The Impact of Acceptance and Commitment Couples Therapy on Reducing the Marital Conflicts between Couples Applying for Divorce

Document Type : Original Article

Authors

1 PhD Candidate in Psychology, Islamic Azad University, Tabriz Branch, Tabriz, Iran

2 Assistant Professor, Department of Psychology, Islamic Azad University, Tabriz Branch, Tabriz, Iran

3 Assistant Professor, Department of Psychology, Ferdowsi University of Mashhad, Mashhad, Iran

Abstract

Introduction
Divorce and destructive conflicts between couples are major endangering issues that cause mental disorders and harms in the family and endanger communities’ psychological health. So, many social institutions try to take preventive measures in this regard. Conflict is an inevitable phenomenon of marital relationships, the result of which could be couples’ aroused negative feelings. Couples may think differently about each other, and the difference would result in stress or tension among them. The decision for living together as a couple creates diverse expectations and various hopes, some of which will probably remain unfulfilled. Failing to manage different challenges or expectation of married life may lead to destructive behaviors. Destructive behaviors make worse the situation, make couples dissatisfied, and even in some cases may result in such behaviors as insulting, shouting, and criticizing the other one. If one of the couples face the negative behaviors, probably shows similar or worse behaviors. Several therapeutic methods have been proposed for helping couples to solve their conflicts, among of which is acceptance and commitment couples therapy. Acceptance and commitment couples therapy is a psychological method that aims helping those who experience a long-lasting problem or pain. Some studies have shown that acceptance and commitment couples therapy can positively impact on such marital variables as the quality of life, compatibility between couples, intimacy, marital satisfaction, interpersonal conflicts, and psychological distresses. Many scholars have paid attention to marital conflicts, since more examining feelings, behaviors, and cognition can help find more solutions for marital challenges. This research, then, tried to investigate the impact of acceptance and devotion couples therapy on marital conflict among those who have applied for divorce. The study tries to answer the following questions:

Does acceptance and commitment couples therapy decrease the marital conflicts among the couples applying for divorce?
Do the impacts of acceptance and commitment couples therapy on decreasing the marital conflicts last to the follow-up phase?

Method
This semi-experimental research used a pre-test, post-test, and a follow-up design. The statistical population consisted of all couples applying for divorce and referring to Andisheh Counseling Center of Tabriz, Iran, from May to December 2021. According Cohen’s table, 30 couples were selected as members of the sample. The couples were divided randomly into experimental and control groups (15 couples in each group). The experimental groups were trained using acceptance and commitment couples therapy over 10 sessions of 90 minutes, twice a week (and a follow-up session), and the control group did not receive any treatmen and were told that they were on the waiting list. Barati and Sanaei’s (2000) revised Marital Conflicts Questionnaire that includes 54 items was used to measure the type and extent of conflicts in marital relationships. The questionnaire has content validity. Its reliability coefficient of the questionnaire in was calculated using Cronbach's alpha to be 0.91. The collected data were analyzed at descriptive and inferential levels. Mean and standard deviation were used for the descriptive part and mixed model ANOVA was used for the inferential part of data analysis.
Results
The average age of the participants was 34.34 and their marriage duration was 3 to 24 years. Most participants had been married for 3 to 6 years. Of 30 couples, 26.56% had no children, 26.55% had one child, 33.44% had two children, 9% had three children, and 3.35% had four children. Regarding degrees, of the 30 male participants, 3.4% had PhD, 20% had a MA/MSc degree, 26.5% had a BA/Bsc degree, 13.6% had an associate degree, and 36.7% had diploma. Of the 30 female participants, 16.6% had a MA/MSc degree, 46.6% had a Ba/Bsc degree, 3.4% had an associate degree, and 33.4% had a diploma. Descriptive statistics showed that the average score for the subscales and the overall marital conflict have decreased in the experimental group in post-test and follow-up tests, but no changes can be seen in the control group. Moreover, the significance of the difference between the groups regarding the scores was evaluated through mixed ANOVA, the normal distribution of the data was tested through Mauchly’s Test of Sphericity, and the interaction effect was measured through Wilk’s lambda test. Since both were insignificant, the data are normally distributed and the homogeneity of variances is valid. The analysis of the variance of intergroup and intragroup effects regarding marital conflicts in different situations showed the reduction of conflicts between couples in the experimental group (F=108.110, p=0.0001) and the stability of the results in the follow-up phase (F=39.40, p=0.001). Therefore, regarding Question 1 of the study, it can be said that acceptance and commitment couples therapy had reduced the marital conflict between couples in the experimental group over time. Regarding Question 2 of the study, the stability of the effectiveness of the intervention over time was approved.
Discussion and Conclusion
The results showed that acceptance and commitment couples therapy reduces marital conflicts. The difference between marital conflicts in the experimental and control groups after the intervention is significant; that is, the average score of marital conflicts was lower at the post-test of the experimental group. According to Cohen, the effect size of 40% is medium. The effect size of this study was 49%, meaning that the effect is valid after three months. Accordingly, implementing each of the six stages of acceptance and commitment couples therapy (experiential avoidance, acceptance, cognitive dissonance, being present, self-monitoring, and values) improves the damage caused to different dimensions of the couples’ behavior, cognition, emotion, and relationship. This therapy increases couples’ intimacy, reduces their marital conflicts, improves the quality of their communication, and enhances their marital satisfaction.
 

