The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

The study of the effectiveness of couple emotionally focused therapy (EFT) on increasing marital adjustment and improving the physical and psychological health of the infertile couples.

Document Type : Original Article

Authors
Maryam Najafi 1
Aliakbar Soleimani 2
Khodabakhsh Ahmadi 3
Nasirodin Javidi 4
Elnaz Hoseni 1
Fatemeh Pirjavid 5
1 M.Sc. of Psychology,school of Humanism, University of Science and Culture, Tehran, Iran.
2 Assistant professor, Department of Psychology, School of Humanism, Tehran University of Science and Culture, Tehran, Iran
3 Professor, Department of Psychology, Behavioral Sciences Research Center, Tehran Baghiyatollah University of Medical Sciences, Tehran, Iran.
4 M.Sc. of Psychology, Behavioral Sciences Research Center, Tehran Baghiyatollah University of Medical Sciences, Tehran, Iran.
5 M.Sc. of Psychology, School of Humanism, Islamic Azad university Neyshabur branch, Neyshabur, Iran.
10.22038/ijogi.2015.3703
Abstract
 
Introduction: The purpose of this study was to determine the efficiency of couple emotionally focused therapy on increasing marital adjustment and improving the physical and psychological health of the infertile couples, physical health and psychological health in couples.
Method: this investigation was semi-experimental with pre-test and post-test. To achieve this objective, 60 infertile couples (120 subjects) in Kermanshah were chosen based on the Purposeful sampling. They were divided into two groups at random: each group consisted of 30 infertile couples: one experimental and one control group. At first, couples answered a questionnaire of marital adjustment and quality of life. Then experimental groups were trained under EFT for 10 sessions.
Results: Results of pre- test and post – test showed that emotional couple therapy training has a significant effect on marital adjustment (satisfaction, cohesion, agreements and expressing affection) and quality of life (physical health, psychological health).
conclusion: results show that couple emotionally focused therapy has a significant effect on enhancement of satisfaction, cohesion, and expressing affection. Eventually, they quality of life of infertile couples increases significantly with using couple emotionally focused therapy. Also, this therapeutic approach improved physical health and psychological health of infertile couples.
Keywords
Couple therapy
emotionally focused
Marital adjustment
Physical health
psychological health
  1. Khosravi Z. Mental health predictive factors in infertile couples. J Reproduc Infertil 2002;3(1):56-64.(Persian).
  2. Poorafkari NA. Comprehensive culture of psychiatry-psychology. Tehran:Nobahar Publishers;1996.
  3. Fatehizade M , Ahmadi SA. Rahmatallahi F. Pathology of marital life. Pschotherapy 2007; 11(41-2):8-25.(Persian).
  4. Salmela-Aro K , Suikkari AM. Letting go of your dreams--Adjustment of child-related goal appraisals and deppresive symptoms during infertility treatment. J Res Pers 2008 ;42:988-1003.
  5. Gharayi V, Mazaheri MA, Sahebi A, Payvandi S, Aghahoseini M. Studying the effect of cognitive- behavioral trainings on anxiety of infertile women. Fertil Infertil 2005;5(18):170-80.(Persian).
  6. Abbey A. Andrews FM. and Halman LJ. Infertility and parenthood: does becoming a parent increase well-being?. J Consult Clin Psychol. 1994 ; 62(2):398-403..
  7. Mahlstedt PP, MacDuff S, Bernstein J. Emotional factors and the in vitro fertization and embryo transfer process. J In Vitro Fert Embryo Transf 1987; 4: 232- 6.
  8. Gibson DM. & Myers JE. Gender and infertility: a relationalapproach to counseling women, JCounseling Dev2000; 78: 400-10.
  9. Manouchehri C, Zandi Pour T, Porshhryary M, Mirdamadi S. Evaluate the effectiveness of cognitive – emotional- behavioral group counseling on mental health of infertile women. Research and counseling. 2006; 5(20): 9-22.(Persian).
