Comparison of the Effectiveness of Emotion-focused Therapy and Cognitive-behavioral Therapy on Improving Attachment Styles, Emotion Regulation, Satisfaction and Marital Intimacy in Couples with Conflicts with Early Maladaptive Schemas in the Two Areas of Separation-rejection and Alertness-inhibition.
Investigating and comparing the effectiveness of emotion-based therapy and cognitive psychotherapy on improving attachment styles, emotional regulation, satisfaction, and marital intimacy in couples with primary incompatible schemas in the two areas of detachment and rejection and overinhibition.
Design
The current study is a three-arm clinical trial with parallel groups, which includes two experimental groups and one control group, pre-test and post-test. This study is a blinded and designed for 90 patients.
Settings and conduct
The statistical population will include all marital conflict clients who referred to Mehrpaya clinic in Mashhad in 1402, who have active primary incompatible schemas. The sample will consist of 90 people who will be selected by available sampling method and will be placed in three groups of 30 people. Each group will have 15 people with the schema of detachment and rejection and 15 people in the domain of excessive ringing and inhibition of both sexes. It should be mentioned that if the target volume is not reached for the sample group, the previous clients will be contacted and they will be invited to participate in the research.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Being in the age range of 25-55. Obtaining a score higher than the cut-off line in Young's Schema Questionnaire at least in one of the schemas in the field of cutting-rejecting or excessive ringing-inhibition.
Exclusion criteria: participation in other interventions. Verification of drug and stimulant addiction.
Intervention groups
According to Greenberg and Watson's eight-session protocol, the first experimental group will undergo emotional therapy, and the second experimental group will undergo cognitive behavioral psychotherapy, and the control group will not receive any intervention.
Main outcome variables
Marital Satisfaction
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20230618058511N2
Registration date:2023-12-30, 1402/10/09
Registration timing:prospective
Last update:2023-12-30, 1402/10/09
Update count:0
Registration date
2023-12-30, 1402/10/09
Registrant information
Name
Elahe Moshtaghi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 915 340 7077
Email address
elahe.moshtaghi@iau.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-01-21, 1402/11/01
Expected recruitment end date
2024-04-18, 1403/01/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the Effectiveness of Emotion-focused Therapy and Cognitive-behavioral Therapy on Improving Attachment Styles, Emotion Regulation, Satisfaction and Marital Intimacy in Couples with Conflicts with Early Maladaptive Schemas in the Two Areas of Separation-rejection and Alertness-inhibition.
Public title
A Comparison of CBT and EFT for Relationship Improvement in Couples with Early Maladaptive Schemas
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Referral due to marital conflicts
Obtaining a score higher than the cut-off line in the Young Schema Questionnaire in one of the two areas of cutting-rejection or excessive tinnitus-inhibition.
Being in the desired age range
Exclusion criteria:
Participation in other interventions
Age
From 25 years old to 55 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
90
Randomization (investigator's opinion)
N/A
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee of Islamic Azad University - Zahedan Branch
Street address
Sistan and Baluchestan . Zahedan . university street Islamic Azad University complex, Zahedan branch
City
Zahedan
Province
Sistan-va-Balouchestan
Postal code
9816743545
Approval date
2023-06-24, 1402/04/03
Ethics committee reference number
IR.IAU.ZAH.REC.1402.025
Health conditions studied
1
Description of health condition studied
marital conflicts; Early maladaptive schemas
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Marital Satisfaction
Timepoint
before the intervention (pre-test) and immediately after the intervention (post-test)
Method of measurement
Enrich Marital Satisfaction Questionnaire
Secondary outcomes
1
Description
Marital intimacy
Timepoint
before the intervention (pre-test) and immediately after the intervention (post-test)
Method of measurement
Bagarozi Marital Intimacy Questionnaire
Intervention groups
1
Description
The first intervention group: will receive cognitive behavioral therapy. The protocol used has 9 sessions of 60 to 90 minutes. The summary of the content of the sessions is as follows: First session: Establishing communication: In this session, the therapist and the members introduce themselves, and after a brief introduction, the therapist explains the cognitive behavioral therapy model and the goals of the therapy sessions. Second session: Skills Behavioral skills: In the second session, the members present their problems, then the therapist examines the behavioral skills of the couples. Exercises such as role reversal are used to clarify and resolve the ambiguity of problems. Third session: communication and behavioral skills: In this session, communication skills are taught to couples. The couples learn and practice different strategies for the speaker and the listener. Fourth session: Communication and behavioral skills: In this session, the therapist teaches the group members concepts such as empathy, validation, and the pencil and paper technique. Fifth session: Factors Cognitive: In this session, the therapist teaches the members thoughts, feelings, and behavior as well as their differences. Sixth session: Cognitive factors: In this session, mental schemas are discussed and the therapist examines schemas and creates a positive schema. Seventh: Cognitive factors: In the seventh session, cognitive errors, their types, and their relationship with automatic thoughts are discussed by the group leader. Eighth session: Impulsivity, self-control, and raising mood: In this session, the group leader explains the concept of impulse, its management, and It teaches ways to raise mood and regulate it, as well as self-control strategies. 9th session: problem solving skills: In this session, stress and various types of stressors are discussed and a relaxation technique is taught to the members. to be Also, the therapist corrects the types of coping behaviors for the members.
