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داوران

بررسی تطبیقی اثربخشی زوج‌درمانی هیجان‌محور (EFCT) و زوج‌درمانی روایتی (NCT) بر کیفیت زناشویی و کارکردهای مختل هیجانی، شناختی و رفتاری زوجین آشفته

نویسندگان

1 دانشگاه اصفهان

2 دانشگاه هاروارد

چکیده

چکیده: آشفتگی روابط زوجی ازجمله شایع‌ترین عوامل استرس‌زای دهه‌های اخیر است که تاثیرات منفی قابل‌توجهی بر سلامت زیستی، روانی و اجتماعی زوجین و فرزندان آنها دارد. این پژوهش با هدف مقایسه اثربخشی زوج‌درمانی روایتی و هیجان محور بر کیفیت زناشویی و کارکردهای مختل هیجانی، شناختی و رفتاری زوجین آشفته انجام شد. طرح پژوهش حاضر از نوع کارآزمایی بالینی و نمونه آماری شامل 18 زوج بود که به‌طور تصادفی در دو گروه آزمایشی EFCT و NCT گمارده شدند و بین 8 الی 12 جلسه 90 دقیقه‌ای زوج‌درمانی روایتی یا هیجان محور دریافت کردند. آزمودنی‌ها با استفاده از مقیاس‌های سازگاری زناشویی (DAS)، فرم کوتاه تجارب در روابط نزدیک (ECR-S)، اسنادهای ارتباطی (RAM)، ویراست دوم مقیاس مقابله با تعارض رحیم (ROCI-2) و ویراست سوم پرسشنامه بالینی چند محوری میلون (MCMI-III) در مراحل غربالگری، پیش‌آزمون، پس‌آزمون و پیگیری مورد ارزیابی قرار گرفتند. نتایج پژوهش نشان داد که در مرحله پس‌آزمون رویکرد NCT موجب بهبودی معنادار کیفیت زناشویی و کارکردهای مختل رفتاری و رویکرد EFCT موجب بهبودی کیفیت زناشویی، کارکردهای مختل هیجانی و شناختی گردید. تاثیر معنادار رویکرد NCT در مرحله پیگیری پایدار نبود ولی بهبودی در گروه EFCT همچنان به‌صورت معنادار پایدار بود (به‌جز دلبستگی اجتنابی) و همچنین این رویکرد باعث بهبودی معنادار کارکردهای مختل رفتاری در این مرحله شد. نسبت تغییرات معنادار بالینی در هر دو مرحله پس‌آزمون و پیگیری در گروه EFCT بیشتر بود ولی از این لحاظ بین دو گروه آزمایشی تفاوت معناداری در مراحل مذکور وجود نداشت.

کلیدواژه‌ها

عنوان مقاله [English]

A comparative scrutiny of the effectiveness of Emotionally-Focused Couple Therapy (EFCT) and Narrative Couple Therapy (NCT) in the marital quality and emotional, cognitive and behavioral impaired functioning of distressed couples

نویسندگان [English]

  • Rahim Behrad Far 1
  • Rezvanalsadat Jazayeri 1
  • Fatemeh Bahrami 1
  • Mahammad Reza Abedi 1
  • Ozra Etemadi 1
  • Sayyed Mohsen Fatemi 2

چکیده [English]

Abstract: Distress in couple relationships is one of the most prevalent concerns in the recent decades that has considerable negative impacts on the biopsychosocial health of couples and their offspring. The present research aimed to compare the effectiveness of emotionally-focused and narrative couple therapy on the marital quality and emotional, cognitive and behavioral impaired functioning of distressed couples. The research design was randomized controlled trial and the sample consisted of 18 distressed couples who were randomly assigned to either NCT or EFCT as experimental groups and received between 8-12 weekly sessions of emotionally-focused couple therapy and narrative couple therapy. Also they were assessed in the screening, pre and post treatment, and follow-up stages utilizing Dyadic Adjustment Scale, The Experiences in Close Relationship Scale-Short Form, Relationship Attribution Measure, Rahim Organizational conflict Inventory-2, and Millon Clinical Multiaxail Inventory-III. Results revealed that NCT leads to significant change in the marital quality and behavioral impaired functioning by the end of the treatment, but the improvement was not steady at follow-up. EFCT led to significant changes in the marital quality, emotional and cognitive impaired functioning at the posttreatment. Also, in this group, behavioral impaired functioning was significantly improved at the follow-up. This improvement was steady except the attachment avoidance. Furthermore, outcomes for clinically significant changes favored EFCT both at the posttreatment and follow-up, but there were no significant differences between EFCT and NCT in the recovery rates in both assessment points.

کلیدواژه‌ها [English]

  • Keywords: Emotionally-Focused Couple Therapy
  • Narrative Couple Therapy
  • impaired functioning
  • distressed couples
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دوفصلنامه روانشناسی خانواده
دوره 3، شماره 1 - شماره پیاپی 5
5
شهریور 1395
صفحه 3-16
فایل ها
اشتراک گذاری
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