Maryam Shirani Nazhvani; Felor Khayatan; Hadi Farhadi
Abstract
Background: Marital burnout significantly affects many women, leading to emotional distress and decreased quality of life. The present study aimed to investigate the effectiveness of resilient dialectical behavior therapy (RDBT) and dialectical behavior therapy (DBT) on improving coping strategies and ...
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Background: Marital burnout significantly affects many women, leading to emotional distress and decreased quality of life. The present study aimed to investigate the effectiveness of resilient dialectical behavior therapy (RDBT) and dialectical behavior therapy (DBT) on improving coping strategies and resilience in women experiencing marital burnout.Methods: This quasi-experimental study employed a pre-test, post-test, and two-month follow-up design to evaluate the efficacy of Dialectical Behavior Therapy (DBT) and Relational Dialectical Behavior Therapy (RDBT) in addressing marital burnout among women aged 25-50. The study participants were recruited from counseling centers in Isfahan, Iran, during the Spring of 2023. A convenience sample of 45 women was randomly allocated to three groups: DBT (n=15), RDBT (n=15), and a control group (n=15). The experimental groups received nine weekly, 60-minute therapy sessions, while the control group received no intervention. The Coping Inventory for Stressful Situations (CISS) and Connor-Davidson Resilience Scale (CD-RISC) were administered at pre-test, post-test, and follow-up. Repeated measures ANOVA and Bonferroni post-hoc tests were used to analyze the data, which was processed using SPSS version 27.Results: Both interventions had a significant positive effect on improving coping strategies and resilience in women experiencing marital burnout (P<0.001). At post-test, the RDBT group demonstrated significantly higher levels of problem-focused coping than the DBT group, with mean scores of 16.80 (95% CI: 14.43, 19.17) and 7.20 (95% CI: 4.83, 9.57), respectively. Both groups exhibited decreases in emotion-focused coping, with the RDBT group showing a more pronounced decline (-10.47, 95% CI: -12.83, -8.11) compared with the DBT group (-6.54, 95% CI: -8.91, -4.17). Similarly, the RDBT group demonstrated a greater reduction in avoidant coping (-11.13, 95% CI: -13.59, -8.67) compared with the DBT group (-7.93, 95% CI: -10.3, -5.56). Finally, both groups exhibited significant increases in resilience, with the RDBT group showing slightly higher levels at post-test (33.13, 95% CI: 30.77, 35.49) compared with the DBT group (31.14, 95% CI: 28.77, 33.51).Conclusions: The findings of this study demonstrate the efficacy of both DBT and RDBT in enhancing coping strategies and resilience among women experiencing marital burnout. These results underscore the potential of DBT and RDBT in addressing the psychological challenges associated with marital distress.
Mehrnoosh Babolhavaeji; Elaheh Khoshnevis; Sahar Jafarzadeh Rastin
Abstract
Background: Betrayal and marital infidelity are a kind of disorder and illness in behavior, which, due to its adverse effects, causes various injuries and problems for each person. This study aimed to determine the effect of training, based on cognitivebehavioral group therapy (CBGT), on depression and ...
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Background: Betrayal and marital infidelity are a kind of disorder and illness in behavior, which, due to its adverse effects, causes various injuries and problems for each person. This study aimed to determine the effect of training, based on cognitivebehavioral group therapy (CBGT), on depression and coping styles of women exposed to infidelity of a spouse, of course, the marital infidelity did not continue. Methods: This research was quasi-experimental, including pretest-posttest and control group. The population consisted of all women seeking psychological services due to the infidelity of their husbands during the second half of the Iranian year (from late September to late March) in 2017. Twenty two volunteers who met the requirements of the study were selected and randomly divided into two groups, experimental group (11 patients) and control group (11 patients). The experimental group participated in the 8th sessions (once a week, for 90 minutes) of CBGT. Subjects in both groups were asked to take a pre-test and post-test, responding to Coping Inventory for Stressful Situations Questionnaire and Beck Depression Inventory. Statistical analysis was performed using SPSS software version 13. To analyze the data, the descriptive statistics and analysis of covariance test were used. Results: The results showed that there was a significant difference between the mean of depression (54.10±5.3) and coping styles in the experimental group comparing with the post-test (p <0.001). The mean of problem-focused coping (09.58±35.7) of the experimental group increased in the post-test compared with the pre-test and the mean of the experimental group’s avoidance coping (90.48±88.4) and emotion-focused coping (25.41±59.11) decreased in the post-test compared with the pre-test. Thus, CBGT reduces depression and the use of ineffective coping styles (emotional and avoidance-coping styles), as well as, increasing the use of effective coping style (problem-focused coping style) in women after the marital infidelity of their spouses. It can be concluded that the implementation of CBGT has affected women after the marital infidelity of the spouse, which was 0.61 and created by an independent variable intervention. Also, the statistical power was 0.99. Conclusions: According to the results, it can be concluded that training, which is based on CBGT can improve depression and coping styles in women who exposed to infidelity of a spouse. It is suggested that counselors and psychologists use CBGT in dealing with women after the marital infidelity of their spouses. This way can help reduce their depression, behavioral abnormalities, and also improve coping styles.