The Comparison of Effectiveness of Acceptance-Commitment Therapy with Reality Therapy on Covert Relational Aggression in Women with Marital Burnout

Document Type : Original Article

Authors

1 Ph.D Student, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.

2 Associate Professor, Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.

3 Assistant Professor, Department of Psychology, Islamic Azad University, North Tehran Branch, Tehran, Iran.

Abstract

Introduction: The purpose of this study was to comparison of effectiveness of acceptance-commitment therapy with reality therapy on covert relational aggression in women with marital burnout.
Method: This semi-experimental study employed a pretest-posttest design with a control group and a follow-up period of two months. The statistical population consisted of all women who visited counseling centers in Tehran in 2022. In the first stage, women with who scored of 73  or higher on marital Marital Burnout Questionnaire developed by Pines (2003) were selected and using a convenience sampling method. These participants were randomly divided to two experimental groups (each group 15 people) and one control group (15 people). The groups underwent acceptance-commitment Acceptance and Commitment Therapy (8 sessions 90 minutes) and reality therapy (8 sessions 90 minutes). Data were collected using the Covert Communication Aggression Scale developed by and Carroll (2006). Analysis Data analysis was conducted using repeated measures analysis variance with repeated software software.
Results: The results indicated that both interventions significantly affected covert relational aggression among women experiencing marital burnout (P < 0.05). Furthermore, the Bonferroni post hoc test revealed that acceptance and commitment therapy was more effective in reducing covert relational aggression (P < 0.05).
Discussion and conclusion: Based on the results of the present study, it can be concluded that Acceptance and Commitment Therapy (ACT) and Reality Therapy can be effective treatment methods for addressing covert relational aggression among women experiencing marital burnout in counseling centers.

Keywords

References

  • Jenkins, A. I., Fredman, S. J., Le, Y., Mogle, J. A., McHale, S. M. Religious Coping and Gender Moderate Trajectories of Marital Love among Black Couples. Family process, 2022; 61 (1): 312-325. https://doi.org/10.1111/famp.12645
  • Dollahite, D. C., Marks, L. D, Wurm, G. J. Generative devotion: A theory of sacred relational care in families of faith. Journal of Family Theory & Review, 2019; 11(3): 429-448. https://doi.org/10.1111/jftr.12339
  • Harasymchuk, C., Peetz, J., Fehr, B., Chowdhury, S. Worn out relationship? The role of expectations in judgments of relational boredom. Personal Relationships, 2021; 28 (1): 80-98. https://doi.org/10.1111/pere.12354
  • Harasymchuk, C., Lonn, A., Impett, E. A., Muise, A. Relational boredom as an obstacle for engaging in exciting shared activities. Personal Relationships, 2022; 29 (2): 350-365.

https://doi.org/10.1111/pere.12421

  • Mehdigholi, M., Dokaneifard., F, Jahangir, P. The effectiveness of emotion-oriented couple therapy on marital burnout and resilience of young couples. Journal of Applied Family Therapy, 2023; 4(2): 47-59.

https://doi.org/10.22034/aftj.2022.334054.1473 [In Persian]

  • Werner, A. M., Schmalbach, B., Zenger, M., Brähler, E., Hinz, A., Kruse, J., Kampling, H. Measuring physical, cognitive, and emotional aspects of exhaustion with the BOSS II-short version–results from a representative population-based study in Germany. BMC Public Health, 2022; 22 (1): 579-589.

https://doi.org/10.1186/s12889-022-12961-z

  • Hwang, H., Hur, W. M., Shin, Y. Emotional exhaustion among the South Korean workforce before and after COVID‐Psychology and Psychotherapy: Theory, Research and Practice, 2021; 94 (2): 371-381.

