اثربخشی زوج‌درمانی مبتنی بر تعهدوپذیرش بر کاهش تعارضات‌‌زناشویی زوجین متقاضی طلاق

پژوهش های روان شناسی بالینی و مشاوره

مقاله 2، دوره 13، شماره 1 - شماره پیاپی 25، تیر 1402، صفحه 25-46   

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.22067/tpccp.2023.77768.1317

نویسندگان

سکینه عباسی بورندرق¹؛ معصومه آزموده^{* 2}؛ بهرام علی قنبری هاشم آبادی³؛ سید داوود حسینی نسب⁴

¹دانشجوی دکتری روانشناسی، دانشگاه آزاداسلامی واحد تبریز، تبریز، ایران

²استادیار گروه روانشناسی دانشگاه آزاداسلامی واحد تبریز، تبریز، ایران

³استاد گروه روانشناسی دانشگاه فردوسی، مشهد، مشهد، ایران.

⁴استادیار گروه روانشناسی دانشگاه آزاداسلامی واحد تبریز، تبریز، ایران.

چکیده

هدف: تعارضات‌زناشویی محور بسیاری از پژوهش‌ها بوده و‌ پرداختن به هیجان، رفتار و شناخت نقش محوری در روان‌درمانی دارد. بنابراین، هدف پژوهش حاضر بررسی اثربخشی زوج‌درمانی مبتنی بر تعهد و پذیرش برکاهش تعارضات‌زناشویی زوجین بود.
روش: این پژوهش نیمه آزمایشی با طرح پیش‌آزمون و پس‌آزمون و پیگیری سه ماهه بود. جامعه آماری این پژوهش شامل کلیه زوجین متقاضی طلاق مراجعه‌کننده به مرکز مشاوره آرامش اندیشه در هفت ماهه اول سال1400بود. از بین آن‌ها30 زوج داوطلب به صورت نمونه‌گیری در دسترس با در نظر گرفتن شاخص‌های ورود و اعمال معیارهای خروج انتخاب و به صورت تصادفی در دو گروه آزمایش و گواه با حجم 15زوج قرار گرفتند. سپس زوج‌درمانی مبتنی بر تعهد و پذیرش در10جلسه، هفته‌ای دو بار برای گروه آزمایش اجرا شد. هردو گروه قبل و بعد از مداخله و در مرحله پیگیری به پرسشنامه تعارضات تجدید نظر شده پاسخ دادند. جهت تحلیل داده‌ها از روش تحلیل واریانس آمیخته ساده استفاده شد.
یافته‌ها: نتایج، حاکی از کاهش تعارضات زوجین گروه آزمایش در مقایسه با گروه گواه(110/108=F، 0001/0= P) و نیز پایداری نتایج در مرحله پیگیری(40/39= F،001/0=P) بود. بنابراین می‌توان بیان کرد که کاربست این مداخله راهکاری مؤثر برای کاهش تعارضات‌زناشویی زوجین متقاضی طلاق مراجعه‌کننده به مرکز مشاوره قابل آزمودن است.
 

کلیدواژه‌ها

پذیرش و تعهد؛ زوج‌درمانی؛ تعارضات‌زناشویی؛ طلاق

مراجع

References

A-tjak, J. G., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A., & Emmelkamp, P. M. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84(1), 30-36. https://doi.org/10.1159/000365764

Abbasia, M., Dargahib, S., Ghasemi Jobanehb, R., Dargahi, A., Mehrabi, A., & Aziz, K. (2015). The effectiveness of acceptance and commitment based training on the maladaptive schemas of female students with bulimia nervosa. Archives of Hygiene Sciences, 4(2), 86-93. https://doi.org/10.1159/000365764

Amato, P. R., & Hohmann‐Marriott, B. (2007). A comparison of high‐and low‐distress marriages that end in divorce. Journal of marriage and family, 69(3), 621-638. https://doi.org/10.1111/j.1741-3737.2007.00396.x

Baruch, D. E., Kanter, J. W., Busch, A. M., & Juskiewicz, K. L. (2009). Enhancing the therapy relationship in Acceptance and Commitment Therapy for psychotic symptoms. Clinical Case Studies, 8(3), 241-257. https://doi.org/10.1177/1534650109334818

Birditt, K. S., Brown, E., Orbuch, T. L., & McIlvane, J. M. (2010). Marital conflict behaviors and implications for divorce over 16 years. Journal of marriage and family, 72(5), 1188-1204. https://doi.org/10.1111/j.1741-3737.2010.00758.x

Bowers, J. R., Ogolsky, B. G., Hughes Jr, R., & Kanter, J. B. (2014). Coparenting through divorce or separation: A review of an online program. Journal of Divorce & Remarriage, 55(6), 464-484. https://doi.org/10.1080/10502556.2014.931760

Brown, F. L., Whittingham, K., Boyd, R. N., McKinlay, L., & Sofronoff, K. (2015). Does Stepping Stones Triple P plus Acceptance and Commitment Therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomised controlled trial. Behaviour research and therapy, 73, 58-66. https://doi.org/10.1016/j.brat.2015.07.001

Caughlin, J. P., Vangelisti, A. L., & Mikucki-Enyart, S. L. (2006). Conflict in dating and marital relationships. The SAGE handbook of conflict communication: Integrating theory, research, and practice, 129-157.

