Comparison of the Effectiveness of Metacognitive Therapy with Emotion-Focused Therapy on Fear of Intimacy and Social Intimacy in Divorced Women
Keywords:
Metacognitive therapy, Emotion-focused therapy, Fear of intimacy, Social intimacy, Divorced womenAbstract
Purpose: This study aimed to compare the effectiveness of metacognitive therapy and emotion-focused therapy on reducing fear of intimacy and increasing social intimacy among divorced women.
Methods and Materials: The research design was quasi-experimental with a pretest, posttest, and a 45-day follow-up using experimental and control groups. The statistical population included all divorced women residing in Shiraz in 2021, from whom 60 participants were selected via purposive sampling and assigned to three equal groups of 20 participants each. Therapeutic interventions for both approaches were conducted over 10 weekly sessions, each lasting 90 minutes. The control group did not receive any intervention. Data were collected using the Fear of Intimacy Questionnaire (Descutner & Thelen, 1991) and the Social Intimacy Scale (Miller & Lefcourt, 1982), and analyzed via repeated-measures analysis of variance in SPSS version 23.
Findings: The findings indicated that both therapeutic approaches significantly reduced fear of intimacy and increased social intimacy in divorced women during the posttest and the 45-day follow-up. Bonferroni post-hoc tests showed that metacognitive therapy was more effective than emotion-focused therapy in enhancing social intimacy (p < .05), although no significant difference was found between the two therapies in regard to fear of intimacy.
Conclusion: The results of this study provide empirical support for both therapeutic approaches in improving intimacy indicators among divorced women and suggest that family and marital therapists’ awareness of these methods may be beneficial.
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References
Abdollahi, A., Ahadi, H., Tajeri, B., & Haji Alizadeh, K. (2020). Analysis of the experience of divorce from the perspective of divorced couples in Tehran. Women's strategic studies, 23(89), 143-162. https://www.academia.edu/122382289
Abdollahi, M. H., Bashardost Tajali, F., & Sharifi, N. (2023). Comparing the Effectiveness of Cognitive-Behavioral Therapy and Metacognitive Therapy on Anger Indicators in Patients with Anxiety Disorders. mui-jbs, 21IS - 2, 361-376. https://rbs.mui.ac.ir/article-1-1485-en.html
Allan, R., Wiebe, S. A., Johnson, S. M., Piaseckyj, O., & Campbell, T. L. (2021). Practicing emotionally focused therapy online: Calling all relationships. Journal of marital and family therapy, 47(2), 424-439. https://doi.org/10.1111/jmft.12507
Araghi, Y., Bazzazian, S., Amirimajd, M., & Ghamari, M. (2020). Comparing the effectiveness of meta-cognitive education group and acceptance and commitment therapy on hopelessness of divorcing demanding couples. Counseling Culture and Psycotherapy, 11(43), 237-266. https://journal.uma.ac.ir/article_1897.html
Artang, H., & Izadi, F. (2022). The effectiveness of Emotional Focused Therapy on Emotional Information Processing and Interpersonal Cognitive Distortions among women with Somatic Symptoms of Isfahan. mui-jbs, 20(1), 60-73. https://doi.org/10.52547/rbs.20.1.60
Asmari Bardezard, Y., Khanjani, S., Mousavi Asl, E., & Dolatshahi, B. (2021). Effect of Emotion-focused Therapy on Anxiety, Depression and Difficulty in Emotion Regulation in Women With Binge Eating Disorder. Iranian Journal of Psychiatry and Clinical Psychology, 27(1), 2-15. https://doi.org/10.32598/ijpcp.27.1.3246.1
Berlant, L. (1998). Intimacy: A special issue. Critical Inquiry, 24(2), 281-288. https://doi.org/10.1086/448875
Besharat, M. A. (2019). Fear of Intimacy Scale: Questionnaire, Instruction and Scoring. https://www.sid.ir/paper/516323/fa