https://doi.org/10.1111%2Fpapt.12309

  • Gavelin, H. M., Neely, A. S., Dunås, T., Eskilsson, T., Järvholm, L. S., Boraxbekk, C. J. Mental fatigue in stress-related exhaustion disorder: Structural brain correlates, clinical characteristics and relations with cognitive functioning. NeuroImage: Clinical, 2020; 27 (1): 1-10. https://doi.org/10.1016%2Fj.nicl.2020.102337
  • De Oliveira, L., Carvalho, J., Nobre, P. A systematic review on sexual boredom. The Journal of Sexual Medicine, 2021; 18 (3): 565-581. https://doi.org/10.1016/j.jsxm.2020.12.019
  • Pines, A. M., Neal, M. B., Hammer, L. B., Icekson, T. Job burnout and couple burnout in dual-earner couples in the sandwiched generation. Social Psychology Quarterly, 2011; 74 (4): 361-386.

https://psycnet.apa.org/doi/10.1177/0190272511422452

  • Hamidikian, P., Niknam, M., Jahangir, P. Predicting latent marital aggression and fear of intimacy based on self-compassion with the mediating role of guilt in married people. Journal of Applied Family Therapy, 2021; 2(1): 65-90. https://doi.org/10.22034/aftj.2021.269755.1055 [In Persian]
  • Bradford, A. B., Dobry, S., Sandberg, J. G., Coyne, S. M. Baby with the bathwater? Examining the relationship between video game use and relationship outcomes and the moderating effects of attachment behaviors among married casual gamers. Journal of marital and family therapy, 2019; 45 (4): 699-718.

https://doi.org/10.1111/jmft.12355

  • Aizpitarte, A, Atherton, OE, Zheng, LR, Alonso-Arbiol I, Robins RW. Developmental precursors of relational aggression from late childhood through adolescence. Child development, 2019; 90 (1): 117-126.

https://doi.org/10.1111/cdev.13166

  • Nelson, D. A., Carroll, J. S. Couples relational aggression and victimization scale (CRAViS). Provo, UT: RELATE Institute. 2006. https://doi.org/10.1002/ab.20349
  • Carroll, J. S., Nelson, D. A., Yorgason, J. B., Harper, J. M., Ashton, R. H., Jensen, A. C. Relational aggression in marriage. Aggressive Behavior, 2010; 36 (5): 315-329.

https://doi.org/10.1002/ab.20349

  • Khazaei, S., Navabinejad, S., Farzad, V., Zahrakar, K. The Investigating of Psychometric properties of Covert Relational Aggression Scale. Journal of Research in Psychological Health, 2016; 10 (2): 75-88.

http://dx.doi.org/10.18869/acadpub.rph.10.2.75 [In Persian]

  • Karimi, A., Ahmadi, S., Zahrakar, K. The Effectiveness of Marital Skills Training Based on the Gotman’s Model in Covert Relational Aggression of Women. Journal of Clinical Psychology, 2020; 11(4): 13-22.

https://doi.org/10.22075/jcp.2020.17365.1640

[In Persian]

  • Kazemi, N., Narimani, M., SadeghiHashjin, G., Basharpoor, S. The effectiveness of brief self-regulation couple therapy (srct) on reducing marital covert relational aggression, changing of communication patterns and reduction of alexithymia among conflicting couples. Journal of Psychological Science. 2021; 20(108): 2225-2238. https://doi.org/10.52547/JPS.20.108.2225 [In Persian]
  • Amini, S., Mardani Rad, M., Kosravi Babadi, A. A., poushneh, K. The role of communicative covert aggression and cognitive emotion regulation in predicting marital satisfaction. Iranian Journal of Rehabilitation Research in Nursing, 2023; 9 (4): 30-38. [In Persian]
  • Zakariazadeh Khatir, Z. K., Fakhri, M. K., Heydari, S. The effectiveness of reality therapy on covert communication aggression and marital tension among women seeking divorce. journal of Adolescent and Youth Psychological Studies. 2022; 3 (1): 184-193.

http://dx.doi.org/10.52547/jspnay.3.1.184

[In Persian]

  • Asadpour, E., Veisi, S. The Effectiveness of Acceptance and Commitment Therapy on Marital Satisfaction, Sexual Self-Esteem and Burnout Martial among Women with Type 2 Diabetes. J Arak Uni Med Sci, 2019; 21 (7): 8-17. http://jams.arakmu.ac.ir/article-1-5710-fa.html [In Persian]
  • ernández, S. Acceptance and Commitment Therapy in group format for anxiety and depression. A systematic review. Journal of affective disorders, 2020; 263(1): 107-120.

