مقایسه اثربخشی درمان شناختی رفتاری و درمان مبتنی بر تعهد و پذیرش بر صمیمیت زوجی معتادان تحت درمان نگهدارنده با متادون

صالح  غیاثی نژاد; علیرضا منظری توکلی; علی دره کردی

doi:10.61838/jcbl.1.2.6

Authors

Saleh Saleh Ghiyasi Nejad PhD Student, Department of Psychology, Zarand Branch, Islamic Azad University, Zarand, Iran Author https://orcid.org/0009-0001-4513-5289
Alireza Manzari Tavakoli Associate professor, Department of Psychology, Kerman Branch, Islamic Azad University, Kerman, Iran Corresponding author https://orcid.org/0000-0002-1573-7748
Ali Darekordi Assistant Professor, Department of Psychology, Kerman Branch, Kerman, Iran, Author https://orcid.org/0000-0003-2349-3840

DOI:

https://doi.org/10.61838/jcbl.1.2.6

Keywords:

Cognitive behavioral therapy , Commitment and acceptance-based therapy , Couple intimacy, Addicts

Abstract

The aim of this study was to compare the effectiveness of cognitive-behavioral therapy and acceptance and commitment therapy on marital intimacy in individuals undergoing methadone maintenance treatment. This study employed a quasi-experimental design with pre-test, post-test, and follow-up assessments. The study sample consisted of 60 individuals with opioid use disorder undergoing methadone maintenance treatment, who had visited addiction treatment clinics during the first six months of 2022. Participants were selected using convenience sampling and were randomly assigned to two experimental groups (cognitive-behavioral therapy and acceptance and commitment therapy) and a control group. The research instrument was the Walker and Thompson Marital Intimacy Questionnaire (1983), and data were analyzed using analysis of variance. The findings indicated that, after controlling for the pre-test effect, the impact of cognitive-behavioral therapy and acceptance and commitment therapy on marital intimacy was statistically significant. Furthermore, at the follow-up stage, there was a significant difference in marital intimacy scores between the control and experimental groups. However, based on the mean scores of marital intimacy, no significant difference was observed between the effectiveness of the two interventions.

Downloads

Download data is not yet available.

References

Abedi, G., Ataeifar, R., & Ghamari, M. (2024). The Effectiveness of Group Marital Conflict Resolution Training Based on Choice Theory on Emotional Divorce and Hope for Life in Married Women. International Journal of Education and Cognitive Sciences, 5(3), 136-146. https://doi.org/10.61838/kman.ijecs.5.3.10

Akrami, S. (2022). Evaluation of the Effectiveness of Acceptance and Commitment-based Education on Emotional Self-disclosure and Marital Commitment of Women Referring to Gonbad Kavous Clinics. International Journal of Education and Cognitive Sciences, 3(2), 23-29. https://doi.org/10.22034/injoeas.2022.160610

Bagarozzi, D. A. (2001). Enhancing intimacy in marriage. Branner-Rouledye, Tylor & Forancis group.

Bieling, P. J., McCabe, R. E., & Antony, M. M. (2022). Cognitive-behavioral therapy in groups. Guilford publications.

Burian, H., Böge, K., Burian, R., Burns, A., Nguyen, M. H., Ohse, L., & Diefenbacher, A. (2021). Acceptance and commitment-based therapy for patients with psychiatric and physical health conditions in routine general hospital care-Development, implementation and outcomes. Journal of psychosomatic research, 143, 110374. https://doi.org/10.1016/j.jpsychores.2021.110374

Cancian, F. M. (2018). Marital conflict over intimacy. Routledge. https://doi.org/10.4324/9781351328487-33

Cutrer, W. R., & Glahn, S. (2020). Sexual intimacy in marriage. Kregel Publications.

Dobson, D., & Dobson, K. S. (2018). Evidence-based practice of cognitive-behavioral therapy. Guilford publications.

Dobson, K. S., & Dozois, D. J. (2021). Handbook of cognitive-behavioral therapies. Guilford Publications.