Brown, R. L., Wood, A., Carter, J. D., & Kannis‐Dymand, L. (2022). The metacognitive model of post‐traumatic stress disorder and metacognitive therapy for post‐traumatic stress disorder: A systematic review. Clinical Psychology & Psychotherapy, 29(1), 131-146. https://doi.org/10.1002/cpp.2633
Budtz-Lilly, A., Schröder, A., Rask, M. T., Fink, P., Vestergaard, M., & Rosendal, M. (2015). Bodily distress syndrome: A new diagnosis for functional disorders in primary care? BMC Family Practice, 16, 1-10. https://doi.org/10.1186/s12875-015-0393-8
Cohen, S., Gianaros, P. J., & Manuck, S. B. (2016). A stage model of stress and disease. Perspectives on Psychological Science, 11(4), 456-463. https://doi.org/10.1177/1745691616646305
Conway, C. C., Naragon-Gainey, K., & Harris, M. T. (2021). The structure of distress tolerance and neighboring emotion regulation abilities. Assessment, 28(4), 1050-1064. https://doi.org/10.1177/1073191120954914
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
Esmaeeli, F., Navabinejad, S., & Kiamanenh, A. (2021). The Effectiveness of Emotion-Oriented Therapy on Early Maladaptive Schemas during Marriage. mui-jbs, 19(2), 251-262. https://doi.org/10.52547/rbs.19.2.251
Fakhri, M., Mahdavianfard, R., & Kimiaee, S. A. K. (2018). Prediction of the probability of divorce based on avoidant attachment, anxiety attachment and family problem solving skills. Counseling Culture and Psycotherapy, 9(33), 207-222. https://www.researchgate.net/publication/366640551
Fayazi, M., Balalidehkordi, N., & Unesi, S. (2019). The effectiveness of MCT, on maladjusted Schemas among divorced women. Rooyesh, 8(1), 87-96. http://frooyesh.ir/browse.php?a_id=698&slc_lang=en&sid=1&printcase=1&hbnr=1&hmb=1
Fisher, P., & Wells, A. (2009). Metacognitive therapy: Distinctive features. Routledge. https://doi.org/10.4324/9780203881477
Ghafaralahi, E., Etemadi, O., Yousefi, Z., Abedi, M., & Torkan, H. (2021). Comparison of the Effectiveness of Commitment-Building Counseling Package and Emotionally-Focused Couple Therapy on Marital Boredom and Forgiveness of Married women with virtual infidelity. mui-jbs, 19(2), 342-357. https://doi.org/10.52547/rbs.19.2.342
Ghezelseflo, M., Navabinezhad, S., Rostami, M., & Parsakia, K. (2023). The Effectiveness of Emotional Freedom Techniques on Reducing Symptoms of Post-Traumatic Stress Disorder Among Women Affected by Marital Infidelity. Psychology of Woman Journal, 4(4), 92-101. https://doi.org/10.61838/kman.pwj.4.4.11
Golabi, F., & Shokuhi Alishah, A. (2021). Gender and Habitual Differentiation: A Comparative Study of Perception and Experience of Men and Women When Divorcing (Case Study: Tabriz). Quarterly of Social Studies and Research in Iran, 10(2), 529-560. https://jisr.ut.ac.ir/article_82032.html?lang=en
Goldberg, A. E., Allen, K. R., & Smith, J. Z. (2021). Divorced and separated parents during the COVID‐19 pandemic. Family Process, 60(3), 866-887. https://doi.org/10.1111/famp.12693
Greenman, P. S., & Johnson, S. M. (2022). Emotionally focused therapy: Attachment, connection, and health. Current opinion in psychology, 43, 146-150. https://doi.org/10.1016/j.copsyc.2021.06.015
Hamidikian, P., Niknam, M., & Jahangir, P. (2021). Prediction of latent marital aggression and fear of intimacy based on self-compassion with the mediating role of guilt in married people. Applied Family Therapy Journal (AFTJ), 2(1), 65-90. https://doi.org/10.61838/kman.aftj.3.1.35
Hedayati, M., Haji, A. K., & Fathi, E. (2020). Effectiveness of emotionally focused couples therapy on the marital intimacy of couples coping with breast cancer in women. https://doi.org/10.30699/ijbd.13.3.30
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=AfmBOop_SAhpda5DnHnbj-maXlHwr-Lz7M4wkext4Qm4flFCUKUNkWKS
