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

Document Type : Original


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


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.


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.