eISSN: 2449-8580
ISSN: 1734-3402
Family Medicine & Primary Care Review
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2/2020
vol. 22
 
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abstract:
Original paper

The effect of cognitive-behavioral consultation on marital adjustment among women referring to health centers of Hamadan in 2015–2016

Arezoo Shayan
1
,
Maryam Garousian
2
,
Mohamad Reza Havasian
3
,
Seyedeh Zahra Masoumi
4
,
Narges Babakhani
4
,
Masoumeh Taravati
4
,
Javad Faradmal
5

1.
School of Nursing and Midwifery, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2.
Supervisor Education, Fatemieh Hospital, Hamadan University of Medical Sciences, Hamadan, Iran
3.
Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
4.
Department of Midwifery, Mother & Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
5.
Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
Fam Med Prim Care Rev 2020; 22(2): 152–157
Online publish date: 2020/07/02
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Introduction
Marital adjustment is one of the most extensive concepts to determine and indicate the level of happiness and stability of the relationship between couples. It influences many aspects of personal and social life. The main objective of this study is to survey the effect of cognitive-behavioral consultation on marital adjustment among women.

Material and methods
The present study was a randomized clinical trial consisting of two groups (an intervention and a control group) with a pre-test and post-test design. 198 qualified married women referred to health centers of Hamadan in 2015–2016. For data collection, the researcher employed a demographic information questionnaire and the Locke-Wallace Marital Adjustment Scale, which were analyzed using descriptive-analytical statistics (covariance), the t-test and regression through SPSS 21.0 Software.

Results
The mean score of marital adjustment in the control group was 57.78 ± 22.63 and 56.57 ± 20.32 before and after the intervention, respectively (p = 0.033). In the intervention group, the mean score of marital adjustment was 51.87 ± 20.23 and 70.4 ± 19.47 before and after the intervention, respectively (p = 0.001).

Conclusions
According to the principles of the cognitive-behavioral approach, this approach, along with training about improving communication skills and resolving conflicts between couples, led to a decrease in dissatisfaction and an increase in their adjustment.

keywords:

training, cognitive-behavioral approach, marital adjustment

 
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