جستجوی مقالات مرتبط با کلیدواژه « Family Conflict » در نشریات گروه « پزشکی »

 Couples therapy has become a top priority due to the increasing prevalence of divorce cases in Iran, particularly among young couples, and the escalating family conflicts.

 The present study aimed to investigate the impact of emotionally focused therapy (EFT) on couples' emotion regulation and relationship distress in cases of emotional divorce.

 This experimental research utilized a pretest-posttest follow-up design. The study population included all couples with emotional divorce seeking counseling at the counseling centers in Ramshir County, Khuzestan Province (Iran) in 2022. Purposive sampling was employed to select 12 couples (24 individuals). The experimental group participated in EFT for couples, consisting of 9 sessions lasting 90 minutes each. Data were collected using the Gottman Emotional Divorce Scale, Emotion Regulation Questionnaire, and Marital Disturbance Questionnaire. Repeated measures ANOVA was used for data analysis.

 The mean ± SD scores for emotion regulation in couples who underwent EFT in the pretest, posttest, and follow-up stages were 77.25 ± 10.17, 115.50 ± 12.40, and 125.00 ± 7.71, respectively. Additionally, the mean ± SD scores for relationship distress in couples during the pretest, posttest, and follow-up stages were 40.33 ± 1.88, 21.04 ± 3.04, and 19.79 ± 2.06, respectively. The findings indicated that EFT for couples significantly improved emotion regulation and relationship distress in couples experiencing emotional divorce (P < 0.001).

 Emotionally focused therapy for couples can enhance emotion regulation and alleviate relationship distress in couples dealing with marital conflicts and emotional divorce. It is recommended for psychotherapists and family counselors as an effective intervention to address marital conflicts in couples experiencing emotional divorce. Furthermore, it can be incorporated into premarital counseling sessions.

Spirituality and spiritual beliefs are among the factors playing key roles in preventing psychological disorders. The present study aimed to investigate the relationship between depression symptoms with emotional divorce and spiritual beliefs using artificial neural networks (ANN) in married university students.

The statistical population of this study included all married students at the Islamic Azad University of Ahvaz (Khuzestan Province, Iran) during the 2021–22 academic year. The convenience sampling technique was adopted to select 301 married students as the research sample. An ANN was employed in this descriptive-correlational study. Data collection was done using Beck's Depression Inventory, Emotional Divorce Scale, and Religious Orientation Scale. Moreover, data analysis was performed through the Pearson correlation coefficient, stepwise regression, and an ANN.

The results showed a significant positive relationship between emotional divorce and depression symptoms, whereas there was a significant negative relationship between intrinsic religious beliefs and depression symptoms (P<0.001). However, a significant positive relationship existed between extrinsic religious beliefs and depression symptoms (P<0.001). Furthermore, depression symptoms had multiple relationships with emotional divorce and intrinsic/extrinsic religious beliefs in married university students. The results of the ANN also showed that emotional divorce had the highest relationship with the depression symptoms of married students.

The ANN appropriately predicted depression symptoms through an emotional divorce and spiritual beliefs among married university students. The results indicated the necessity of paying more attention to marital relationships, emotional divorce improvement, and depression alleviation.

 The upward trends in divorce and the conflicts and distress in couples’ relationships made researchers seek cost-effective interventions to reduce marital problems.

 This study aimed to evaluate the effects of integrative behavioral couple therapy (IBCT) on emotion regulation and cognitive flexibility among emotionally divorced couples (EDCs).

 The study was conducted on 20-50-year-old EDCs visiting Ramshir counseling centers in Iran in 2022. The purposive sampling method was used to select 12 couples (24 individuals). This experimental research adopted a pretest-posttest design with follow-up. The experimental group received ten 90-minute IBCT sessions. The research instruments included the Gottman Emotional Divorce Scale, Emotion Regulation Questionnaire, and Cognitive Flexibility Inventory—the repeated measures ANOVA was then used for data analysis in SPSS software version 27.

