The Effectiveness of Dialectical Behavior Therapy on Improving Cognitive Flexibility, Relationship Beliefs, and Rumination in Individuals with Marital Dissatisfaction

Authors

DOI:

https://doi.org/10.61838/kman.pdmd.3.3.20

Keywords:

dialectical behavior therapy, marital dissatisfaction, cognitive flexibility, communication beliefs, rumination

Abstract

Objective: This study aimed to examine the effectiveness of Dialectical Behavior Therapy (DBT) on improving cognitive flexibility, relationship beliefs, and reducing rumination in individuals with marital dissatisfaction.

Methodology: The research is applied in nature and employs a quasi-experimental design with a pre-test and post-test, including a control group. The statistical population consisted of all individuals with marital dissatisfaction in Bojnord City who visited welfare counseling centers in 2024 and scored as dissatisfied on the Olson Marital Satisfaction Test. Convenience sampling was used, and the sample size comprised 40 participants randomly assigned to an experimental group (20 participants) and a control group (20 participants). Data were collected using the Cognitive Flexibility Inventory by Dennis and Vander Wal (2010), the Relationship Beliefs Questionnaire by Eidelson and Epstein (1981), and the Rumination Questionnaire by Nolen-Hoeksema (1991). The experimental group participated in 10 sessions of 90-minute Dialectical Behavior Therapy, based on McKay et al. (2012), conducted in a group format. The control group received no intervention. Data were analyzed using repeated measures analysis of variance with SPSS23 software.

Findings: The results demonstrated that Dialectical Behavior Therapy significantly improved cognitive flexibility, relationship beliefs, and reduced rumination in individuals with marital dissatisfaction. There were meaningful differences between the experimental and control groups for these variables.

Conclusion: Dialectical Behavior Therapy can be considered an effective intervention for enhancing cognitive flexibility, fostering positive relationship beliefs, and reducing rumination among individuals with marital dissatisfaction. These findings highlight the importance of incorporating innovative therapeutic approaches to address psychological and relational issues in couples.

Downloads

Download data is not yet available.

References

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

Almarzooqi, S., Chilcot, J., & McCracken, L. M. (2017). The Role of Psychological Flexibility in Migraine ...Headache Impact

and Depression. Journal of Contextual Behavioral Science, 6(2), 239-243. https://doi.org/10.1016/j.jcbs.2017.04.004

Amini, A., & Shariatmadar, A. (2018). Effectiveness of Group Dialectical Behavior Therapy on Catastrophizing and

Rumination in Mothers of Children with Intellectual Disabilities. Journal of Counseling Culture and Psychotherapy, 9(34),

171-190. https://qccpc.atu.ac.ir/article_8643_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

Benoy, C., Knitter, B., Knellwolf, L., Doering, S., Klotsche, J., & Gloster, A. T. (2018). Assessing psychological flexibility:

Validation of the Open and Engaged State Questionnaire. Journal of Contextual Behavioral Science, 12, 253-260.

https://doi.org/10.1016/j.jcbs.2018.08.005

Brinker, J. K., & Dozois, D. J. (2009). Ruminative thought style and depressed mood. Journal Clinical Psychological, 65(1),

1-19. https://doi.org/10.1002/jclp.20542

Chugani, C. D. (2017). Adapting Dialectical Behavior Therapy for College Counseling Centers. Journal of College Counseling,

20(1), 67-80. https://doi.org/10.1002/jocc.12059

Denckla, C. A., Consedine, N. S., Chung, W. J., Stein, M., Roche, M., & Blais, M. (2018). A double-edged sword? Sub-types

of psychological flexibility are associated with distinct psychiatric disorders. Journal of research in personality, 77, 119

125. https://doi.org/10.1016/j.jrp.2018.10.004

Federici, A., Wisniewski, L., & Ben-Porath, D. (2012). Description of an Intensive Dialectical Behavior Therapy Program for

Multidiagnostic Clients with Eating Disorders. Journal of Counseling & Development, 90(3), 330-338.

