Effectiveness of Emotion-focused Therapy-based Enrichment Program on Psychological Well-being, Marital Relationship Quality and Marital Satisfaction in Mothers of Children with Specific Learning Disabilities

Document Type : Original Article


1 Assistant professor, department of Psychology, Islamic Azad University, Bushehr Branch, Bushehr, Iran. Email: Ezatdeyreh@gmail.com

2 PhD student in General psychology, Islamic Azad University, Bushehr Branch, Bushehr, Iran


Background: Present study aimed to investigate effectiveness of couples’ relationships enrichment based on emotion-focused therapy on psychological well-being, and marital quality and satisfaction among mothers of children with specific learning disability. Method: This study was a semi-experimental work with pretest-posttest design and control group. The statistical population included mothers of children with specific learning disability referring to Talash clinic in district 1 of Tehran in 2017-2018. 30 mothers of children with specific learning disability were chosen as samples and randomly were divided into 2 groups (control and experimental). The experimental group was exposed to 8 sessions of couples’ relations enrichment based on emotion-focused therapy. Then, post-test was performed. For data collection, Ryff’s psychological well-being scale, Revised Dyadic Adjustment Scale and marital satisfaction questionnaire were used. Data analysis was conducted using MANCOVA. Results: Statistical data analysis indicates that the enrichment program caused a significant improvement on psychological well-being, and marital quality and satisfaction of experimental group compared to the controls (P


