اثربخشى مداخله آموزشی غنی‌سازی زندگى زناشویی با رویکرد متمرکز بر هیجان در دوران باردارى بر رضایت زناشویی زوجین پس از تولد اولین فرزند

نوع مقاله: مقاله پژوهشی

نویسندگان

1 دانشجوی دکترای تخصصی دانشگاه آزاد اسلامی واحد علوم و تحقیقات تهران

2 دانشیار گروه روانشناسی، دانشگاه آزاد اسلامی، واحد علوم و تحقیقات، تهران، ایران شماره تماس: 989121938277 + کد پستی: 1477893855 Email:f.bagheri@srbiau.ac.ir

3 استاد روانشناسی، ریاست گروه روانشناسی دانشکده علوم انسانی دانشگاه آزاد اسلامی، واحد علوم تحقیقات، تهران، ایران

4 استاد روانشناسی و ریاست دانشکده روانشناسی دانشگاه شهید بهشتی، تهران، ایران

چکیده

تولد اولین فرزند به‌عنوان یک رویداد تنش‌زا می­تواند مایه ترس و خشم پدرومادر و آشفتگی رابطه آن‌ها گردد. هدف این پژوهش، تدوین بسته آموزشی غنی­سازی زندگی زناشویی با رویکرد متمرکز بر هیجان و بررسی اثربخشی آن بر رضایت زناشویی زوجین پس از تولد اولین فرزند بود. روش پژوهش نیمه آزمایشی است و با بکار بستن طرح پیش­آزمون- پس­آزمون با گروه گواه و پیگیری دوماهه انجام شد. جامعه آماری زوجین مراجعه‌کننده به بیمارستان­ها و مطب­های خصوصی پزشکان زنان و زایمان مناطق (3) و (10) شهر تهران 1395 بود. نمونه پژوهش 28 زن و شوهر (56 نفر) بود که به‌صورت در دسترس، گزینش و به‌تصادف در دو گروه 28 نفری آزمایش (14 زوج) و گروه گواه (14 زوج) گمارده شدند. گروه آزمایش در نُه نشست هفتگی سه ساعته مداخله آموزشی غنی‌سازی زندگى زناشویی با رویکرد متمرکز بر هیجان به‌صورت زوجی شرکت کردند و برای گروه گواه در آن هنگام مداخله­ای صورت نگرفت. برای گردآوری داده­ها از پرسشنامه رضایت زناشویی انریچ 1989 و پرسشنامه اطلاعات فردی و سنجه شیوه‌های دل‌بستگی بزرگ‌سالان هازان و شیور 1987 بکار برده شد. برآیند تحلیل واریانس چندمتغیری نمرات اختلافی (پیش‌آزمون-پس‌آزمون) نشان داد مداخله آموزشی غنی‌سازی زندگی زناشویی با رویکرد متمرکز بر هیجان بر رضایت زناشویی زوجین (83/129=F و 001/0>P) و مؤلفه‌های حل تعارض (18/95=F و 001/0>P)، رضایت از ارتباط با دوستان (38/99=F و 001/0>P)، ارتباط زوجین (03/41=F و 001/0>P)، زمینه‌های شخصیتی (66/15=F و 001/0>P)، فعالیت‌های هنگام‌ فراغت (03/41=F و 001/0>P) و فرزند پروری (26/14=F و 001/0>P). در دوران بارداری مادران اثربخش است. همچنین برآیندهای تحلیل آزمون پیگیری نشان داد میان مرحله‌ پیگیری و پیش‌آزمون تفاوت معنی‌دار وجود دارد و این روشنگر ماندگاری تأثیر مداخله است. ازاین‌رو آموزش بسته غنی‌سازی زندگى زناشویی با رویکرد متمرکز بر هیجان در ماه­های 3 تا 6 بارداری مادران در بیمارستان­ها، مراکز بهزیستی و درمانگاه‌های مشاوره برای افزایش رضایت زناشویی زوجین تازه والد در دوران بارداری و پس از تولد فرزند پیشنهاد می­شود.

