Effectiveness of Behavioral-Cognitive Therapy on Sexual Self-Esteem and Marital Commitment of Couples' with Troubled Relationships

Document Type : Original Article


Department of Psychology, Faculty of Humanities, Saveh Branch, Islamic Azad University ,Saveh , Iran.


Background: Health in families is rooted in sustenance and health of relationships between husbands and wives; and marital relationship is the core of families, disorders of which are threats to family survival. Objectives: The present study was aimed to examine the effectiveness of CBT on sexual self-esteem and marital commitment of couples' with troubled relationships in Tehran in 2017.Material and Methods: It was semi-experimental with a pre-test, post-test design as well as an experiment and a control group. The statistical population of the present research consisted of all couples with troubled relationships in Tehran, who were selected using a convenience sampling method and Cohen table for the sample size , and they were randomly divided into two groups: an experiment group (15 individuals) and a control group (15 individuals).The experiment group received ten 90-minute sessions of group CBT interventions, and the control group remained on a waitlist. The measurement tools of the research included Dobel Naha and Schwarz's sexual self-esteem questionnaire and Adams and Jones' marital commitment questionnaire. The analysis of the data obtained from implementing the questionnaires was done through SPSS-V22 software in two sections: descriptive and inferential .
Results showed that CBT leads to an increase in sexual self-esteem in couples with troubled relationships. Therefore, it can be stated that group CBT is an effective method for improving self-esteem and marital commitment in couples.
Conclusion: It can be stated that CBT helps family members to face problems effectively by resolving conflicts among family members and improving interpersonal relationships


1-   Wang Y, Benner AD. Cultural Socialization across Contexts: Family-Peer Congruence and Adolescent Well-being.J      Youth          Adolesc.2016;45(3):594-611. doi:10.1007/s10964-016-0426-1.
2-   Xie J, Shi Y, Ma H. Relationship between similarity in work-family centrality and marital satisfaction among dual-earner couples. Personality and Individual Differences. 2017; 113: 103-108. doi.org/10.1016/j.paid.2017.03.021
3-   George D, Luo S, Webb J, Pugh J, Martinez A, Foulston J. Couple similarity on stimulus characteristics and marital satisfaction. Personality and Individual Differences. 2015; 86: 126-131.‏ doi.org/10.1016/j.paid.2015.06.005
4-   Aggarwal S, Kataria D, Prasad S. A comparative study of quality of life and marital satisfaction in patients with depression and their spouses. Asian J of Psychiatr. 2017; 30: 65-70.‏ PMID:28802799
5-   Whitton SW, Stanley SM, Markman HJ, Johnson CA. Attitudes Toward Divorce, Commitment, and Divorce Proneness in First Marriages and Remarriages. Journal of marriage and the family. 2013;75(2):276-287. PMCID: PMC3636559
6-   Nelson JA, Kirk AM, Ane P,  Serres SA. Religious and spiritual values and moral commitment in marriage: untapped resources in couples counseling?. Counseling and Values. 2011; 55(2): 228-246.‏ doi.org/10.1002/j.2161-007X.2011.tb00034.x
7-   Halpern-Meekin S, Tach L. Discordance in couples’ reporting of courtship stages: Implications for measurement and marital quality. Social science research. 2013; 42(4): 1143-1155. doi.org/10.1016/j.ssresearch.2013.01.009
8-   Ashkzari MK, Piryaei S, Brojerdian N, Ashkezari EK. The relationship between job satisfaction with marital satisfaction and mental health: The specific case of female employees. European Psychiatry. 2017; 41: S737.‏
9-   Lam SP, Wong CCY, Li SX, Zhang JH, Chan JW, Zhou JY, ... & Wing YK. Caring burden of REM sleep behavior disorder–spouses' health and marital relationship. Sleep medicine. 2016; 24:40-43. doi:10.1016/j.sleep.2016.08.004
10-                      Hannier S, Baltus A, De Sutter P. The role of physical satisfaction in women's sexual self-esteem. Sexologies. 2017. doi.org/10.1016/j.sexol.2017.09.011
11-                      Shakarami M, Zahrakar K, Mohsenzadeh K. Examination of the intermediary role of conflict-resolving styles in the relationship between interpersonal cognitive distortions and sexual satisfaction with marital commitment. Quarterly of research on psychological health. 2014; 8 (2): 51-60.
12-                      Cristea IA, Huibers MJ, David D, Hollon SD, Andersson G, Cuijpers P. The effects of cognitive behavior therapy for adult depression on dysfunctional thinking: A meta-analysis. Clinical Psychology Review. 2015; 42: 62-71.‏
13-                      Epstein NB, Baucom DH. Enhanced cognitive-behavioral therapy for couples: A contextual approach. American Psychological Association; 2002.
14-                      Driessen E, Hollon SD. Motivational interviewing from a cognitive behavioral perspective. Cognitive and Behavioral Practice. 2011; 18(1): 70-73
15-                      Farokhi S, Shareh H.Psychometric Properties of the Persian Version of the Sexual Self-Esteem Index for Woman-Short Form. Iranian Journal of Psychiatry and Clinical Psychology, 2014;20(3):252-263.
16-                      Abbasi Molid H. Relationship between marital commitment and cultural values of students. Case Study: Province of Southern Khorasan. 2012; 2 (4): 2 – 15.
17-                      Abbasi Molid H . The effect of teaching reality therapy on marital commitment in couples of Khomeinishahr preprovience.[dissertation].Isfahan University; 2009.
18-                      Denton WH, Wittenborn AK, Golden RN. Augmenting antidepressant medication treatment of depressed women with emotionally focused therapy for couples: A randomized pilot study. Journal of Marital and Family Therapy. 2012; 38(s1): 23-38.‏