1. Aghajani S, Mobahat N, Samadifard HR. Comparing mental maintenance in students with/without specific learning disorder (deficiencies in math). Journal of Learning Disabilities. 2017; 6(4): 24-39; DOI: 10.22098/JLD.2017.554.
2. Narimani M, Ghaffari M. The role of moral and social intelligence in predicting resiliency and quality of life among parents of children with learning disabilities. Journal of Learning Disabilities. 2015; 5(4):106-128.
3. Palangi A, Rezaei E. A comparison of psychological well-being and anger control among mothers of children with learning disabilities and normal children. Journal of Learning Disabilities. 2016; 6(2):38-51.
4. Friedman EM, Ruini C, Foy R, Jaros L, Sampson H, Ryff CD. Lighten UP! A community-based group intervention to promote psychological well-being in older adults. Aging Ment Health. 2017; 21(2):199-205. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/26460594. DOI: 10.1080/13607863.2015.1093605
5. Cloninger CR. The science of well-being: an integrated approach to mental health and its disorders. World Psychiatry. 2006; 5(2):71-76. Pubmed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525119/.
6. Boehm JK, Trudel-Fitzgerald C, Kivimaki M, Kubzansky LD. The prospective association between positive psychological well-being and diabetes. Health Psychol. 2015; 34(10):1013-21. Pubmed: https://www.ncbi.nlm.nih.gov/pubmed/25603420. DOI: 10.1037/hea0000200.
7. Chan DW, Chan LK, Sun X. Developing a Brief Version of Ryff’s Scale to Assess the Psychological Well-Being of Adolescents in Hong Kong. European Journal of Psychological Assessment. 2017; 1-9. DOI: 10.1027/1015-5759/a000403.
8. Steptoe A, Deaton A, Stone AA. Psychological wellbeing, health and ageing. Lancet. 2015; 385(9968):640-648. Pubmed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4339610/. DOI:10.1016/S0140-6736(13)61489-0.
9. Samadaee-Gelehkolaee K, McCarthy BW, Khalilian A, et al. Factors Associated With Marital Satisfaction in Infertile Couple: A Comprehensive Literature Review. Glob J Health Sci. 2016; 8(5):96-109. Pubmed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4877237/. DOI:10.5539/gjhs.v8n5p96.
10. Lavner JA, Karney BR, Bradbury TN. Does Couples’ Communication Predict Marital Satisfaction, or Does Marital Satisfaction Predict Communication? J Marriage Fam. 2016; 78(3):680-694. Pubmed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4852543/. DOI:10.1111/jomf.12301.
11. Troxel WM. Marital quality, communal strength and physical health. Doctoral thesis, University of Pittsburgh; 2006.
12. Carr D, Freedman VA, Cornman JC, Schwarz N. Happy Marriage, Happy Life? Marital Quality and Subjective Well-Being in Later Life. J Marriage Fam. 2014; 76(5):930-948. Pubmed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158846/. DOI:10.1111/jomf.12133.
13. John NA, Seme A, Roro MA, Tsui AO. Understanding the Meaning of Marital Relationship Quality among Couples in Peri-Urban Ethiopia. Cult Health Sex. 2017; 19(2):267-278. Pubmed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5525023/. DOI:10.1080/13691058.2016.1215526.
14. Jacobs M, Marks Woolfson L, Hunter SC. Parental Attributions of Control for Child Behavior and Their Relation to Discipline Practices in Parents of Children with and Without Developmental Delays. J Child Fam Stud. 2017; 26(6):1713-1722. Pubmed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429906/. DOI:10.1007/s10826-017-0676-x.
15. Gonring K, Gerdes A, Gardner D. Program for the education and enrichment of relational skills: Parental outcomes with an ADHD sample. Child & Family Behavior Therapy. 2017; 39(1):19-42. DOI: 10.1080/07317107.2016.1268003.
16. Tompkins SA, Roeder JA, Thomas JJ, Koch KK. Effectiveness of a Relationship Enrichment Program for Couples Living with Multiple Sclerosis. Int J MS Care. 2013; 15(1):27-34. Pubmed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3883030/. DOI:10.7224/1537-2073.2012-002.
17. Jalali Shahkouh S, Mazaheri M, Kiamanesh A, Ahadi H. The compilation of an educational package for enrichment of marital life based on emotional focused therapy and investigation of its efficacy on newly-married couples’ marital adjustment. Journal of Fundamentals of Mental Health. 2017; 19:153-159. DOI: 10.22038/jfmh.2017.8903.
18. Zare Bahramabadi M, Pourzad A, Soleimani S, Jafari S. The Effectiveness of Relationship Enhancement Training Program in Subjective Well-Being of Teachers and Their Spouses. Quarterly Journal of Family and Research. 2014;10(4):7-22.
19. Ryff C D. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of personality and social psychology. 1989; 57(6):1069-1081. DOI: http://dx.doi.org/10.1037/0022-3514.57.6.1069.
20. Zimmaro LA, Salmon P, Naidu H, Rowe J, Phillips K, Rebholz WN, Jablonski ME. Association of Dispositional Mindfulness with Stress, Cortisol, and Well-Being among University Undergraduate Students. Mindfulness. 2016; 7(4):874–885. DOI: https://doi.org/10.1007/s12671-016-0526-8.
21. Busby D M, Christensen C, Crane DR, Larson JH. A revision of the Dyadic Adjustment Scale for use with distressed and nondistressed couples: Construct hierarchy and multidimensional scales. Journal of Marital and Family Therapy. 1995; 21:289-308. doi:10.1111/j.1752-0606.1995.tb00163.x.
22. Hollist CS, Miller RB. Perceptions of attachment style and marital quality in midlife marriage. Family Relations. 2005; 54(1):46-58. DOI: https://doi.org/10.1111/j.0197-6664.2005.00005.x.
23. Bulgan G, Ciftci A. Psychological adaptation, marital satisfaction, and academic self-efficacy of international students. Journal of International Students. 2017; 7(3):687-702. DOI: http://doi.org/10.5281/zenodo.570028.
24. Fowers BJ, Olson DH. ENRICH Marital Satisfaction Scale: A brief research and clinical tool. Journal of Family psychology. 1993; 7(2):176-185. DOI: DOI: 10.1037/0893-3200.7.2.176.
25. Reliability and Validity of the Persian versions of the ENRICH Marital Satisfaction (Brief version) and Kansas Marital Satisfaction Scales. J Health Dev. 2015;4(2):0-158.
26. Xie J, Zhou ZE, Gong Y. Relationship between proactive personality and marital satisfaction: A spillover-crossover perspective. Personality and Individual Differences. 2018; 128(1): 75-80. DOI: https://doi.org/10.1016/j.paid.2018.02.011
27. Bradford K, Wade Stewart J, Higginbotham BJ, Skogrand L. The Perceived Relationship Knowledge Scale: An Initial Validation. Family Relations. 2015; 64(2):305-318. DOI: https://doi.org/10.1111/fare.12116.
28. Willcutt EG, Boada R, Riddle MW, Chhabildas N, DeFries JC, Pennington BF. Colorado Learning Difficulties Questionnaire: Validation of a parent-report screening measure. Psychol Assess. 2011;23(3):778-791. PMID: 21574721. DOI:10.1037/a0023290.
29. Berger R, Hannah MT. Preventive approaches in couple therapy. Lillington, NC: Taylor and Francis. 1999.
30. Accordino MP, Guerney Jr BG. Relationship enhancement couples and family outcome research of the last 20 years. The Family Journal. 2003;11(2):162-166. DOI: https://doi.org/10.1177/1066480702250146.
31. Kardan-Souraki M, Hamzehgardeshi Z, Asadpour I, Mohammadpour RA, Khani S. A Review of Marital Intimacy-Enhancing Interventions among Married Individuals. Glob J Health Sci. 2016; 8(8):74-93. Pubmed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016345/. DOI:10.5539/gjhs.v8n8p74.