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The Effectiveness of Integrative Therapy, Emotion-Focused Therapy, and Mentalization-Based Therapy on Mentalization Capacity, Intimacy Resistance, Relational Shame, and Hidden Anger in Couples Attending Counseling Centers in Qazvin

The Effectiveness of Integrative Therapy, Emotion-Focused Therapy, and Mentalization-Based Therapy on Mentalization Capacity, Intimacy Resistance, Relational Shame, and Hidden Anger in Couples Attending Counseling Centers in Qazvin

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
IRCT
Registry ID
IRCT20251110067951N1
Enrollment
60
Registered
2025-12-05
Start date
2025-12-22
Completion date
Unknown
Last updated
2025-12-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

relationship distress in couples : Low mentalization capacity -Intimacy resistance-Relational shame-Hidden anger.

Interventions

Intervention 1: Intervention group: Experimental Group (MBT-EFT Protocol): This protocol is based on the theoretical models of Fonagy and Sue Johnson and focuses on enhancing mentalization capacity an

Sponsors

Qazvin University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
25 Years to 50 Years

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

MeasureTime 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

MeasureTime 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

Public ContactAida Fadaie

Qazvin University of Medical Sciences

fadaieaida6933@yahoo.com+98 28 3333 6001

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026