کلیدواژه‌ها


عنوان مقاله [English]

The effectiveness of educational interventions of enrichment of marital life with emotional-focused approach during pregnancy on couples' marital satisfaction after the birth of the first child

نویسندگان [English]

  • Mahsa Foroughi 1
  • Fariborz Bagheri 2
  • Hasan Ahadi 3
  • MohammadAli Mazaheri 4
1 PhD of psychology, Olom Tahghighat, Tehran. Iran
2 president of university, Oloom tahghighat, Azad University, Tehran, Iran
3 Professor, The president of psychology of oloom tahghighat, Azad University, Tehran, Iran
4 Professor, The president of Psychology of Shahid Beheshti University, Tehran, Iran
چکیده [English]

The birth of the first child as a stressful event can cause fear, anger, and distress in parents' relationship. The purpose of this study was to compile an educational package for the enrichment of marital life with Emotion-Focused Approach and investigate its efficacy on couples’ marital satisfaction after the birth of the first child. The research method is quasi-experimental and was carried out with the design of pre-test, post-test with control group and two months follow up. The statistical population included couples referring to hospitals and gynecologists' private offices in regions 3 and 10 in Tehran in 2016. The research sample consisted of 28 couples (56 people) who were selected through convenient sampling and were randomly divided into two groups of 28 persons of experimental (14 couples) and control (14 couples). The experimental group participated in 9 weekly 3-hour sessions with the educational intervention of marital life enrichment with emotional focused approach for each couple, and no intervention was carried out for the control group during the same time. To collect the data, the Marital satisfaction questionnaire (Enrich, 1989), and personal Information questionnaire and adult attachment styles inventory (Hazan & Shaver, 1987) were used. The result of multivariate variance analysis of disparity scores (Pre-test –post-test) showed that educational intervention of marital life enrichment with Emotional Focused approach was effective on couples’ marital satisfaction (F=129.83, P<0.001 and) and its components, conflict resolution (F=95.18, P<0.001), satisfaction from communication with friends (F=99.38, P<0.001), couples communication (F=41.03, P<0.001), personality issues (F=15.66, P<0.001), leisure activities (F=41.03, P<0.001) and parenting (F=14.26, P<0.001) during mothers’ pregnancy. Furthermore, the results of follow-up analysis indicated that there was a significant difference between follow-up and pre-test phases and it showed the permanency of the treatment effect. Therefore, the educational package for the enrichment of marital life with Emotional Focused approach is suggested to be used during the 3-6 months of mothers' pregnancy, in hospitals, well-fare centers, and counseling clinics in order to increase the marital satisfaction of new parents during pregnancy and after childbirth.

کلیدواژه‌ها [English]

  • emotion
  • marital
  • satisfaction
  • enrichment

اعتمادی، احمد؛ احمد برآبادی، حسین. (1393). اثربخشی زوج­درمانی هیجان­مدار گروهی بر رضایت زناشویی زوجین مراجعه‌کننده به مرکز مشاور آموزش و پرورش ناحیه 2 مشهد. پژوهش­های روانشناسی بالینی و مشاوره، 4(1)، 95-114.

اولیاء، نرگس و فاتحی زاده، مریم و بهرامی، فاطمه. (1388). آموزش غنی‌سازی زندگی زناشویی. تهران: انتشارات دانژه.

برنا، محیا؛ حسن­آبادی، حسین؛ قنبری هاشم­آبادی، بهرامعلی. (1394). مقایسه اثربخشی زوج­درمانی گروهی مبتنی بر رویکرد هیجان­مدار و واقعیت درمانی بر رضایتمندی زناشویی زوجین. مجله روانشناسی بالینی. سال هفتم، 4(28)، 37-44.

پویا منش، جعفر؛ احدی، حسن؛ مظاهری، محمدعلی؛ دلاور، علی. (1387). مقایسه اثربخشی مداخلات مبتنی بر نظریه الیس به دو روش مشاوره گروهی رو-در-رو و اینترنتی در افزایش رضایت زناشویی، مجله تحقیقات علوم رفتاری، 6(2)،89-96.

جانسون، سوزان. (1391). تمرین زوج‌درمانی هیجان مدار. ترجمه فاطمه بهرامی و همکاران. تهران. نشر دانژه.

جانسون، سوزان؛ ویفن، والری ای. (1387). فرآیندهای دل‌بستگی در رنج درمانی و خانواده درمانی. ترجمه فاطمه بهرامی و همکاران. تهران. نشر دانژه.

صدری دمیرچی، اسماعیل؛ شیخ‌الاسلامی، علی؛ تارویردی زاده، هانیه. (1396). تأثیر زوج‌درمانی متمرکز بر هیجان در کیفیت رابطه، تعارض زناشویی و بی­آلایشی زوجین نابارور. دو فصلنامه مشاوره و روان درمانی خانواده. 7 (1)، 145-125.

