The Study, and Comparison of Mindfulness and Imago Therapy Training on Reducing Marital Burnout in Couples with Spouse Hyperactivity/ Attention Deficity Disorder

Document Type : Original Research

Authors

1 Ph.D Student, Advice and guidance, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran

2 Assistant Professor, Department of Psychology, Isfahan Islamic Azad University, Khorasgan, Isfahan, Iran

3 Associate Professor, Department of Psychology, Isfahan Islamic Azad University, Khorasgan, Isfahan, Iran

Abstract

The purpose of current study was conducted to investigate and compare the mindfulness and imago therapy in reducing marital burnout in couples with hyperactivity attention deficit hyperactivity disorder. This study was a quasi-experimental design with pre-test, post-test and follow-up with control group. The study population consisted of all couples with spouse hyperactivity attention deficit who referred to counseling centers in Isfahan. 45 couples were selected and voluntarily randomly assigned to three groups of mindfulness (15 couples), imago therapy (15 couples) and control group (15 couples). Experimental group 1 participated in 8 sessions of 60 minutes of mindfulness training and experimental group 2 in 10 sessions of 60 minutes of imago therapy and were measured in three stages of pre-test, post-test and follow-up (three months) on marital burnout variable. Data were analyzied  using repeated measures analysis of variance (mixed). The results showed that there was a significant difference between the groups of mindfulness and imago therapy with the control group in marital burnout (p ≥ 0. 01) and this effect on imago therapy is greater than mindfulness. Therefore mindfulness training and imago therapy can be used as an effective treatment methods to reduce marital burnout in couples

