inhibition of exploration and individuality and partner attachment. Journal Family Science, 2014; 6: 380-388. [Link]
25. Theodore F. Robles, Richard B. Slatcher, Joseph M. Trombello, and Meghan M. McGinn. Marital quality and health: A meta-analytic review. Psychology Bull, 2017; 40: 88-102. ]Link[
26. Tie S, Poulsen Sh. Emotionally focused couple therapy with couples Facing Terminal Illness. Contemp Fam Ther. 2013; 35:557–567.[Link] DOI:10.1111/fare.12309
27. Trillingsgaard T, Baucom K.J. W Heyman R.E. Predictors of change in relationship satisfaction during the transition to parenthood. Family Relations. 2014; 6: 667 – 679. [Link]
28. Trillingsgaard T, Baucom K.W, Heyman R.E Elklit Relationship interventions during the transition to parenthood: Issues of timing and efficacy. Family Relations, 2012; 61: 770 – 783. [Link]
29. Vandeleur CL, Jeanpretre N, perrez M, schoebi D. Cohesion, satisfaction with family Bonds, and Emotional Well-Being in families with Adolescents. Journal of Marriage and Family, 2009; 17: 1205-121. [Link]
30. Vazhappilly J.J Reyes M.E.S. Efficacy of emotion-focused couple's communication program for enhancing couples’ communication and marital satisfaction among distressed partners. Journal of Contemporary Psychotherapy, 2017; 48(2): 79-88. [Link]
31. Wallace P.M Gotlib I.H. Marital Adjustment during the Transition to Parenthood: Stability and Predictors of Change. Journal of Marriage and the Family. 1990; 52(1): 21-29. [Link]
32. Welch S, Lachmar E, Wittenborn K. Establishing safety in emotionally focused coupletherapy: A single‐case process study. Journal of Marital and Family Therapy. 2019; 45: 402-415.[Link]
33. Wiebe S.A, Johnson S.M, Lafontaine M.F, Burgess M.M, Dalgleish T.L, Tasca GA. Two-Year Follow-up Outcomes in Emotionally Focused Couple Therapy: An Investigation of Relationship Satisfaction and Attachment Trajectories. J Marital Fam Ther, 2017; 43(2):227-244.[Link]
34. Wittenborn K, Ridenour A, MitchellRyan A Seedall B. Randomized controlled trial of emotionally focused couple therapy compared to treatment as usual for depression: Outcomes and mechanisms of change. Journal of Marital and Family Therapy, 2018; 45: 395-409. [Link]
35. Zuccarini D, Johnson S.M, Dalgeish T.L Makinen J.A. Forgiveness and Reconciliation in Emotionally Focused Therapy for Couples: The Client Change Process and Therapist Interventions. Journal of Marital Fam Ther.2013; 39(2): 148-62. [Link] doi:10.1111/j.1741-3729.2012. 00730.x
36. Gottman JM, Tabares A. The effects of briefly interrupting marital conflict. Journal of marital and family therapy. 2018; 44(1): 61-72. .[Link]
37. Hardesty JL, Ogolsky BG, Raffaelli M, Whittaker A. Relationship dynamics and divorcing mothers’ adjustment: Moderating role of marital violence, negative life events, and social support. Journal of Social and Personal Relationships. 2019; 1(3): 59-63. .[Link]
38. Haskins NH, Appling B. Relational‐Cultural Theory and Reality Therapy: A Culturally Responsive Integrative Framework. Journal of Counseling & Development. 2017;95(1): 87-99. .[Link]
39. Henderson A, Robey PA, Dunham SM, Dermer SB. Change, choice, and home: An integration of the work of Glasser and Gottman. International Journal of Choice Theory and Reality Therapy, 2013; 32(2): 36-47 .[Link]
40. Jalali N, Heydari H, Davoudi H, Al-e-Yasin SA. Comparison of Effectiveness of Emotion-focused Couple Therapy and Gottman’s Relationships Enrichment Program on Women’s Fear of Intimacy. International Journal of Behavioral Sciences, 2018; 12(2): 76-83. .[Link]
41. Jewell J, Schmittel M, McCobin A, Hupp S, Pomerantz A. The children first program: The effectiveness of a parent education program for divorcing parents. Journal of Divorce & Remarriage, 2017; 58(1): 16-28. .[Link]
42. Lee ES. Effects of a happiness choice program based on reality therapy on subjective well-being and interpersonal relations in nursing students. Journal of Korean Public Health Nursing, 2015; 29(3): 503-514. .[Link]