 The mean (± SD) of emotion regulation was 80.25 ± 7.92 on the pretest, whereas it was 124.88 ± 11.63 and 120.88 ± 8.70 on the posttest and follow-up. Moreover, the mean (± SD) of cognitive flexibility was 60.50 ± 5.70 on the pretest, while it was 100.46 ± 6.33 and 97.13 ± 4.47 on the posttest and follow-up. The results indicated that IBCT improved emotion regulation and cognitive flexibility in EDCs (P < 0.001).

 Based on the results, IBCT can enhance emotion regulation and cognitive flexibility in couples experiencing marital conflicts and emotional divorce. Couples therapists should hold IBCT training workshops to improve emotion regulation and cognitive flexibility in EDCs.

A lack of assertiveness can worsen marital conflicts and cause psychological symptoms. The present study aimed to investigate the effects of psychodrama and cognitive behavioral therapy (CBT) on the assertiveness skills of women with marital conflicts.

This quasi-experimental study was conducted on all married women with marital conflicts visiting the counseling departments of cultural centers at the Municipality of Isfahan (Iran) in 2021. Cluster sampling was employed to select 60 women, who were then assigned to three 20-member groups called CBT, psychodrama, and control using a simple random method. The participants completed the Assertion Inventory before and after the intervention and 60 days after the post-test. The repeated measures ANOVA via SPSS-22 was then used for data analysis.

The mean ( ± SD) of the post-test score of assertiveness skills in the psychodrama and CBT groups was 123.40 ( ± 23.83) and 111.25 ( ± 22.77), respectively, which was different from the control group (83.20 ( ± 21.24)). According to the results, CBT and psychodrama affected the assertiveness components of women with marital conflicts instead of control cases (P < 0.001). Furthermore, there were no significant differences between CBT and psychodrama regarding effects on women’s assertiveness components.

Considering the positive effects of CBT and psychodrama on improving assertiveness, it is recommended that counseling and psychotherapy centers help women with marital conflict improve their assertiveness skills by providing suitable conditions for conducting CBT and psychodrama sessions.

Nurses play a vital role in healthcare, and their well-being directly impacts the quality of patient care they provide. However, the demanding nature of nursing work, characterized by long hours, shift work, and emotional strain, can affect their personal lives, including marital quality.
This study aimed to investigate the relationship between emotional empathy, alexithymia, and marital quality in nursing students in Ahvaz City and to predict marital quality based on emotional empathy and alexithymia.
This study employed a cross-sectional, descriptive-correlational design. The statistical population included all married nursing students at Ahvaz University of Medical Sciences in 2023. A sample of 204 married students was selected using the convenience sampling method. Data were collected using the Revised Dyadic Adjustment Scale (RDAS), Interpersonal Reactivity Index (IRI), and Toronto Alexithymia Scale (TAS). Data were analyzed using the Pearson correlation coefficient and simultaneous regression analysis. SPSS software v27 was used for data analysis.
The results showed that emotional empathy had a positive and significant correlation with marital quality (p <0.001), and alexithymia had a negative and significant correlation with marital quality (p <0.001) in nursing students. The results of the simultaneous regression analysis showed that emotional empathy and alexithymia predicted 49% of the variance in marital quality.
This study identifies emotional empathy and alexithymia as important factors in marital quality for nursing students. However, recognizing the complexity of marital satisfaction, the authors advocate for interventions that address these factors alongside other relevant contributors.

Family and marital abnormalities are among the risk factors of psychological trauma in family members and threaten the family system, which is the basis of any healthy society. The aim of the present study was to compare the effects of cognitive-behavioral couple therapy (CBCT) and acceptance and commitment therapy (ACT) on intimacy and marital adjustment among couples applying for divorce. This is a quasi-experimental study based on a pretestposttest design with a control group. The study population consisted of all married people applying for divorce in Bushehr city, (Iran) in 2021, 45 of whom were selected as the sample through convenience sampling and randomly and equally assigned to three groups (n= 15 per group). The first and second experimental groups received CBCT and ACT (twelve 90-minute sessions for each), respectively. The research instruments included Walker and Thompson’s Intimacy Scale and Revised Dyadic Adjustment Scale. The data were statistically analyzed using univariate and multivariate analysis of covariance in SPSS-26. The results showed a significant difference between the experimental groups and the control group in the post test scores of intimacy and marital adjustment (P<0.001). There was a significant difference between CBCT and ACT in improving marital adjustment (P=0.012), whereas these two interventions did not exhibit such a difference in improving intimacy. The study findings suggested that both CBCT and ACT can be used for improving the intimacy between the couples applying for divorce. However, CBCT is more recommended for improving the marital adjustment of such couples because it exhibited more effectiveness than ACT in this regard.