Keywords


American Psychiatric Association. (2013).Diagnostic and Statiscal manual of mental disorders, fifth edition: DSM- 5. Washington: American psychiatric Association. Publishing.
Amir Razavi, M., Nouhi, Sh., & Aghaei, E. (2017). The effect of imagotherapy training on reducing marital disturbance and enhancement of couples' marital intimacy. 6th Congress of the Iranian Psychological Association, Islamic Azad University of Shahroud Branch, Shahroud. (Persian)
Atashpoor, H. Ebrahimi, L., & Kazemi, E. (2014). Intimacy and fear of intimacy. Tehran: Qatre Publishing. (Persian)
Attari, Y., Hosseinpor, M., & Rahnavard, S. (2009). The effectiveness of communicating communication skills training using couples' communication program on reducing marital engagement in couples. Journal of Thought & Behavior, 14(4), 25-34. (Persian)
Babaei Gharmkhani, M., Madani, Y., & Lavasani, M. (2014). Investigating the relationship between unrealistic relationship standards and communication patterns and their roles in predicting marital burnout in divorce seeking women. Biannual Journal of Applied Counseling, 4(1), 67-84.
Bennaim Sh. , Marom, I. , karshin, M., Gifter, B. & Arad, K. (2016). Life with a Partner with ADHD: The Moderating Role of Intimac y. Journal of Child and Family Studies. 32(4), 12- 28.
Blumer, M. L. C., & Murphy, M. J. (2011). Alaskan gay males’ couple experiences of societal non-support: Coping through families of choice and therapeutic means. Contemporary Family Therapy, 33(1), 273–290.
Bohlmeijer, E., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis. Journal of Psychosomatic Research, 68(6), 539-544.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822-848.
Brown, R., & Reiohold, T. (1999). Image relationship therapy. New York: John Wiley & Sons.
Brown, T. E., Fiood, E., Sarocco, P., Atkins, N., & Khachatryan, A. (2017). Persisting psychosocial impairments in adults being treated with medication for attention deficit/hyperactivity disorder. PsychopharmacologyBulletin, 47(4), 8-17.
Chanofsky, S. (2009). Burnout throughout the lifespan. Ph.D. thesis, Widener University, Chester, Pennsylvania.
Comerchero, V. (2008). Gender, tenure status, teacher efficacy, perfectionism and teacher burnout. Ph.D. thesis, Fordham University, New York.
Ebrahimi, A., Amini, N., & Deirh, E. (2017). The effect of couple's imagotherapy approach on increasing adaptability, intimacy and resilience of couples in Bushehr city. The Journal of New Advances in Behavioral Sciences, 2(9), 75-89. (Persian)
Ershadi Farsani, M. (2012). Comparison of Family Functioning, Quality of Life and Marital Satisfaction in in Married Persons with Attention Deficit / Hyperactivity Disorder and Married Persons without Hyperactivity Disorder / Attention Deficit Disorder. M.Sc in Clinical Psychology, Faculty of Psychology, Tehran University of Science and Culture. (Persian)
Goldin, P. R., & Gross, J. J. (2010). Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10(1), 83-91.
Hamir, J., Su, Y. J., & Chan, R. C. K. (2010). Do deaf adults with limited language have advanced theory of mind?. Research in Developmental Disabilities, 31(6), 1491-1501.
Huston, T. L. (2009). What’s love got to do with it? Why some marriages succeed and others fail. Personal Relationship, 16(3), 301-327.
Imani, M., Rajabi, Gh., Khojaste Mehr, R., Beyrami, M., & Beshlide, K. (2013). The study of the efficacy of acceptance and commitment therapy adopted for couples, integrative behavioral couple therapy on women with distressed couples and general anxiety disorder. Journal of Family Counseling and Psychotherapy, 3(1), 89-56. (Persian)
Jamei, M. (2013). The effect of imagotherapy training on quality marital connention, impathy among couples in counseling center. M.A. Thesis in counsultation, Shahid Chamran University of Ahvaz, Ahvaz (persion)
Javid khalili, N., & Afkari, F. (2017). The impact of imago therapy on couples intimacy, burnout and love styles. Quid Investigation, Cynically Technologic, 1, 108-116.
Kaya, O. (2010). Inclusion and burnout: Examining general education teacher’s experiences in Turkey. Ph.D. Thesis, Indiana University, Indiana.
Khosh Sirat, M. (2014). The effect of shortterm couple therapy on impairment and marital satisfaction. M.A. Thesis, University of Social Welfare and Rehabilitation Sciences, Tehran. (Persian)
Marlynn Wei, M. D. J. D. (2017). Mindfulness therapy could help ADHD. Available from: http://www.psychologytoday.com/.
McCann, B. S., Scheele, L., & Ward, N. (2000). Discriminant validity of Wender Utah Rating Scale for attention deficit/hyperactivity disorder in adults. TheJournal of neuropsychiatry and clinical neurosciences, 12(2), 240-245.
McMahon, N. M. (2010). Applying stolorows theory of lntersubjectivity to Hendrixs Imago the tecniques. Smith College Studies in Social Work, 69(2), 309-334.
Mitchell, J. T., McIntyre, E. M., English, J. S., Dennis, M. F., Beckham, J. C., & Kollins, S. H. (2017). A pilot trial of mindfulness meditation training for adhd in adulthood: Impact on core symptoms, executive functioning, and emotion deregulation. Journal of Attention Disorders, 21(13), 1105-1120.
Mosalla, M. (2016). The effectiveness of conscious-based cognitive therapy on marital engagement and intimacy of married women. M.A. Thesis in Consultation, Islamic Azad University, Khomein Branch, Khomein. (Persian)
Moya, J., Stringaris, A. K., Asherson, PH., Sandberg, S., & Taylor, E. (2012). The Impact of Persisting Hyperactivity on Social Relationships: A Community-Based, Controlled 20-Year Follow-Up Study. Journal of Attention Disorders, 18(1):52-60
Muro, L., Holliman, R., & Luquet, W. (2016). Imago relationship therapy and accurate empathy development. Journal of Couple & Relationship Therapy, 15(3), 232-246.
Navabinezhad, Sh., & Siyavoshi, H. (2005). Relationship between Marital Relation Pattern and Irational Belifes in teachers from Malayer. Journal of Counseling Research (Past & Advisory Research), 4(15), 9-34.
Pines, A. M. (1996). Couple 6urnout: Causes and cures. Translation by Fatemeh Shadab (2002). Tehran: Phoenix Publications. (Persian)
Pines, A. M., & Nunes, R. (2003). The relationship between career and couple burnout: Implications for career and couple counseling. Journal of Employment Counseling, 40(2), 50-64.
Rabbins, A. C. (2005). ADHD couple and family relationships: Enhancing communication and understanding through imago relationship therapy. Journal of Clinical Psychology, 61(5), 565-577.
Rezaei, S., & Rezaei, F. (2019). Pridiction of marital burnout: Conflict resolution styles and marital expectations. Biannual Journal of Applied Counseling, 8(2), 23-38.
Saramifrushani, P. (2000). Standardization and validation of Wender Utah Rating Scale for Diagnosis Attention–Defecit/ Hyperactivity Disorder in Isfahan’s adults. Ph.D. thesis, University of Isfahan, Isfahan. (Persian)
Schmidt, Ch. D., & Gelhert, N. C. (2017). Couples therapy and empathy: An evaluation of impact of imago relationship therapy on partner empathy levels. The Family Journal, 25(1), 24-30.
Segal, Z. V., Bieling, P., Young, T., MacQueen, G., Cooke, R., & Martin, L. (2002). Antidepressant monotherapy vs sequential pharmacyotherapy and mindfulness-based cognitive therapy, or placebo, for relapse prophylaxis in recurrent depression. Archives of General Psychiatry, 67(12), 1256-64.
Teasdale, J. D., Segal, Z., Williams, J., M., G., Ridgeway, V. A., Souls, J. M., & Lau, M. A. (2000). Preventation of relapse/recurrence in major depression by mindfulness based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615-623.
Veisi, A. (2009). The Effect of Image Relationship Therapy on Marital Satisfaction. Knowledge & Research in Applied Psychology, 42, 92-107. (Persian)
Visser. S. N., Danielson, M. l., Bitsko, R. H., Holbrook, J. R., Koqan. M. D, Ghandour, R. M (2014). Trends in the parent- repent of health care provider- diagnosed and medicated attention- deficit/ hyperactivity disorder:Journal of the American of child & adolescents’ psychiatry, 53(1), 34-46
Wender, C. (2008). Attention deficit disorder / hyperactivity disorder in adults. Translation by P. Saramifrushani. Tehran: Roshd Publications. (Persian)
Wender, P. H., Wolf, L. E., & Wasserstein, J. (2001). Adults with ADHD. An overview. Annals of the New York Academy of Sciences, 931, 1-16.
Yousefi, N., & Sohrabi, A. (2011). The effectiveness of mindfulness-based family therapy and meta-cognitive family therapy for the enhancement of marital quality among divorce seeking clients. Journal of Family Counselingand Psychotherapy,1(2), 192-211. (Persian)
Zeidan, F., Johnson, S. K., Diamond, B. J., David, Z., & Goolkasian, P. (2010). Mindfulness meditation improves cognition: Evidence of brief mental training. Consciousness and Cognition, 19(2), 597-605.
Zylowska, L., Smalley, S. L., & Schwartz, J. M. (2009). Mindful awareness and ADHD. In F. Didonna (Ed.), Clinical handbookof mindfulness (pp. 319-338). New York, NY: Springer.