Volume 10 -                   MEJDS (2020) 10: 230 | Back to browse issues page

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1- Department of Psychology, Semnan Branch, Islamic Azad University
2- Department of clinical Psychology, Semnan University
Abstract:   (1130 Views)
Background & Objectives: Marriage and specifically emotional exchange between couples is among the strongest positive emotions and can increase their happiness. Marital Happiness (MH) is the main factor in predicting overall happiness in men and women. Given the complex nature of marital relationships and the effects of emotions, needs, fears, and attachments on couples' relationships, it is essential to develop effective interventions to help couples. Furthermore, numerous couples seek help from couple therapists and family counselors due to problems related to MH and Sexual Functioning (SF). Therefore, to treat and solve marital problems, effective methods on MH and SF should be revived. This study aimed to survey the effects of Emotion–Focused Therapy (EFT) on MH and SF.
Methods: This was a quasi–experimental study with a pretest–posttest–follow–up and a control group design. The statistical population of the present study consisted of all couples in Tehran City, Iran, in 2019. The study participants were selected by the convenience sampling method. The sample size was calculated by G*Power software. The required number of samples was calculated based on similar studies, considering the effect size of 0.40, confidence level of 0.95, test power of 0.80, and the rate of loss of 10% per group of 15 subjects. The study samples included 30 couples who obtained scores below the cut–off point in the questionnaires, including the Female Sexual Function Index (score 26), the International Index of Erectile Function (lower than score 35), and the Marital Happiness Scale (score 50). The study participants who met the inclusion/exclusion criteria of the research were recruited from psychology clinics and randomly assigned to the experimental and control groups (n=15 couples/group). The study groups were matched in terms of age, gender, and educational level. The inclusion criteria of the research were couples who have been married for 3–10 years; a minimum diploma education; no biopsychological problems, and volunteering to participate in the research. Besides, the exclusion criterion was the non–observance of the group rules, i.e., stated in the first session and absence from >1 sessions. The research tools were conducted in pretest, posttest, and follow–up phases. After completing the pretest, the intervention group received 11 two–hour weekly sessions based on Johnson et al.’s (1999) training package; however, the controls received no intervention during this period. The repeated–measures Analysis of Variance (ANOVA) and Bonferroni posthoc test were used in SPSS for data analysis. The significance level of the tests was set at 0.05.
Results: The obtained results indicated that the ANOVA data of MH was significant for time effect (p<0.001) and group effect (p<0.001) and the effect size of a group intervention for MH equaled 0.64; Additionally, ANOVA data of male’s SF for time effect (p<0.001) and group effect (p<0.001) was significant and the effect of a group intervention for male SF was measured as 0.44. Additionally, ANOVA data of female’s SF was significant for time effect (p<0.001) and group effect (p<0.001), and the effect size of a group intervention for female’s SF was equal to 0.59. Thus, MH and SF of men and women suggested a significant difference between the experimental and control groups during the research stages, which indicated the effect of the intervention. Furthermore, the posttest scores of MH in the experimental group were higher than those of the pretest (p<0.001). The follow–up scores of MH were significantly different from those of the pretest and posttest stages (p<0.001). Moreover, the posttest scores of male’s SF in the experimental group were higher than that of the pretest (p<0.001). Male’s SF follow–up scores were significantly different from those of the pretest and posttest stages (p<0.001). Additionally, the posttest scores of female’s SF in the experimental group were lower than those in the pretest (p<0.001). Female’s SF scores of the follow–up stage were significantly different from the pretest stage (p<0.001); however, no significant difference was observed between the posttest and follow–up stages (p=0.486). The collected results signified the effectiveness of EF couple therapy in the follow–up phase concerning MH and SF, i..e, significantly increased and continued. However, it remained stable for women's SF.
Conclusion: Based on the present study findings, EFT is an effective method to increase MH and SF in couples. Therefore, it is recommended that counselors and therapists use EF couple therapy to improve MH and SF in couples.
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Type of Study: Original Research Article | Subject: Psychology