فردوسی، نسرین؛ احمدی، سید احمد؛ بهرامی، فاطمه. (1396). تأثیر مداخله روان-آموزشی ایرانی بر گرفته از دیدگاه دل‌بستگی در سازش یافتگی زناشویی. دو فصلنامه مشاوره و روان درمانی خانواده. 7 (1)، 85-102.

کار. آلن. (1384). خانواده درمانی: تحلیل روابط و تعارضات همسران. ترجمه غلامرضا تبریزی. مشهد، نشر مرندیز.

ﻣﻈﺎﻫﺮی، ﻣﺤﻤﺪﻋﻠﻲ. (1379). ﻧﻘﺶ دل‌بستگی بزرگ‌سالان در ﻛﻨﺶوری ازدواج، ﻣﺠﻠﻪ روانﺷﻨﺎﺳﻲ. ﺳﺎل ﭼﻬﺎرم، ﺷﻤﺎره 3، 286 -318.

References

Accordino, M. P., & Couerney, B. G. (2003). Relationships enhancement couples and family outcome research of the last 20 years. The family journal 2003, 11,2, 162-166.

Banse, R. (2004). Adult attachment and marital satisfaction: Evidence for dyadic configuration effects. Journal of Social and Personal Relationships, 21:273-282.

Belsky, J., & Kelly, J. (1994). Transition to parenthood: How a first child changes a marriage: why some couples grow closer and others apart. New York: Delacorte Press.

Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. New York: Basic Books.

Campbell, A., & Converse, P. E., & Rodgers, W. L. (1976). The quality of American life: Perceptions, evaluations, and satisfactions. New York: Russell Sage Foundation.

Claxton, A., & Perry-Jenkins, M. (2008). No fun anymore: Leisure and marital quality across the Transition to parenthood. Journal of Marriage and Family, 70(1), 28-43. Doi:10.1111/j.1741-3737.2007.00459. x.

Cordova, J. V., & Gee, C. B., & Warren, L. Z. (2005). Emotional skillfulness in marriage: Intimacy as a mediator of the relationship between emotional skillfulness and marital satisfaction. Journal of Social and Clinical Psychology, 24, 218 – 235.

Demo, D. H., & Cox, M. J. (2000). Families with young children. A review of research in the 1990s. Journal of Marriage and the Family, 62(4), 876-895.

Doss, B.D., & Rhoades, G.K., & Stanley, S.M., & Markman, H.J. (2009). The effect of the transition to parenthood on relationship quality: An 8-year prospective study. Journal of Personality and Social Psychology 96, 601–619.

Durana. C. (1996). Enhancing marital intimacy through psycho education: the PARIS program the family journal, 5(3), 204-215.

Elliston, D., & McHale, J., & Talbot, J., & Parmley, M., & Kuersten-Hongan, R. (2008). Withdrawal from co-parenting interactions during early infancy. Family Process, 47, 481-499. Doi:10.1111/j.1545-5300.2008.00267. x.

Feeney, J. A. (1999). Adult romantic attachment and couple relationships. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment (pp. 355-377). New York: Guilford Press.

Feeney, J. A. (2005). Hurt feelings in couple relationships: Exploring the role of attachment and perceptions of personal injury. Journal of Social and Personal Relationships, 12, 253 - 271.

Feeney, J., & Hohaus, L., & Noller, P., & Alexander, R. (2001). Becoming parents: Exploring the bonds between mothers, fathers and their children. New York, NY: Cambridge University Press.

Feeney, J.A. & Noller, P. (1990) `Attachment Style as a Predictor of Adult Romantic Relationships', Journal of Personality and Social Psychology 58: 281-291.

Feeney, S.A. (2008). Adult romantic attachment and couple relationships. In J. Cassidy & P.shaver (Eds), hand book of attachment (PP. 456-481). New York: Guilford press.

Feeny, J.A. (2004). Murt feeling in couple relationships. Rewards integrative models of the negative effects of hurtful events. Soural of social and personal relationships, 21, 487-508.

Gottman, J. (1994). What predicts divorce? The relationship between marital processes and marital out comes. Hillsdale, Nj; E – rlbaum.