Danaher, B. G. (1974). Theoretical foundations and clinical applications of the Premack Principle: Review and critique. Behavior therapy, 5(3), 307-324. https://doi.org/10.1016/S0005-7894(74)80001-8

Dousti, P., Mohagheghi, H., & Jafari, D. (2015). The effect of acceptance and commitment therapy on the reduction of anxious thoughts in students. Environment Conservation Journal, 16(SE), 327-333.

Falcke, D., Wagner, A., & Mosmann, C. (2013). Estratégias de resolução de conflito e violência conjugal. Casal e família: transmissão, conflito e violência, 14(2), 159-176.

Fang, S., & Ding, D. (2020). A meta-analysis of the efficacy of acceptance and commitment therapy for children. Journal of Contextual Behavioral Science, 15, 225-234. https://doi.org/10.1016/j.jcbs.2020.01.007

Fish, J. A., Ettridge, K., Sharplin, G., Hancock, B., & Knott, V. (2014). M indfulness‐based C ancer S tress M anagement: impact of a mindfulness‐based programme on psychological distress and quality of life. European journal of cancer care, 23(3), 413-421. https://doi.org/10.1111/ecc.12136

Folke, F., Parling, T., & Melin, L. (2012). Acceptance and commitment therapy for depression: A preliminary randomized clinical trial for unemployed on long-term sick leave. Cognitive and Behavioral Practice, 19(4), 583-594. https://doi.org/10.1016/j.cbpra.2012.01.002

Gehart, D. R. (2012). Mindfulness Research Foundations. In Mindfulness and Acceptance in Couple and Family Therapy (pp. 39-55). Springer. https://books.google.com/books?id=Sk3BdI0NHbIC&lpg=PR5&ots=BTABNdJxvc&dq=Gehart

Gehart, D. R., & McCollum, E. E. (2007). Engaging suffering: Towards a mindful re‐visioning of family therapy practice. Journal of Marital and Family Therapy, 33(2), 214-226. https://doi.org/10.1111/j.1752-0606.2007.00017.x

Gillard, D., Flaxman, P., & Hooper, N. (2018). Acceptance and commitment therapy: Applications for educational psychologists within schools. Educational Psychology in Practice, 34(3), 272-281. https://doi.org/10.1080/02667363.2018.1446911

Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior therapy, 35(4), 639-665. https://doi.org/10.1016/S0005-7894(04)80013-3

Hayes, S. C., & Hofmann, S. G. (2018). Process-based CBT: The science and core clinical competencies of cognitive behavioral therapy. New Harbinger Publications. https://doi.org/10.1080/07317107.2018.1522153

Hayes, S. C., & Pierson, H. (2005). Acceptance and commitment therapy. Encyclopedia of cognitive behavior therapy, 1-4. https://doi.org/10.1007/0-306-48581-8_1

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change. Guilford press. https://books.google.com/books?id=og28CwAAQBAJ&lpg=PP1&ots=-7SSXL3Ivl&dq=Hayes

Hertenstein, E., Thiel, N., Lüking, M., Külz, A. K., Schramm, E., Baglioni, C., Spiegelhalder, K., Riemann, D., & Nissen, C. (2014). Quality of life improvements after acceptance and commitment therapy in nonresponders to cognitive behavioral therapy for primary insomnia. Psychotherapy and Psychosomatics, 83(6), 371-373. https://doi.org/10.1159/000365173

Hofmann, S. G., & Hayes, S. C. (2019). The future of intervention science: Process-based therapy. Clinical Psychological Science, 7(1), 37-50. https://doi.org/10.1177/2167702618772296

Hughes, L. S., Clark, J., Colclough, J. A., Dale, E., & McMillan, D. (2017). Acceptance and commitment therapy (ACT) for chronic pain. The Clinical journal of pain, 33(6), 552-568. https://www.ingentaconnect.com/content/wk/cjpn/2017/00000033/00000006/art00010

Jiménez, F. J. R. (2012). Acceptance and commitment therapy versus traditional cognitive behavioral therapy: A systematic review and meta-analysis of current empirical evidence. International journal of psychology and psychological therapy, 12(3), 333-358. https://dialnet.unirioja.es/servlet/articulo?codigo=4019738

Kohtala, A., Lappalainen, R., Savonen, L., Timo, E., & Tolvanen, A. (2015). A four-session acceptance and commitment therapy based intervention for depressive symptoms delivered by masters degree level psychology students: A preliminary study. Behavioural and Cognitive Psychotherapy, 43(3), 360-373. https://doi.org/10.1017/S1352465813000969

Levin, M. E., Hildebrandt, M. J., Lillis, J., & Hayes, S. C. (2012). The impact of treatment components suggested by the psychological flexibility model: A meta-analysis of laboratory-based component studies. Behavior therapy, 43(4), 741-756. https://doi.org/10.1016/j.beth.2012.05.003

