The Effectiveness of Solution-Focused Brief Counseling on Marital Intimacy in Mothers of Children with Down Syndrome: A Randomized Clinical Trial
DOI:
https://doi.org/10.31661/gmj.v12i.2747Keywords:
Marital Intimacy, Solution-focused Brief Therapy, Down Syndrome, Internet-based Intervention, CounselingAbstract
Background: Parents of children with intelligence and motor problems, including Down syndrome have to spend more time babysitting resulting in less intimacy with their mates. Solution-focused brief therapy is one of the treatments presented in the field of marital intimacy. This study aimed to investigate the effectiveness of solution-focused counseling on marital intimacy in mothers of children with Down syndrome.
Materials and Methods: In this randomized clinical trial study, 72 couples were selected among members of the Asemannili Society (Isfahan-Iran) from 19/01/2021 to 20/04/2021. The control group received an educational pamphlet for four sessions (without homework) every other week while the intervention group attended eight 90-minute online counseling programs once a week. Bagarozi Marital Intimacy Questionnaire was completed at baseline, after intervention (8th week), and follow-up period (12th week) by the women and their spouses.
Results: The mean scores of marital intimacy between the two groups at baseline (online: 313.23 ± 70.86, pamphlet: 315.92 ± 41.45) compared to the 12th week (online: 370.13 ± 44.63, pamphlet: 332.42 ± 30.39) were significantly different. The analysis of the variance test with repeated observations showed that the effect of group, and time on the total score of marital intimacy and its other dimensions, were significant (P<0.05) for women.
Conclusion: Both online and pamphlet counseling can improve marital intimacy in mothers of children with Down syndrome, but online counseling appears to be more effective. Thus, this method is recommended for improving the marital intimacy of these women.
References
-Day NJ, Townsend ML, Grenyer BF. Pathological narcissism: An analysis of interpersonal dysfunction within intimate relationships. Pers Ment Health J. 2022 Aug;16(3):204-16. https://doi.org/10.1002/pmh.1532PMid:34783453 PMCid:PMC9541508 -Lefebvre AA, Dugal C, Brassard A, Lussier Y, Lafontaine MF, Godbout N, Péloquin K. The role of relationship dissatisfaction in the dyadic associations between attachment insecurity and intimate partner violence among couples seeking therapy. JMFT. 2021 Oct;47(4):982-98. https://doi.org/10.1111/jmft.12537PMid:34190347 PMCid:PMC9290815 -Adesokan RO, Ezere MO, Makura AH. Styles of communication and Marital stability of married adults in Oyo State, Nigeria. AAJOSS. 2019;10(3):1-13. -Mirzanezhad B. The Effect of problem-solving based family therapy on emotional intimacy and marital quality of cultural couples in Tabriz. J Fam Ther. 2020;48(5):405-30. https://doi.org/10.1080/01926187.2020.1765894 -Wand T. Mental health nursing from a solution focused perspective. Int J Ment Health Nurs. 2010;19(3):210-9. https://doi.org/10.1111/j.1447-0349.2009.00659.xPMid:20550645 -McKergow M, Korman H. Inbetween-neither inside nor outside: The radical simplicity of solution-focused brief therapy. J Syst Ther. 2009;28(2):34-49. https://doi.org/10.1521/jsyt.2009.28.2.34 -Kamali Z, Allahyar N, Ostovar S, Alhabshi SMSbSM, Griffiths MD. Factors that influence marital intimacy: A qualitative analysis of iranian married couples. Cogent Psychol. 