  10. Vick KE. The applicabicability of the dyadic adjustment scale for rural marital assessment [PhD thesis]. Dakata: university of south Dakata; 2006.
  11. Lee TY, Sun GH, Chao SC. The effect of an infertilitydiagnosis on the distress, marital and sexual satisfactionbetween husbands and wives in Taiwan. HumReprod 2001; 16(8):1762-67.
  12. Andrews FM. Abbey A. Halman LJ. Stress frominfertility, marriage factors and subjective wellbeingof wives and husbands. J Health Soc Behav1992; 32(3):238-53.
  13. Byrne M. Carr A. Clark M. The Efficacy of Behavioral Couples Therapy and Emotionally Focused Therapy for Couple Distress.Contemporary Family Therapy 2004; 26(4): 361-387.
  14. Johnson SM. Creating connection : the practice of emotionally focused couple therapy . New York: Brunner – Routledge; 2004.
  15. Johnson SM. & Whiffin VE. Attachment processes in couple and family therapy. New York : Guilford.2003.
  16. Hazan C. Shaver P. Attachment in an organizational framework for research on closer relationship : Target article. psychological inquiry; 1994; 5(1): 1 -22.
  17. Johnson SM. The practice of emotionally focused marital therapy : Creating connection. New York : Brunner / Mazel; 1996.
  18. Greenberg L. & Goldman R. Integrating love and power in emotion – focused couple therapy. European psychotherapy 2007; 7(1), 117- 135.
  19. Clulow C. Adult attachment and couple psychotherapy : the secure base in practice and research. canada : Taylor & Francis e- Library; 2006.
  20. Johnson SM. the revolution in couple therapy : A practitioner – scientist perspective. J Marital fam ther 2003; 29(3), 365-84.
  21. 33- Mckinan JM.Reveating vulnerable emotion in couple therapy: Impact on session outcome. Journal of family therapy 2013; 35(3):303-19.
  22. Johnson SM. Becoming on emotionally Foucosed couple therapist. New York: The work book;2005
  23. Spanier GB. Measuring dyadic adjustment : New scales for assessing the quality of marrige and similar dyads. Journal of marriage and the family 1976; 38(1): 15- 28.
  24. Hassan shahi M. Relation of married compatibility to center of women′s control [Ms thesis]. Esfahan: Esfahan University;1999.
  25. Erfanmanesh N. the effects of emotional focused therapy on the marriage suitability [Phd thesis]. Theran : Islamic Azad University; 2005.
  26. Mocke JH , Wallace MK. Short marital-adjustment and prediction tests: their reliability and validity.  Marriage and Family Living 1959; 21(3): 251-5.
  27. Soltani M, Shaeiri MR, Roshan R.The effects of emotional Focused Therapy on increasing the marriage suitability of barren couples. Journal of Behavioral Sciences 2013; 6(4);383-9.(Persian).
  28. WHOQL-BREF introduction, administration and scoring, field trial version. Geneva: World Health Organization;1996.
  29. WHOQoL Group. Development of the World Health Organization WOQOL-BREF quality of life assessment. Psychol Med 2007;28(3):551-8.
  30. Aarts JW, Huppelschoten AG, van Empel IW, Boivin J, Verhaak CM, Kremer JA, et al. How patient-centred care relates to patients' quality of life and distress: a study in 427 women experiencing infertility. Hum Reprod 2012; 27 (2) , 488-495.
  31. Soltani A, Molazadeh J, Mahmoodi M, Hosseini SA. Study of the effectiveness of emotional focused couple therapy on intimacy of couples. Procedia- Social and Behavioral Sciences. 2012; 82(3): 461-5.
  32. Zuccarini D, Johnson SM. Dalgeish TL. & Makinen JA. Forgiveness and Reconciliation in Emotionally Focused Therapy for Couples: The Client Change Process and Therapist Interventions. Journal of Marital  Fam Ther 2013; 39(2): 148-62.