Keywords

Main Subjects


  1. References

    A-tjak, J. G., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A., & Emmelkamp, P. M. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84(1), 30-36. https://doi.org/10.1159/000365764

    Abbasia, M., Dargahib, S., Ghasemi Jobanehb, R., Dargahi, A., Mehrabi, A., & Aziz, K. (2015). The effectiveness of acceptance and commitment based training on the maladaptive schemas of female students with bulimia nervosa. Archives of Hygiene Sciences, 4(2), 86-93. https://doi.org/10.1159/000365764

    Amato, P. R., & Hohmann‐Marriott, B. (2007). A comparison of high‐and low‐distress marriages that end in divorce. Journal of marriage and family, 69(3), 621-638. https://doi.org/10.1111/j.1741-3737.2007.00396.x

    Baruch, D. E., Kanter, J. W., Busch, A. M., & Juskiewicz, K. L. (2009). Enhancing the therapy relationship in Acceptance and Commitment Therapy for psychotic symptoms. Clinical Case Studies, 8(3), 241-257. https://doi.org/10.1177/1534650109334818

    Birditt, K. S., Brown, E., Orbuch, T. L., & McIlvane, J. M. (2010). Marital conflict behaviors and implications for divorce over 16 years. Journal of marriage and family, 72(5), 1188-1204. https://doi.org/10.1111/j.1741-3737.2010.00758.x

    Bowers, J. R., Ogolsky, B. G., Hughes Jr, R., & Kanter, J. B. (2014). Coparenting through divorce or separation: A review of an online program. Journal of Divorce & Remarriage, 55(6), 464-484. https://doi.org/10.1080/10502556.2014.931760

    Brown, F. L., Whittingham, K., Boyd, R. N., McKinlay, L., & Sofronoff, K. (2015). Does Stepping Stones Triple P plus Acceptance and Commitment Therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomised controlled trial. Behaviour research and therapy, 73, 58-66. https://doi.org/10.1016/j.brat.2015.07.001

    Caughlin, J. P., Vangelisti, A. L., & Mikucki-Enyart, S. L. (2006). Conflict in dating and marital relationships. The SAGE handbook of conflict communication: Integrating theory, research, and practice, 129-157.

    Danaher, B. G. (1974). Theoretical foundations and clinical applications of the Premack Principle: Review and critique. Behavior therapy, 5(3), 307-324. https://doi.org/10.1016/S0005-7894(74)80001-8

    Dousti, P., Mohagheghi, H., & Jafari, D. (2015). The effect of acceptance and commitment therapy on the reduction of anxious thoughts in students. Environment Conservation Journal, 16(SE), 327-333.

    Falcke, D., Wagner, A., & Mosmann, C. (2013). Estratégias de resolução de conflito e violência conjugal. Casal e família: transmissão, conflito e violência, 14(2), 159-176.

