Effectiveness of Psychodrama Therapy on Fear of Intimacy, Rumination and Psychological Symptoms of Women Affected by Marital Infidelity

Document Type : Research Paper

Authors

1 PhD student, Department of Counseling, Science and Research Branch, Islamic Azad University, Tehran, Iran

2 Department of Counseling, Faculty of Educational Sciences and Psychology, Shahid Beheshti University, Tehran, Iran

3 Department of Psychology, Faculty of Humanities, Abhar Branch, Islamic Azad University, Abhar, Iran

4 Department of Counseling, Faculty of Humanities, Abhar Branch, Islamic Azad University, Abhar, Iran

Abstract

The purpose of this study was to effectiveness of psychodrama therapy on fear of intimacy, rumination and psychological symptoms of women affected by marital infidelity. This semi-experimental study was conducted with a pretest-posttest design with control group and follow-up two month. The statistical population was all the women affected by marital infidelity who referred to counseling centers in the 1st district of Tehran city in year 2022. In the first stage, using convenience sampling method, 30 women were selected and then randomly divided into one experimental group (15 women) and one control group (15 women) were replaced and experimental group underwent psychodrama therapy (10 sessions 90 minutes). To collect data fear of intimacy scale (FIS) of Descutner & Thelen (1991), ruminative response scale (RRS) of Nolen-Hoeksema & Morrow (1991) and symptom checklist- 25 (SCL-25) of Najarian & Dawoodi (2001) Analysis of variance with repeated measures with SPSS software was used for data analysis. The results showed that intervention psychodrama therapy had a significant effect on fear of intimacy, rumination and psychological symptoms (P<0.05). Based on the results of the present study, it can be said that psychodrama therapy can be used as a treatment method to on fear of intimacy, rumination and psychological symptoms among women affected by marital infidelity.