2020;7(1):1771118. https://doi.org/10.1080/23311908.2020.1771118 -Mahdad A, KeshtiAraye N. Developing of prevention of divorce training package and determination of its effectiveness on marital satisfaction and emotional divorce on employees of education organization of Urmia city. NMJ. 2018;16(5):335-45. -Nazari F, Etemadi O, Aabedi A. The Effectiveness of Olson Couples Enrichment on Couples' Marital Intimacy. J Res Behav Sci. 2019;17(3):448-56. https://doi.org/10.52547/rbs.17.3.448 -Jaberi S, Etemadi O, Ahmadi S. Investigation of Structural Relationship between Communication Skills and Marital Intimacy. Research in CBS. 2016;5(2):143-52. -Saadatian E, Samani H, Parsani R, Pandey AV, Li J, Tejada L, et al. Mediating intimacy in long-distance relationships using kiss messaging. Int J Hum Comput. 2014;72(10-11):736-46. https://doi.org/10.1016/j.ijhcs.2014.05.004 -Hosseini T, Amiri Majd M, Ghamari M. The effectiveness of solution-Focused group counseling in increasing women's marital intimacy. Family Health Quarterly Faculty of Medical Sciences, Islamic Azad University, Sari Branch. 2013;1(4):52-8. -Mokhles H, Andbil AF, Shafiabady A. The Effectiveness "Solution-Focused Brief Therapy" on Marital Intimacy and Contingencies of Self-Worth in Divorce Applicant Couples. JHPM. 2021;10(2):110-22. -Bokaie M, Gashiri MZ, Khoshbin A, Salimi H. The effectiveness of sexual health counseling based on cognitive-behavioral therapy on sexual satisfaction and inefficient sexual beliefs of primigravida women. J Educ Health Promot. 2022 Feb 26;11:67. -Bokaie M, Firouzabadi O, Joulaee A. The effectiveness of group problem-solving therapy on women's sexual function and satisfaction after mastectomy surgery. BMC Women's Health. 2022 Dec;22(1):1-7. https://doi.org/10.1186/s12905-022-01628-xPMid:35197028 PMCid:PMC8867677 -Bagarozzi DA. Marital intimacy needs questionnaire: Preliminary report. American J Fam Ther. 1997;25(3):285-90. https://doi.org/10.1080/01926189708251073 -Etemadi O, Navabinejad S, Ahmadi S, Farzad V. The effect of couples therapy by method of Imago therapy in increasing marital intimacy referred to counseling center in the Isfahan city. News and Research Counseling. 2006;5(19):9-22. -Amiri Majd M. The Effectiveness of Solution-Focused Group Counseling in Enhancing Marital Intimacy of Married Women. JHB. 2013;1(4):52-8. -Pavandi M, Naderi F, Heidari A, Ehtesham Zadeh P. The Effectiveness of strategic solution oriented Therapy on fatigue and quality of life among mothers of children with an autism spectrum disorder. Int J Pediatr. 2021;9(7):14085-96. -Hamidipour R, Heidari H. The effectiveness of native solution therapy on self-efficacy and emotional regulation of mothers with mentally retarded children. Razi J of Med Sci. 2021; 27(12):100-8. -Karami K, Nazari AM, Zahrakar K. The Effects of group solution-focused counseling in reducing parent-child conflicts in adolescents. Biann J Appl Couns. 2013;3(1):77-92. -Bourke J, Ricciardo B, Bebbington A, Aiberti K, Jacoby P, Dyke P, et al. Physical and mental health in mothers of children with Down syndrome. J Pediatr. 2008;153(3):320-6. https://doi.org/10.1016/j.jpeds.2008.02.047PMid:18534233 PMCid:PMC2586647 -Okhovat M, Mottaghi S, Behjati Ardakani F, Dehghan Manshadi Z. The Effectiveness of Short-term Solution-focused Approach Training on Vitality and Resilience of Students With Physical Disabilities. Int J Psychol Stud. 2021;16(4):161-77. -Tarkeshdooz S, Sanagouye-Moharer G. Effectiveness of Group Solution-Focused Counseling on Couples' Happiness and Emotional Regulation. SALAMAT IJTIMAI (Community Health). 