Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

The Effect of Behavioral Couple Therapy on the Improvement of Mental Health and Reduction of Marital Conflict in Infertile Couples in Kermanshah: A Randomized Controlled Trial (RCT)

Authors
1 Department of clinical psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Psychology, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
3 Department of Biostatistics and Epidemiology, Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
4 Department of Anatomy and Biology, Faculty of Medicine, Kermanshah University of Medical Science, Kermanshah, Iran
5 Gene targeting Lab, John Curtin School of Medical Research, The Australian National University, Tehran, Iran
6 Department of Information Technology, Payame Noor University Tehran West, Tehran, Iran
Abstract
Background: Infertility is a common disorder, exposing couples to complication such as the loss of mental health and the increase of marital conflicts. The aim of this study was to evaluate the effect of behavioral couple therapy on the enhancement of mental health and reduction of marital conflicts. Methods: In this clinical trial, 24 couples were selected using convenience sampling and were divided randomly into control (12 couples) and experimental (12 couples) groups. Mental Health Questionnaire (GHQ-28) and Kansas Marital Conflict Scale (KMCS) were used to collect data. These questionnaires were filled and pretest, posttest and followup were done in two months. Data were analyzed by Repeated Measures Analysis of Variance, chi-square, independent sample T test, and Bonferroni tests using SPSS-16 software. The significant level of the test was 0.05. Results: The results of the data analysis between experimental and control groups of females in the marital conflict variable showed that the effect of time (p=0.002) and time and group interactional effect (p=0.001) were significant. Moreover, in both experimental and control groups of males, time effect was significant (p=0.01), but time and group interactional effect was not significant (p=0.14). Also, the results of the data analysis between experimental and control groups of females in the mental health and time effect was significant (p=0.001) and time and group interactional effect was significant as well (p=0.001). But in both experimental and control groups of males, time effect (p=0.71) and time and group interactional effect were not significant (p=0.60). Conclusion: Behavioral couple therapy can be used in the treatment of infertile couples, especially in women.
Keywords

Pazandeh F,Sharghi Someeh N, Karami Nory R, Alavimajd H. [The relationship between infertility with well-being and marital satisfaction]. Pejouhandeh. 2005:9(42):355-60. Persian.
Faal Kalkhoran L, Bahrami H, Farrokhi NA, Zeraati H, Tarahomi M. [Comparing Anxiety, Depression and Sexual Life Satisfaction in Two Groups of Fertile and Infertile Women in Tehran]. J Reprod Infertil. 2011;12(2):157-62. Persian.
Behdani F, Erfanian M, Hebrani P, Hojat SK. [Prevalence of depression and related factors in infertile women]. J Fundam Ment Health. 2004-2005;6(23-24):141-6. Persian.
Hesam AA, Taghipour L, Rasekhi S, Fallahi S, Hesam Z. Investigating the multiple aspects of mental health in infertile women. Int J Ment Health Addict. 2017;15(4):928-32.
Tamanay far M.R. Comparison of mental health, adjustment and coping responses in fertile and in-fertile women. Scientific-Research. J Shahed Univ. 2011;4:51-60.
Saeedi L, Bahrami F, atemady O. The effectiveness of a short-term solution focused couples therapy to reduce conflicts between spouses city of Isfahan, Khomeini. News Res Serv. 2008;5(20):39-52.
Hasani F, Navabinezhad SH, Noranipoor R. A comparison of effectiveness of two couple therapies, CBCT and EFT, on depression in infertile male-factor pairs. Women Dev Polit. 2008;6(3):61-83.
Sharifi V, Asaadi SM, Mohammadi MM, Amini H, Kaviyani H, Semnani Y, et al. The reliability and execution of the persian version of the diagnostic DSM-IV structured interpretation (SCID). J New Cogn Sci. 2004;1(2):10-22.
Behjati Ardakani Z, Akhondi MM, Kamali K, Fazli Khalaf Z, Eskandari Sh, Ghorbani B, et al. [Mental Health Status of Patients Attending Avicenna Infertility Clinic]. J Reprod Infertil. 2010;11(4):319-24. Persian.
Sodani M, Nazarifar M, Mehrabizadeh Honarmand M. The effectiveness of bornstein behavioral-communication couple therapy on marital conflicts. J Clin Psychol. 2011;8(4):1-8.
Mirahmadi L, Ahmadi A, Bahrami F. Short-term effectiveness of marital therapy to self-regulation practices of happiness and mental health. New Find Psychol. 2012;22:33-43.
Mirahmadi I, Seyed ahmadi A, Bahrami F. Short-term efficacy of couple therapy on mental health self-regulatory approach depression and marriage. J Appl Psychol. 2011;5(3):99-111.
Abdulqader HG. Effect of psychological intervention on marital satisfaction rate of infertile couples. Int J Educ Pol Res Rev. 2014;1(3):28-36.
Khalatbari J, Ghorbanshirodi Sh, Akhshabi M, Hamzehpour T, Eslamipour M. The effectiveness of the behavioral- cognitive therapy on the reduction of the rate of the depression and anxiety of the infertile women of the Rasht city Indian J Sci Technol. 2011;4(11):1578-82.
Hasani F. The comparison of effectiveness between two couple therapies, CBCT and EFT on marital satisfaction in infertile male factor pairs. Andisheh va Raftar. 2008;4(14):77-88.
Nazari V, Mohammadkhani P, Dolat shahi B. Comparative efficacy of cognitive-behavioral marital therapy and enhanced behavioral marital therapy combined increase in marital satisfaction. Mod J Psychol. 2011;6(22):149-75.