https://doi.org/10.1002/j.1556-6676.2012.00041.x

Hayes, S. C. (2016). Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and

Cognitive Therapies-Republished Article. Behavior therapy, 47(6), 869-885. https://doi.org/10.1016/j.beth.2016.11.006

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

Kangasniemi, A., Lappalainen, R., Kankaanpää, A., & Tammelin, T. (2014). Mindfulness skills, psychological flexibility, and

psychological symptoms among physically less active and active adults. Mental Health Phys Activity, 7(3), 121-127.

https://doi.org/10.1016/j.mhpa.2014.06.005

Keshavarz Mohammadi, R., Jarareh, J., & Khoyini, F. (2021). Effectiveness of Dialectical Behavior Therapy on Self

Compassion and Psychological Flexibility in Employees Experiencing Work-Family Conflict. Job and Organizational

Counseling, 13(4), 9-27. https://www.sid.ir/paper/1036579/fa

Kheirallahi, M., Jafari, A., Qamari, M., & Babakhani, V. (2019). Designing a Predictive Model for Cognitive Flexibility Based

on Trend Analysis of Life Cycle Changes in Couples Seeking Divorce. Quarterly Journal of Counseling Culture and

Psychotherapy, 10(39), 157-180. https://qccpc.atu.ac.ir/article_10144.html

Lam, D. C. K., & Gale, J. (2004). Cognitive behavior therapy. Counseling Psychology Quarterly, 17(1), 53-67.

https://doi.org/10.1080/09515070410001665884

Luczaj, H., & Kurek, Y. (2022). Predicting the quality of marital relationships based on communication beliefs, mindfulness and psychological flexibility. Journal of Child and Adolescent Behavior, 3, 246-253.

http://ensani.ir/fa/article/375323/%D9%BE%DB%8C%D8%B4-%D8%A8%DB%8C%D9%86%DB%8C

%DA%A9%DB%8C%D9%81%DB%8C%D8%AA-%D8%B1%D9%88%D8%A7%D8%A8%D8%B7

%D8%B2%D9%86%D8%A7%D8%B4%D9%88%DB%8C%DB%8C-%D8%A8%D8%B1

%D8%A7%D8%B3%D8%A7%D8%B3-%D8%A8%D8%A7%D9%88%D8%B1%D9%87%D8%A7%DB%8C-%D8%A7%D8%B1%D8%AA%D8%A8%D8%A7%D8%B7%DB%8C-%D8%B0%D9%87%D9%86

%D8%A2%DA%AF%D8%A7%D9%87%DB%8C-%D9%88

%D8%A7%D9%86%D8%B9%D8%B7%D8%A7%D9%81-%D9%BE%D8%B0%DB%8C%D8%B1%DB%8C

%D8%B1%D9%88%D8%A7%D9%86-%D8%B4%D9%86%D8%A7%D8%AE%D8%AA%DB%8C

Mohseni, A., & Yezdikhasti, F. (2017). Effectiveness of Dialectical Behavior Therapy on Reducing Attention Bias and

Rumination in Patients with Obsessive-Compulsive Disorder in Isfahan. Community Health Journal, 11(2), 48-57.

https://chj.rums.ac.ir/article_60708.html?lang=en

Mortezavi, M., Rakabi, N., Akbari Nejad-Mousavi, M., & Soleimani Rudbali, Z. (2022). Effectiveness of Dialectical Behavior

Therapy on family functioning and communication patterns in mothers with children with attention deficit/hyperactivity

disorder. Journal of Disability Studies, 12, 124-124.

https://jdisabilstud.org/browse.php?a_id=1708&sid=1&slc_lang=fa&ftxt=0

Namdarpour, F., Fatehizadeh, M., Bahrami, F., & Mohammadi Fesharki, R. (2018). Consequences of Rumination in Women

with Marital Conflicts: A Qualitative Study. Counseling Research Journal (Fresh Research in Counseling), 17(67), 124

