The Effectiveness of Group Acceptance and Commitment Therapy and Cognitive Therapy on Alexithymia and Marital Boredom, Case study: Women Affected by Marital Infidelity in Mashhad, Iran

Maryam Sadeghi, N. Moheb, Marziyeh Alivandi Vafa
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Abstract

Introduction: The aim of current paper was to compare the effectiveness of acceptance and commitment group therapy (ACT) and group cognitive therapy (GCT) on Alexithymia and marital boredom (MB) among women affected by marital infidelity in Mashhad. Method: This clinical trial was a double- blind study with a pretest-posttest design in which two intervention groups and one control group were investigated. The study performed on women who realized their spouse infidelity and referred to Azad University Counseling Center in Mashhad in 2018. The sample consisted of 30 women who were selected by purposive sampling and were randomly assigned to two intervention groups and a control group (n=10 per group). The intervention groups were put under ACT training (twelve 90-minute sessions) and GCT training (twelve 90-minute sessions), but the control group did not receive any intervention. Data was obtained by the Toronto Alexithymia Scale-20 and Pines Marital Boredom Scale and was analyzed by multivariate analysis of covariance with SPSS (version 22) software. Results: The results showed a significant reduction in the mean score of MB in the ACT group, also there was a significant reduction in the mean score of Alexithymia in the GCT group (P <0.05). So comparing both therapies, ACT was more influential on reducing marital boredom whereas GCT was more effective on reducing alexithymia. Conclusion: Although both intervention methods were effective on Alexithymia and Marital Boredom in women affected by marital infidelity, it was demonstrated that ACT and GCT have more effect on Marital Boredom and Alexithymia, respectively.
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团体接纳与承诺治疗与认知治疗对述情障碍与婚姻厌倦的效果研究——以伊朗马什哈德地区受婚姻不忠影响的妇女为例
前言:本研究旨在比较接受与承诺团体治疗(ACT)与团体认知治疗(GCT)对马什哈德地区婚姻不忠女性述情障碍和婚姻无聊(MB)的治疗效果。方法:本临床试验采用前测后测双盲设计,分为两个干预组和一个对照组。该研究的对象是2018年意识到配偶不忠并向马什哈德阿扎德大学咨询中心求助的女性。样本由30名妇女组成,通过有目的抽样选择,随机分为两个干预组和一个对照组(每组n=10)。干预组分别接受ACT训练(12次90分钟)和GCT训练(12次90分钟),对照组不接受任何干预。数据采用多伦多述情障碍量表-20和Pines婚姻无聊量表获取,采用SPSS (version 22)软件进行多变量协方差分析。结果:ACT组MB平均评分显著降低,GCT组述情障碍平均评分显著降低(P <0.05)。因此,比较两种疗法,ACT在减少婚姻无聊方面更有影响力,而GCT在减少述情障碍方面更有效。结论:虽然两种干预方式对婚姻不忠女性的述情障碍和婚姻厌倦感均有效,但ACT和GCT分别对婚姻厌倦感和述情障碍的影响更大。
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