Effectiveness of Emotion-Focused Therapy in Positive Interaction and Intimacy of Couples in Tehran

Document Type : Original Article

Authors

1 Ph.D. Student of Psychology, Department of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran

2 Associate Professor of Health Psychology, Department of Clinical Psychology, Faculty of Psychology and Education Sciences, Semnan University, Mahdishahr, Semnan, Iran

3 Assistant Professor, Department of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran

4 Associate Professor, Department of Psychology, Semnan Branch, Islamic Azad University, Semnan, Iran

Abstract

Background: Family as the basic unit of society provides mental health support to its members. It  is one of the main institutions of any community, as well as the focus of human emotions and intimate relationships among individuals.
 
Objectives: The present study aimed to assess the effectiveness of emotion-focused therapy in positive interaction and intimacy of couples.
 
Methods: This semi-experimental study was conducted based on a pre-test and post-test control group design with follow-up. The statistical population consisted of all couples referred to Avin psychology clinic in Tehran in 2019 (between May and August). Out of this population, 30 couples were selected via available sampling and randomly assigned to two groups of experimental (n=15) and control (n=15). The experimental group received emotion-focused therapy during 11 two-hour sessions (one session per week), while the control group did not receive any intervention during this period. Data were collected using the Communication Patterns Questionnaire and Marital Intimacy Questionnaire. The collected data were analyzed in SPSS software (version 22) using repeated measures multivariate analysis of variance. A p-value of 0.05 was considered statistically significant.
 
Results: The results demonstrated that emotion-focused therapy improved the positive interaction and intimacy of couples (P<0.05). Moreover, the effectiveness of emotion-focused therapy persisted until follow-up.
 
Conclusion: As evidenced by the findings of the present study, it can be concluded that emotion-focused therapy can effectively enhance positive interaction and intimacy in couples.
 

Keywords


Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

1. Legerski E, Harker A. The intersection of gender, sexuality, and religion in Mormon mixed-sexuality marriages. Sex Roles. 2018;78(7):482-500. https://doi.org/10.1007/s11199-017-0817-0
https://doi.org/10.1007/s11199-017-0817-0
 
2. Taylor AY, Murphy-Graham E, Van Horn J, Vaitla B, Del Valle Á, Cislaghi B. Child marriages and unions in Latin America: Understanding the roles of agency and social norms. Journal of Adolescent Health. 2019;64(4):45-51. https://doi.org/10.1016/j.jadohealth.2018.12.017
https://doi.org/10.1016/j.jadohealth.2018.12.017
PMid:30914168 PMCid:PMC6426822
 
3. Kutukculer N, Aykut A, Karaca NE, Durmaz A, Aksu G, Genel F, Pariltay E, Cogulu Ö, Azarsız E. Chronic granulamatous disease: Two decades of experience from a paediatric immunology unit in a country with high rate of consangineous marriages. Scandinavian journal of immunology. 2019;89(2):e12737. https://doi.org/10.1111/sji.12737
https://doi.org/10.1111/sji.12737
PMid:30506560
 
4. Kuang K, Wilson SR. A meta-analysis of uncertainty and information management in illness contexts. Journal of Communication. 2017;67(3):378-401. https://doi.org/10.1111/jcom.12299
https://doi.org/10.1111/jcom.12299
 
5. Du X, Wang D, Du H, Zou Q, Jin Y. The correlation between intimate relationship, self-disclosure, and adaptability among colorectal cancer enterostomy patients. Medicine. 2021;100(19). https://doi.org/10.1097/MD.0000000000025904
https://doi.org/10.1097/MD.0000000000025904
PMid:34106651 PMCid:PMC8133169
 
6. Carroll SJ, Hill EJ, Yorgason JB, Larson JH, Sandberg JG. Couple communication as a mediator between work-family conflict and marital satisfaction. Contemporary Family Therapy. 2013;35(3):530-45. https://doi.org/10.1007/s10591-013-9237-7
https://doi.org/10.1007/s10591-013-9237-7
 
7. Smith S. Intimacy and angst in the field. Gender, Place & Culture. 2016;23(1):134-46. https://doi.org/10.1080/0966369X.2014.958067
https://doi.org/10.1080/0966369X.2014.958067
 
