Evaluation of the Efficacy of Emotionally Focused Group Therapy on Marital Satisfaction and Quality of Life in the Women Undertake Mastectomy

Document Type : Original Article

Authors

1 PhD student in Psychology, Department of Psychology, Islamic Azad University, Bushehr Branch

2 Assistant Professor of Psychology, Shiraz Islamic University, Shiraz, Iran

3 Associate Professor, Department of General Surgery, Shiraz University of Medical Sciences, Breast Diseases Research Center

Abstract
Introduction & Objective: The main purpose of this study was investigating the effectiveness of emotionally focused group therapy on marital satisfaction and quality of life in the women undertake mastectomy. Materials & Methods: The study population included 30 women who undertake mastectomy and attending the Cancer Care Center in Shiraz city. They were selected with accessible sampling method and randomly divided to experimental and control groups. The participants completed Marital Satisfaction Scale and Quality of Life Scale before and after intervention and also one month after the end of intervention. Control group do not receive any intervention. Results: The results showed no significant differences between the pre-test scores of both groups. However, in Post-test, the score of the experimental group in marital satisfaction (11.115 ± 56.87) and quality of life (9.79 ±84.75) is significantly different from score of control group in marital satisfaction (9.90 ± 08.87) and quality of life (9.79 ± 84.75). The data were analyzed by using ANOVA test and SPSS 22 software. Conclusions: The results determine that variables of the study are significantly (P< 0.001) increased in the experimental group in compared with the control group.

Keywords


1. Hoseini M, Mousavi M, Rafii H, Rezasoltani P. Effectiveness of social capital on quality of life in patients with breast cancer. Journal of Refah Ejtemaii. 2014; 55(4).
2. Emilee G, Ussher JM, Perz J. Sexuality after breast cancer: A review. Maturitas. 2010; 66: 397-407.
3. Sohrabi A, Jahani A, Mehrabian T, Marashian F, Zaheri S. The relationship of quality of life, stress and marital satisfaction in women with headache. Journal of care science. 2016; 3(2): 115-122.
4. Moradi M, Abdollahzadeh F, Rahmani A, Zamanzadeh V, Asvadi I, Ghaleban K. Effects of husbands’ education on meeting supportive care needs of breast cancer patients: A randomized clinical trial. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2013; 3(21): 40-50.
5. Hasson - Ohayon I, Goldzweig G, Braun M, Galinsky D. Women with advanced breast cancer and their spouses: diversity of support and psychological distress. Psychooncology. 2010; 19(11):
1195-1204.
6. Grunfeld E, Coyle D, Whelan T, Clinch J, Reyno L, Earle CC, Willan A, et al. Family caregiver burden: results of a longitudinal study of breast cancer patients and their principal caregivers. CMAJ. 2004; 170(12): 1795-801.
7. Griesser AC, Vlastos G, Morel L, Beaume C, Sappino AP, Haller G. Socio-demographic predictors of high support needs in newly diagnosed breast cancer patients. Eur J Cancer Care. 2011 Jul; 20(4): 466-474.
8. Enache RG. The relationship between anxiety, depression and self-esteem in women with breast cancer after surgery. Procedia - Social and Behavioral Sciences. 2012; 33: 124 - 127.
9. Ussher JM, Perz J, Gilbert E. Changes to sexual
well-being and intimacy after breast cancer. Cancer Nurs.2012; 35: 456-465.
10.    Wang N, Chen F, Huo X, Xu R, Wu L, Wang J, Lu C. A Neglected Issue on Sexual Well-Being following Breast Cancer Diagnosis and Treatment among Chinese Women. FePublished: September 25, 2013.
11.    Surbone, A., Baider, L., Weitzman, T. S., Brames, M. J., Rittenberg, C. N., & Johnson, J. Psychosocial care for patients and their families is integral to supportive care in cancer: MASCC position statement. [Practice Guideline]. Support Care Cancer. 2010; 18(2), 255-263.
12.    Bigatti SM, Wagner CD, Lydon-Lam JR, Steiner JL, Miller KD. Depression in husbands of breast cancer patients: relationships to coping and social support. Support Care Cancer. 2011; 19: 455-466.
13.    Heinrichs N, Zimmermann T, Huber B, Herschbach P, Russell DW, Baucom DH. Cancer Distress Reduction with a Couple-Based Skills Training: A Randomized Controlled Trial. ann. behav. med. 2012; 43: 239-252.
14.    Johnson SM, editor. The practice of emotionally focused couple therapy. Bahrami F, Azarian Z, Etemadi O, Translators. 2nd ed. Tehran: Danzheh Press; 2010.
15.    Hooman H. Understanding the Scientific Method in Behavioral Sciences. Tehran: Samt; 2016.
16.    Fowers BJ, Olson DH. ENRICH Marital Inventory: A Discriminant Validity and Cross-Validity Assessment. Journal Marital and family Therapy. 1989; 15: 65-79.
17.    Gul T, Javed S. Gender Differences: Association of Sex Drives and Marital Satisfaction. American Journal of Applied Psychology. 2016; 4(2): 31-38.
18.    Nabizadeh F, Mahdavi A. Relationship between Hardiness and Marital Satisfaction in Women with Breast Cancer. Arch Breast Cancer. 2016; 3(3):
92-96.
19.    Chia-Ting S, Hong-Son N, Ai-Lun Y, Chang-Ying L. Psychometric evaluation of the Short Form 36 Health Survey (SF-36) and the World Health Organization Quality of Life Scale Brief Version (Whoqol-Bref) for patients with schizophrenia. Psychological Assessment. 2014; 26(3): 980-989.
20.    Nejat S, Measuring the quality of life. Iran epidemiology. 2008; 2(4): 57-62.
21.    Nasiri H, Studing the reliability and validity of qualityoflife scale and its Persian version. Researches of 3th psychological health seminar. Tehran. 2006.
22.    Fathi Ashtiani A, Psychological tests: Personality assessment and mental health. Tehran, Besat. 2010.
23.    Ronnan GF, DreerLE. Violent couples coping and communication skills. J Fam Violence. 2004:
131-42.
24.    Atkins DC, Doss BD, Thum YM, Sevier M, Christensen A. Improving relationship: Mechanisms of change in couple therapy. J Couns Clin Psychol. 2005; 73: 624-33.
25.    Hansson K, Lund Bland A. Couple therapy effectiveness of treatment and long term follow up. Journal of family therapy. 2006; 1(28): 54-62.
26.    Johnson, S., & Talitman, E. Predictors of succession emotionally focused marital therapy. Journal of Marital and Family Therapy. 2007; 23(2), 135-152.
27.    Dalgleish TL, Johnson SM, Burgess M, Lafontaine MF, Wiebe SA, Tasca GA. Predicting change in marital satisfaction throughout emotionally focused couple therapy. Journal of marital and family therapy. 2014; 3(41): 276-291.
28.    Soleimani A, Javidi N, Ahmadi KH, Samadzadeh M. Effectiveness of couple based emotional therapy on improving family function. Journal of behavioral sciences. 2013; 2(7): 181-188.
29.    Javidi N. The effectiveness of emotion based

couple therapy in improving marital satisfaction and family behavior control. Biannual journal of applied counseling. 2014; 3(2): 68-75.
30.    Etemadi A, Bar Abadi HA. The effectiveness of emotionbased couple therapy in improving marital satisfaction. Journal of Research in Clinical Psychology and Counseling. 2015; 1(4): 95-114.