Emotionally Focused Therapy for Improving Marital Satisfaction and Reducing Fear of Intimacy in Couples with Communication Problems
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Objective: This study examined the effectiveness of Emotionally Focused Therapy in increasing marital satisfaction and reducing fear of intimacy among couples with communication problems.
Methods and Materials: This quasi-experimental study used a pretest–posttest control-group design with follow-up. The sample included 30 couples with communication problems who referred to counseling centers in Iran. Couples were selected through purposive sampling and randomly assigned to an experimental group (n = 15 couples) or a control group (n = 15 couples). The experimental group received eight weekly 90-minute sessions of Emotionally Focused Therapy, while the control group received no intervention during the study period. Data were collected using the Communication Patterns Questionnaire, ENRICH Marital Satisfaction Scale, and Fear of Intimacy Scale. Analysis of covariance and repeated-measures analysis of variance were used for data analysis.
Findings: After controlling for pretest scores, Emotionally Focused Therapy significantly increased marital satisfaction (F = 83.81, p < 0.001, partial η² = 0.595) and significantly reduced fear of intimacy (F = 86.15, p < 0.001, partial η² = 0.602). Repeated-measures analysis showed significant time × group effects for marital satisfaction (F = 59.60, p < 0.001, partial η² = 0.507) and fear of intimacy (F = 62.42, p < 0.001, partial η² = 0.519). Improvements were maintained at follow-up.
Conclusion: Emotionally Focused Therapy improved marital satisfaction and reduced fear of intimacy in couples with communication problems. EFT may be useful for strengthening emotional bonding and relational functioning.
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Arab Alidousti, A., Nakhaee, N., & Khanjani, N. (2015). Reliability and validity of the Persian versions of the ENRICH marital satisfaction (brief version) and Kansas Marital Satisfaction Scales. Health and Development Journal, 4(2), 158-167. https://jhad.kmu.ac.ir/article_91161_7a0c52d9eb9b3fbfad5809f97937d38e.pdfhttps://jhad.kmu.ac.ir/article_91375.html
Beasley, C. C., & Ager, R. (2019). Emotionally focused couples therapy: A systematic review of its effectiveness over the past 19 years. Journal of evidence-based social work, 16(2), 144-159. https://doi.org/10.1080/23761407.2018.1563013
Bowlby, J. (1982). Attachment and loss: retrospect and prospect. American journal of Orthopsychiatry, 52(4), 664. https://doi.org/10.1111/j.1939-0025.1982.tb01456.x
Descutner, C. J., & Thelen, M. H. (1991). Development and validation of a Fear-of-Intimacy Scale. Psychological assessment: A journal of consulting and clinical psychology, 3(2), 218. https://doi.org/10.1037/1040-3590.3.2.218
Falahzadeh, H. (2011). A study of the Psychometric Characteristics of Fear of Intimacy Scale (FIS). 20.1001.1.20080166.1390.5.1.7.7
Fincham, F. D., & Beach, S. R. (2010). Marriage in the new millennium: A decade in review. Journal of marriage and family, 72(3), 630-649. https://doi.org/10.1111/j.1741-3737.2010.00722.x
Fowers, B. J., & Olson, D. H. (1993). ENRICH Marital Satisfaction Scale: A brief research and clinical tool. Journal of Family psychology, 7(2), 176. https://doi.org/10.1037/0893-3200.7.2.176
Gottman, J. M., & Levenson, R. W. (2000). The timing of divorce: Predicting when a couple will divorce over a 14‐year period. Journal of marriage and family, 62(3), 737-745. https://doi.org/10.1111/j.1741-3737.2000.00737.x
Greenberg, L. S., & Johnson, S. M. (1988). Emotionally focused therapy for couples. Guilford Press. https://www.guilford.com/books/Emotionally-Focused-Therapy-for-Couples/Greenberg-Johnson/9781606239278?srsltid=AfmBOorqGmJePxkeEjS4sWZH5XL3y5er3oRiFx8-gJN9dP0lKd_UTikD
Hazan, C., & Shaver, P. (2017). Romantic love conceptualized as an attachment process. In Interpersonal development (pp. 283-296). Routledge. https://doi.org/10.4324/9781351153683-17
Johnson, S. M. (2012). The practice of emotionally focused couple therapy: Creating connection. Routledge. https://doi.org/10.4324/9780203843871
Johnson, S. M. (2019). Attachment theory in practice: Emotionally focused therapy (EFT) with individuals, couples, and families. Guilford Publications. https://www.guilford.com/books/Attachment-Theory-in-Practice/Susan-Johnson/9781462538249?srsltid=AfmBOoqsMIaFNXnoo43mBR2zBME6CZKyXAqmf0ipTO0jCYtMLmA-Osr6
Johnson, S. M., Hunsley, J., Greenberg, L., & Schindler, D. (1999). Emotionally focused couples therapy: Status and challenges. Clinical psychology: Science and practice, 6(1), 67. https://doi.org/10.1093/clipsy.6.1.67
Mikulincer, M., & Shaver, P. R. (2010). Attachment in adulthood: Structure, dynamics, and change. Guilford Publications. https://www.academia.edu/34596672/Attachment_in_Adulthood_Structure_Dynamics_and_Change_Mario_Mikulincer_PhD_Phillip_R_Sha_pdf
Rathgeber, M., Bürkner, P. C., Schiller, E. M., & Holling, H. (2019). The efficacy of emotionally focused couples therapy and behavioral couples therapy: A meta‐analysis. Journal of marital and family therapy, 45(3), 447-463. https://doi.org/10.1111/jmft.12336
Samadzadeh, M., Shaieri, M. R., & Javidi, N. (2013). Communication patterns questionnair: The reliability and validity. Family Counseling and Psychotherapy, 3(1), 124-150. 20.1001.1.22516654.1392.3.1.7.9
Wiebe, S. A., & Johnson, S. M. (2016). A review of the research in emotionally focused therapy for couples. Family process, 55(3), 390-407. https://doi.org/10.1111/famp.12229
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