153. https://irancounseling.ir/journal/browse.php?a_id=607&sid=1&slc_lang=en

Neacsiu, A. D., Ward-Ciesielski, E. F., & Linehan, M. M. (2012). Emerging Approaches to Counseling Intervention: Dialectical

Behavior Therapy. Counseling Psychologist, 40(7), 1003-1032. https://doi.org/10.1177/0011000011421023

Nematollahi, S., Afshari Nia, K., Alsadat Hosseini, S., Kakabraei, K., & Parandin, S. (2023). The Effectiveness of

Metacognitive Therapy and Compassion-Based Therapy on Reducing Rumination, Anxiety and Worry in Obsessive

Compulsive Patients. Journal of Psychological Dynamics in Mood Disorders (PDMD), 2(3), 50-61.

https://doi.org/10.22034/pdmd.2023.188277

Parvaresh, M., Taghinezhad, N., Amirfakhraei, A., & Sabahizadeh, M. (2024). Providing an Optimal Model for Enhancing

Cognitive Flexibility Based on Mindfulness in Nurses. Journal of Psychological Dynamics in Mood Disorders (PDMD),

3(1), 112-123. https://doi.org/10.22034/pdmd.2024.434590.1033

Rizvi, S. L. (2011). Treatment Failure in Dialectical Behavior Therapy. Cognitive and Behavioral Practice, 18(3), 403-412.

https://doi.org/10.1016/j.cbpra.2010.05.003

Sahranavard, S., & Miri, M. R. (2018). A comparative study of the effectiveness of group-based cognitive behavioral therapy

and dialectical behavioral therapy in reducing depressive symptoms in Iranian women substance abusers. Psicologia:

Reflexão e Crítica, 31, 15. https://www.scielo.br/j/prc/a/p3DGNVh893sRvLHJWkbq8gS/?format=html&lang=en

Shandiz, F. K., Shahabizadeh, F., Ahi, Q., & Mojahedi, M. (2021). The Effectiveness of Dialectical Behavioral Therapy on

Stress and Cognitive Flexibility in Women With Type 2 Diabetes.

https://pdfs.semanticscholar.org/3424/2c5df4939c46d8a248ee48ee0a402085f299.pdf

Sharifan, F. (2010). The Relationship Between Marital Satisfaction and Depression in Mothers and the Link Between These

Variables and Individual-Social Adjustment and Academic Performance of Their Daughters in Middle School in Ahvaz

Master's Thesis, Faculty of Educational Sciences and Psychology, Shahid Chamran University of Ahvaz].

https://www.sid.ir/fileserver/sf/3631394h0123.pdf

Shoghi, B., Mohammadi, A., & Pirkhaefi, A. (2023). The Mediating Role of Mindfulness in the Relationship between Cognitive

Abilities and Wisdom in Students. Sociology of Education, 8(2), 262-273. https://doi.org/10.22034/ijes.2023.707076

Soler, J., Pascual, J. C., Tiana, T., Cebria, A., Barrachina, J., Campins, M. J., Gich, I., Alvarez, E., & Pérez, V. (2009).

Dialectical behavior therapy skills training compared to standard group therapy in borderline personality disorder a 3

month randomized controlled clinical trial. Behav Res Ther, 47, 353-358. https://doi.org/10.1016/j.brat.2009.01.013

Watkins, E. R. (2008). Constructive and unconstructive repetitive thought. Psychol Bull, 134(2), 163-206.

https://doi.org/10.1037/0033-2909.134.2.163

Downloads

Publication Timeline

Published
Submitted
Revised
Accepted

Issue

Section

Articles

How to Cite

Yahoui, A. ., Eslami, M., & Azadi, M. . (2024). The Effectiveness of Dialectical Behavior Therapy on Improving Cognitive Flexibility, Relationship Beliefs, and Rumination in Individuals with Marital Dissatisfaction. Journal of Psychological Dynamics in Mood Disorders, 3(3), 275-291. https://doi.org/10.61838/kman.pdmd.3.3.20