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Main Subjects


Abeditehrani, H., Dijk, C., Neyshabouri, M. D., & Arntz, A. (2024). Effectiveness of cognitive behavioral group therapy, psychodrama, and their integration for treatment of social anxiety disorder: A randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 82 (1), 1-10. https://doi.org/10.1016/j.jbtep.2023.101908
Abeditehrani, H., Dijk, C., Toghchi, M. S., & Arntz, A. (2020). Integrating cognitive behavioral group therapy and psychodrama for social anxiety disorder: An intervention description and an uncontrolled pilot trial. Clinical Psychology in Europe2 (1), 1-10. https://doi.org/10.32872/cpe.v2i1.2693
Allen, S., Hawkins, A. J., Harris, S. M., Roberts, K., Hubbard, A., & Doman, M. (2022). Day‐to‐day changes and longer‐term adjustments to divorce ideation: Marital commitment uncertainty processes over time. Family Relations71 (2), 611-629. https://doi.org/10.1111/fare.12599
Angelina, L., & Marsih, L. (2023). Post Infidelity Stress Disorder Found in Taylor Jenkin Reid's Malibu Rising. In Proceeding of Undergraduate Conference on Literature, Linguistic, and Cultural Studies, 2 (1), 782-793. https://conference.untag-sby.ac.id/index.php/uncollcs/article/view/2463
Asadi, P., Farhadi, H., & Golparvar, M. (2021). Effectiveness of Psychological Empowerment Package on the Psychological Wellbeing and Rumination of the Parents of the Children with Cancer. Empowering Exceptional Children12 (1), 84-94. (In Persian) https://doi.org/10.22034/ceciranj.2021.246311.1443
Błachnio, A., Przepiórka, A., Kot, P., Cudo, A., & McElroy, E. (2023). The mediating role of rumination between stress appraisal and cyberchondria. Acta Psychologica238 (1), 1-10. https://doi.org/10.1016/j.actpsy.2023.103946
Bozoyan, C., & Schmiedeberg, C. (2023). What is infidelity? A vignette study on norms and attitudes toward infidelity. The Journal of Sex Research60(8), 1090-1099. https://doi.org/10.1080/00224499.2022.2104194
Çataldaş, S. K., Atkan, F., & Eminoğlu, A. (2024). The effect of psychodrama-based intervention on therapeutic communication skills and cognitive flexibility among nursing students: A 12-month follow-up study. Nurse Education in Practice80(1), 1-10. https://doi.org/10.1016/j.nepr.2024.104118
Davarniya, R., Zahrakar, K., Asadpour, E., Mohsenzadeh, F., & Kasaee Esfahani, A. (2019). The Effectiveness of Group Counselling based on Compassion-Focused Therapy (CFT) on Rumination in Women Affected by Marital Infidelity. Armaghanj, 24 (5), 950-967. (In Persian) https://armaghanj.yums.ac.ir/article-1-2641-fa.html
Descutner, C. J., & Thelen, M. H. (1991). Development and validation of a Fear-of-Intimacy Scale. Psychological assessment: A journal of consulting and clinical psychology3 (2), 218. https://psycnet.apa.org/buy/1991-26178-001
Dew, J., Trujillo, S., & Saxey, M. (2022). Predicting marital financial deception in a national sample: A person‐centered approach. Family Relations, 1 (2), 1-10. https://doi.org/10.1111/fare.12654
Drost, J., Van der Does, W., van Hemert, A. M., Penninx, B. W., & Spinhoven, P. (2014). Repetitive negative thinking as a transdiagnostic factor in depression and anxiety: A conceptual replication. Behaviour research and therapy63 (1), 177-183. https://doi.org/10.1016/j.brat.2014.06.004
Ebrahimi, E., Zargham Hajebi, M., & Navabi nejad, S. (2023). The role of loneliness, sexual satisfaction and forgiveness in predicting depression in women affected by infidelity. Journal of Applied Family Therapy4 (1), 134-156. (In Persian) https://doi.org/10.22034/aftj.2023.335698.1507
Eisma, M. C., Buyukcan-Tetik, A., & Boelen, P. A. (2022). Reciprocal Relations of Worry, Rumination, and Psychopathology Symptoms after Loss: A Prospective Cohort Study. Behavior Therapy, 1 (2), 1-10. https://doi.org/10.1016/j.beth.2022.01.001
Falahzadeh, H., Farzad,‎ V., & Falahzadeh,‎ M. A (2011). study of the Psychometric Characteristics of Fear of Intimacy Scale (FIS). Journal of Research in Psychological Health, 5 (1), 70-79. (In Persian) http://dorl.net/dor/20.1001.1.20080166.1390.5.1.7.7
Farazi, Z., Namani, E., Nejat, H., Safarian, M. (2022). Investigating the Effectiveness of Combining Contextual and Structural Family Therapies on Cohesion and Coping Strategies of Couples with Marital Dissatisfaction. Journal of Counseling Research, 21 (82), 82-113. (In Persian) http://dx.doi.org/10.18502/qjcr.v22i82.10112
Gatta, M., Andrea, S., Paolo, T. C., Giovanni, C., Rosaria, S., Carolina, B., & PierAntonio, B. (2010). Analytical psychodrama with adolescents suffering from psycho-behavioral disorder: Short-term effects on psychiatric symptoms. The Arts in psychotherapy37 (3), 240-247. https://psycnet.apa.org/record/2010-14510-011
Gharibi, H., Emami, N., & Nabaei, S. (2024). The effectiveness of empathy training on feelings of shame and guilt and fear of intimacy women with insecure attachment. Rooyesh13(2), 201-210. (In Persian) http://frooyesh.ir/article-1-4939-fa.html
Giovazolias, T., & Paschalidi, E. (2022). The Effect of Rejection Sensitivity on Fear of Intimacy in Emerging Adulthood. European Journal of Psychology Open, 1 (1), 1-10. https://psycnet.apa.org/fulltext/2022-40818-001.html
Johnson, S. (2008). Hold me tight: Seven conversations for a lifetime of love. Little, Brown Spark. https://www.amazon.com/Hold-Me-Tight-Conversations-Lifetime-ebook/dp/B0011UGLQK
Joiner, R. J., Bradbury, T. N., Lavner, J. A., Meltzer, A. L., McNulty, J. K., Neff, L. A., & Karney, B. R. (2024). Are changes in marital satisfaction sustained and steady, or sporadic and dramatic? American Psychologist, 79(2), 225–240. https://doi.org/10.1037/amp0001207
Khajeh Hasanirabari, F., Rezaei, F., Mirzai, F., & Sedighi, F. (2024). The effectiveness of emotion-based therapy on fear of intimacy, hostile documents and over-excitement in woman affected by marital breach. Rooyesh13(1), 233-242. (In Persian)
