Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

The effect of compassion-based therapy on social isolation, psychological flexibility and happiness of divorced women

Document Type : Research Paper

Authors
Anahita Noori Neyestanak 1
Mohammad Bagher Hobbi 2
Hossein Bigdeli 3
1 PhD student, Department of General Psychology, North Tehran Branch, Islamic Azad University, Tehran, Iran
2 Assistant Professor, Department of Psychology, Imam Hossein (a.s.) Comprehensive University, Tehran, Iran
3 Assistant Professor, Department of Psychology, East Tehran Branch, Islamic Azad University, Tehran, Iran
10.22038/mjms.2024.24652
Abstract
Introduction: Divorce is one of the stressful experiences of the family, which can lead to conflicts and incompatibility among family members, especially women. This research was conducted with the aim of determining the effectiveness of compassion-based therapy on social isolation, psychological flexibility and happiness of divorced women.
Method: The present research is practical in terms of research purpose. This research was based on the semi-experimental data collection method with a pre-test and post-test design with a control group and a follow-up period. From the number of 5400 divorced women referring to counseling centers in the 2nd district of Tehran in 2013-2014, 30 women were selected purposefully and randomly replaced in two groups (treatment based on compassion and evidence). The research tools were Gilbert's compassion-based treatment model (2010), social isolation questionnaire by Chalabi and Amir Kafi (2013), cognitive flexibility questionnaire by Martin and Rubin (1995) and happiness questionnaire by Argyle Velo (1990). The data was analyzed using mixed variance analysis.
Results: The results of repeated measurement variance analysis showed that compassion-based therapy reduces social isolation and increases psychological flexibility and happiness of divorced women (p≤001) and this effect was sustained over time according to the follow-up test (p≤001).
Conclusion: In order to improve social isolation, psychological flexibility and happiness of divorced women, it is suggested to use compassion-based therapy.
Keywords
Divorce
compassion-based therapy
social isolation
psychological flexibility
happiness
  1. Kalmijn M. Cohort changes in the association between parental divorce and children’s education: A long-term perspective on the institutionalization hypothesis. European Sociological Review. 2024 Feb 1;40(1):55-71.
  2. Zali Z, Ahmadi S, Sarami Foroshani G. The mediating role of marital forgiveness in the relationship between psychological hardiness and marital burnout. FPJ 2019; 5 (1) :107-124
  3. Cornwell B, Schafer MH. Social networks in later life. InHandbook of aging and the social sciences 2016 Jan 1 (pp. 181-201). Academic Press.
  4. Bahreini Z, Keshvari B, Farnam A. The predictive role of alexithymia in marital satisfaction and forgiveness among women with antisocial personality. Community Health. 2019 Jan 1;6(2):208-16.
  5. Parvandi A, Arefi M, Moradi A. The role of family functioning and couples communication patterns in marital satisfaction. FPJ 2016; 2 (1) :54-65
  6. Wang F, Gao Y, Han Z, Yu Y, Long Z, Jiang X, Wu Y, Pei B, Cao Y, Ye J, Wang M. A systematic review and meta-analysis of 90 cohort studies of social isolation, loneliness and mortality. Nature human behaviour. 2023 Aug;7(8):1307-19.
  7. Amato PR. The consequences of divorce for adults and children. Journal of marriage and family. 2000 Nov;62(4):1269-87.
  8. Pudrovska T, Carr D. Psychological adjustment to divorce and widowhood in mid-and later life: Do coping strategies and personality protect against psychological distress?. Advances in Life Course Research. 2008 Jan 1;13:283-317.
  9. Perrig-Chiello P, Hutchison S, Morselli D. Patterns of psychological adaptation to divorce after a long-term marriage. Journal of Social and Personal Relationships. 2015 May;32(3):386-405.
  10. National Academies of Sciences, Division of Behavioral, Social Sciences, Medicine Division, Board on Behavioral, Sensory Sciences, Board on Health Sciences Policy, Committee on the Health, Medical Dimensions of Social Isolation, Loneliness in Older Adults. Social isolation and loneliness in older adults: Opportunities for the health care system. National Academies Press; 2020 Jun 14.