https://doi.org/10.1016/j.jad.2019.11.154

  • Werner, H., Young, C., Hakeberg, M., Wide, U. A behavioural intervention for young adults with dental caries, using acceptance and commitment therapy (ACT): treatment manual and case illustration. BMC Oral Health, 2020; 20 (1): 233-246. https://doi.org/10.1186/s12903-020-01213-4
  • Wright, S. R., Graham, C. D., Houghton, R., Ghiglieri, C., Berry, E. Acceptance and commitment therapy (ACT) for caregivers of children with chronic conditions: A mixed methods systematic review (MMSR) of efficacy, process, and acceptance. Journal of Contextual Behavioral Science, 2023; 27 (2): 72-79.

https://doi.org/10.1016/j.jcbs.2022.12.003

  • Kashdan, T. B., Disabato, D. J., Goodman, F. R., Doorley, J. D., McKnight, P. E. Understanding psychological flexibility: A multimethod exploration of pursuing valued goals despite the presence of distress. Psychological Assessment, 2020; 32(9): 829-850.

https://doi.org/10.1037/pas0000834

  • Paulos-Guarnieri, L., Linares, I. M. P., El Rafihi-Ferreira, R. Evidence and characteristics of Acceptance and Commitment Therapy (ACT)-based interventions for insomnia: A systematic review of randomized and non-randomized trials. Journal of Contextual Behavioral Science, 2022; 23 (2): 1-14.

http://dx.doi.org/10.1016/j.jcbs.2021.11.001

  • Forman, E. M., Butryn, M. L. A new look at the science of weight control: how acceptance and commitment strategies can address the challenge of self-regulation. Appetite, 2015; 84, 171-180. https://doi.org/10.1016/j.appet.2014.10.004
  • Mousavi, M. S., Bakhshipour, A., Mahdian, H. Comparing the Effectiveness of “Acceptance and Commitment Therapy” and “Compassion-Focused Therapy” and “Compassion-Enriched Acceptance and Commitment Therapy” on Communication Patterns of Married Women Suffering from Depression and Marital Conflicts. JHPM 2023; 12 (1): 95-112.

http://dx.doi.org/https://doi.org/10.22034/JHPM.12.1.95 [In Persian]

  • Zakariazadeh Khatir, Z. K., Fakhri, M. K., Heydari, S. Comparing the effectiveness of acceptance and commitment-based therapy and reality therapy on covert communication aggression and forgiveness among women seeking divorce. journal of Adolescent and Youth Psychological Studies, 2022; 3 (2): 303-313.

http://dx.doi.org/10.52547/jspnay.3.2.303

[In Persian]

  • Sepas, L., Shaker Dioulag, A., Khademi, A. Comparison of the effectiveness of acceptance-based therapy and reality therapy on reducing anxiety sensitivity in women with MS in Urmia. Counseling Culture and Psycotherapy, 2022; 13(51): 85-113.

https://doi.org/10.22054/qccpc.2022.64043.2808 [In Persian]

  • Bond, J., Kenny, A., Pinfold, V., Couperthwaite, L., Kabir, T., Larkin, M., Robotham, D. A Safe Place to Learn: Peer Research Qualitative Investigation of gameChange Virtual Reality Therapy. JMIR serious games, 2023; 11 (1): 1-10. https://doi.org/10.2196/38065
  • Hudon, A., Couture, J., Dellazizzo, L., Beaudoin, M., Phraxayavong, K., Potvin, S., Dumais, A. Dyadic Interactions of Treatment-Resistant Schizophrenia Patients Having Followed Virtual Reality Therapy: A Content Analysis. Journal of Clinical Medicine, 2023; 12 (6): 1-10.

https://doi.org/10.3390/jcm12062299

  • Wang, E. F., Jotwani, R. Virtual reality therapy for myofascial pain: Evolving towards an evidence-based non-pharmacologic adjuvant intervention. Interventional Pain Medicine, 2023; 2 (1): 1-10.