Gottman, J. M., & Notarius, C. I. (2000). Decade review: Observation marital interaction. Journal of marriage and family, 62(4), 927-947. Doi: 10.111/j.1741-3737.200000927.x.

Gottman, J. M., & Notarius, C. I. (2000). Decade review: Observing marital interaction. Journal of Marriage and Family, 62(4), 927-947. Doi:10.1111/j. 1741-3737.2000.00927.x.

Halford, W. K. (2001). Brief couple therapy. New York: Guilford.

Halford, W. K., & Sanders, M. R., & Behrens, B. C. (2001). Can skills training prevent relationship problems in at-risk couples? Four-year effects of a behavioral relationship education program. Journal of Family psychology, 15(4), 750. Doi:10.1037/0893-3200.15.4.750.

Halford, W.K., & Petch, J., & Creedy, D. (2015) clinical guide to helping new parents. New York, NY: springer.

Haseley, J. L. (2006). Marital satisfaction among newly married couples: Associations with religiosity and romantic attachment style. (Doctoral dissertation). Available from ProQuest Dissertations and Theses database. (UMI No. 3254191).

Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52, 511-524.

Hipp, L. E., & Kane Low, L., & van Anders, S. M. (2012). Exploring woman’s postpartum sexuality: Social, psychological, relational, and birth-related contextual factors. The Journal of Sexual Medicine, 9(9), 2330-2341. Doi:10.1111/j.1743-6109.2012.02804. x.

Hoffman, L., & Manis, J. (1978). “Influences of children on marital interaction and parental satisfactions and dissatisfactions,” pp. 165-213 in R. Lerner and G. Spanier (eds.) Child Influences on Marital and Family Interaction: A Life-Span Perspective. New York: Academic

Houts, R.M., & Barnett-Walker, K.C., & Paley, B., & Cox, M.J. (2008). Patterns of couple interaction during the transition to parenthood. Personal Relationships 15, 103–122.

Iafrate R., & Bertoni A., & Margola D., & Cigoli V., & Acitelli L. K. (2012). The link between perceptual congruence and couple relationship satisfaction in dyadic coping. European Psychologist, 17, 73–82.

Johnson S. M., Zuccarini, D. (2010). Integrating sea and Attachment in Emotionally focoused couple Therapy. Journal of marital and family Therapy. October 2010, Vol. 36, No, 4, 431 – 445.

Johnson, C. E. (2011). Sexual health during pregnancy and the postpartum. Journal of Sexual Medicine, 8(5), 1267-1284. Doi:10.1111/j.1743-6109.2011.02223. x.

Johnson, S. (2008), Hold me tight. New York: NY: little, Brown.

Johnson, S. M, & Greenberg, L. (1985a). Differential effects of experiential and problem solving interventions in resolving marital conflict. Journal of Consulting and Clinical Psychology, 53, 175-184.

Johnson, S. M, & Talitman, E. (1999). Predictors of success in emotional focused marital therapy. Journal of marital and family therapy. Vol 2 No2. 135–152.

Johnson, S. M. (2003d) Emotionally Focused Therapy: Empiricism and art. In T. L. Sexton, G. Weeks, & M. Robbins (Eds.), Handbook of family therapy (pp. 263-280). New York: Brunner-Routledge.

Johnson, S. M. (2004). Creating connection: The practice of emotionally focused couple therapy. New York: Brunner-Routledge.

Johnson, S. M., & Greenberg, L.S. (Eds.). (1994). the heart of the matter: perspectives on emotion in marital therapy. New York: Brunner/Mazel.

Johnson, S. M., & Makinen, J.A., & Millikin, J. W. (2001). Attachment injuries in couple Relationship: a new perspective on impasses in couple’s therapy. Journal of Marital & Family, 23, 135–152.

Johnson, S. M., greenberg, L. (1988). Relating process to outcome in marital therapy. Journal of marital and family Therapy, 19, 175 – 183.

Johnson, S., & Bradley, B., & Furrow, J., & Lee, A., & Palmer, G., & Tilley, D., F., & Woolley, S. (2005). Becoming an emotionally focused couple therapist: the workbook. New York, NY: Routledge.

Kallos-Lilly, V., & Fitzgerald., J. (2015). An emotionally focused workbook for couples. New York, NY: Routledge.

Kristina Miller, C., & Philip Hwang, Birgittawichborg (2006). Romantic attachment, Parenthood and marital. Journal of reproductive and infant psychology. 24.3, 233-240.