Students’ mental well-being can be influenced by various maternal characteristics due to their close relationships with their mothers. These factors have an impact on their overall mental health. This study aimed to investigate the relationships between students’ mental well-being, mothers’ emotional breakdown, and marital justice, with the mediating role of mothers’ marital intimacy in Ahvaz, Iran. The statistical population of this descriptive-correlational study included all female and male senior high school students in Ahvaz, Iran, and their mothers during the 2022–23 academic year. A stratified cluster sampling method was employed, and 300 students and their mothers were selected as the research sample. The research utilized several tools, including the Psychological Well-being Scale, the Love Trauma Inventory, the Marital Justice Scale, and the Marital Intimacy Questionnaire. Path analysis was conducted using SPSS version 27 and AMOS version 25 to evaluate the proposed model. The mean and standard deviation (SD) of students’ mental well-being, mothers’ emotional breakdown, mothers’ marital justice, and mothers’ marital intimacy were as follows: 59.69 (12.94), 19.29 (5.11), 59.36 (8.87), and 67.99 (12.34), respectively. The findings indicated that all direct paths to students’ mental well-being were significant (P<0.001), except for the marital justice of mothers. Furthermore, mothers’ marital intimacy significantly mediated the indirect path between mothers’ emotional breakdown and students’ mental well-being (P<0.001). Similarly, the relationship between mothers’ marital justice and students’ mental well-being was significantly mediated by mothers’ marital intimacy (P<0.001). The study revealed a direct positive relationship between mothers’ marital intimacy and students’ mental well-being. Therefore, it is expected that enhancing mothers’ marital intimacy will have a positive impact on students’ mental well-being. To achieve this, training workshops should be conducted to improve marital justice between spouses, thereby enhancing mothers’ marital intimacy and boosting students’ mental well-being.

 Controlling emotions can be influential in increasing the quality of married life and coping with the outcomes of uncovering extramarital affairs.

 This study hence investigated the effectiveness of hypnotherapy and schema therapy in improving emotional control in people affected by marital infidelity.

 This was a quasi-experimental study with a pretest-posttest control design and a three-month follow-up. The study population included all couples dealing with marital infidelity who visited Mehr-e-Taban Counseling and Psychological Services Center in Tehran, Iran in 2021. A total of 48 individuals were selected through convenient sampling and randomly assigned to the two experimental groups and the control group (n = 16). The first experimental group received eight 90-minute hypnotherapy sessions and the second received ten 90-minute schema therapy sessions. The research instrument included the Emotion Control Questionnaire (ECQ). The data were analyzed using ANCOVA and post hoc tests in SPSS-22.

 The mean ± SD of the posttest score of emotional control in hypnotherapy and schema therapy groups was 47.62 ± 2.80 and 48.82 ± 1.45, which was significantly different from the control group (P < 0.001). The findings revealed that both therapeutic approaches were effective in improving emotional control and its four components including rehearsal, emotional inhibition, aggression control, and benign control in the participants (P < 0.001). There was no significant difference between the effects of hypnotherapy and schema therapy in improving emotional control.

 The results indicated that using both therapeutic approaches in counseling centers can be influential in helping maladjusted couples to improve and reduce their marital problems and increase their satisfaction, particularly in couples damaged by infidelity.

Marital dissatisfaction in women can lead to persistent adverse effects and psychological disorders. This study aimed to investigate the effects of Emotion-Focused Therapy (EFT) for couples on psychological distress and marital disaffection in women traumatized by their husbands’ extramarital affairs.