Kamali, Z., Allahyar, N., Ostovar, S., Alhabshi, S., & Griffiths, M. D. (2020). Factors that influence marital intimacy: A qualitative analysis of Iranian married couples. Cogent Psychology, 7(1), 1771118. https://doi.org/10.1080/23311908.2020.1771118
Kara, F. R. (2024). Building A Half-Sibling İn The Process Of Marrİage And Dİvorce For Adults. Toplum ve Sosyal Hizmet, 35(1), 1-19. https://doi.org/10.33417/tsh.1273391
Kersten, P., Borschel, E., Neyer, F. J., & Mund, M. (2023). The social side of personality: Do affiliation and intimacy motives moderate associations of personal relationships with well‐being? Journal of personality, 91(4), 992-1011. https://doi.org/10.1111/jopy.12746
Khajeafzali, T., Bahrami, F., Goodarzi, K., & Farrokhi, N. (2020). The effectiveness of Emotion-Based Therapy on the Components of Marital Intimacy of Student Couples. Islamic Life Journal, 10(3), 122-130. https://www.researchgate.net/publication/353702074
Khan, T. A., & Hamid, W. (2021). Lived experiences of divorced women in Kashmir: A phenomenological study. Journal of Gender Studies, 30IS - 4, 379-394. https://doi.org/10.1080/09589236.2020.1826295
Khataybeh, Y. D. A. (2022). The consequences of divorce on women: An exploratory study of divorced women problems in Jordan. Journal of Divorce & Remarriage, 63(5), 332-351. https://doi.org/10.1080/10502556.2022.2046396
Khodayarifard, M. A. U. C. M., Nejad, A. R., & Farahani, H. (2012). Efficacy of training components of emotional intelligence on social adjustment and social intimacy. Journal of Psychology, 15(4), 353-368. https://www.sid.ir/FileServer/JF/61513906003
Klein, J. P., Dale, R., Glanert, S., Grave, U., Surig, S., Zurowski, B., & et al. (2022). Does childhood emotional abuse moderate the effect of cognitive behavioral analysis system of psychotherapy versus meta-cognitive therapy in depression? A propensity score analysis on an observational study. Journal of affective disorders, 300, 71-75. https://doi.org/10.1016/j.jad.2021.12.087
Koren, R., Woolley, S. R., Danis, I., & Török, S. (2021). Measuring the Effectiveness of the Emotionally Focused Therapy Externship Training in Hungary done through Translation. Journal of marital and family therapy, 47(1), 166-182. https://doi.org/10.1111/jmft.12443
Langdridge, D., Gabb, J., & Lawson, J. (2020). Working with group-level data in phenomenological research: A modified visual matrix method. https://doi.org/10.4324/9781351032063-2117
Leopold, T. (2018). Gender differences in the consequences of divorce: A study of multiple outcomes. Demography, 55(3), 769-797. https://doi.org/10.1007/s13524-018-0667-6
Lynch, J. J. (1977). The broken heart: The medical consequences of lonelinessER. https://www.amazon.de/-/en/Broken-Heart-Medical-Consequences-Loneliness/dp/0465007716
Martin, A. D., Mathes, B. M., & Schmidt, N. B. (2022). Fear of intimacy and hoarding symptoms: The mediating role of object attachment. Journal of Obsessive-Compulsive and Related Disorders, 32, 100702. https://doi.org/10.1016/j.jocrd.2021.100702
McPhillips, R., Capobianco, L., Cooper, B. G., Husain, Z., & Wells, A. (2021). Cardiac rehabilitation patients experiences and understanding of group metacognitive therapy: a qualitative study. Open Heart, 8(2), e001708. https://doi.org/10.1136/openhrt-2021-001708
Mekonnen, Y., Kassa, K., & Ayalew, M. (2019). Prevalence, causes and consequences of divorce in Bahir Dar city, Ethiopia. African Journal of Social Work, 9(1). https://www.ajol.info/index.php/ajsw/article/view/184252
Miller, R. S., & Lefcourt, H. M. (1982). The assessment of social intimacy. Journal of Personality Assessment, 46(5), 514-518. https://doi.org/10.1207/s15327752jpa4605_12
Miller, R. S., & Lefcourt, H. M. (2000). Miller social intimacy scale. https://psycnet.apa.org/record/2000-08549-006
