A Comparison of the Effectiveness of Schema Therapy and Emotion-Focused Couple Therapy on Marital Disenchantment in Couples with Marital Conflicts
Keywords:
schema-based couples therapy, emotion-focused couples therapy, marital disenchantmentAbstract
Objective: The present study aimed to compare the effectiveness of schema therapy and emotion-focused couple therapy on marital disenchantment in couples experiencing marital conflicts. Methods and Materials: This research employed a quasi-experimental design with a three-group pretest-posttest framework. The statistical population consisted of all couples with marital conflicts who sought services at the Mehrdoostan Counseling Center in Mashhad during the first half of 2023. For sampling, a purposive and convenience sampling method was used to select 30 individuals, who were then randomly assigned to two experimental groups and one control group (15 participants per group). The study utilized the Marital Disenchantment Scale (MDS; Kayser, 1993) as its assessment tool. The intervention consisted of Young’s schema therapy protocol (2003) and Johnson’s emotion-focused couple therapy protocol (2012), delivered in ten 90-minute group sessions for the experimental groups. Data were analyzed using repeated measures analysis of variance (ANOVA) via SPSS-22 software at a significance level of 0.05. Findings: Statistical findings revealed that at both posttest and follow-up stages, there were significant differences between the schema therapy and emotion-focused therapy groups compared to the control group regarding the variable of marital disenchantment (P < 0.05). Conclusion: Based on these findings, it can be concluded that counseling centers and family clinics can benefit from the application of both therapeutic approaches, with a preference for group counseling and psychotherapy formats.
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Arntz, A., Jacob, G. A., Lee, C. W., Brand-de Wilde, O. M., Fassbinder, E., Harper, R. P., & Farrell, J. M. (2022). Effectiveness of Predominantly Group Schema Therapy and Combined Individual and Group Schema Therapy for Borderline Personality Disorder: A Randomized Clinical Trial. JAMA Psychiatry, 79(4), 287-299. https://doi.org/10.1001/jamapsychiatry.2022.0010
Clyde, T., Hawkins, A. J., & Willoughby, B. J. (2020). Revising Premarital Relationship Interventions for the Next Generation. J Marital Fam Ther, 46(1), 149-164. https://doi.org/10.1111/jmft.12378
Edwards, C., Wittenborn, A. K., Morgan, P., Pratt, F., & Heiden-Rootes, K. (2024). The transition to Teletherapy: Experiences of emotionally focused therapistsJO - Fam Process. https://doi.org/10.1111/famp.13068
Gillanders, D. T., Bolderston, H., Bond, F. W. A. U. D. M., Flaxman, P. E., Campbell, L., & Remington, B. (2014). The development and initial validation of the cognitive fusion questionnaire. Journal o f Behavior Therapy, 45(1), 83-101. https://doi.org/10.1016/j.beth.2013.09.001
Glisenti, K., Strodl, E., & King, R. (2023). The role of beliefs about emotions in emotion-focused therapy for binge-eating disorder. Journal of Contemporary Psychotherapy, 53(2), 117-124. https://doi.org/10.1007/s10879-022-09555-6ER -
Janovsky, T., Rock, A., Thorsteinsson, B., & Clark, G. (2020). The Relationship between Early Maladaptive Schemas and Interpersonal Problems: A Meta ‐analytic Review. Clinical Psychology & Psychotherapy, 27(3), 408-447. https://doi.org/10.1002/cpp.2439
Jenks, A., Adams, G., Young, B., & Seedall, R. (2024). Addressing power in couples therapy: Integrating socio-emotional relationship therapy and emotionally focused therapy. Fam Process, 63(1), 48-63. https://doi.org/10.1111/famp.12961
Kang, M., Selzer, R., Gibbs, H., & Bourke, K. (2019). Mindfulness-based intervention to reduce burnout and psychological distress and improve wellbeing in psychiatry trainees: A pilot study. Journal of Australasian Psychiatry, 27(3), 1-20. https://doi.org/10.1177/1039856219848838
Kaya, Y., & Aydin, A. (2021). The Mediating Role of Early Maladaptive Schemas in the Relationship between Attachment and Mental Health Symptoms of University Students. Journal of Adult Development, 28, 15-24. https://doi.org/10.1007/s10804-020-09352-2
Qiu, S., Hannigan, B., Keogh, D., & Timulak, L. (2020). Learning emotionfocused therapy: certified emotion-focused therapists'perspectives. Person -Centered & Experiential Psychotherapies, 1-21. https://doi.org/10.1080/14779757.2020.1717989
Sanduvete-Chaves, S., Chacón-Moscoso, S., & Cano-García, F. J. (2024). Effectiveness of psychological interventions to decrease cognitive fusion in patients with chronic pain: A systematic review and meta-analysis. J Psychosom Res, 186, 111888. https://doi.org/10.1016/j.jpsychores.2024.111888
Shamsaei, Z., Karimi, K., & Akbari, M. (2023). The effectiveness of an educational package based on domestic violence on reducing frustration and marital instability. Rafsanjan University of Medical Sciences Journal, 22(9), 963-978. https://doi.org/10.61186/jrums.22.9.963
Topkaya, N., Şahin, E., Yılmaz, C., & Aşantuğrul, N. (2024). Predictors of Couple Burnout among Turkish Married Individuals. Behav Sci, 14(7), 561-575. https://doi.org/10.3390/bs14070561
Tseng, C. F., Morgan, P. C., & Wittenborn, A. K. (2024). Predicting change in relationship distress and depressive symptoms among couples in Taiwan: The role of attachment, emotional expressivity, and gender roles in Emotionally Focused Therapy. J Marital Fam Ther, 51(1), e12743. https://doi.org/10.1111/jmft.12743
Videler, A. C., van Royen, R. J., Legra, M. J., & Ouwens, M. A. (2020). Positive schemas in schema therapy with older adults: clinical implications and research suggestions. Behavioural and Cognitive Psychotherapy, 48(4SP - 481), 491. https://doi.org/10.1017/S1352465820000077
Wojcik, K. D., Cox, D. W., Kealy, D., & Zumbo, B. (2024). The Effect of Cognitive Fusion on Change in PTSD and Depression Symptom Severity in Veterans Engaged in Group PsychotherapyJO - J Cogn Psychother. 38(2), 169-184. https://doi.org/10.1891/JCP-2022-0035
Yıldızhan, C., Kafescioğlu, N., Zeytinoğlu-Saydam, S., Erdem, G., Söylemez, Y., & Yumbul, Ç. (2024). Emotion regulation in emotionally focused therapists working with high-conflict couples. J Marital Fam Ther, 50(4), 840-866. https://doi.org/10.1111/jmft.12725
Zeytinoglu‐Saydam, S., & Nino, A. (2019). A Tool for Connection: Using the Person‐of‐the‐Therapist Training (POTT) Model in Emotionally Focused Couple Therapy Supervision. Journal of marital and family therapy, 45(2), 233-243. https://doi.org/10.1111/jmft.12349
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Copyright (c) 2025 Gol Maryam Nazer , Abolfazl Bakhshipour, Mehdi Ghasemi Motlagh (Author)

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