Comparing the Effectiveness of Couple Therapy-Based Schema Approach and Mindfulness-Based Cognitive Therapy on Relationship Disturbance in Divorcing Couples

Bahram Zadeh, Makvan; Sepahvandi, Mohhammad Ali; Rezaie, Fatemeh

Volume 13 - Articles-1402 MEJDS (2023) 13: 168 | Back to browse issues page

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Bahram Zadeh M, Sepahvandi M A, Rezaie F. Comparing the Effectiveness of Couple Therapy-Based Schema Approach and Mindfulness-Based Cognitive Therapy on Relationship Disturbance in Divorcing Couples. MEJDS 2023; 13 :168-168
URL: http://jdisabilstud.org/article-1-2988-en.html

Comparing the Effectiveness of Couple Therapy-Based Schema Approach and Mindfulness-Based Cognitive Therapy on Relationship Disturbance in Divorcing Couples

Makvan Bahram Zadeh¹

, Mohhammad Ali Sepahvandi ^*²

, Fatemeh Rezaie²

1- PhD student in General Psychology, Department of Psychology, Khoram Abad, Lorestan University, Lorestan, Iran
2- Assistant Professor, Department of Psychology, Khoram Abad, Lorestan University, Lorestan, Iran

Abstract: (931 Views)

Abstract
Background & Objectives: Divorce, as a bitter and annoying experience, has a negative impact on couples, families, and society. This phenomenon has spread dramatically in today's societies and increased significantly in Iran. In Iran, the ratio of divorce to marriage is very high compared to other countries in the world and ranks fourth in the world. Marital relationship disturbance causes many problems for couples. Considering the consequences of divorce for couples as well as the role of relationship disturbance in increasing divorce, it is imperative to use effective treatment approaches in conflicted couples. Among different treatment approaches, we can use mindfulness-based cognitive therapy and couple therapy-based schema approach. Hence, this research aimed to compare the effectiveness of couple therapy-based schema approach and mindfulness-based cognitive therapy on the relationship disturbance of divorced couples.
Methods: The current research method was quasi-experimental with a pretest-post-test and follow-up design. The statistical population of the research consisted of all the women facing divorce who were referred to Avai Counseling and Psychology Center in Paveh City, Iran, in 2021. Of whom, 45 people were recruited using convenience sampling and randomly placed into the experimental groups of couple therapy-based schema approach and mindfulness-based cognitive therapy, the control group (each group with 15 people). Screening Scale for Marital and Relationship Discord (Weishman et al., 2009) was used to collect information. The mindfulness-based cognitive therapy received the therapeutic package during 8 sessions of 90 minutes. Also, the couple therapy-based schema approach received the therapeutic package during 10 sessions of 90 minutes. However, the control group did not receive any intervention during this period. Data analysis was done with repeated measures analysis of variance in SPSS-24 software at a significance level of 0.05.
Results: At the level of descriptive statistics, the mean and standard deviation of the relationship's disturbance variable in the mindfulness-based cognitive therapy were as follows: in the pretest (M=32.00, SD=2.87), posttest (M=23.00, SD= 4.37), follow-up (M=23.12, SD=4.20). The mean and standard deviation of the relationship disturbance variable in the couple therapy-based schema approach were as follows: in the pretest (M=31.73, SD=4.18), posttest (M=20.33, SD=2.19), and follow-up (M=19.93, SD=1.83). The mean and standard deviation of the relationship disturbance variable in the control group were as follows: in the pretest (M=32.53, SD=4.01), posttest (M=31.06, SD=3.69), and follow-up (M=31.33, SD=3.30). The results of data analysis showed that couple therapy with a schema approach significantly reduced relationship disturbance (p<0.001). The results of the data analysis showed that mindfulness-based cognitive therapy had a significant effect on lowering relationship disturbance (p<0.001). Also, between two groups of couple therapy-based schema approach and mindfulness-based cognitive therapy, no significant difference was observed in the relationship disturbance variable.
Conclusion: Overall, the study results showed that cognitive therapy based on mindfulness and couple therapy-based schema approach are effective in reducing the disturbance in a couple's relationships who are on the verge of divorce. Also, there is no significant difference between the two therapies, and both have the same effectiveness.