Hashemi, A. R. M. Y., & Behjati Ardakani, F. (2020). The effectiveness of state relaxation-based group therapy on reducing aggression in adolescent boys covered by the Welfare Organization. Clinical Psychology Studies,11(40), 133-152. https://doi.org/10.22054/jcps.2021.57713.2486

Hayes, S. C., Pistorello, J., & Levin, M. E. (2012). Acceptance and commitment therapy as a unified model of behavior change. The counseling psychologist, 40(7), 976-1002. https://doi.org/10.1177/0011000012460836

Hosseini, S. R., Tajik Esmaeili, A. A., Snaei Zaker, B., & Rasouli, M. (2022). Comparing the Effectiveness of Acceptance and Commitment Couple Therapy and Gottman-based Couple Therapy on Marital Intimacy in Couples with Marital Conflicts. Psychological Science Journal, 21(110), 304-287. https://psychologicalscience.ir/article-1-1344-fa.html

Jafarimanesh, M., Zahrakar, K., Taghvaei, D., & Pirani, Z. (2021). The Effect of Acceptance and Commitment Therapy on Marital Burnout in Couples with Marital Conflicts. sjsph, 18(4), 435-446. http://sjsph.tums.ac.ir/article-1-5964-en.html

Javidan, L. (2022). The effectiveness of couple therapy with EIS model on positive and negative emotions and marital adjustment of couples. Journal of Psychological Dynamics in Mood Disorders (PDMD), 1(3), 20-30. https://ijpdmd.com/article_180410.html

Khanjani Vashki, S., Shafieabadi, A., Farzad, V., & Fatehizadeh, M. (2020). Comparison of the effectiveness of cognitive-behavioral couple therapy and acceptance and commitment-based couple therapy on marital intimacy of conflicting couples in Isfahan. Proceedings of the Sixth Family Conference,

Mousavi Haghighi, S. E., Rishehri, P., & Mousavi, S. A. (2022). Effectiveness of acceptance and commitment therapy and integrated behavioral couples therapy on intimacy and family functioning in divorce-seeking couples. Journal of Research and Health, 12(3), 167-176. https://doi.org/10.32598/JRH.12.3.1972.1

Naderifar, N., Akbari, B., & Sadeghi, A. (2024). The structural equation modeling of the relationship between personality traits and addiction tendencies in adolescents: the mediating role of emotional well-being. Journal of Psychological Science, 113-128. http://psychologicalscience.ir/article-1-2113-fa.pdf

Navabinejad, S., Rostami, M., & Parsakia, K. (2024). Influences of Family Structure and Intimacy on Emotional Divorce: A Cross-Sectional Analysis. Journal of Psychosociological Research in Family and Culture, 2(1), 23-30. https://doi.org/10.61838/kman.jprfc.2.1.5

Oh, Y. K., & Hwang, S. Y. (2018). Impact of uncertainty on the quality of life of young breast cancer patients: focusing on mediating effect of marital intimacy. Journal of Korean Academy of Nursing, 48(1), 50-58. https://doi.org/10.4040/jkan.2018.48.1.50

Parsakia, K., Farzad, V., & Rostami, M. (2023). The mediating role of attachment styles in the relationship between marital intimacy and self-differentiation in couples. Applied Family Therapy Journal (AFTJ), 4(1), 589-607. https://doi.org/10.61838/kman.aftj.4.1.29

Parsakia, K., & Rostami, M. (2023). Digital Intimacy: How Technology Shapes Friendships and Romantic Relationships. AI and Tech in Behavioral and Social Sciences, 1(1), 27-34. https://doi.org/10.61838/kman.aitech.1.1.5

Patrick, S., Sells, J. N., Giordano, F. G., & Tollerud, T. R. (2007). Intimacy, differentiation, and personality variables as predictors of marital satisfaction. The Family Journal, 15(4), 359-367. https://doi.org/10.1177/1066480707303754

Reyes, M. Q. (2024). Family and Personal Factors Predisposing Adolescents to Addiction in High-Risk Urban Areas. https://doi.org/10.31219/osf.io/euhk4

Wharton, E., Edwards, K. S., Juhasz, K., & Walser, R. D. (2019). Acceptance-based interventions in the treatment of PTSD: Group and individual pilot data using Acceptance and Commitment Therapy. Journal of Contextual Behavioral Science, 14, 55-64. https://doi.org/10.1016/j.jcbs.2019.09.006

White, B. Y. (2019). Intermediate causal models: A missing link for successful science education? Routledge. https://doi.org/10.4324/9781315864341-3

Zhang, C. Q., Leeming, E., Smith, P., Chung, P. K., Hagger, M. S., & Hayes, S. C. (2018). Acceptance and commitment therapy for health behavior change: a contextually-driven approach. Frontiers in psychology, 8,2350. https://doi.org/10.3389/fpsyg.2017.02350ER -