Navidian A, Bahari F
Department of Psychiatric and Mental Health Nursing, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
J Psychiatr Ment Health Nurs. 2014 Sep;21(7):658-66. doi: 10.1111/jpm.12058. Epub 2013 Apr 10.
Divorce and conflict are overlapping processes. Previous findings suggest that spirituality-related interventions in mental health nursing may play a significant role in reducing the level and amount of conflict. We examined the effects of hope and forgiveness-focused marital counselling and a combination of the two intervention types on interpersonal cognitive distortions of couples filing for divorce in Isfahan, Iran. We conducted a quasi-experimental study with a pre-test and post-test design. Of 440 couples referred to the Crisis Intervention Center undergoing pre-divorce counselling, 60 were randomly assigned to four groups: hope-focused, forgiveness-focused, mixed and control. Data were gathered using the Interpersonal Cognitive Distortions Scale and analysed using the non-parametric Kruskal-Wallis, Mann-Whitney's U and Wilcoxon tests. Hope- and forgiveness-focused interventions did not have a significant effect on the total number of interpersonal cognitive distortions in comparison with the control group. However, the mixed intervention significantly reduced irrational expectations and interpersonal rejection among couples. Combining hope- and forgiveness-focused interventions can be used to decrease irrational marital beliefs among couples. In addition, rating the level of conflict among couples is important for determining the type of intervention that should be used by mental health nurses (psycho-educational or therapeutic).
离婚与冲突是相互重叠的过程。先前的研究结果表明，心理健康护理中与灵性相关的干预措施可能在减少冲突的程度和数量方面发挥重要作用。我们研究了以希望和宽恕为重点的婚姻咨询以及这两种干预类型的组合对伊朗伊斯法罕申请离婚夫妇的人际认知扭曲的影响。我们进行了一项采用前测和后测设计的准实验研究。在转介到危机干预中心接受离婚前咨询的440对夫妇中，60对被随机分为四组：以希望为重点的组、以宽恕为重点的组、混合组和对照组。使用人际认知扭曲量表收集数据，并使用非参数Kruskal-Wallis检验、Mann-Whitney U检验和Wilcoxon检验进行分析。与对照组相比，以希望和宽恕为重点的干预措施对人际认知扭曲的总数没有显著影响。然而，混合干预显著降低了夫妇之间的不合理期望和人际排斥。将以希望和宽恕为重点的干预措施结合起来可用于减少夫妇之间不合理的婚姻信念。此外，评估夫妇之间的冲突程度对于确定心理健康护士应采用的干预类型（心理教育或治疗）很重要。