Keywords: Relationship disturbance, Couple therapy-based schema approach, Mindfulness-based cognitive therapy, Divorce

Full-Text [PDF 396 kb] (173 Downloads)

Type of Study: Original Research Article | Subject: Psychology

References

1. Tasew AS, Getahun KK. Marital conflict among couples: the case of Durbete town, Amhara Region, Ethiopia. Prete G, editor. Cogent Psychology. 2021;8(1):1903127. [DOI]

2. Ubaidi BAA. The psychological and emotional stages of divorce. J Fam Med Dis Prev. 2017;3(3):60. [DOI]

3. Nakhaee N, Eslami M, Yazdanpanah M, Andalib P, Rahimi A, Safizadeh M, et al. Reasons for seeking a divorce in Iran. Journal of Social and Personal Relationships. 2020;37(10–11):2863–70. [DOI]

4. Mokhles H, Fattahi Andbil A, Shafiabady A. The effectiveness "solution -focused brief therapy" on marital intimacy and contingencies of self-worth in divorce applicant couples. Journal of Health Promotion Management. 2021;10(2):110–22. [Persian] [Article]

5. Haikal M, Latipun L. The resilience of women who are divorced and choose to live with their children. Psychol Behav Sci. 2020;9(4):44–9. [DOI]

6. Blum C. Concerns of the divorced woman and impact on health. Journal of Family Medicine Forecast. 2018;1:2–5.

7. Leopold T. Gender differences in the consequences of divorce: a study of multiple outcomes. Demography. 2018;55(3):769–97. [DOI]

8. Samulowitz A, Gremyr I, Eriksson E, Hensing G. "Brave men" and "emotional women": a theory–guided literature review on gender bias in health care and gendered norms towards patients with chronic pain. Pain Res Manag. 2018;2018:6358624. [DOI]

9. Masoomi S, Rezaeian H, Hoseinian S. Prediction sexual satisfaction on the basis of couple ʼs communication patterns. Journal of Woman and Family Studies. 2017;5(1):79–101. [Persian] https://doi.org/10.22051/jwfs.2017.10686.1179 [DOI]

10. Halford WK. Marriage and relationship education: what works and how to provide it. New York, NY, US: Guilford Press; 2011.

11. Moghadasali S, Mirhashemi M, Bagheri N. The modeling structural role mediator resiliency in relationships between communication patterns with marital satisfaction. Iranian Journal of Nursing Research. 2021;16(1):50–63. [Persian] [Article]

12. Indumathy J, Kanth B. Communication pattern, dyadic adjustment, and parenting practices among married couples in India: mediating role of dyadic coping. Journal of Family Issues. 2022;43(4):894–922. [DOI]

13. Costa CB da, Mosmann CP. Negative and open marital communication: interdependent model of actor/partner effect in marital adjustmen. Ciencias Psicológicas. 2020;14(2):e–2283. [DOI]

14. Lin CY, Potenza MN, Broström A, Blycker GR, Pakpour AH. Mindfulness–based cognitive therapy for sexuality (MBCT–S) improves sexual functioning and intimacy among older women with epilepsy: a multicenter randomized controlled trial. Seizure. 2019;73:64–74. [DOI]

15. Strauss C, Gu J, Montero–Marin J, Whittington A, Chapman C, Kuyken W. Reducing stress and promoting well–being in healthcare workers using mindfulness–based cognitive therapy for life. International Journal of Clinical and Health Psychology. 2021;21(2):100227. [DOI]

16. Schanche E, Vøllestad J, Visted E, Svendsen JL, Osnes B, Binder PE, et al. The effects of mindfulness–based cognitive therapy on risk and protective factors of depressive relapse – a randomized wait–list controlled trial. BMC Psychol. 2020;8(1):57. [DOI]

17. Frostadottir AD, Dorjee D. Effects of mindfulness based cognitive therapy (MBCT) and compassion focused therapy (CFT) on symptom change, mindfulness, self–compassion, and rumination in clients with depression, anxiety, and stress. Front Psychol. 2019;10:1099. [DOI]

18. Amirkhani M. Mindfulness base cognitive therapy on marital conflict in HIV+/AIDS patient. Studies in Medical Sciences. 2016;27(3):198–207. [Persian] [Article]

19. Sadoghi L, Salahian A, Nasrollahi B. The effect of mindfulness based cognitive therapy on family functioning and communication patterns of couples applying for divorce. Journal of Applied Counseling, 2019;9(9):115–31. [Persian] [DOI]

20. Rosales–Villacrés M de L, Oyanadel C, Changotasig–Loja D, Peñate–Castro W. Effects of a mindfulness and acceptance–based program on intimate relationships in a youth sample: a randomized controlled trial. Behav Sci. 2021;11(6):84. [DOI]

21. Tabatabaienejad FS, Aghaie A, Golparvar M. Compare effectiveness of positive mindfulness therapy, mindfulness–based cognitive therapy and cognitive–behavioral therapy on social anxiety and communication skills of female students with depression. Quarterly Journal of Social Work. 2018;7(3):5–16. [Persian] [Article]

