Background & Objectives: Neurological overdose is a psychological disorder characterized by extreme eating disorders and inappropriate compensatory behaviors to prevent weight gain. Having mental disorders, including nervous overcrowding is considered a crisis for the whole family. Among the aspects affected by this crisis, marital satisfaction and marital boredom require special attention. Several approaches have been proposed to treat and correct inefficient beliefs, one of which is schema therapy. The schema therapy developed by Yang et al (1990 –1990) is a modern and integrated therapy. Schema therapy provides a framework that recognizes behaviors and interpersonal interactions associated with eating pathology in a specific way. The schema–based model for eating disorders, including nerve birth, suggests that compensatory processes and schemes play a central role in eating disorders. Therefore, the aim of this study was to determine the effectiveness of group schematic therapy on increasing marital satisfaction and reducing marital burning in women with bulimia.
Methods: This study designed as a quasi–experimental pre-test and post–test with the control group. The study population was women (18–40) with neurological overcharge who had referred to the weight gain/loss and diabetes clinic in Tehran (capital city of Iran) and were exposed to medical nutritional interventions. Totally, 68 people were diagnosed to be affected by an extreme eating disorders. These people at least once a month reported compassionate behaviors such as deliberate vomiting, the arbitrary use of diarrhea and urinary tract medication and extreme sports. To this end, 40 people were selected by available sampling method from the people who referred to the Obstetrics and Gynecologic Clinic, and randomly 20 subjects divided in the experimental group and 20 in the control group. Anrich’s marital satisfaction questionnaire and Paynes's burnout married scale (CBM) was completed. The experimental group was trained the schema therapy program for 10 sessions 2 hours per week, while the control group did not receive any training in this period. After the end of the sessions, Anrich’s marital satisfaction questionnaire and Paynes's burnout married scale was performed for the second time in two groups as post–test. Eventually, data were analyzed using descriptive statistics, multivariate covariance analysis with SPSS16 software.
Results: The results of multivariate analysis showed that by controlling the effect of pre–test scores, the mean score of total marital boredom of the experimental group in the posttest stage was significantly lower than the mean score of marital burnout in the control group (p<0.05). In addition, results of multivariate covariance analysis showed that by controlling the effect of pre–test scores, the mean total score of marital satisfaction in the experimental group was significantly higher in the experimental group than the mean marital satisfaction scores in the control group (p<0.05).
Conclusion: Considering the results of the research obtained, it may be stated that schema therapy has been led to a reduction in marital burnout and increased marital satisfaction and its subcomponent in women affected by nervous bulimia.