The Effectiveness of Schema Therapy and Acceptance and Commitment Therapy (ACT) on Cognitive Flexibility and Quality of Life in Conflicting Couples
DOI:
https://doi.org/10.61838/kman.pdmd.3.3.11Keywords:
Schema therapy, Acceptance and Commitment Therapy, Cognitive flexibility, Quality of life, Conflicting couplesAbstract
Objective: The aim of this study was to examine the effectiveness of schema therapy and Acceptance and Commitment Therapy (ACT) on cognitive flexibility and quality of life in conflicting couples.
Methodology: This quasi-experimental study employed a pre-test, post-test, and follow-up design with a control group. The sample consisted of 24 conflicting couples who were randomly divided into three groups: schema therapy group (8 couples), ACT group (8 couples), and control group (8 couples). Both experimental groups received seven 120-minute sessions of intervention. The research tools included the Cognitive Flexibility Inventory and Quality of Life Questionnaire. Data were analyzed using repeated measures ANOVA.
Findings: The results showed that both experimental groups experienced significant improvements in cognitive flexibility and quality of life compared to the control group. Furthermore, the follow-up results indicated that these improvements in the schema therapy and ACT groups were sustained two months after the interventions. However, no significant difference was found between the effectiveness of the two therapeutic approaches.
Conclusion: Based on the findings of this study, both schema therapy and ACT can effectively increase cognitive flexibility and improve the quality of life in conflicting couples. These results highlight the effectiveness of these approaches in reducing marital conflicts and enhancing the psychological well-being of couples.
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References
Aalami, M., Taimory, S., Ahi, G., & Bayazi, M. h. (2020). The Effectiveness of an Integrated Approach of Schema Therapy
based Acceptance and Commitment Therapy on Marital Conflicts and Divorce Tendency in Divorce Applicant Couples
[Applicable]. Journal of Research in Behavioural Sciences, 18(1), 132-141. https://doi.org/10.52547/rbs.18.1.13
Abagheri Meyari, A., Dokaneifard, F., & Behbodi, M. (2024). Providing a Model for Predicting Children's Differentiation
Based on Communication Patterns and Personality Structure with the Mediation of Dysfunctional Attitudes in Parents
Attending Counseling Centers in Tehran. Journal of Psychological Dynamics in Mood Disorders (PDMD), 3(1), 139-159.
https://doi.org/10.22034/pdmd.2024.444918.1053
Abbasian Hadadan, M. (2024). The Effectiveness of Schema Therapy on Psychological Distress and Emotional Regulation in
Individuals with Borderline Personality Disorder. Journal of Psychological Dynamics in Mood Disorders (PDMD), 3(1),
160-174. https://doi.org/10.22034/pdmd.2024.454880.1088
Aghaee, A., Karezahi, F., & Farnam, A. (2019). The comparison of the effectiveness of group schema therapy and group
emotional-based couple therapy on couples’ maladaptive schemas and life satisfaction [Research]. Journal of
Psychological Science, 18(73), 133-142. http://psychologicalscience.ir/article-1-24-en.html
Ahmadi, S., Maredpoor, A., & Mahmoodi, A. (2019). Comparison the effectiveness of narrative therapyOn early maladaptive
schemas, Increasing the quality of lifeAnd marital satisfaction in couplesDivorce Applicant in Shiraz City. Psychological
Methods and Models, 10(36), 67-85. https://jpmm.marvdasht.iau.ir/article_3605_en.html?lang=en
Ahmadzadeh Samani, S., Dehnashi, A., Kalantari, M., & Rezaei Dehnavi, S. (2021). Effectiveness of Teaching Skills Based
on Schema Therapy on the Distress Tolerance and Psychological Flexibility of Female Students with Early Maladaptive
Schema. Psychology of Exceptional Individuals, 11(43), 87-116. https://doi.org/10.22054/jpe.2021.57328.2259
Akrami, S. (2022). Evaluation of the Effectiveness of Acceptance and Commitment-based Education on Emotional Self
disclosure and Marital Commitment of Women Referring to Gonbad Kavous Clinics. International Journal of Education
and Cognitive Sciences, 3(2), 23-29. https://doi.org/10.22034/injoeas.2022.160610
Albal, E., & Buzlu, S. (2021). The effect of maladaptive schemas and psychological flexibility approaches on the addiction
severity of drug addicts. Archives of Psychiatric Nursing, 35(6), 617-624. https://doi.org/10.1016/j.apnu.2021.09.001
Aliasgari, S., Farhangi, A., & Sedaghat, M. (2024). Comparison of the Effectiveness of Schema Therapy and Cognitive
Behavioral Therapy on Body Dysmorphic Disorder in Young Women with Body Dysmorphic Disorder. Journal of
Psychological Dynamics in Mood Disorders (PDMD), 3(1), 30-40. https://doi.org/10.22034/pdmd.2024.448850.1062
Alirezaee, m., Fathiaqdam, G., Ghamari, M., & Bazzazian, S. (2020). Comparing the effectiveness of reality therapy and
schema therapy on stress symptoms in women with marital conflict [Research]. Journal of nursing education, 8(2), 1-13.