8. Walker LM, Santos-Iglesias P, Robinson J. Mood, sexuality, and relational intimacy after starting androgen deprivation therapy: implications for couples. Supportive Care in Cancer. 2018;26(11):3835-42. https://doi.org/10.1007/s00520-018-4251-9
https://doi.org/10.1007/s00520-018-4251-9
PMid:29777382
 
9. Muntigl P, Knight NK, Angus L. Targeting emotional impact in storytelling: Working with client affect in emotion-focused psychotherapy. Discourse Studies. 2014;16(6):753-75. https://doi.org/10.1177/1461445614546255
https://doi.org/10.1177/1461445614546255
 
10. Greenberg LS. Emotion-focused therapy: Coaching clients to work through their feelings. American Psychological Association; 2015. https://doi.org/10.1037/14692-000
https://doi.org/10.1037/14692-000
 
11. Zuccarini D, Johnson SM, Dalgleish TL, Makinen JA. Forgiveness and reconciliation in emotionally focused therapy for couples: The client change process and therapist interventions. Journal of Marital and Family Therapy. 2013;39(2):148-62. https://doi.org/10.1111/j.1752-0606.2012.00287.x
https://doi.org/10.1111/j.1752-0606.2012.00287.x
 
12. Christensen A, Sullaway M. Communication patterns questionnaire. Unpublished manuscript, University of California, los angeles. 1984. https://doi.org/10.1037/t02529-000
https://doi.org/10.1037/t02529-000
 
13. Madahi ME, Samadzadeh M, Javidi N. The communication patterns & satisfaction in married students. Procedia-Social and Behavioral Sciences. 2013;84:1190-3. https://doi.org/10.1016/j.sbspro.2013.06.725
https://doi.org/10.1016/j.sbspro.2013.06.725
 
14. Bagarozzi DA. Marital intimacy needs questionnaire: Preliminary report. American Journal of Family Therapy. 1997;25(3):285-90. https://doi.org/10.1080/01926189708251073
https://doi.org/10.1080/01926189708251073
 
15. Pasha H, Basirat Z, Esmailzadeh S, Faramarzi M, Adibrad H. Marital intimacy and predictive factors among infertile women in northern Iran. Journal of clinical and diagnostic research: JCDR. 2017;11(5):13-21. https://doi.org/10.7860/JCDR/2017/24972.9935
https://doi.org/10.7860/JCDR/2017/24972.9935
PMid:28658854 PMCid:PMC5483756
 
16. Johnson SM, Bradley B, Furrow JL, Lee A, Palmer G, Tilley D, Woolley S. Becoming an emotionally focused couple therapist: The workbook. Routledge; 2013. https://doi.org/10.4324/9780203955161
https://doi.org/10.4324/9780203955161
 
17. Wiebe SA, Johnson SM, Lafontaine MF, Burgess Moser M, Dalgleish TL, Tasca GA. Two‐year follow‐up outcomes in emotionally focused couple therapy: An investigation of relationship satisfaction and attachment trajectories. Journal of Marital and Family Therapy. 2017;43(2):227-44. https://doi.org/10.1111/jmft.12206
https://doi.org/10.1111/jmft.12206
PMid:27997704
 
18. Wiebe SA, Johnson SM. A review of the research in emotionally focused therapy for couples. Family Process. 2016;55(3):390-407. https://doi.org/10.1111/famp.12229
https://doi.org/10.1111/famp.12229
PMid:27273169
 
19. McKinnon JM, Greenberg LS. Revealing underlying vulnerable emotion in couple therapy: Impact on session and final outcome. Journal of Family Therapy. 2013;35(3):303-19. https://doi.org/10.1111/1467-6427.12015
https://doi.org/10.1111/1467-6427.12015
 
20. Yoo H, Bartle-Haring S, Day RD, Gangamma R. Couple communication, emotional and sexual intimacy, and relationship satisfaction. Journal of sex & marital therapy. 2014;40(4):275-93. https://doi.org/10.1080/0092623X.2012.751072
https://doi.org/10.1080/0092623X.2012.751072
PMid:24111536
 
21. Johnson J, Piercy FP. Exploring partner intimacy among couples raising children on the autism spectrum: A grounded theory investigation. Journal of marital and family therapy. 2017;43(4):644-61. https://doi.org/10.1111/jmft.12247
https://doi.org/10.1111/jmft.12247
PMid:28612384