This semi-experimental research was conducted using a pre-test-post-test design with a control group. The study population included all women visiting the Mehravaran Counseling Center in Ahvaz, Khuzestan Province, Iran in 2022, who were dealing with their husbands’ extramarital affairs. After convenience sampling, 30 individuals were selected and subsequently divided into the experimental and control groups randomly following the pretest. In this process, the experimental group underwent nine weekly 60-minute sessions of EFT for couples, while the control group received no interventions. During the post-test phase, all participants completed research questionnaires. The research tools comprised the Marital Disaffection Scale and Psychological Distress Scale. The data obtained were analyzed using ANCOVA in SPSS version 24.

The mean (±SD) of psychological distress and marital disaffection in the control group were 23.13±3.64 and 33.13±4.29 in the pretest and 23.67±3.67 and 33.53±4.17 in the post-test. Meanwhile, the mean (±SD) of psychological distress and marital disaffection were 23.40±3.71 and 33.80±4.09 in the experimental group during the pretest and 18.53±3.96 and 28.00±3.11 in the post-test. The results indicated that EFT for couples alleviated psychological distress (P=0.001) and marital disaffection (P=0.001) in women traumatized by their husbands’ extramarital affairs.

Given the effectiveness of EFT in reducing marital disaffection and psychological distress in women traumatized by their husbands’ extramarital affairs, it is recommended to provide couples with instruction in emotion-focused strategies to reconstruct and enhance their relationships. Engaging in such an approach can help reinforce positive beliefs and effectively address the psychological challenges experienced by women traumatized by their husbands’ extramarital involvements.

Health literacy improves self-regulation and management of diabetes through proper diets in diabetic men. As a result, they will gain more knowledge about the effects of this disease on marital life and sexual relationships. The present study aimed to investigate the relationship between women’s marital intimacy with sexual satisfaction and health literacy among husbands with diabetes.

The method of the present research was descriptive and correlational. The statistical population of the study included all male patients with diabetes and their wives in Ahvaz in 2021. Convenience sampling was done to select 140 diabetic men with their wives as the research sample. The research instruments included the Intimacy Questionnaire in Marital Relationships, the Index of Sexual Satisfaction, and Health Literacy for Iranian Adults. Pearson's correlation coefficient and simultaneous regression analysis were used for data analysis.

According to the results, sexual satisfaction and health literacy in diabetic men had significant positive relationships with the women’s marital intimacy ( P< 0.001). Furthermore, regression results indicated that sexual satisfaction and health literacy had significant multiple correlations with marital intimacy ( P< 0.001).

The results highlighted the growing importance of paying attention to the roles of women’s sexual satisfaction and their diabetic husbands' health literacy in improving marital intimacy and strengthening both family and marital relationships.

Given the considerable negative effects of diabetes, improving health literacy can play a deciding role in preventing and treating such diseases and in saving resources. The present study aimed to investigate the relationship between women’s marital intimacy with health literacy and attitudes towards extramarital relations of husbands with diabetes in Ahvaz.

The statistical population of this descriptive correlational study included all the diabetes patients and their wives in Ahvaz in 2021. The sample of 141 men with diabetes and their wives was selected using convenience sampling. To collect data, the Marital Intimacy Scale, Health Literacy for Iranian Adults (HELIA), and Attitudes toward Infidelity Scale (AIS) were used. The Pearson correlation coefficient and regression were simultaneously used for data analysis.

The results suggested that health literacy (r= 0.35) and attitudes towards extramarital relations (r= -0.27) in men with diabetes had significant positive and negative correlations with women’s marital intimacy, respectively. The regression results indicated that the variables of health literacy and attitudes towards extramarital relations in men had a significant multiple correlation with women’s marital intimacy (P<0.001).

The results illustrated that paying attention to health literacy and attitudes of men with diabetes towards extramarital relations for their wives’ marital intimacy was more important than ever before.