http://ijpn.ir/article-1-1500-en.html
Babaei, F., Abdollahi, M., Amini Gilvani, M., & Masoomifard, M. (2024). The Mediating Role of Theory of Mind in the
Relationship Between Executive Functions and Marital Burnout Using Structural Equation Modeling and Artificial Neural
Networks (SEM-ANN). International Journal of Education and Cognitive Sciences, 5(4), 62-73.
https://doi.org/10.61838/kman.ijecs.5.4.7
Bakhtiari, E., Hosseini, S., Arefi, M., & Afsharinia, K. (2019). Causal Model of Extramarital Affairs Based on Attachment
Styles and Early Maladaptive Schemas: Mediating Role of Marital Intimacy and Love Styles [Research]. Iranian Journal
of Health Education and Health Promotion, 7(2), 245-258. https://doi.org/10.30699/ijhehp.7.2.245
Fadaei Moghadam, M., Khoshakhlagh, Hasan, Rezaei Jamaloei, Hasan. (2022). Comparison of the effectiveness of McKay
cognitive couple therapy and schema therapy on impulsivity and relationship improvement in couples with marital conflict
in Qom. Women Studies, 13(39), 141-166. https://doi.org/10.30465/ws.2022.39698.3454
Ghorbani, E., Karami, A., Noormohammadi, F., & Khosravi babadi, A. a. (2021). A causal model of maladaptive schema based
on cognitive flexibility and preferring coping strategies with the mediating role of emotional intelligence during home
quarantine conditions caused by the Coronavirus pandemic. Applied Family Therapy Journal (AFTJ), 2(5), 246-274.
https://journals.kmanpub.com/index.php/aftj/article/view/858
Güler, K., & Oyguç, N. (2022). Effectiveness of Mindfulness Stress Reduction Program on Cognitive Flexibility and Early
Maladaptive Schemas in Adults: Conscious Awareness, Cognitive Flexibility and Schemas. Universal Journal of
Psychology, 10(2), 11-21. https://doi.org/10.13189/ujp.2022.100201
Heydaryan, F., & Salehyan, M. (2023). Comparison of the Quality of Life, Positive Thinking and Psychological Capitals of
Girls from Single-Child Families with Multi-Child Families. Journal of Psychological Dynamics in Mood Disorders
(PDMD), 2(3), 26-36. https://doi.org/10.22034/pdmd.2023.183855
Hosseini, S. A. (2024). Comparison of the Effectiveness of Cognitive Behavioral Therapy and Schema Therapy on Emotional
Regulation and Resilience of Mothers with Children with Attention Deficit/Hyperactivity Disorder. Journal of
Psychological Dynamics in Mood Disorders (PDMD), 3(1), 12-29. https://doi.org/10.22034/pdmd.2024.442238.1045
Houshmandi, R. (2022). The effectiveness of couple therapy based on the McMaster functional model on family resilience and
psychological hardiness among couples on the verge of divorce. Journal of Psychological Dynamics in Mood Disorders,
1(1), 51-55. https://ijpdmd.com/article_177547.html
Ismaeilzadeh, N., Akbari, Bahman. (2021). The effectiveness of schema therapy on sexual self-efficacy, marital satisfaction
and early maladaptive schemas in couples with marital conflicts. medical journal of mashhad university of medical
sciences, 64(1), 2286-2296. https://doi.org/10.22038/mjms.2021.18525
Javidan, L. (2022). The effectiveness of couple therapy with EIS model on positive and negative emotions and marital
adjustment of couples. Journal of Psychological Dynamics in Mood Disorders (PDMD), 1(3), 20-30.
