Journal of Qualitative Research in Health Sciences

Document Type : Original Article

Authors

1 PhD in Counseling, Faculty of Educational Sciences and Psychology, Isfahan Branch, Islamic Azad University, Isfahan, Iran

2 Associate Professor, Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran

3 Associate Professor, Department of Psychology and Education for Children with Special Needs, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran

Abstract

Introduction: Marital relationship enrichment program is designed for couples who have relatively good relationship and desire to improve it. The enrichment program seeks to improve couples’ relationships and determine the factors and conditions upon which marital satisfaction and compatibility can be realized after marriage. The objective of this study was to analyze the components of marital relationship enrichment program using a qualitative method.
Methods: This study was conducted using a qualitative method based on deductive content analysis. At first, 46 related sources (13 books, 30 papers, and 3 theses) were used to identify and extract the components related to enriching couples’ relationships. Purposive sampling was used and data collection continued until the data saturation point. Then, the relevant components were extracted and the obtained data were recorded and classified into codes, subthemes, and main themes based on the shared content.
Results: The data extracted in this study were classified into 52 codes, 21 subthemes, and 5 main themes. The main themes of enriching couples’ relationships included developing awareness and cognition, communication skills, emotional literacy, commitment to improve the relationship, and conflict resolution skills.
Conclusion: Taking into account the results of this study concerning the components of enriching marital relationship can provide the necessary context for success in marriage.

Keywords

  1.  

     