The study focuses on the increasing rates of divorce and the need for effective therapeutic interventions to reduce marital conflict and emotional divorce. The current study aimed to evaluate the effectiveness of acceptance and commitment therapy (ACT) in reducing marital conflict and emotional divorce among women who are facing divorce and seeking services at Zanjan family counseling centers, Zanjan, Iran. This quasi-experimental study was conducted in the second half of 2021. A convenience sampling method was used to recruit 20 participants from Zanjan family counseling centers, who were randomly allocated into two groups. The treatment group received ten sessions of 60 minutes twice a week (5 weeks) of acceptance and commitment therapy. The Marital Conflict Questionnaire and Emotional Divorce Scale were used as research tools to measure pretest and posttest scores. Data were analyzed using analysis of covariance in SPSS version 24 to compare the mean scores for marital conflict and emotional divorce between the treatment and control groups. The findings of the study revealed that acceptance and commitment therapy was effective in reducing both marital conflict and emotional divorce scores in the treatment group compared to the control group. The mean score for marital conflict decreased significantly from 172.50±18.23 to 147.25±15.68 in the treatment group (P<0.001), while the control group showed no significant changes. The mean score for emotional divorce also decreased significantly from 2.35±16 to 1.93±12 in the treatment group (P<0.001), while the control group again showed no significant changes. This research demonstrated that acceptance and commitment therapy is an effective psychotherapy for reducing marital conflict and emotional divorce in women at risk of divorce who referred to family counseling centers. The findings of this study have practical implications for counseling settings.

Marital conflicts can exacerbate anxiety, depression, and stress in couples and adversely affect their psychological well-being. The present study aimed to investigate the effectiveness of psychodrama and cognitive-behavioral therapy on the psychological well-being of women with marital conflicts. This was a quasi-experimental, pretest-posttest, follow-up study with a control group. The statistical population included all the married women with marital conflicts referring to the counseling departments of cultural centers in Isfahan Municipality in 2021. Sixty women were selected as the sample by cluster sampling method and randomly assigned to two experimental groups (cognitive-behavioral therapy and psychodrama) and a control group (20 participants per group). The first experimental group underwent twelve 180-minute sessions of cognitive-behavioral therapy, while the second experimental group received twelve 180-minute sessions of psychodrama. To collect data, Psychological Well-Being Scale was used. Data analysis was performed through repeated measures ANOVA. According to the results, these two methods affected the psychological well-being components of the women with marital conflicts (P<0.001). The mean±SD of psychological well-being in the post-test and follow-up stages was respectively 61.05±8.35 and 60.10±8.95 in the cognitive-behavioral therapy, and 46.15±5.87 and 45.00±5.17 in the control group. Moreover, the mean±SD of psychological well-being in the post-test and follow-up stages was respectively 65.80±7.54 and 64.67±8.22 in the psychodrama group. The results also revealed that the components of psychological well-being in the women with marital conflicts in the two experimental groups in the post-test and follow-up stages had a significant increase compared to those in the pre-test stage (P<0.001). The two methods were significantly different only in terms of the effects on environmental mastery (P<0.001). Psychodrama was found to be more effective than cognitive-behavioral therapy. Psychodrama and cognitive-behavioral therapy can result in positive outcomes, such as improving psychological well-being in couples therapy and marital relationships. Therefore, the use of these two interventions could be recommended to psychotherapists for improving the psychological well-being of women with marital conflicts.

In recent decades, women’s participation in the labor market has increased dramatically. However, this has confronted working women with work-family conflicts.

This systematic review aimed to find the factors related to work-family conflicts befallen women working.

All scientific articles published on the subject from June 2000 until June 2021 were searched in five databases (Science Direct, Web of Science, PubMed, Embase, Scopus, and Google Scholar) using the Keywords of factor, female, working, work-life balance, life-work imbalance.

We found 3967 articles in the databases mentioned. After removing duplicate items, the titles and abstracts of 2573 articles were screened, 34 full-texts of which were reviewed, leading to the final selection of 31 articles (13 qualitative studies and 17 quantitative studies). Then we searched for the documents that cited any of the initially included studies, as well as the references of the primarily included studies; however, no additional articles were found in this step. We categorized the factors related to work-life conflicts into four categories and 22 sub-categories. The first category was individual factors (e.g., individual capacities and skills); the second category was interpersonal factors (e.g., spousal support and lack of family support); the third category was organizational factors (e.g., organizational policies and working hours), and the fourth category was cultural factors (e.g., patriarchal hegemony in society and family-friendly culture).

