The comparison of the effect of the couples' participation in psycho-educational sessions of schema therapy and acceptance and commitment therapy on marital burnout

Document Type : Original

Authors

1 Student of PHD, Faculty of Humanities & Social Sciences, Islamic Azad University, Science and Research Branch, Tehran, Iran.

2 Assistant professor, Shahed University, Tehran, Iran

3 Associate professor of Psychology, Islamic Azad University, North Tehran Branch, Tehran, Iran

4 Professor of counseling, Alzahra University, Tehran, Iran

Abstract

Increasing the level of marital burnout gradually led to involvement of the couples in a stressful and frustrating relationship and eventually leads to weaken the marriage. This study was administered aimed to the comparison of the effect of couples' participation in psycho-educational sessions of schema therapy and acceptance and commitment therapy on marital burnout. The study was quasi experimental with the pretest-posttest design of three groups. The statistical population consisted of all of involved couples in marital conflict that referred to the regions of 1-5 of Tehran's counseling centers, in 2016 that among them 120 subjects were selected using convenient sampling method. Then, 48 subjects (24 husband and wife) with the almost higher level in Pines' Marital Burnout Inventory (1996) were assigned randomly into three groups with 16 subjects (8 couples), two experimental groups, and one control group. The couples of experimental groups participated separately in 12 weekly sessions of 90 minutes of study's interventions and in this period, the control group stayed in waiting list. In all stages, the Pines' Marital Burnout Inventory (1996) was the research instrument for data gathering. The results of covariance analysis indicated that the differences among the groups were significant (F= 200/77, p<0.05). In addition, the result of the Tukey's follow-up test showed that in comparison with the acceptance and commitment therapy, the schema therapy were more effective in reducing the marital burnout and two components of emotional exhaustion and psychological exhaustion (p≤0.001). The findings of this study indicated that the psycho-educational intervention of schema therapy. By creating couples' insight about the causes of the development of cognition, emotion and dysfunctional interpersonal behavior, and how eliminate them was more effective in reducing marital burnout.