  11. Donovan NJ, Blazer D. Social isolation and loneliness in older adults: review and commentary of a national academies report. The American Journal of Geriatric Psychiatry. 2020 Dec 1;28(12):1233-44.
  12. Guida AM. The Effect of an Acceptance and Commitment Therapy Co-Parenting Education Intervention: An Analysis of Co-Parenting Self-Efficacy, Self-Regulation, and Psychological Flexibility Amongst High Conflict Co-Parents(Doctoral dissertation, The University of Arizona).
  13. Seraj F, Nourani S, Shakeri M. Correlation between transition difficulty to parenthood and marital satisfaction and its comparison in women with first and second child.. IJPN 2014; 2 (3) :1-11
  14. Gloster AT, Meyer AH, Lieb R. Psychological flexibility as a malleable public health target: Evidence from a representative sample. Journal of Contextual Behavioral Science. 2017 Apr 1;6(2):166-71.
  15. Aman J, Abbas J, Nurunnabi M, Bano S. The relationship of religiosity and marital satisfaction: The role of religious commitment and practices on marital satisfaction among Pakistani respondents. Behavioral Sciences. 2019 Mar 20;9(3):30.
  16. Moghadasali, S., Mirhashemi, M., Bagheri, N. The Role Communication Patterns and Identity Styles on Prediction Marital Satisfaction: A Discriminational Study. Applied Psychology, 2021; 15(1): 168-141. doi: 10.52547/apsy.2021.216298.0
  17. Bean RC, Ledermann T, Higginbotham BJ, Galliher RV. Adjustment difficulties and marital stability in remarriages: The role of stepfamily constellation. Marriage & Family Review. 2021 Nov 17;57(8):721-40.
  18. Berzonsky MD. Identity formation: The role of identity processing style and cognitive processes. Personality and individual differences. 2008 Feb 1;44(3):645-55.
  19. Chong YY, Frey E, Chien WT, Cheng HY, Gloster AT. The role of psychological flexibility in the relationships between burnout, job satisfaction, and mental health among nurses in combatting COVID‐19: A two‐region survey. Journal of Nursing Scholarship. 2023 Sep;55(5):1068-81.
  20. Russo A, Zammitti A, Santisi G, Magnano P. The relationship between psychological flexibility and career adaptability as resources to promote well-being. British Journal of Guidance & Counselling. 2024 Mar 3;52(2):286-95.
  21. Carr D, Freedman VA, Cornman JC, Schwarz N. Happy marriage, happy life? Marital quality and subjective well‐being in later life. Journal of marriage and family. 2014 Oct;76(5):930-48.
  22. Kamp Dush CM, Taylor MG, Kroeger RA. Marital happiness and psychological well‐being across the life course. Family relations. 2008 Apr;57(2):211-26.
  23. Lerner JS, Li Y, Valdesolo P, Kassam KS. Emotion and decision making. Annual review of psychology. 2015 Jan 3;66(1):799-823.
  24. Zanon C, Fabretti RR, Martins JZ, Heath PJ. Adaptation of the Steen Happiness Index (SHI) to Brazil: A comparison of the psychometric properties of the SHI and the Subjective Happiness Scale. Assessment. 2022 Dec;29(8):1597-610.
  25. Ding D, Gale J, Bauman A, Phongsavan P, Nguyen B. Effects of divorce and widowhood on subsequent health behaviours and outcomes in a sample of middle-aged and older Australian adults. Scientific Reports. 2021 Aug 2;11(1):15237.
  26. Tosi M, van den Broek T. Gray divorce and mental health in the United Kingdom. Social science & medicine. 2020 Jul 1;256:113030.
  27. Ghenaati Kashani J, Shokgozar A, Hemmatirad G. The effect of cognitive-behavioral training on social adaptation and emotional maturity and dissatisfaction in women's marital relationships. Journal of New Advances in Behavioral Sciences, 2023; 9(6), 8-29.
  28. Morteza H, Ghorbani R, Alibeigi M, Mirakhorloo S, Arjaneh M. Relationship between marital and occupational satisfaction in the Iranian health center employees . Koomesh 1397; 20 (2) :300-309
  29. Bouizegarene N, Philippe FL. Longitudinal directive effect of need satisfaction in self-defining memories on friend related identity processing styles and friend satisfaction. Self and Identity. 2018 Mar 4;17(2):127-38.