    Fang, S., & Ding, D. (2020). A meta-analysis of the efficacy of acceptance and commitment therapy for children. Journal of Contextual Behavioral Science, 15, 225-234. https://doi.org/10.1016/j.jcbs.2020.01.007

    Fish, J. A., Ettridge, K., Sharplin, G., Hancock, B., & Knott, V. (2014). M indfulness‐based C ancer S tress M anagement: impact of a mindfulness‐based programme on psychological distress and quality of life. European journal of cancer care, 23(3), 413-421. https://doi.org/10.1111/ecc.12136

    Folke, F., Parling, T., & Melin, L. (2012). Acceptance and commitment therapy for depression: A preliminary randomized clinical trial for unemployed on long-term sick leave. Cognitive and Behavioral Practice, 19(4), 583-594. https://doi.org/10.1016/j.cbpra.2012.01.002

    Gehart, D. R. (2012). Mindfulness Research Foundations. In Mindfulness and Acceptance in Couple and Family Therapy (pp. 39-55). Springer. https://books.google.com/books?id=Sk3BdI0NHbIC&lpg=PR5&ots=BTABNdJxvc&dq=Gehart

    Gehart, D. R., & McCollum, E. E. (2007). Engaging suffering: Towards a mindful re‐visioning of family therapy practice. Journal of Marital and Family Therapy, 33(2), 214-226. https://doi.org/10.1111/j.1752-0606.2007.00017.x

    Gillard, D., Flaxman, P., & Hooper, N. (2018). Acceptance and commitment therapy: Applications for educational psychologists within schools. Educational Psychology in Practice, 34(3), 272-281. https://doi.org/10.1080/02667363.2018.1446911

    Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior therapy, 35(4), 639-665. https://doi.org/10.1016/S0005-7894(04)80013-3

    Hayes, S. C., & Hofmann, S. G. (2018). Process-based CBT: The science and core clinical competencies of cognitive behavioral therapy. New Harbinger Publications. https://doi.org/10.1080/07317107.2018.1522153

    Hayes, S. C., & Pierson, H. (2005). Acceptance and commitment therapy. Encyclopedia of cognitive behavior therapy, 1-4. https://doi.org/10.1007/0-306-48581-8_1

    Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change. Guilford press. https://books.google.com/books?id=og28CwAAQBAJ&lpg=PP1&ots=-7SSXL3Ivl&dq=Hayes

    Hertenstein, E., Thiel, N., Lüking, M., Külz, A. K., Schramm, E., Baglioni, C., Spiegelhalder, K., Riemann, D., & Nissen, C. (2014). Quality of life improvements after acceptance and commitment therapy in nonresponders to cognitive behavioral therapy for primary insomnia. Psychotherapy and Psychosomatics, 83(6), 371-373. https://doi.org/10.1159/000365173

    Hofmann, S. G., & Hayes, S. C. (2019). The future of intervention science: Process-based therapy. Clinical Psychological Science, 7(1), 37-50. https://doi.org/10.1177/2167702618772296

    Hughes, L. S., Clark, J., Colclough, J. A., Dale, E., & McMillan, D. (2017). Acceptance and commitment therapy (ACT) for chronic pain. The Clinical journal of pain, 33(6), 552-568. https://www.ingentaconnect.com/content/wk/cjpn/2017/00000033/00000006/art00010

    Jiménez, F. J. R. (2012). Acceptance and commitment therapy versus traditional cognitive behavioral therapy: A systematic review and meta-analysis of current empirical evidence. International journal of psychology and psychological therapy, 12(3), 333-358. https://dialnet.unirioja.es/servlet/articulo?codigo=4019738

    Kohtala, A., Lappalainen, R., Savonen, L., Timo, E., & Tolvanen, A. (2015). A four-session acceptance and commitment therapy based intervention for depressive symptoms delivered by masters degree level psychology students: A preliminary study. Behavioural and Cognitive Psychotherapy, 43(3), 360-373. https://doi.org/10.1017/S1352465813000969

    Levin, M. E., Hildebrandt, M. J., Lillis, J., & Hayes, S. C. (2012). The impact of treatment components suggested by the psychological flexibility model: A meta-analysis of laboratory-based component studies. Behavior therapy, 43(4), 741-756. https://doi.org/10.1016/j.beth.2012.05.003

    Lindahl, K. M., & Malik, N. M. (2011). Marital conflict typology and children's appraisals: the moderating role of family cohesion. Journal of family psychology, 25(2), 194. https://doi.org/10.1037/a0022888

    Liu, H., Liu, N., Chong, S. T., Yau, E. K. B., & Badayai, A. R. A. (2023). Effects of acceptance and commitment therapy on cognitive function: A systematic review. Heliyon. https://doi.org/10.1016/j.heliyon.2023.e14057

    McCracken, L. M., & Morley, S. (2014). The psychological flexibility model: a basis for integration and progress in psychological approaches to chronic pain management. The Journal of Pain, 15(3), 221-234. https://doi.org/10.1016/j.jpain.2013.10.014