Laurent H., & Powers S. (2007). Emotion regulation in emerging adult couples: temperament, attachment and HPA response to conflict. Biol. Psychol. 76, 61–71. 10.1016/j.biopsycho.2007.06.002 

Lawrence, E., & Rothman, A.D., & Cobb, R.J., & Rothman, M.T., & Bradbury, T.N. (2008). Marital satisfaction across the transition to parenthood. Journal of Family Psychology 22, 41–50.

Markman, H.Y., & Halford, W.K. (2005). International perspectives on couple relationship education. Family process, 44(2), 139-146.

Mikulincer, M., & Shaver, P. (2007). Attachment in adulthood: structure, dynamics and change. New York, NY: Guilford press.

Noller, P., & Feeny, J.A. (2002). Understanding marriage: development in the study of marital interaction. New York: Cambridge university press.

Rosen-Grandon, J., & Myers, J.E., & Hattie, J. (2004). The relationship between marital characteristics, marital interaction processes, and marital satisfaction. Journal of Counseling and Development, 82(1), 58-68. The American Counseling Association.

Sagiv-Reiss, D.M., & Birnbaum G.E., & Safir M.P. (2012) Changes in sexual experiences and relationship quality during pregnancy. Archives of Sexual Behavior, 41:1241–5121. doi: 10.1007/s 10508-011-9839-9.

Smith, L., & Heaven, P.C., & Ciarrochi, J. (2008). Triat emotional intelligence, conflict communication patterns, and relationship satisfaction. Personality and Individual Differences, 44(6), 1314-1325.

Stemnberg, R.J., & Hojjat, M. (eds) (1997) Satisfaction in Close Relationships. New York: The Guilford Press.

Taniguchi, S. T., & Freeman, P. A., & Taylor, S., & Malcarne, B. A. (2006). A study of married couples' perceptions of marital satisfaction in outdoor recreation. Journal of Experiential Education, 28(3): 253-256.

Whis man, M. A., & Jacobson, N. S. (1990) power, marital satisfaction, and response to marital therapy. Journal of family psychology, & 202 – 212.

Yalcin, B.M, & Karaban, T.F. (2007). Effects of a couple communication program on marital adjustment. The journal of the American Bound of family medicine. 20(1): 36-44.

References (In Persian)

Borna, M., Hasanabadi, H., Ghanbari-Hashemabadi, B. (2015). Appraisal of Effectiveness and Comparison of Emotional-Focused Therapy (EFT) and Reality Therapy on Marital Satisfaction of Couples. Journal of Clinical Psychology, 7(4), 37-44.

Carr, A. (2000). Family Therapy: concepts, process, and practice. Translated By Tabrizi, Gh, R,. Mashhad: Danjeh.

Etemadi,A., & barabadi,H. (2015). The Effectiveness of Emotionally Focused group Couple Therapy on Marital Satisfaction in couples referred to Counseling Center Education District 2 Mashhad. Research In Clinical Psychology And Counselings, 4(1), 95-114.

Ferdosi, N., Ahmady, S., Bahrami, F. (1396). The effect of the Iranian psycho educational intervention derived from the attachment theory on the marital adjustment. Family Counseling and Psychotherapy, 7(1), 85-102.

Johnson, S. M. (2004c). The practice of emotionally focused couple therapy creating connection. Translated By Bahrami, F., Tehran:Danjeh.

Johnson, S. M., Wifen, V.E., (1392). Attachment Process in couple and family therapy. Translated By Bahrami, F., Tehran: Danejh.

Mazaheri, M.A., (2000). The role of adult attachment in marital function. Journal of Psychology. 4(3), 286-318.

Oulia, N., Bahrami, F., Fatehizadeh, M. (1388). Marital Enrichment traing. Tehran: Danjeh.

Pouyamanesh, J., Ahadi, H., Mazaheri, M.A., Delavar, A. (2008). Efficacy of face to face and internet-applied methods of Cognetive-Behavioral group counseling based on Ellis’s Theory in increasing marital satisfaction. Journal of research in behavioural science, 6(2), 89-96.

Sadri Damirchi, E., Sheikholeslami, A., Tarvirdizadeh, H. (1396). The effect of emotional-focused couple therapy on the infertile couples' quality of relationship, marital conflict, and intimacy. Family Counseling and Psychotherapy, 7(1), 125-145.