    1. Holland KJ, Lee JW, Marshak HH, Martin LR. Spiritual intimacy, marital intimacy, and physical/psychological well-being: spiritual meaning as a mediator. Psycholog Relig Spiritual. 2016; 8(3):218-27. doi: 10.1037/rel0000062.
    2. Vaismoradi M, Snelgrove S. Theme in qualitative content analysis and thematic analysis. Forum Qualitative Sozialforschung. 2019; 2(3): 1-14. doi: 10.17169/fqs-20.3.3376.
    3. Chester CE, Blandon AY. Dual trajectories of maternal parenting stress and marital intimacy during toddlerhood. Personal Relationships. 2016; 23(2): 265-79.
    4. Kardan-Souraki M, Hamzehgardeshi Z, Asadpour I, Mohammadpour RA, Khani S. A review of marital intimacy-enhancing interventions among married individuals. Glob J Health Sci. 2016; 8(8):53109. doi: 10.5539/gjhs.v8n8p74.
    5. Pasha H, Basirat Z, Esmailzadeh S, Faramarzi M, Adibrad H. Marital intimacy and predictive factors among infertile women in Northern Iran. J Clin Diagn Res. 2017; 11(5):13-7. doi: 10.7860/JCDR/2017/24972.9935.
    6. Naghinasab Ardehaee F, Jajarmi M, Mohammadipour M. Comparison of Olson's circumplex model with emotional focused couple therapy on psychological well-being in women with marital dissatisfaction. J Res Dev Nurs Midw. 2018; 15(1):53-63. doi: 29252/jgbfnm.15.1.53.
    7. Yu J, Xie Y. Changes in the determinants of marriage entry in post-reform urban china. Demography. 2015; 52(6):1869-92. Doi: 10.1007/s13524-015-0432-z.
    8. Sanai B, Davarniya R, Bakhtiari Said B, Shakarami M. The effectiveness of Solution-Focused Brief Therapy (SFBT) on reducing couple burnout and improvement of the quality of life of married women. Armaghane danesh. 2015; 20(5):416-32. [In Persian].
    9. Mazhari M, Zahrakar K, Shakarami M, Davarniya R, Abdollah Zadeh A. The effect of Relationship Enhancement Program (REP) on reducing marital conflicts of Dual-career couples. Iran Journal of Nursing. 2016; 29(102):32-44. [In Persian]. doi: 10.29252/ijn.29.102.32.
    10. Mohammadi M, Salimi A, Zahrakar K, Davarniya R, Shakarami M. (2016). Investigating the performance of relationship enhancement program (REP) on reducing burnout in couples. Iranian Journal of Psychiatric Nursing. 2016; 4(3):8-16. [In Persian]. doi: 21859/ijpn-04032.
    11. Sirin HD, Deniz M. The effect of the family training program on married women's couple-burnout levels. Educational Sciences: Theory and Practice. 2016; 16(5):1563-85. Doi: 10.12738/estp.2016.5.2781.
    12. Poorheidari M, Alijani F, Aghayan SS, Keramat A, Masoumi SZ, Asadi Z. The effect of relationship enrichment training on marital intimacy among infertile couples with domestic violence. Journal of Isfahan Medical School. 2016; 34(402):1187-96. [In Persian].
    13. Dargahi S, Rezaiee Ahvanuiee M, Ghasemi Jobaneh R, Khorasani A. The effect of relationship enhancement approach training on job stress and quality of marital relationship among municipality staffs. Journal of Occupational Health and Epidemiology. 2017; 6(4):199-206. [In Persian]. doi: 10.29252/johe.6.4.199.
    14. Gottman JM, Gottman JS. And baby makes three: The six-step plan for preserving marital intimacy and rekindling romance after baby arrives. New York: Harmony; 2008.
    15. Berger R, Hannah TM. Preventive Approaches in Couples Therapy. USA: Taylor & Francis; 2014.
    16. Reza Ostovar J, Ghorban Shiroodi S, Karimi B. The effect of participation in group counseling sessions of transactional analysis on the marital burnout, adjustment and intimacy. FPCEJ. 2018; 3(2):21-44. [In Persian]. dor: 20.1001.1.24234869.1396.3.2.2.7.
    17. Hasankhani S, Vatankhah H. The effectiveness of PREPARE-ENRICH Program on subjective well-being and sexual self-efficacy of Iranian Couples. International Journal of Humanities and Cultural Studies. 2016; 3(1):1849-57.
    18. Schofield MJ, Mumford N, Jurkovic I, Jurkovic D, Chan SP, Bickerdike A. Understanding profiles of couples attending community-based couple counseling and relationship education services. J Couple Relatsh Ther. 2015; 14(1):64-90. doi: 10.1080/15332691.2014.953654.
    19. Wegner DM, Giuliano T, Hertel PT. Cognitive interdependence in close relationships. In: Ickes, W. (eds). Compatible and incompatible relationships. springer series in social psychology. New York, NY: Springer; 1985. https://doi.org/10.1007/978-1-4612-5044-9_12.
    20. Dattilio FM, Collins MH. Cognitive-behavioral family therapy. In RL Leahy (Ed.), Science and practice in cognitive therapy: Foundations, mechanisms, and applications. New York: Guilford Press; 2018. 214-32.
    21. Ussher JM, Perz J. Evaluation of the relative efficacy of a couple Cognitive-Behaviour Therapy (CBT) for Premenstrual Disorders (PMDs), in comparison to one-to-one CBT and a wait list control: A randomized controlled trial. PLoS One. 2017; 12(4):0175068. Doi: 10.1371/journal.pone.0175068.
    22. Pirsaghi F, Zahrakar K, Kiamanesh A, Mohsenzadeh F, Hasani J. The indices of effective marital relationship: A Qualitative Study. JAC. 2017; 7(1):1-26. [In Persian]. doi: 10.22055/JAC.2017.22007.1464.
    23. Navidian A, Rezaee N, Baniasadi F, Shakiba M. Effect of a Couples' relationship enrichment program on the quality of marital relationships from the perspective of spouses of patients with multiple sclerosis. Issues Ment Health Nurs. 2017; 38(9):756-62. doi: 10.1080/01612840.2017.1294221.
    24. Davis’ Chelsi AK. An Evaluation of the Impact of a Couples Enrichment Program on Reiatinship Satisfaction’ Coounication’ Conflict Resolution’ and Forgiveness [dissertation]. New Zealand: University of Nebraska – Lincoln; 2015.
    25. Zaheri F, Dolatian M, Shariati M, Simbar M, Ebadi A, Azghadi SB. Effective factors in marital satisfaction in perspective of iranian women and men: A systematic review. Electron Physician. 2016; 8(12):3369-77. doi: 10.19082/3369.
    26. Pakravan E, Haghayegh S, Nshatdoust H, Molavi H. Efficacy of problem solving method on the marital satisfaction and psychological profile of the couples of Brojen city. Counseling Culture and Psycotherapy. 2013; 4(16):15-31. [In Persian].
    27. Horn AB, Samson AC, Debrot A, Perrez M. Positive humor in couples as interpersonal emotion regulation: A dyadic study in everyday life on the mediating role of psychological intimacy. J Soc Pers Relat. 2019; 36(8):2376-96. doi: 10.1177/0265407518788197.
    28. Van Pelt R. Post-traumatic stress disorder in veterans returning from combat: Impact on social reintegration; Purdue Undergraduate Research Conference, 68. https://docs.lib.purdue.edu/purc/2019/Posters/68.
    29. Randles JM. Redefining the marital power struggle through relationship skills: How US marriage education programs challenge and reproduce gender inequality. Gender & Society. 2016; 30(2):240-64. doi: 10.1177/0891243215602920.
    30. Martinez LV, Ting-Toomey S, DorjeeT. Identity management and relational culture in interfaith marital communication in a United States context: A qualitative study. J Intercult Commun Res. 20016; 45(6):503-25. doi: 10.1080/17475759.2016.1237984.
    31. Khalesi ZB, Simbar M, Azin SA. A qualitative study of sexual health education among Iranian engaged couples. Afr Health Sci. 2017; 17(2):382-90. doi: 10.4314/ahs.v17i2.12.
    32. Daneshpour M, Asoodeh MH, Khalili S, Lavasani MG, Dadras I. Self described happy couples and factors of successful marriage in Iran. Journal of Systemic Therapies. 2011; 30(2): 43-64. doi: 10.1521/jsyt.2011.30.2.43.
    33. Fatima M, Ajmal MA. Happy marriage: A qualitative study. Pakistan Journal of Social and Clinical Psychology. 2012; 9(2):37-42.
    34. Cheraghi Z, Nejat S, Haghjoo L, Salehi F. What do iranian people have in mind when assessing their quality of life? a qualitative study. Iranian Journal of Epidemiology. 2016; 12(3):10-20. [In Persian].
    35. Timothy-Springer R, Johnson EJ. (2018). Qualitative study on the experiences of married couples. J Hum Behav Soc Environ. 20108; 28(7):889-902. doi: 10.1080/10911359.2018.1467291.
    36. Acitelli LK. Relationship awareness: Crossing the bridge between cognition and communication. Communication Theory. 2002 12(1):92-112. doi: 10.1111/j.1468-2885.2002.tb00261.x.