References
1. Greenberg L, Warwar S, Malcolm W. Emotion-focused couples therapy and the facilitation of forgiveness. J Marital Fam Ther. 2010;36(1):28–42. [DOI]
2. Lawrence EM, Rogers RG, Zajacova A, Wadsworth T. Marital happiness, marital status, health, and longevity. Journal of Happiness Studies. 2019;20(5):1539-61. [DOI]
3. Gottman JM, Coan J, Carrere S, Swanson C. Predicting marital happiness and stability from newlywed interactions. Journal of Marriage and the Family. 1998;60(1):5-22. [DOI]
4. Patel KK, Dhar M. Marital happiness among newly married individuals in a rural district in India. Social Science Spectrum. 2019;4(2):76-85. [Article]
5. Træen B, Štulhofer A, Janssen E, Carvalheira AA, Hald GM, Lange T, et al. Sexual activity and sexual satisfaction among older adults in four European countries. Arch Sex Behav. 2019;48(3):815-29. [DOI]
6. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. 5th ed. Washington, D.C: American Psychiatric Association; 2013.
7. Wallwiener S, Müller M, Doster A, Kuon RJ, Plewniok K, Feller S, et al. Sexual activity and sexual dysfunction of women in the perinatal period: a longitudinal study. Arch Gynecol Obstet. 2017;295(4):873-83. [DOI]
8. Marvi N, Golmakani N, Miri HH, Esmaily H. The effect of sexual education based on sexual health model on the sexual function of women with infertility. Iranian J Nurs Midwifery Res. 2019;24(6):444. [DOI]
9. Yoo KH, Kang D, Kim IR, Choi EK, Kim JS, Yoon SS, et al. Satisfaction with sexual activity and sexual dysfunction in hematopoietic stem cell transplantation survivors and their partners: a couple study. Bone Marrow Transplant. 2018;53(8):967-76. [DOI]
10. Shahar B. Emotion-focused therapy for the treatment of social anxiety: an overview of the model and a case description. Clin Psychol Psychother. 2014;21(6):536–47. [DOI]
11. Dalgleish TL, Johnson SM, Burgess Moser M, Lafontaine M-F, Wiebe SA, Tasca GA. Predicting change in marital satisfaction throughout emotionally focused couple therapy. J Marital Fam Ther. 2015;41(3):276–91. [DOI]
12. MacIntosh HB, Johnson S. Emotionally Focused Therapy for couples and childhood sexual abuse survivors. J Marital Fam Ther. 2008;34(3):298–315. [DOI]
13. Benson LA, Sevier M, Christensen A. The impact of behavioral couple therapy on attachment in distressed couples. J Marital Fam Ther. 2013;39(4):407–20. [DOI]
14. Soleimani AA, Najafi M, Ahmadi K, Javidi N, Hoseini Kamkar E, Mahboubi M. The effectiveness of emotionally focused couples therapy on sexual satisfaction and marital adjustment of infertile couples with marital conflicts. Int J Fertil Steril. 2015;9(3):393–402.
15. Wiebe SA, Johnson SM. A review of the research in emotionally focused therapy for couples. Family Process. 2016;55(3):390-407.
16. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191–208. [DOI]
17. Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49(6):822–30. [DOI]
18. Azrin NH, Naster BJ, Jones R. Reciprocity counseling: a rapid learning-based procedure for martial counseling. Behav Res Ther. 1973;11(4):365–82. [DOI]
19. Fakhri A, Pakpour AH, Burri A, Morshedi H, Zeidi IM. The Female Sexual Function Index: translation and validation of an Iranian version. J Sex Med. 2012;9(2):514–23. [DOI]
20. Pakpour AH, Zeidi IM, Yekaninejad MS, Burri A. Validation of a translated and culturally adapted Iranian version of the International Index of Erectile Function. J Sex Marital Ther. 2014;40(6):541–51. [DOI]
21. Emami Kalesar L, Rasouli M. The relationship between relational beliefs, relational attributes and marital happiness. Journal of Applied Psychology. 2017;11(4):393–410. [Persian] [Article]
22. Johnson SM, Hunsley J, Greenberg L, Schindler D. Emotionally focused couples therapy: Status and challenges. Clinical Psychology: Science and Practice. 1999;6(1):67–79. [DOI]

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