Kim, J., & Kwon, K. Y. (2024). Marital dissatisfaction and functional performance in older adults: Heterogeneity in the association by educational level. Social Science & Medicine340(1), 1-10. https://doi.org/10.1016/j.socscimed.2023.116460
Laaser, D., Putney, H. L., Bundick, M., Delmonico, D. L., & Griffin, E. J. (2017). Posttraumatic growth in relationally betrayed women. Journal of Marital and Family Therapy43 (3), 435-447. https://psycnet.apa.org/doi/10.1111/jmft.12211
Leeker, O., & Carlozzi, A. (2014). Effects of sex, sexual orientation, infidelity expectations, and love on distress related to emotional and sexual infidelity. Journal of marital and family therapy40 (1), 68-91. https://doi.org/10.1111/j.1752-0606.2012.00331.x
Lonergan, M., Brunet, A., Rivest‐Beauregard, M., & Groleau, D. (2021). Is romantic partner betrayal a form of traumatic experience? A qualitative study. Stress and Health37 (1), 19-31. https://doi.org/10.1002/smi.2968
Luca, M. (2019). Maladaptive rumination as a transdiagnostic mediator of vulnerability and outcome in psychopathology. Journal of clinical medicine8 (3), 314-320. https://doi.org/10.3390/jcm8030314
Luo, W., & Yu, J. (2022). Sexual infidelity among the married in China. Chinese Journal of Sociology8 (3), 374-397. https://doi.org/10.1177/2057150X221108574
Lyubomirsky, S., & Tkach, C. (2003). The consequences of dysphoric rumination. Depressive rumination: Nature, theory and treatment, 1 (2), 21-41. https://www.researchgate.net/publication/312897862_The_consequences_of_dysphoric_rumination
Mohammadi, A., Imani, S., & Khoshkonesh, A. (2022). The effectiveness of narrative exposure therapy on posttraumatic stress disorder and loneliness among women affected by marital infidelity. Rooyesh, 11 (7), 1-10. (In Persian) http://dorl.net/dor/20.1001.1.2383353.1401.11.7.10.9
Mohammadkhani, S., Bahari, A., & Akbarian Firoozabadi ,M. (2017). Attachment Styles and Depression Symptoms: The Mediating Role of Rumination. Iranian Journal of Psychiatry and Clinical Psychology, 23 (3), 320-335. (In Persian) https://www.sid.ir/fa/journal/ViewPaper.aspx?id=317508
Najarian, B., & Dawoodi, I. (2001). Construction and validation of a 25-question list of psychological symptoms. Journal of Psychology, 5 (2), 149-136. (In Persian) https://www.sid.ir/paper/54411/fa
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of personality and social psychology61 (1), 115. https://psycnet.apa.org/doi/10.1037/0022-3514.61.1.115
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on psychological science3 (5), 400-424. https://doi.org/10.1111/j.1745-6924.2008.00088.x
Ogwuche, C. H., Tyav-Tersoo, K. I., Caleb, O. N. A. H., & Orafa, D. T. (2024). Marital Infidelity among Married Couples: Roles of Emotional Intelligence and Narcissistic Personality Traits in Makurdi, Benue State. Journal of Innovation in Psychology, Education and Didactics28(1), 27-36. http://dx.doi.org/10.29081/JIPED.2024.28.1.03
Phillips, T. M., Wilmoth, J. D., Wall, S. K., Peterson, D. J., Buckley, R., & Phillips, L. E. (2013). Recollected parental care and fear of intimacy in emerging adults. The Family Journal21 (3), 335-341. http://dx.doi.org/10.1177/1066480713476848
Rahimi, R., Afsharinia, K., Golmohammadian, M., Jarare, J., & Narimani, B. (2016). Efficacy Psychodrama the On Reducing Depression in Infertile Women. Research in Clinical Psychology and Counseling5 (2), 65-85. (In Persian) https://tpccp.um.ac.ir/article_32049.html
Rokach, A., & Chan, S. H. (2023). Love and Infidelity: Causes and Consequences. International Journal of Environmental Research and Public Health20 (5), 1-10. https://doi.org/10.3390%2Fijerph20053904
Sobral, M. P., Matos, P. M., & Costa, M. E. (2015). Fear of intimacy among couples: Dyadic and mediating effects of parental inhibition of exploration and individuality and partner attachment. Family Science6 (1), 380-388. http://dx.doi.org/10.1080/19424620.2015.1106416
Tanhaye Reshvanloo, F., & Saadati Shamir, A. (2015). Construct validity and reliability of Symptom Checklist-25 (SCL-25). Journal of Fundamentals of Mental Health18 (1), 48-56. (In Persian) https://doi.org/10.22038/jfmh.2015.6255
Teymoori, Z., Mojtabaei, M., Rezadeh, S., & Rafeizadeh, A. (2022). The effectiveness of self- compassion couple therapy on rumination of anger and marital intimacy women affected by infidelity. Family and Health11 (4), 11-26. (In Persian) https://dor.isc.ac/dor/20.1001.1.23223065.1400.11.4.1.0
Ulusoy, Y., Sumbas, E., & Sertkaya, B. (2023). Psychodrama as an intervention management instrument for internal/external adolescent problems: A systematic literature review. The Arts in Psychotherapy, 1 (1), 1-10. http://dx.doi.org/10.52380/ijpes.2022.9.3.730
Walker, A. J., & Thompson, L. (1983). Intimacy and intergenerational aid and contact among mothers and daughters. Journal of Marriage and the Family, 45 (4), 841–849. https://doi.org/10.2307/351796
Wang, X., & Zhao, K. (2023). Partner phubbing and marital satisfaction: The mediating roles of marital interaction and marital conflict. Social Science Computer Review41(4), 1126-1139. https://doi.org/10.1111/fare.12951
Warach, B., & Josephs, L. (2021). The aftershocks of infidelity: a review of infidelity-based attachment trauma. Sexual and Relationship Therapy36 (1), 68-90. https://psycnet.apa.org/doi/10.1080/14681994.2019.1577961
Zdankiewicz-Ścigała, E., Ścigała, D. K., & Trzebiński, J. (2024). Alexithymia in the Narratization of Romantic Relationships: The Mediating Role of Fear of Intimacy. Journal of Clinical Medicine13(2), 404-420. https://doi.org/10.3390/jcm13020404
Zhou, H., Liu, H., Ma, X., & Deng, Y. (2023). The psychometric properties of positive and negative beliefs about the rumination scale in Chinese undergraduates. Abnormal Psychology11 (1), 1-11. http://dx.doi.org/10.1186/s40359-023-01111-8