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Title

Meta-Analysis and Comparison of the Effectiveness Acceptance Commitment Therapy and Integrated Behavioral Couple Therapy on the Components of Marital Quality of Couples

Pages

  29-52

Abstract

 Review: Background and Aim: In recent years in Iran, several studies have examined the effectiveness of acceptance commitment therapy and integrated behavior couple therapy in the field of conflict resolution and fertility of the marrital relationship. The aim of this study was to integrate the results of these studies and compare the impact of these interventions on the components of marital quality. Materials and Methods: For this purpose, Meta-analysis was used as a statistical technique to determine, collect, combine and summarize research findings related to the effectiveness of acceptance commitment therapy and Integrated Behavioral Couple Therapy on the components of marital quality of couples. The statistical population of the study includes studies conducted in Iran in the field of medicine and the statistical sample includes studies conducted in this field within Iran. For this purpose, 22 studies were selected and after reviewing 17 studies that were methodologically acceptable were selected and analyzed. The research tool was a Meta-analysis checklist and CMA software was used to analyzethe data. Results: The results showed the magnitude of the combined effect of the treatments (P <0. 01) Equivalent to d=2. 513, which is equivalent to g=2. 458, r=0. 791 and zr=1. 075, and according to Cohen's interpretation table means the size of the effect is large or high. Also, the results did not show a significant difference between the effect size of treatment based on acceptance commitment therapy and integrated behavior couple therapy. Conclusion: Therefore, it can be said that based on the results of this Meta-analysis, couples therapy based on acceptance, commitment and integrated behavior is effective in improving the Marital Quality Components of couples. Extended Abstract Introduction These days, what is important for couples in marriage is the totality of marriage, which is reflected in the concept of marital quality, and Norton (1983) defines it as the totality of the relationship or gestalt relationship. Hence, for a long time, marital quality has been the subject of much research. Because it was assumed to be related to the durability and stability of a marriage. Evidence shows that most couples go to increase satisfaction and reduce conflict in their relationship, which is summarized in the concept of marital quality. And for this reason, the need for effective and empirically supported approaches to couple therapy has been emphasized. Various models and approaches have emerged to reduce conflicts and improve couples' relationships. Acceptance commitment therapy and integrative behavior couple therapy are two examples of these therapeutic approaches. The evolution of both treatments supports their effectiveness. On the other hand, due to differences in applications, methods and tools, it is difficult to evaluate and compare findings. Meta-analysis is a method by which differences in research can be inferred. Meta-analysis helps to combine the results of various researches and extract new and coherent results. It also helps to solve problems, more accurate results and eliminate what causes bias in the final results. Therefore, Meta-analysis seems to be useful to investigate which of these therapies is more effective in improving the components of marital quality (both increasing the positive aspects and reducing the negative aspects. Therefore, the purpose of this study was to compare the effectiveness of Integrated Behavioral Couple Therapy and acceptance commitment therapy on increasing the components of marital quality by Meta-analysis in researches conducted in Iran in the years 2012 to 2022. Method In meta-analytic research, effect size analysis is the main basis of research. Therefore, in this study, after calculating the effect size, its size has been investigated using Cohen's table. First, both fixed and random effects models were calculated and reported. After examining the homogeneity / heterogeneity of the initial effects size using the Cochrane Q index and confirming the homogeneity of the initial effects size in the analyzes related to the role of the moderator variable (type of treatment), the fixed effects model was used. All analyzes related to the measurement of fixed and random combination effects, investigation of research heterogeneity, and diffusion bias were performed using the comprehensive statistical software CMA-2 Meta-analysis. A coding form (Meta-analysis checklist) was used to collect the required data which is equivalent to a questionnaire or interview in other types of research. Master's theses and doctoral dissertations (Which were available in the Iran doc) that have studied the effectiveness of Integrated Behavioral Couple Therapy and acceptance commitment therapy on the components of marital quality of couples by experimental, semi-experimental or quasi-experimental methods (Their results were published between 2012and 2022). Search sources included: dissertations and dissertations that were available in the information base of Iran Research Institute of Information Science and Technology (Iran Dock),Articles that were available from the electronic banks of the country, including the database of the Scientific Information Center of Jihad Daneshgahi, the database of Iranian journals (Meg Iran), the database of Noor journals (Normagz), the portal of the Institute of Humanities and Cultural Studies, the site of academic journals. After reviewing the information of the collected reports and articles, 5 studies did not have the descriptive information required to calculate the size effect were removed. Finally, statistical data were extracted from 17 studies, including 8 cases of acceptance commitment therapy and 9 cases of Integrated Behavioral Couple Therapy. Finally, 48 effect sizes (21 cases related to acceptance commitment therapy and 27 cases related to integrated behavior couple therapy were calculated and tested (According to the number of dependent variables of each research and their components). Then, according to the sensitivity analysis, 21 effect sizes that had diffusion bias were excluded from the analysis. Funnel diagrams have been used to examine the default non-bias diffusion of effect sizes. In the funnel diagram, the horizontal axis represents the amount of effect size and the vertical axis represents the standard error. By looking at the funnel diagram, diffusion bias and abnormally large or small values can be detected (In other words, the size of the effects that destroy the symmetry of the chart). Finally, after the gradual elimination of Pert values, 27 effect sizes that form a symmetrical diagram were considered for further analysis and answering research questions. Also, the safe index of demolition calculated showed that after the arrival of 1558 Non-significant effect size for Fisher and relation index, and 6202 Non-significant effect size for hedge index in Meta-analysis The calculated combined effect size will be insignificant. In order to determine the final model of the present Meta-analysis, heterogeneity analysis must be performed to ensure the existence of moderating variables. The Cochrane Q index and Chi-square I have been used to examine the heterogeneity of the effects size. Results Results for relation index Q=29. 749, df=26, I2=12. 603, P=0. 278 And for the difference index, Q=30. 749, df=26, I2=15. 567, P=0. 236, showed that there is no significant difference between the size effects. Therefore, the fixed model was selected as the Meta-analysis model and the combined effect size was considered to be 0. 791 for the correlation index, 1. 075 for the Fisher index and 2. 458 for the Cohen and Hedges index. Comparison of the effect size of acceptance commitment therapy, and integrative couple therapy using Cochrane Q value,for the relation index Q=0. 459, df=1, P=0. 498 and the difference index Q=0. 294, df=1, P=0. 588,indicates no significant difference. In other words, the magnitude of the combined effects in both treatments is statistically on the same level. Calculate and test the value of Q Cochran,for relation index Q=0. 473, df=1, P=0. 491 and difference index Q=0. 462, df=1, P=0. 497,It showed no difference between the size of the combined effects for male and female subjects. Discussion and Conclusion The results of this Meta-analysis showed that paired interventions based on acceptance, commitment and integrated behavior are significantly effective in improving the components of marital quality. And according to Cohen 1986, they have a lot of effects. But there is no statistically significant difference between the effectiveness of these two treatments. The results also indicate that there is no statistically significant difference in the effectiveness of these treatments for male and female subjects. In explaining these results, it can be said that the therapy based on acceptance and commitment helps couples with its teachings such as introducing common strategies for controlling thoughts and feelings, getting acquainted with the main nature of thoughts and mental stories, introducing strategies for breaking and accepting unpleasant thoughts and feelings. Familiarity with the values of personal and marital life and encouraging couples to remain committed to a meaningful and value-oriented marital relationship. To consider cheerfulness, intimacy, commitment and satisfaction of the relationship as a value, in spite of all differences, problems and unpleasant thoughts, feelings and experiences, and the pain and suffering of life in general. And be committed to building a meaningful marital relationship, even if they do not achieve their personal and marital goals. Commitment to these values makes couples less likely to react to each other's differences. And so they are less likely to get into arguments and then control each other. And this increases the quality of marriage by reducing interpersonal tensions. In explaining the effectiveness of Integrated Behavioral Couple Therapy, we can also refer to its theoretical foundations in explaining the effectiveness of Integrated Behavioral Couple Therapy, its theoretical foundations can also be mentioned. This treatment turns unresolved couples' differences, such as individual differences, into an opportunity for intimacy. Using acceptance techniques such as empathetic unity, allied neutrality, ways of expressing personal suffering in an efficient way and without blame and guilt and distancing, looking from the outside in the way of interaction and reviewing the relationship in a more logical way. Also, by using traditional methods of modifying and changing behavior, it causes the couple to be able to interact, reduce tensions, enrich the relationship, and generally affect the quality of marriage. In explaining the lack of significant differences between the two treatments, we can point to the existence of common underlying factors and the family of treatments. Acceptance and commitment therapy and Integrated Behavioral Couple Therapy are both part of the third generation family of cognitive behavioral therapies. Despite the differences in techniques, the common theoretical foundations between them can explain the lack of significant differences in their effectiveness. (Such as: clients' awareness of current experiences, creating a cognitive gap between personal thoughts and inner experiences, reaching a state of acceptance of inner experiences without judging their content, helping to identify inner values and more respect for these values