First, individual skills are needed to be paid more attention to, such as planning, which may be simply modifiable and has the potential to inform therapeutic interventions and preventative strategies. Second, foremen and directors should be informed about the importance of work-life conflicts experienced by women and their decisive role in creating a work-life balance to help improve their working conditions.

The current study was designed to explain the causal relationship between irrational beliefs and marital satisfaction based on the mediating role of conflict resolution behavior and marital stress.

The research had a descriptive-correlational design, and the study’s statistical population consisted of all married men and women living in Tehran City, Iran, in 2019. Of whom, 933 people were selected based on the available method. The research instruments consisted of the first version of the Jones irrational beliefs questionnaire, the conflict tactics scales (Straus, 1979), the Stockholm female marital stress scale, and the marital satisfaction questionnaire.

The present study’s data were analyzed using structural equation modeling. The results of the present study revealed that all fit indexes of the structural equation modeling analysis supported the goodness fit of the structural model of the collected data (χ2/df=2.82, comparative fit index [CFI]= 0.947, goodness-of-fit index (GFI)=0.946, adjusted goodness-of-fit index [AGFI]= 0.910, root mean square error of approximation [RMSEA]=0.072). In the present study, the indirect path coefficient between irrational beliefs and marital satisfaction through conflict behavior (β=-0.071, P<0.05) and the path coefficient of both through marital stress (β=-0.127, P<0.01) was negative and significant, respectively at the levels of 0.05 and 0.01.

Both variables of conflict behavior and marital stress negatively and significantly mediated the relationship between irrational beliefs and marital satisfaction.

 Employment of couples have a considerable effect on their marital life and may cause the couple not to respond to each other's needs in a timely manner. In these circumstances, depression and marital conflict is very likely.

 The present study aimed to investigate the effectiveness of emotionally focused couple therapy (EFCT) on reducing depression and marital conflicts in employed couples in Ramhormoz-Iran.

 A randomized clinical trial study based on a pretest-posttest control group design was conducted. The study population consisted of all couples employed in government organizations of Ramhormoz-Iran. Based on the inclusion criteria, 50 couples (100 people) were selected as the sample and randomly assigned to the experimental and control groups. The experimental group underwent ten 90-minute sessions per week of emotionally focused couple therapy. The research instruments included the Beck’s Depression Inventory and Marital Conflict Questionnaire. Data were analyzed by multivariate analysis of covariance.

 The results indicated that there was a significant difference between the experimental and control groups in the score of depression and marital conflicts. The mean (SD) of the post- intervention scores for depression and marital conflicts in the experimental group were 27.32 (4.17) and 116.72 (9.34) respectively. EFCT significantly reduced the mean score of depression and marital conflicts in the experimental group compared with the control group (p<0.001).

 EFCT was effective in reducing depression and marital conflicts among employed couples. Therefore, EFCT workshops can effectively help employed couples mitigate emotional problems.

This study aimed to investigate the major matters and events in overcoming transition crises in the family life cycle.

This study is a qualitative approach and a grounded method. The statistical population included couples living in Karaj in 2020 that 80 of them were selected by purposeful sampling method. They were assigned to 20 people in each period. In the qualitative part, data analysis was performed based on grounded theory by performing three coding steps (open, axial and selective). To describe the data, the usual methods in descriptive and inferential statistics such as preparing frequency tables, calculating statistical indicators were used in SPSS software. Sequential strategy was used to combine quantitative and qualitative data.

20 indicators and 5 components were identified. Economic and social areas such as the difficulty in dividing family responsibilities between spouses, economic and financial issues were some of the influential factors. Factors affecting family experiences such as social, religious and family factors had a great impact on the challenges of Iranian families.

In the study population, lived experiences of identity in families located at different stages of the family life cycle can be considered as the concerns of families. It seems that the lived experience of individuals in families is affected by economic and social problems that have overshadowed their needs, such as coronary heart disease, family well-being, housing purchase, high cost of living, children's future and start-ups. Business.