Lindahl, K. M., & Malik, N. M. (2011). Marital conflict typology and children's appraisals: the moderating role of family cohesion. Journal of family psychology, 25(2), 194. https://doi.org/10.1037/a0022888

Liu, H., Liu, N., Chong, S. T., Yau, E. K. B., & Badayai, A. R. A. (2023). Effects of acceptance and commitment therapy on cognitive function: A systematic review. Heliyon. https://doi.org/10.1016/j.heliyon.2023.e14057

McCracken, L. M., & Morley, S. (2014). The psychological flexibility model: a basis for integration and progress in psychological approaches to chronic pain management. The Journal of Pain, 15(3), 221-234. https://doi.org/10.1016/j.jpain.2013.10.014

Mohsenzadeh, F., Yarahmadi, H., Zahrakar, K., & Soleimani, A. (2019). Effectiveness of group therapy based on acceptance and commitment therapy on quality of life in HIV patient. Journal of psychologicalscience, 18(80), 923-932. https://www.researchgate.net/profile/Hosein-Yarahmadi-2/publication/337566599

Mosmann, C., & Falcke, D. (2011). Conflitos conjugais: motivos e frequência. Revista da SPAGESP, 12(2), 5-16. https://dialnet.unirioja.es/servlet/articulo?codigo=5493567

Olson, D. H., DeFrain, J., & Skogrand, L. (2013). Marriages and families. McGraw-Hill US Higher Ed USE. https://pdfs.semanticscholar.org/f63e/7e4c680f53dc2152e9628102c07848e38dea.pdf

334. Greeff, T. D. B., Abraham. (2000). Conflict management style and marital satisfaction. Journal of sex & marital therapy, 26(4), 321-334. https://doi.org/10.1080/009262300438724

Peterson, B. D., Eifert, G. H., Feingold, T., & Davidson, S. (2009). Using acceptance and commitment therapy to treat distressed couples: A case study with two couples. Cognitive and Behavioral Practice, 16(4), 430-442. https://doi.org/10.1016/j.cbpra.2008.12.009

Preotu, I.-D., & Turliuc, M. N. (2015). Similarity, communication, and satisfaction in intimate relationships: The role of ideal standards. Psihologia Sociala(35), 109. https://www.ceeol.com/search/article-detail?id=281858

Rinaldi, C., & Howe, N. (1998). Siblings' reports of conflict and the quality of their relationships. Merrill-Palmer Quarterly (1982-), 404-422. https://www.jstor.org/stable/23093709

Sandström, G. (2011). Socio-economic determinants of divorce in early twentieth-century Sweden. The history of the family, 16(3), 292-307. https://doi.org/10.1016/j.hisfam.2011.06.003

Shaker, M., Rahimi, M., & Zare, M. (2016). The effectiveness of therapy based on acceptance and commitment social anxiety and general self-efficacy on divorced women under welfare organization in Yazd. Journal of Social Sciences and Humanities Research, 4(04), 6-12. https://doi.org/10.24200/jsshr.vol4iss04pp6-12

Springer, J. (2012). Acceptance and commitment therapy: Part of the" Third Wave" in the behavioral tradition. Journal of Mental Health Counseling, 34(3), 205-212. https://doi.org/10.17744/mehc.34.3.9110205883653735

Stoddard, J. A., & Afari, N. (2014). The Big Book of ACT Metaphors: a practitioner's guide to experiential exercises and metaphors in Acceptance and Commitment Therapy. new harbinger publications.

Stutzman, S. V., Miller, R. B., Hollist, C. S., & Falceto, O. G. (2009). Effects of marital quality on children in Brazilian families. Journal of Comparative Family Studies, 40(3), 475-492. https://doi.org/10.3138/jcfs.40.3.475

Tolorunleke, C. A. (2014). Causes of marital conflicts amongst couples in Nigeria: Implication for counselling psychologists. Procedia-Social and Behavioral Sciences, 140, 21-26. https://doi.org/10.1016/j.sbspro.2014.04.381

Veehof, M. M., Trompetter, H., Bohlmeijer, E. T., & Schreurs, K. (2016). Acceptance-and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review. Cognitive behaviour therapy, 45(1), 5-31. https://doi.org/10.1080/16506073.2015.1098724

Wagner, A., Grzybowski, L., Arpini, D., & Cúnico, S. (2014). Como os filhos percebem o relacionamento conjugal de seus pais. Novos olhares sobre a família: Aspectos psicológicos, sociais e jurídicos, 39-53.

Wagner, A., & Mosmann, C. (2008). Dimensiones de la conyugalidad y de la parentalidad: un modelo correlacional. Revista Intercontinental de Psicología y Educación, 10(2), 79-103. https://www.redalyc.org/pdf/802/80212387005.pdf

Zhang, C.-Q., Leeming, E., Smith, P., Chung, P.-K., Hagger, M. S., & Hayes, S. C. (2018). Acceptance and commitment therapy for health behavior change: a contextually-driven approach. Frontiers in psychology, 2350. https://doi.org/10.1159/000365764