Effectiveness of Emotion-Focused Couple Therapy in Insecure Attachment Styles

Document Type : Original Article

Authors

1 Ph.D. Student in Counseling, Department of Psychology, Qom Branch, Islamic Azad University, Qom, Iran.

2 Department of Psychology, Qom Branch, Islamic Azad University, Qom, Iran.

10.30483/rijm.2022.254336.1162

Abstract

Background: Marital infidelity is a traumatic interpersonal accident that can lead to cognitive, emotional, and behavioral symptoms in the victim.
Objective: This study aimed to investigate the effectiveness of couples' relationship enrichment training with the EFT emotion-focused approach on insecure attachment styles in women and men faced with spousal infidelity.
Methods: The method of the study was a semi-experimental pre-test, post-test, follow-up with the control group. The statistical population of this study was all men and women who were referred to counseling centers in Tehran in 2019-2020 due to spouses' infidelity. By convenience sampling method, 40 people were selected and randomly divided into an experimental and control group. The Control group did not receive the intervention. Data were collected based on an attachment styles questionnaire (Hazen & Shaver, 1987), and a multivariate covariance analysis test was used to eliminate the effect of pre-test using SPSS software.
Results: The results showed that emotion-focused training affected the scores of insecure attachment styles (P<0.01). The results also showed that the method of training was to enrich couples' relationships with an emotion-focused approach in the follow-up phase (P<0.01).
Conclusion: Therefore, based on the findings of this study, it can be said that the method of training couples' relationship enrichment focused on the emotion-focused approach is an effective model in women and men affected by spousal infidelity and can be used as one of the therapeutic or educational methods in couple therapy programs.

Keywords


 1.Abadi HK, Khodabakhsh M, Kiani F. Effectiveness of
Forgiveness-oriented Group Counseling based on
Islamic Perspective to Restore the Marriage Relationship
after Marital Infidelity. Medical Ethics Journal.
2017;10(38):29-36. https://doi.org/10.21859/mej-103829
2.DiMaggio, Dominic J. "What Contributes to Marital
Satisfaction? The Relationship between Attachment
Style, Emotion Regulation, Mentalization and Marital
Satisfaction." PhD diss., Alliant International University,
2020.
3.Harris, Caleb. "Characteristics of emotional and
physical marital infidelity that predict divorce." PhD
diss., Alliant International University, 2018.
4.Joulazadeh Esmaeili AA, Karimi J, Goodarzi K,
Asgari M. Comparison of the effectiveness of acceptance
and commitment-based Couple Therapy and emotionally
focused couple therapy on unadjusted couples'
attachment styles. Family Counseling and
Psychotherapy. 2020;9(2):1-30.
5.Cheraghisifabad N, Ehtesham Zadeh P, Askari P,
Johari Fard R. Survey and comparison of the
effectiveness of schema mode therapy and emotionally
focused couples therapy in increasing secure attachment
style and reducing avoidant and ambivalent attachment
styles in couples with marital conflict. Biannual Journal
of Applied Counseling. 2021;10(2):73-98.
6.Carnes-Holt K. Child–parent relationship therapy for
adoptive families. The Family Journal. 2012;20(4):419-
26. https://doi.org/10.1177/1066480712451242
7.Hocking EC, Simons RM, Surette RJ. Attachment
style as a mediator between childhood maltreatment and
the experience of betrayal trauma as an adult. Child
abuse & neglect.2016;52:94-101.
https://doi.org/10.1016/j.chiabu.2016.01.001
8.Simpson JA, Rholes WS. Adult attachment, stress, and
romantic relationships. Current opinion in
psychology.2017;13:19-24.
https://doi.org/10.1016/j.copsyc.2016.04.006
9.Hangen F, Crasta D, Rogge RD. Delineating the
boundaries between nonmonogamy and infidelity:
Bringing consent back into definitions of consensual
nonmonogamy with latent profile analysis. The Journal
of Sex Research. 2020;57(4):438-57.
https://doi.org/10.1080/00224499.2019.1669133
10.Lichtenstein MB, Christiansen E, Elklit A, Bilenberg
N, Støving RK. Exercise addiction: a study of eating
disorder symptoms, quality of life, personality traits and
attachment styles. Psychiatry research. 2014;215(2):410-
6. https://doi.org/10.1016/j.psychres.2013.11.010
11.Halford, W. Kim, and Douglas K. Snyder. "Universal
processes and common factors in couple therapy and
relationship education: Guest editors: W. Kim Halford
and Douglas K. Snyder." 2012: 1-12.
https://doi.org/10.1016/j.beth.2011.01.007
12.Westmacott R, Edmondstone C. Working with
Transgender and Gender Diverse Clients in Emotion
Focused Therapy: Targeting Minority Stress. PersonCentered & Experiential Psychotherapies.

