Salimi Chiman, Kachooei Mohsen, Dadashi Mohsen, Farahani Hojatullah
Ph.D Candidate, Department of Psychology, University of Science and Culture, Tehran, Iran.
Department of Psychology, Faculty of Humanities, University of Science and Culture, Tehran, Iran.
J Educ Health Promot. 2024 Jul 29;13:276. doi: 10.4103/jehp.jehp_201_23. eCollection 2024.
Couples experience maladjustment and serious problems in establishing and maintaining intimate relationships. Therefore, therapists employ different methods for helping couples experience more intimate and compatible relationships. Nowadays, professionals are more interested in using integrative approaches than ever before. Integrative behavioral couple therapy (IBCT) is an exemplar of such methods. This study aimed to analyze the effects of IBCT on communication patterns and marital adjustment.
This study included pretest and posttest steps with a control group. The statistical population included couples aged 20-45 years old visiting the counseling and psychological service centers of Tehran for marital conflicts in 2022. After the initial evaluation, 76 couples were selected as the sample through convenience sampling. They were then randomly assigned to the test and control groups. All participants were asked to fill out the and the one week before the first intervention session and one week after the last intervention session. Participants in the test group attended eleven 90-minute sessions of IBCT, whereas those in the control group received no interventions in this period. The one-way ANCOVA was used for data analysis in SPSS 26.
The results indicated that IBCT managed to significantly improve marital adjustment and constructive communication patterns. It reduced two communication patterns called "mutual avoidance" and "demand/withdraw" in the test group ( = 0.001). However, since the effect size of "demand/withdraw" was 0.26, this result should be interpreted cautiously.
According to the research findings, Iranian couple therapists can employ IBCT to improve constructive communication patterns and mitigate destructive ones in couples. Given the effect size, IBCT increased dyadic cohesion, affection, dyadic satisfaction, and dyadic consensus as well as improving the marital adjustment of participants.
夫妻在建立和维持亲密关系时会经历失调和严重问题。因此，治疗师采用不同方法来帮助夫妻体验更亲密且融洽的关系。如今，专业人士比以往任何时候都更倾向于使用综合方法。综合行为夫妻治疗（IBCT）就是这类方法的典范。本研究旨在分析IBCT对沟通模式和婚姻调适的影响。
本研究包括有对照组的前测和后测步骤。统计总体包括2022年前往德黑兰咨询与心理服务中心处理婚姻冲突的20至45岁夫妻。经过初步评估，通过便利抽样选取76对夫妻作为样本。然后将他们随机分配到测试组和对照组。所有参与者被要求在第一次干预 session 前一周和最后一次干预 session 后一周填写相关问卷。测试组的参与者参加了11次时长90分钟的IBCT治疗，而对照组的参与者在此期间未接受任何干预。在SPSS 26中使用单因素协方差分析进行数据分析。
结果表明，IBCT成功显著改善了婚姻调适和建设性沟通模式。它减少了测试组中被称为“相互回避”和“要求/退缩”的两种沟通模式（P = 0.001）。然而，由于“要求/退缩”的效应量为0.26，这一结果应谨慎解读。
根据研究结果，伊朗夫妻治疗师可以采用IBCT来改善夫妻间的建设性沟通模式并减轻破坏性模式。考虑到效应量，IBCT增加了二元凝聚力、情感、二元满意度和二元共识，同时改善了参与者的婚姻调适。