2020;7(2):127-35. -Abbasi A, Mohammadi M, Zahrakar K, Davarniya R, Babaeigarmkhani M. Effectiveness of Solution-Focused Brief Therapy (SFBT) on reducing depression and Increasing marital satisfaction in married women. Iran J Nurs Res. 2017;30(105):34-46. https://doi.org/10.29252/ijn.30.105.34 -Ghasempour H, Salehi R F, Mohammadi F R. The effect of solution-focused group therapy on marital satisfaction of mothers of students with intellectual disabilities Second National Conference on School Psychology. : ; 2016. -Yoosefi N, Karimipour BH, Azizi A. Comparing the effectiveness of group counseling based on acceptance and commitment and solution-focused group counseling on function of the families in the verge of divorce. J Psychol Stud. 2017;13(3):95-110. -Zakhirehdari N, Navabinejad S, Koraei A. The effectiveness of cognitivebehavioral couple therapy on improving marriage performance and marital intimacy of couples. J Med Sci. 2019;23(97):290-3. -Tavaloli T, Kimiaei SA, Agha Mohammadian H. The Effectiveness of Marriage Enrichment Training of TIME Plan on improving marital intimacy and psychological security of women. J Clin Psychol. 2022 Jul 10;10(3):259-274. https://doi.org/10.32598/jpcp.10.3.857.1 -Nader Pilehroud M, Mossavian SA, Aakizadeh R, Esmaeili M, Tajabbadipour S. The effectiveness of solution-focused brief therapy couples' therapy on irrational thoughts and marital adjustment of incompatible couples. JRP. 2022 Aug 1;3(9):37-44. -Turns B, Jordan SS, Callahan K, Whiting J, Springer NP. Assessing the effectiveness of solution-focused brief therapy for couples raising a child with autism: A pilot clinical outcome study. J Couple Relatsh Ther. 2019;18(3):257-79. https://doi.org/10.1080/15332691.2019.1571975 -Pirmoradi S, Amini N, Keykhosrovani M, Shafiabadi A. Effectiveness of Solution-Focused Brief Therapy on Marital Commitment and Marital Burnout among Couples with Marital Conflicts: A Randomized Trial. JMRH. 2023;11(1): 3614-3622. -Farbod E, Ghamari M, Majd MA. Investigating the effect of communication skills training for married women on couples' intimacy and quality of life. SAGE Open. 2014;4(2):2158244014537085. https://doi.org/10.1177/2158244014537085 -Liaqat H, Saleem A. Solution-Focused Brief Therapy for Major Depressive Disorder: A Single Case Study. IJSSH. 2021;7(2):248-59. https://doi.org/10.51732/njssh.v7i2.93 -Lloyd H, Dallos R. Solution-focused brief therapy with families who have a child with intellectual disabilities: A description of the content of initial sessions and the processes. Clin Child Psychol Psychiatry. 2006;11(3):367-86. https://doi.org/10.1177/1359104506064982PMid:17080774 -Novella JK, Ng KM, Samuolis J. A comparison of online and in-person counseling outcomes using solution-focused brief therapy for college students with anxiety. J Am Coll Health. 2022 ;70(4):1161-8. https://doi.org/10.1080/07448481.2020.1786101PMid:32703092 -Kim J, Jordan SS, Franklin C, Froerer A. Is solution-focused brief therapy evidence-based An update 10 years later. Families in Society. 2019 Apr;100(2):127-38. https://doi.org/10.1177/1044389419841688 -Karney BR, Bradbury TN. Research on marital satisfaction and stability in the 2010s: Challenging conventional wisdom. J Marriage Fam. 2020 ;82(1):100-16. https://doi.org/10.1111/jomf.12635PMid:34108739 PMCid:PMC8186435 -Nader Pilehroud M, Mossavian SA, Aakizadeh R, Esmaeili M, Tajabbadipour S. The effectiveness of solution-focused brief therapy couples' therapy on irrational thoughts and marital adjustment of incompatible couples. Iran J Psychiatry. 2022 ;3(9):37-44. -Banaha S, Bakhtiari A, Omidvar S, Behmanesh F, Faramarzi M, Esmailzadeh S. Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled Trial. Iran J Psychiatry. 2023 Jun 10:1-0. https://doi.org/10.18502/ijps.v18i3.13004PMid:37575610 PMCid:PMC10422948 -Khoshakhlagh H, Narimani A. Effectiveness of solution-focused brief couple therapy on happiness and marital conflict in veterans' spouses. Iran J Public Health. 2019;11(1):7-13.