Kiadarbandsari Z et al.
6 Razavi Int J Med. 2022; 10(2):e1162.
2020;19(4):331-49.
https://doi.org/10.1080/14779757.2020.1717986
13.Madani Y, Hashemi Golpayegani F, Gholamali
Lavasani M. Proposing an integrated model of emotional
focused approach and Gottman model and its
effectiveness on quality of marital relationship in
married women. Applied Psychological Research
Quarterly. 2017;7(4):73-88.
14.Suhron M, Yusuf A, Subarniati R, Amir F, Zainiyah
Z. How does forgiveness therapy versus emotionfocused therapy reduce violent behavior schizophrenia
post restrain at East Java, Indonesia . International
Journal of Public Health. 2020;9(4):314-9.
https://doi.org/10.11591/ijphs.v9i4.20538
15.Wittenborn AK, Liu T, Ridenour TA, Lachmar EM,
Mitchell EA, Seedall RB. Randomized controlled trial of
emotionally focused couple therapy compared to
treatment as usual for depression: Outcomes and
mechanisms of change. Journal of marital and family
therapy. 2019;45(3):395-409.
https://doi.org/10.1111/jmft.12350
16.Greenman PS, Johnson SM. Process research on
emotionally focused therapy (EFT) for couples: Linking
theory to practice. Family Process. 2013;52(1):46-61.
https://doi.org/10.1111/famp.12015
17.Glisenti, Kevin, Esben Strodl, Robert King, and
Leslie Greenberg. "Emotion-Focused Therapy for BingeEating Disorder: A Pilot Randomized Control Trial."
2020;2(3):23-40.
30265/v1
https://doi.org/10.21203/rs.3.rs-
18.Adamson NA. Emotionally focused therapy with
couples facing breast cancer: a theoretical foundation
and descriptive case study. Journal of psychosocial
oncology. 2013;31(6):712-26.
https://doi.org/10.1080/07347332.2013.835024
19.Harte M, Strmelj B, Theiler S. Processing emotional
pain using the expanded Emotion Focused Therapy task
of Focusing: A single-session case study. PersonCentered & Experiential Psychotherapies.
2020;19(1):66-93.
https://doi.org/10.1080/14779757.2019.1618372
20.Shahmoradi S, Afshar HK, Goudarzy M, Lavasani
MG. Effectiveness of emotion-focused therapy in
reduction of marital violence and improvement of family
functioning: A quasi-experimental study. Iranian Red
Crescent Medical Journal. 2019;21(11):15-31.
https://doi.org/10.5812/ircmj.97183
21.Hazan C, Shaver P. Romantic love conceptualized as
an attachment process. Journal of personality and social
psychology. 1987;52(3):511.
https://doi.org/10.1037/0022-3514.52.3.511
22.Valikhani A, Salajeghe MS, Khormaee FA.
Predicting students' domain specific hope within the
framework of their attachment styles. Knowl Res Appl
Psychol. 2016; 17:65-73.
23.Burgess Moser M, Johnson SM, Dalgleish TL,
Lafontaine MF, Wiebe SA, Tasca GA. Changes in
relationship‚Äźspecific attachment in emotionally focused
couple therapy. Journal of marital and family therapy.
2016;42(2):231-45. https://doi.org/10.1111/jmft.12139
24.Jalali N, Heidari H, Davoudi H, Aleyasin SA. The
Comparison of the Effectiveness of Emotion Focused
Therapy and Gottman's Relationship Enrichment on
Woman's Communication Patterns. Journal of Research
in Behavioural Sciences. 2019;17(2):265-79.
25.Vazhappilly JJ, Reyes ME. Non-violent
communication and marital relationship: efficacy of
‘emotion-focused couples’ communication program
among filipino couples. Psychological Studies.
2017;62(3):275-83. https://doi.org/10.1007/s12646-017-
0420-z
26.Hazan C, Shaver P. Romantic love conceptualized as
an attachment process. Journal of personality and social
psychology. 1987;52(3):511.
https://doi.org/10.1037/0022-3514.52.3.511