https://ijpdmd.com/article_180410.html
Kamalian, T., Mirzahoseini, H., & Monirpoor, N. (2020). Comparison of the effectiveness of Emotional Schema Therapy with
Self-Differentiation Method on marital burnout in women. Applied Psychology, 14(1), 9-33.
https://doi.org/10.52547/apsy.14.1.9
Mohammadi, F., Taleb, N., Rezaei Shojaei, S., & Emami roudi, T. (2019). The Effectiveness of Schema Therapy on Cognitive
Flexibility and Resiliency in Patients with Generalized Anxiety. medical journal of mashhad university of medical
sciences, 62(2), 34-42. https://doi.org/10.22038/mjms.2020.16176
Mohammadi, S., Hafezi, F., Ehteshamzadeh, P., Eftekhar Saadi, Z., & Bakhtiarpour, S. (2020). Effectiveness of Schema
Therapy and Emotional Self-Regulation Therapy in the Components of Women’s Marital Conflicts. JCCNC, 6(4), 277
288. https://doi.org/10.32598/JCCNC.6.4.341.1
Panahifar, S., Mirderikvand, F., & Mirsadeghi, M. (2022). The Comparison of the Effectiveness of Schema-Based Couple
Therapy, Emotional Focused Couple Therapy and Acceptance Commitment Couple Therapy on Intimacy Functions of
couples on the Brink of Divorce in Military Families [Research]. Nurse and Physician Within War, 10(34), 66-81.
https://doi.org/10.29252/npwjm.10.34.66
Pourjaberi, B., Shirkavand, N., & Ashoori, J. (2023). The Effectiveness of Cognitive Rehabilitation Training on Prospective
Memory and Cognitive Flexibility in Individuals with Depression. International Journal of Education and Cognitive
Sciences, 4(3), 45-53. https://doi.org/10.61838/kman.ijecs.4.3.5
Pourshahabadi, F., & Einipour, J. (2020). The Effectiveness of Schema Therapy on Differentiation of Self and Emotional
Control among Couples with Marital Maladjustment. International Journal of Applied Behavioral Sciences, 7(2), 18-29.
https://doi.org/10.22037/ijabs.v7i2.28249
Sadeghi, M., Naeimeh, M., & Alivandvafa, M. (2021). Effectiveness of Acceptance and Commitment Therapy (ACT) in
Couple Burnout, Alexithymia, and Quality of Life of Women Affected by Marital Infidelity. Journal of Applied Family
Therapy, 2(3), 73-91. https://doi.org/10.22034/AFTJ.2021.296762.1146
Soleimannezhad, A., & Hajizadeh, N. (2022). The Effectiveness of Schema Therapy on Marital Satisfaction and Marital
Adjustment in Couples Khoy City. Research of Womens, 7(2), 79. https://rimag.ricest.ac.ir/en/Article/39545
Vaziri, C., Ghanbari Panah, A., & Tajalli, P. (2021). Modeling of Self-regulation based on Cognitive Flexibility with Mediated
Role of Psychological Hardiness in Students. iase-idje, 4(2), 83-92. https://doi.org/10.52547/ijes.4.2.83
Yaghoobi, H., Toozandehjani, H., & Zendedel, A. (2020). Comparison the Effectiveness of Acceptance and Commitment
Therapy and Emotion Focused Couple Therapy on the Quality of Interpersonal Relationships among Couples with Marital
Conflicts [Comparison the Effectiveness of Acceptance and Commitment Therapy and Emotion Focused Couple Therapy
on the Quality of Interpersonal Relationships among Couples with Marital Conflicts]. umsha-ajnpp, 7(2), 116-125.
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