    Mohsenzadeh, F., Yarahmadi, H., Zahrakar, K., & Soleimani, A. (2019). Effectiveness of group therapy based on acceptance and commitment therapy on quality of life in HIV patient. Journal of psychologicalscience, 18(80), 923-932. https://www.researchgate.net/profile/Hosein-Yarahmadi-2/publication/337566599

    Mosmann, C., & Falcke, D. (2011). Conflitos conjugais: motivos e frequência. Revista da SPAGESP, 12(2), 5-16. https://dialnet.unirioja.es/servlet/articulo?codigo=5493567

    Olson, D. H., DeFrain, J., & Skogrand, L. (2013). Marriages and families. McGraw-Hill US Higher Ed USE. https://pdfs.semanticscholar.org/f63e/7e4c680f53dc2152e9628102c07848e38dea.pdf

    1. Greeff, T. D. B., Abraham. (2000). Conflict management style and marital satisfaction. Journal of sex & marital therapy, 26(4), 321-334. https://doi.org/10.1080/009262300438724

    Peterson, B. D., Eifert, G. H., Feingold, T., & Davidson, S. (2009). Using acceptance and commitment therapy to treat distressed couples: A case study with two couples. Cognitive and Behavioral Practice, 16(4), 430-442. https://doi.org/10.1016/j.cbpra.2008.12.009

    Preotu, I.-D., & Turliuc, M. N. (2015). Similarity, communication, and satisfaction in intimate relationships: The role of ideal standards. Psihologia Sociala(35), 109. https://www.ceeol.com/search/article-detail?id=281858

    Rinaldi, C., & Howe, N. (1998). Siblings' reports of conflict and the quality of their relationships. Merrill-Palmer Quarterly (1982-), 404-422. https://www.jstor.org/stable/23093709

    Sandström, G. (2011). Socio-economic determinants of divorce in early twentieth-century Sweden. The history of the family, 16(3), 292-307. https://doi.org/10.1016/j.hisfam.2011.06.003

    Shaker, M., Rahimi, M., & Zare, M. (2016). The effectiveness of therapy based on acceptance and commitment social anxiety and general self-efficacy on divorced women under welfare organization in Yazd. Journal of Social Sciences and Humanities Research, 4(04), 6-12. https://doi.org/10.24200/jsshr.vol4iss04pp6-12

    Springer, J. (2012). Acceptance and commitment therapy: Part of the" Third Wave" in the behavioral tradition. Journal of Mental Health Counseling, 34(3), 205-212. https://doi.org/10.17744/mehc.34.3.9110205883653735

    Stoddard, J. A., & Afari, N. (2014). The Big Book of ACT Metaphors: a practitioner's guide to experiential exercises and metaphors in Acceptance and Commitment Therapy. new harbinger publications.

    Stutzman, S. V., Miller, R. B., Hollist, C. S., & Falceto, O. G. (2009). Effects of marital quality on children in Brazilian families. Journal of Comparative Family Studies, 40(3), 475-492. https://doi.org/10.3138/jcfs.40.3.475

    Tolorunleke, C. A. (2014). Causes of marital conflicts amongst couples in Nigeria: Implication for counselling psychologists. Procedia-Social and Behavioral Sciences, 140, 21-26. https://doi.org/10.1016/j.sbspro.2014.04.381

    Veehof, M. M., Trompetter, H., Bohlmeijer, E. T., & Schreurs, K. (2016). Acceptance-and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review. Cognitive behaviour therapy, 45(1), 5-31. https://doi.org/10.1080/16506073.2015.1098724

    Wagner, A., Grzybowski, L., Arpini, D., & Cúnico, S. (2014). Como os filhos percebem o relacionamento conjugal de seus pais. Novos olhares sobre a família: Aspectos psicológicos, sociais e jurídicos, 39-53.

    Wagner, A., & Mosmann, C. (2008). Dimensiones de la conyugalidad y de la parentalidad: un modelo correlacional. Revista Intercontinental de Psicología y Educación, 10(2), 79-103. https://www.redalyc.org/pdf/802/80212387005.pdf

    Zhang, C.-Q., Leeming, E., Smith, P., Chung, P.-K., Hagger, M. S., & Hayes, S. C. (2018). Acceptance and commitment therapy for health behavior change: a contextually-driven approach. Frontiers in psychology, 2350. https://doi.org/10.1159/000365764

CAPTCHA Image