22. Khoshakhlagh H, Rezaei Jamalooei H. Comparison of the efficacy of schema-based couple therapy and McKay's cognitive approach on controlling emotions and conflict resolution styles inconflicting couples. Journal of psychologicalscience. 2022 Aug 10;21(113):1037-50. [DOI]

23. Cheshmeh Noshi M, Arefi M, Afshari Nia K, Amiri H. Effect of Schema-Based Couple Therapy and Solution-Oriented Couple Therapy on Marital Conflict Resolution Styles in Women Referring to Counseling Centers. Razavi International Journal of Medicine. 2021 Oct 1;9(4):67-72. [Persian] [DOI]

24. van Dijk SD, Bouman R, Folmer EH, den Held RC, Warringa JE, Marijnissen RM, et al. (Vi)-rushed into online group schema therapy based day-treatment for older adults by the COVID-19 outbreak in the Netherlands. The American journal of geriatric psychiatry. 2020 Sep 1;28(9):983-8. [DOI]

25. Turner MJ, Aspin G, Gillman J. Maladaptive schemas as a potential mechanism through which irrational beliefs relate to psychological distress in athletes. Psychology of Sport and Exercise. 2019 Sep 1;44:9-16. [DOI]

26. Fani Sobhani F, Ghorban Shiroudi S, Khodabakhshi-Koolaee A. The Effect of Two Couple Therapies, ACT and Schema Therapy, on Forgiveness and Fear of Intimacy in Couples' Conflicts. Journal of Practice in Clinical Psychology. 2021;9(4):271-82. [DOI]

27. Farshidmanesh F, Davoudi H, Heidari H, Bahramabadi MZ. Comparison of the effectiveness of the schema therapy training and mindfulness on intimacy, commitment, and happiness of women with couple burnout. Int Arch Health Sci. 2019 Oct 1;6(4):136-42. [Persian] [DOI]

28. Whisman MA, Snyder DK, Beach SR. Screening for marital and relationship discord. Journal of Family Psychology. 2009 Apr;23(2):247. [DOI]

29. Behrad Far R, Jazayeri RS, Bahrami F, Abedi MR, Etemadi O, Fatemi SM. Assessment, and clinical diagnosis in couple therapy; Revision and scrutiny for psychometrics of the screening scale for marital and relationship discord (SSMRD). Journal of Family Research. 2017 Feb 19;12(3):413-35. [Article]

30. Ahmadzadehaghdah E, Karimisani P, Goudarzi M, Moradi O. The effectiveness of couple therapy with schema therapy approach on disaffection and marital commitment in couples. Iranian Journal of Psychiatric Nursing (IJPN) Original Article. 2020 Dec;8(5). [Persian] [Article]

31. Mosalla M, Aleyasin SA. Determining the Effectiveness of Cognitive Therapy on Mindfulness-Based in Marital Fatigue and Women Intimacy. International Journal of Clinical Medicine. 2017 Apr 28;8(4):265-76. [DOI]

32. Centeno RP, Fernandez KT. Effect of mindfulness on empathy and self-compassion: An adapted MBCT program on Filipino college students. Behavioral sciences. 2020 Feb 27;10(3):61. [DOI]

33. Price-Blackshear MA, Pratscher SD, Oyler DL, Armer JM, Cheng AL, Cheng MX, et al. Online couples mindfulness-based intervention for young breast cancer survivors and their partners: a randomized-control trial. Journal of psychosocial oncology. 2020 Sep 2;38(5):592-611. [DOI]

34. Ismaeilzadeh N, Akbari B. Effectiveness of mindfulness-based cognitive therapy in sexual self-efficacy and marital satisfaction among couples with marital conflicts. Avicenna J Neuro Psycho Physiology. 2020 Aug 10;7(1):29-36. [DOI]

35. Amani M, Ghadimi S, Taiyari S. The relationship of maladaptive schemas with women's marital intimacy: The mediating role of love styles. InternatIonal Journal of SocIology of the family. 2019; 1:43-54. [Persian] [Article]

36. Kamalian T, Mirzahosseini H, Monirpoor N. The Effects of Emotional Schema Therapy and Dif-ferentiation Training on Emotional Divorce in Women. Journal of Client-Centered Nursing Care (JCCNC). 2021;7(1):65-74. [DOI]

37. Leahy RL. Introduction: Emotional schemas and emotional schema therapy. J Cogn Ther. 2019 Mar 15;12(1):1-4. [DOI]

38. Shahmoradi Z, Khaleghipour S, Masjedi M. Comparing effectiveness of "Schema Therapy" and "Mindfulness-Based Cognitive Therapy" on maladaptive schemas and general health in patients with Vitiligo. JHPM. 2019 Jan 10;7(6):42-52. [Persian] [Article]