Keywords

References

References
Arntz, A., & Jacob, G. (2013). Schema Therapy in practice: An introductory guide to the schema mode approach. Oxford, UK: Wiley‐Blackwell.
Bakker, A. B. (2009). The crossover of burnout and its relation to partner health. Stress and Health, 25, 343-353.
Biglan, A., Hayes, S. C., & Pistorello, J. (2008). Acceptance and commitment: Implications for prevention science. Prevention Science, 9(3), 139-152.
Bloy, S., Oliver, J. E., & Morris, E. (2011). Using acceptance and commitment therapy with people with psychosis: A case study. Clinical Case Studies, 9(3): 347-359.
Brummelhuis, L. L., Ter Hoeven, C. L., Bakker, A. B., & Peper, B. (2011). Breaking through the loss cycle of burnout: The role of motivation. Journal of Occupational and Organizational Psychology, 84, 268–287.
Christensen, A., Atkins, D.C., Berns, S., Wheeler, J., Baucom, D.H., & Simpson, L.E. (2004). Traditional Versus Integrative Behavioral Couple Therapy for Significantly and Chronically Distressed Married Couples. Journal of Consulting and Clinical Psychology, 72(2), 176-91.
Edlati, A., & Redzuan, M. (2010). Perception of women towards family values and their marital satisfaction; Journal of American Science, 6(4), 132-137.
Harris, R. (2009). ACT with love: Stop Struggling, Reconcile differences and strengthen your relationship with acceptance and commitment therapy. Oakland, CA: New Harbinger.
Hayes, S. C., Levin, M. E., Plumb-Vilardaga, J., Villatte, J. L., & Pistorello, J. (2013). Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior Therapy, 44(2), 180-198.
Heilemanna, H.C., Pieters, P.K., Kehine, P., & Yang, Q. (2011). Schema therapy, motivational interviewing, and collaborative-mapping as treatment for depression among low income. Journal of Behavior Therapy and Experimental Psychiatry, 42, 473-480.
Ioannis, A., Malogiannis, A.A, Areti, S., Aikaterini, A., Spyridoula, K., Eirini, T., Miranda, V., Artemios, P., George P., & Iannis Z. (2014). Schema Therapy for patients with chronic depression. A single case series study. Journal of Behavior Therapy and Experimental Psychiatry, 45, 319-329.
Khajouei Nia, M., Ghiasi, M., Izadi, S., & Sarami Forooshani, G. H. (2015). Study Early Maladaptive Schemas as Predictors of Marital Dissatisfaction in India and Iran- Role of Conditional Schemas as a Mediator and Moderator. Journal of Applied Environmental and Biological Sciences, 5(11), 590-597
Kindynis, S., Burlacu, S., Louville, P., & Limosin, F. (2013). Effect of schema-focused therapy on depression, anxiety and maladaptive cognitive schemas in the elderly. Encephale, 39(6), 393-400.
Lingren, HG. (Cited 2003). Marriage burnout. Available from: http://utahmarriage.org.
Masuda, A., Hayes, S.C., Sackett, C.F., & Twohig, MP. (2004). Cognitive diffusion and self-relevant negative thoughts: Examining the impact of a 90-year-old technique. Behavior Research Therapy; 42(4), 477-485.
Papalia, D.E., Gross, D., & Feldman R.D. (2003). Child development: A topical approach and making. New York: McGraw Hill.
Pines, A. M. & Nunes, R. (2003). The relationship between career and couple burnout: implications for career and couple counseling. Employment Counseling; 74(2), 50-64.
Pines, A. (1996). Couple burnout: Causes and cures. New York: Routledge.
Pokorska, J., Farrell, A., Evanschitzky, H., & Pillai, K. (2013). Relationship fading in business-to-consumer context. In S. Sezgin, E. Karaosmanoglu, & A. B. Elmadag Bas (Eds.), EMAC. 42nd annual EMAC conference: lost in translation
Priemer, M., Talbot, F., & French, D.J. (2015). Impact of self-help schema therapy on psychological distress and early maladaptive schemas: A randomized controlled trial. Behavior Change, 32, 59-73.
Rijkeboer, M.M., & de Boo, G.M. (2009). Early maladaptive schemas in children: Development and validation of the schema inventory for children. Journal of Consulting and Clinical Psychology, 41 (2), 102-109.
Simeone-DiFrancesco, C., Roediger, E., & Stevens, B.A. (2015). Schema therapy with couples: A practitioner's guide to healing relationships. Wiley-Blackwell Press.
Thimm, J.C. (2010). Personality and early maladaptive schemas: A five-factor model perspective. Behavior Therapy and Experimental Psychiatry, 41, 373-380.
Tree, H.A. (2009). Multiple sclerosis severity, pain intensity, and psychosocial factors: Associations with perceived social support, hope, optimism, depression, and fatigue. University of Kansas.
Twohig, M. P. (2009). The application of acceptance and commitment therapy to obsessive-compulsive disorder. Cognitive Behavior Practice; 16(1), 18.28.
Van Plet, M. A. (2009). Crossover of burnout among health care professionals. Journal of marriage and the family; 85, 210-30.
Walsh, F. (2002).A Family Resilience Framework: Innovative Practice Applications. Family Relations, 51, 130.138.
Walsh, F. (2006). Strengthening family resilience. (2nd Ed). New York: Guilford Press.
Woidneck, M. R., Morrison, K. L., & Twohig, M. P. (2013). Acceptance and Commitment Therapy for the Treatment of Posttraumatic Stress among Adolescents. Behavior Modification, 38(4), 451–476.