  30. Millard LA, Wan MW, Smith DM, Wittkowski A. The effectiveness of compassion focused therapy with clinical populations: A systematic review and meta-analysis. Journal of Affective Disorders. 2023 Apr 1;326:168-92.
  31. Neff KD, Dahm KA. Self-compassion: What it is, what it does, and how it relates to mindfulness. Handbook of mindfulness and self-regulation. 2015:121-37.
  32. Krieger T, Berger T, grosse Holtforth M. The relationship of self-compassion and depression: Cross-lagged panel analyses in depressed patients after outpatient therapy. Journal of affective disorders. 2016 Sep 15;202:39-45.
  33. Yarnell LM, Neff KD. Self-compassion, interpersonal conflict resolutions, and well-being. Self and identity. 2013 Mar 1;12(2):146-59.
  34. Tarkhan, M., Neshatdost, H. T., Tarkhan, M. The Effectiveness of Compassion Focused Therapy on Cognitive Flexibility and Social Sufficiency of Women with Marital Conflicts. Social Cognition, 2020; 9(18): 137-152.
  35. Teymori Z, Mojtabaei M, Rezazadeh S M R. Comparison of the Effectiveness of Emotionally Focused Couple Therapy and Self-compassion-based Therapy On Emotion Regulation In Women Affected by Infidelity. JGUMS 2021; 30 (2) :130-143
  36. Hasani E, Parandin Sh. Comparing the effectiveness of couple therapy based on acceptance and commitment and couple therapy based on compassion on marital conflicts and sexual intimacy of infertile couples in Kermanshah. Health Psychology and Social Behavior Quarterly, 2022; 2(3), 19-31.‎
  37. Brown, M., Whiting, J., Kahumoku‐ Fessler, E., Witting, A. B., & Jensen, J. The relationship between identity styles and marital life satisfaction in individuals. Family Relations, 2020; 69(1), 138-150.
  38. Hills P, Argyle M. The Oxford Happiness Questionnaire: a compact scale for the measurement of psychological well-being. Personality and individual differences. 2002 Nov 1;33(7):1073-82.
  39. Gilbert P. Introducing compassion-focused therapy. Advances in psychiatric treatment. 2009 May;15(3):199-208.
  40. Neff KD. Self-compassion: Theory, method, research, and intervention. Annual review of psychology. 2023 Jan 18;74(1):193-218.
  41. Cai RY, Gibbs V, Love A, Robinson A, Fung L, Brown L. “Self-compassion changed my life”: The self-compassion experiences of autistic and non-autistic adults and its relationship with mental health and psychological wellbeing. Journal of Autism and Developmental Disorders. 2023 Mar;53(3):1066-81.
  42. Foroutan M, Nejat H, Toozandehjani H. Comparing the Effectiveness of Compassion-Focused Therapy and Dialectical Behavior Therapy on Distress Tolerance and Pain Management in Patients with Multiple Sclerosis. MEJDS 2020; 10 :30-30
  43. Neff K, Germer C. The role of self‐compassion in psychotherapy. World Psychiatry. 2022 Feb;21(1):58.
  44. Li PF, Johnson LN. Couples’ depression and relationship satisfaction: Examining the moderating effects of demand/withdraw communication patterns. Journal of Family Therapy. 2018 Feb;40:S63-85.
  45. Moran DJ, Ming S. The mindful action plan: Using the MAP to apply acceptance and commitment therapy to productivity and self-compassion for behavior analysts. Behavior Analysis in Practice. 2022 Mar;15(1):330-8.
  46. Reilly EB, Stuyvenberg CL. A meta-analysis of loving-kindness meditations on self-compassion. Mindfulness. 2023 Oct;14(10):2299-310.
  47. Hughes PC, Dickson FC. Communication, marital satisfaction, and religious orientation in interfaith marriages. The Journal of Family Communication. 2005 Jan 1;5(1):25-41.
  48. Mak, W. W. S., Wong, C. C. Y., Chan, A. T. Y., & Lau, J. T. F. Mobile self compassion programme for promotion of public mental health: a randomised controlled trial. Hong Kong Medical Journal, 2019; 25(2), 17-15.
  49. Gonzalez-Hernandez E, Romero R, Campos D, Burychka D, Diego-Pedro R, Baños R, Negi LT, Cebolla A. Cognitively-based compassion training (CBCT®) in breast cancer survivors: A randomized clinical trial study. Integrative cancer therapies. 2018 Sep;17(3):684-96.

 

 

Medical Journal of Mashhad university of Medical Sciences
Volume 67, Issue 2
March and April 2024
Pages 534-547