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    APA: Copy

    Keybollahi, Toloue, KRASKIAN MUJEMBARI, ADIS, Havassi Somar, Nahid, MANSOOBIFAR, MOHSEN, & Tari Moradi, Arzoo. (2022). Meta-Analysis and Comparison of the Effectiveness Acceptance Commitment Therapy and Integrated Behavioral Couple Therapy on the Components of Marital Quality of Couples. JOURNAL OF PSYCHOLOGICAL MODELS AND METHODS, 13(47 ), 29-52. SID. https://sid.ir/paper/999575/en

    Vancouver: Copy

    Keybollahi Toloue, KRASKIAN MUJEMBARI ADIS, Havassi Somar Nahid, MANSOOBIFAR MOHSEN, Tari Moradi Arzoo. Meta-Analysis and Comparison of the Effectiveness Acceptance Commitment Therapy and Integrated Behavioral Couple Therapy on the Components of Marital Quality of Couples. JOURNAL OF PSYCHOLOGICAL MODELS AND METHODS[Internet]. 2022;13(47 ):29-52. Available from: https://sid.ir/paper/999575/en

    IEEE: Copy

    Toloue Keybollahi, ADIS KRASKIAN MUJEMBARI, Nahid Havassi Somar, MOHSEN MANSOOBIFAR, and Arzoo Tari Moradi, “Meta-Analysis and Comparison of the Effectiveness Acceptance Commitment Therapy and Integrated Behavioral Couple Therapy on the Components of Marital Quality of Couples,” JOURNAL OF PSYCHOLOGICAL MODELS AND METHODS, vol. 13, no. 47 , pp. 29–52, 2022, [Online]. Available: https://sid.ir/paper/999575/en

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