relationship distress in couples : Low mentalization capacity -Intimacy resistance-Relational shame-Hidden anger.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Living together for at least two years Age range 25 to 50 years for both couples Reporting significant marital conflict and scoring above the clinical cutoff point on the Fear of Intimacy Scale Providing written informed consent from both partners Having at least a diploma in order to ensure understanding of the content of the questionnaires
Exclusion criteria
Exclusion criteria: Current diagnosis of any psychotic disorder, bipolar I disorder, severe post-traumatic stress disorder, or active substance use disorder within the past six months (based on the SCID-5-CV interview) The presence of severe and frequent physical violence in the relationship Receiving any other couples therapy at the same time High risk of suicide in either partner A final decision to divorce.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Fear of Intimacy : Assessment of changes in an individual’s resistance to emotional closeness and intimacy with their partner, reflecting difficulties in approaching, trusting, and maintaining relational closeness. Timepoint: Baseline – immediately post-intervention – 3-month follow-up – 6-month follow-up. Method of measurement: Fear of Intimacy Scale (FIS; Descutner & Thelen, 1991). | — |
Secondary
| Measure | Time frame |
|---|---|
| Mentalization Capacity : Change in mentalization capacity. Timepoint: Baseline – immediately post-intervention – 3-month follow-up – 6-month follow-up. Method of measurement: Questionnaire: Reflective Functioning Questionnaire (RFQ; Fonagy et al., 2016).;Relational Shame : Assessment of shame and feelings of low self-worth experienced by an individual in close interactions with their partner. Timepoint: Baseline – immediately post-intervention – 3-month follow-up – 6-month follow-up. Method of measurement: Internalized Shame Scale (ISS; Cook, 1994).;Hidden Anger: Measurement of the level of suppressed or hidden anger experienced by an individual in close relationships, particularly with their partner. Timepoint: Baseline – immediately post-intervention – 3-month follow-up – 6-month follow-up. Method of measurement: Hidden/Relational Aggression Questionnaire (Nelson & Carroll, 2006). | — |
Countries
Iran (Islamic Republic of)
Contacts
Qazvin University of Medical Sciences