References in Persian
Bernstein, FH. & Bernstein, MT. (2002). The treatment method of marital problems. Translated by Toozandehjani, H. & Kamalpoor, N. Mashhad: Marandiz.
Davarniya, R., Zahrakar, K., Moayeri, N., & Shakarami, M. (2015). Assessing the performance of emotionally-focused group couples therapy (EFCT) on reducing couple burnout in women. Medical Sciences. 25 (2), 132-140.
Ghari, A. (2014). Effectiveness of Acceptance and Commitment Therapy on Marital Burnout and forgiving couples that referring to the Social Services and Counseling Center of the Isfahan Prisons Organization. Master's Thesis, Shiraz, Islamic Azad University of Marvdasht.
Heydarianfar, N., Amanelahi, A., Khojastemehr, R., & Iman, M. (2015). Effectiveness of acceptance and commitment therapy (ACT) in increase marital quality and marital adjustment among couples city of Dezful. Journal of Psychological Achievements. 1(3): 49-66.
Heydarianfar, N., Amanelahi, A. (2016). Acceptance and commitment therapy: Apractical guide for therapies. Ahwaz: Medical sciences & Technology.
Izadi, R. & Abedi, MR. (2013). Acceptance and commitment. Tehran, Jungle.
Kianichalmari, A., Asadi, S., Esmaeili, F., & Zavar, M. (2016). Prediction of marital burnout based on emotional expressiveness and marital attributions in married people referring to the welfare organization in Ardabil. Journal of Counseling Research, 15 (59): 58-75.
Mokhtari, S. (2009). The Effectiveness of Schema Therapy on Marital satisfaction of Married people with obsessive compulsive disorder in Isfahan. Master's Thesis, Tehran, Alzahra.
Morshedi M, Davarniya R, Zahrakar K, Mahmudi M, Shakarami M. (2016). The Effectiveness of Acceptance and Commitment Therapy (ACT) on reducing marital burnout of couples. Iranian Journal of Nursing Research, 10(4), 76-87.
Naderi, F. Eftekhar, Z. & Amolazadeh, S. (2009). Relationship between personality traits and spouse's intimate relationships with marital burnout in women's Ahwaz have addict husbands. Journal of Social psychology. 4(11), 61-78.
Narimani, M., & Bakhshayesh, R. (2015).The effectiveness of acceptance/ commitment training on the psychological well-being, emotional and marital satisfaction in divorce. Journal of Counseling Research, 13 (52), 108-123.
Navidi, F. (2005). Surveying and comparing the couple burnout with factors of organizational climate in staff of Department of Education and nurses of hospitals of Tehran. Master thesis of counselling, Tehran, Shahid Beheshti University.
Pines, A. (2002). Couple burnout: Causes and cures. Translated by shadab, F. Tehran: Qoqnoos.
Pirfalak, M. Sodani, M. & shafiabadi, A. (2014). The Efficacy of Group Cognitive-Behavioral Couple’s Therapy (GCBCT) on the Decrease of Couple Burnout. Journal of Family Counseling and Psychotherapy, 4(2), 247-267.
Salavati, M. & Yekeyazdandoost, R. (2009). Schema therapy: Special Guide for Clinical Psychologist. Tehran, Danjeh.
Salmani lotfabadi, M. (2010). The effectiveness of cognitive group therapy focused on the schema on reduce the symptoms of depression in students. Master's Thesis, Ardebil, Ardebil University Researcher.
Seydi, M. Farahmand, S. Amini, M. & Hoseyni, SM. (2014). Relationship between Family Communication Pattern and Personality Traits with Psychological Well Bing in Multiple Sclerosis Patients, Psychological methods and models, 3(11), 17-38.
Shakeri, Z. (2014). The effectiveness of acceptance and commitment therapy on reduce the marital burnout, Master's Thesis, Tehran, Allameh Tabatabaei University.
Showani E, Zahrakar K, Rasooli M. (2016). Effectiveness of Acceptance and Commitment Therapy on Reducing the Components of Marital Burnout in Veterans Spouses. Iran J War Public Health. 8 (2), 111-118.
Taghiyar, Z. Pahlavanzadeh, F. & Samavi, SV. (2016). The Effectiveness of Schema Therapy on Marital Frustration of Married Women. Woman & study of family, 9(34), 49-63.
Young, J.E., Klosko, J.S., & Weishaar, M.E. (2003). Schema therapy: A practitioner’s guide. New York: Guilford Press.
Yousefi, N. (2011). Comparison of the effectiveness of family therapy based on schema therapy and Bowen's emotional system therapy on the early maladaptive schema among divorce applicant clients in Saqez. The quarterly journal of Fundamentals of mental Health, 13 (4), 373-356.
Yousefi, R. Abedin, A. Fathabadi, J. & Tirgari, A. (2011). Comparison of the effectiveness of schema-focused and life style-focused group training on cognitive insight enhancement in couples with marital dissatisfaction. Journal of Family Counseling and Psychotherapy, 1(2), 139-160.
Yousefi, R., Abedin, AR., Tirgari, A., & Fathabadi, J. (2009). The effectiveness of intervention based on Schemas model on marital satisfaction enhancement. Journal of Clinical Psychology, 2, 3(7), 25-18.
Family Counseling and Psychotherapy
Volume 7, Issue 1 - Serial Number 23
23
August 2017
Pages 103-124

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History

  • Receive Date: 26 February 2017
  • Revise Date: 22 May 2017
  • Accept Date: 09 July 2017

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