https://pubmed.ncbi.nlm.nih.gov/35409751/

  • Goudarzi, A., Kikhosravani, M., Deyreh, E., Ganji, K. The Effectiveness of Reality Therapy on Marital Flexibility, Marital Burnout and Social Commitment in Couples Seeking Divorce in Malayer. Woman and family Studies, 2020; 13(49) 7-27.

http://dx.doi.org/10.52547/rbs.18.3.288

[In Persian]

  • Fallah Berejestanaki, V., Saberi, H., Shomali Oskoei, A. Comparison of the effectiveness of group reality therapy with group cognitive behavioral therapy on marital satisfaction and self-control of women. Journal of Applied Psychology, 2022; 16 (3): 224-201.

https://doi.org/10.52547/apsy.2022.225276.1238 [In Persian]

  • Jafari, T., Nikfar, K., Khanzadeh, M. The effectiveness of reality therapy on aggression, loneliness, and emotional detachment in married women dependent on cyberspace. Quarterly Journal of Women's Psychology, 2023; 4(1): 26-1. https://civilica.com/doc/1626326/ [In Persian]
  • Pines, A. M. The female entrepreneur: Burnout treated using a psychodynamic existential approach. Clinical Case Studies, 2003; 1 (2): 170-180. http://dx.doi.org/10.1177/1534650102001002005
  • Fotohi, S., Mikaeili, N., Atadokht, A., Hajlo, N. Comparing The Effectiveness Of Meta- Emotion Based Couple Therapy with Narrative Couple Therapy On Adjustment And Cuople Burnout In Conflicting Couples. Counseling Culture and Psycotherapy, 2018; 9(34): 77-101.

https://doi.org/10.22054/qccpc.2018.27362.1672 [In Persian]

https://sanad.iau.ir/en/Article/893665

[In Persian]

  • Kamalian, T., Mirzahoseini, H., Monirpoor, N. Comparison of the effectiveness of Emotional Schema Therapy with Self-Differentiation Method on marital burnout in women. Journal of Applied Psychology, 2020; 14(1): 9-33.

https://doi.org/10.52547/apsy.14.1.9 [In Persian]

  • Sadeghi, M., Khaliligeshnigani, Z., Alipour, K. The effect of gratitude education on positive feelings towards spouse and boredom in women with marital incompatibility. Counseling Culture and Psycotherapy, 2022; 13(51): 253-279.

https://doi.org/10.22054/qccpc.2022.62465.2750 [In Persian]

  • Khazaei, S., Navabinejad, S., Farzad, V., Zahrakar, K. The Mediating Role of Feelings of Shame and Guilt in the Relationship between Attachment Styles and Covert Relational Aggression in Marriage. Journal of Research in Psychological Health, 2021; 15 (1): 34-51.

https://rph.khu.ac.ir/article-1-3819-fa.html

[In Persian]

  • Oka, M., Brown, C. C., Miller, R B. Attachment and relational aggression: Power as a mediating variable. The American Journal of Family Therapy, 2016; 44 (1): 24-35.

https://doi.org/10.1080/01926187.2015.1105716

  • Hayes, S. C., Strosahl, K. D., Wilson, K. G. Acceptance and commitment therapy: The process and practice of mindful change. Second Edition. New York: Guilford Press 2016. https://psycnet.apa.org/record/2012-00755-000
  • Wubbolding, R. W. The relationship between professional diversity/multicultural guidelines and choice theory/reality therapy. International Journal of Choice Theory and Reality Therapy, 2019; 38(2): 36-42.

https://www.wglasserinternational.org/wp-content/uploads/bsk-pdf-manager/2019/05/IJCTRTSpring-2019.pdf#page=36

  • Nikookar, Y., Jafari, A., Fathi Aghdam, G., Poyamanesh, J. Comparison of the effectiveness of approaches based on acceptance and commitment therapy (ACT) and reality therapy on irrational thoughts of female supervisors under the auspices of the Relief Committee, Quarterly Journal of Women and Family Studies, 2022; 15(55): 152-135.

https://doi.org/10.30495/jwsf.2021.1933872.1586 [In Persian]

 

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