  33. Vizheh M, Pakgohar M, Babaei Gh, Ramezanzadeh F. Effect of counseling on quality of marital relationship of infertile couples: a randomized, controlled trial (RCT) study. Arch Gynecol Obstet 2013 ; 287(3): 583-9.
  34. Michelle M. the long term effects of emotionally focused couple therapy training on knowledge , competency , self – compassion and attachment security. United States : California; 2009.
  35. Tie S, Poulsen Sh. Emotionally focused couple therapy with couples marital adjustment. Contemporary Family Therapy 2013; 35(3): 557-67.
  36. Pinto-Gouveia J. Galhardo A. Cunha M. & Matos M. Protective emotional regulation processes towards adjustment in infertile patients. Protective Emotion and Infertility 2012; 15(1): 27-34.
  37. Onat G, Beji NK. Marital relationship and quality of life among couples with infertility. Sexuality and Disability 2012; 30(1): 39-52.
  38. Morin-paqunen N, Koivunen R. Treatment of fertility. Duodecim 2012; 128(14): 1478-85.
  39. Peterson B, Boivin J, Norre J, Smith C, Thorn P, Wischmann T. An introduction to infertility counseling: a guide for mental health and medical professionals. J Assist Reprod Genet  2012; 29(3): 243-248.
  40. Bhagwat R, Maynigo P, Moses E, Kelly Sh. Couple and marital therapy: The complement and expansion provided by multicultural approaches; 2014. Available from: http://psycnet.apa.org/index.cfm?fa=search. displayRecord&UID=2013-02670-027.
  41. Norten JE, Schilling EA, Couchman GM. Sexual satisfaction and functioning in patients seekinginfertility treatment. Fertil Steril 2001. 76(3):28-32.
  42. Anderson EM, Sharpe M, Pattrag A, Lvvine D. Distress and concerns in couples to specialist infertility clinic. J psychosom Res 2002; 54(4); 353- 5.
  43. Zia-ul-Haq M S, Hassan Abadi H, Hashemabadi Ghanbari BA,  Modares Gharavi M. Excited couple therapy based on marital adjustment, Journal of Family Studies, 2012;8(29). 
  44. Roshani F. Compare the efficacy of treatment-emotional coping -Rftary increase in marital .payan a psychology graduate public. University of Mashhad; 2011.
  45. Ramazanadeh F, norbala A A, Abedi-Nia  N. Emotional adjustment in infertile patients. Journal - Faculty of Nursing and Midwifery martyr Beheshti University of Medical Sciences and Health Services, 2010; 20(70): 36- 44.
  46. Greil AL, Slauson K,  McQuillan J. The experience of infertility: a review of recent literature. Sociol  Health  Illn 2010 ; 32(1): 140-62.
  47. Tracy K, Syiem K,  Raddy J. The multifaceted aspects of infertility. International Journal of Sciences and Research (IJSR); 2013.
  48. Bshart MA, Investigate the relationship between attachment styles in infertile couples with marital problems. Psychotherapy News, 2000; No. 19-20: 55- 66.
  49. karami noori R. Infertility and psychological aspects - social .pzhvhshkdh Ibn Sina (Research Center for Biology and Biotechnology of Reproduction and Infertility; 1380.
  50. Mazaheri MA, keyghobadi F. Problem solving and adjustment in infertile and fertile couples. Journal of Reproduction and Infertility;2000.
  51. Nilforooshan P, Ahmadi A, Abedi MR. The impact of counseling, cognitive - behavioral, cognitive subsystems based on a balanced approach to changing the attitudes of infertile couples. Journal of family studies;2005: No. 5.
  52. Hossein-Abadi H, Mojarad S,Soltanifar A. study effectiveness of coping and positive emotions Brsazgary married couples have relationships outside marriage. Research in clinical psychology and counseling, 2011; 1 (2).
  53. BruceMK, Rzmary C, Peng T.  study of sex in infertility: a systematic review of quantitative studies. Department of Sexology, School of Public Health, Curtin University, Perth, Perth, Australia. 2013; 13(2).