Mohammadi, H., Sepehri Shamlou, Z., & Asghari Ebrahim Abad, M. J. (2019). The effectiveness of Group Emotional Schema Therapy on decreasing loneliness and rumination in divorced women. Journal of Woman and Family Studies, 7(2), 115-136. https://jwfs.alzahra.ac.ir/.%20https:/jwfs.alzahra.ac.ir/article_4481.html?lang=en
Monadi, M., & Akhavan Tafti, M. (2022). Qualitative study of divorced women's experiences of the consequences of divorce (case study: divorced women in behbahan). Journal of psychologicalscience, 21(116), 1539-1562. https://doi.org/10.52547/JPS.21.116.1539
Montajabian, Z., & Rezai Dehnavi, S. (2021). Study of the Effectiveness of Meta Cognitive Interpersonal Therapy on Improving Dysfunctional Communication Patterns Couples and Increase of Marital Adjustment. Rooyesh-e-Ravanshenasi Journal (RRJ), 10(8), 135-148. https://scholar.google.com.ly/citations?user=m49Dj4QAAAAJ&hl=ja
Nabavi, M., & Shahbazi, M. (2021). Comparison of the effectiveness of compassion focused therapy and dialectical behavior therapy on reducing the marital conflict of women on the threshold of the divorce. Journal of psychologicalscience, 20(106), 1897-1912. https://doi.org/10.52547/JPS.20.106.1897
Nielsen, N. M., Davidsen, R. B., Hviid, A., & Wohlfahrt, J. (2014). Divorce and risk of hospital-diagnosed infectious diseases. Scandinavian Journal of Public Health, 42IS - 7, 705-711. https://doi.org/10.1177/1403494814544398
Oren, D., & Hadomi, E. (2020). Let's talk divorce-an innovative way of dealing with the long-term effects of divorce through parent-child relationships. Journal of Divorce & Remarriage, 61(2), 148-167. https://doi.org/10.1080/10502556.2019.1679593
Prager, K. J. (2013). The dilemmas of intimacy: Conceptualization, assessment, and treatment. Routledge. https://doi.org/10.4324/9780203375372
Rahimi, F., Atashpuor, H., & Golparvar, M. (2019). Divorce prediction based on individual beliefs of personality, basic needs and traps of life. Knowledge & Research in Applied Psychology, 20(2), 13-23. https://jwsps.alzahra.ac.ir/mobile/article_7538.html?lang=en
Rasouli, A. (2017). Developing the Model of Family Functioning based on the Components of Hope, Intimacy and Marital Conflicts in Couples. Iran J Nurs Res, 12(4), 1-8. https://doi.org/10.21859/ijnr-12041
Sahami, S., & Askari, N. (2021). Qualitive Analysis Intimacy In Women On The Verge Of Divorce. Quarterly Journal of Woman and Society, 12(47), 177-190. https://www.sid.ir/paper/1000235/fa
Scale, P. M. B. (2022). The Effect of Emotion-Oriented Couple Therapy on Forgiveness, Emotional Self-Regulation and Marital Boredom of Couples Seeking Divorce Referring to Family Social Emergencies. https://www.islamiilife.com/article_185336.html?lang=en
Shamsaie, Z., Karimi, Q., & Akbari, M. (2022). Causal modeling of domestic violence based on marital intimacy, inhibition and marital conflict. Rooyesh-e-Ravanshenasi Journal (RRJ), 11(8), 59-68. https://frooyesh.ir/article-1-4077-en.html
Wells, A., Reeves, D., Heal, C., Fisher, P., Doherty, P., Davies, L., & et al. (2022). Metacognitive therapy self-help for anxiety-depression: Single-blind randomized feasibility trial in cardiovascular disease. Health Psychology, 41(5), 366. https://doi.org/10.1037/hea0001168
Wolchik, S. A., Tein, J. Y., Winslow, E., Minney, J., Sandler, I. N., & Masten, A. S. (2021). Developmental cascade effects of a parenting-focused program for divorced families on competence in emerging adulthood. Development and Psychopathology, 33(1), 201-215. https://doi.org/10.1017/S095457941900169X
Zohrabniya, E., Sanaei, Z. B., Kiamanesh, A., & Zahrakar, K. (2021). The Effects of Emotion-Focused Therapy on Post-Divorce Adjustment and Emotion Regulation in Divorced Women.
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