Category
N/A
2
Description
The second intervention group: this group will receive emotion-based therapy. The prepared protocol has 8 2-hour sessions, the description of the sessions is as follows: First session: This session is related to the introduction of the therapist and clients. After getting acquainted, the therapist tells the goals of the treatment to the members and then evaluates the clients. Also, the therapist explains about the types of emotions to the group members. The second session: In this session, anger, depression and other emotional skills and problem solving skills are explained. The third session: In the third session, the clients will learn They understand what the consequences of anger and bullying are. Fourth session: The therapist tries to increase the clients' awareness of the consequences of delaying their forgiveness process. Fifth session: In the fifth session, which is a continuation of the mindfulness session, the therapist tells the clients It helps to express their values and move in line with them. Sixth session: In this session, the client, accompanied by the therapist, expresses his regret from bullying and learns to have healthier methods for his needs. Seventh session: In the seventh session, Darmajo learns to replace his negative emotions with positive ones. Also, the therapist asks the clients to check their progress towards the goals. Eighth session: In the final session, the group members learn to check their progress and move in the same direction. They also try to promote forgiveness in their lives. take
Category
N/A
3
Description
Control group: this group doesn't receive any intervention
Category
N/A
Recruitment centers
1
Recruitment center
Name of recruitment center
Mehrepaya clinic
Full name of responsible person
Hossein Askarian Kalat
Street address
No. 38, between Hashemiye 38 and 40
City
Mashhad
Province
Razavi Khorasan
Postal code
9178611111
Phone
+98 915 338 7746
Email
hoseinasgarian@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Islamic Azad University
Full name of responsible person
Hamidreza Ganjali
Street address
Sistan and Baluchestan . Zahedan . university street Islamic Azad University complex, Zahedan branch
City
Zahedan
Province
Sistan-va-Balouchestan
Postal code
9816743545
Phone
+98 54 3344 3600
Email
university@iauzah.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Islamic Azad University
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Ferdowsi University of Mashhad
Full name of responsible person
Hossein Askarian Kalat
Position
Consultant
Latest degree
Master
Other areas of specialty/work
Psychology
Street address
Azadi Square, Ferdowsi University of Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948974
Phone
+98 930 566 1190
Email
hoseinasgarian@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Ferdowsi University of Mashhad
Full name of responsible person
Hossein Askarian Kalat
Position
Consultant
Latest degree
Master
Other areas of specialty/work
Psychology
Street address
Azadi Square, Ferdowsi University of Mashhad
City
Mashhad
Province
Razavi Khorasan
Postal code
9177948974
Phone
+98 930 566 1190
Email
hoseinasgarian@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Islamic Azad University
Full name of responsible person
Elahe Moshtaghi
Position
Instructor
Latest degree
Master
Other areas of specialty/work
Psychology
Street address
Medical School Health Development Office
City
Zahedan
Province
Sistan-va-Balouchestan
Postal code
9816743545
Phone
+98 915 340 7077
Fax
Email
elahe.moshtaghi@iau.ac.ir
Sharing plan
Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD