Emotion-focused therapy

Introduction: The present study was conducted with the aim of examining the effectiveness of Emotionally Focused Therapy (EFT) on depression of heart disease patients in Tehran city in 2019. Method: The research method was semi-experimental with pretest-posttest and control group. The statistical population of the study consisted of all heart disease patients in Tehran city, among whom 30 individuals were selected through available sampling method and randomly assigned to experimental and control groups (15 in each group). The experimental group received Emotionally Focused Therapy training in nine 60-minute sessions, and the control group remained in the waiting list. The research instrument was depression questionnaire (Beck, Steer & Braun,1996) which was conducted in two stages of pretest and posttest. The analysis was performed through SPSS v24 in two descriptive and inferential statistical sections. Results: The results indicated that intervention used in this study could significantly decrease depression in heart disease patients (p˂0.05). Conclusion: Based on the results of this research, Emotionally Focused Therapy can be an effective intervention in reducing depression in heart disease patients.

Abstract Objective: The aim of this study was to evaluate the effectiveness of emotion-focused therapy on anxiety and quality of life in women with breast cancer. Method: A quasi-experimental design was used to collect pre-test, post-test and follow-up data (three months after) from treatment and control groups. The sample consisted of 30 women with breast cancer in Tehran who had a high score in anxiety after screening. They were selected based on purposive sampling and randomly placed in experimental and control groups of size 15. The experimental group received 12 sessions (50 minutes) of emotion-focused therapy (Greenberg, 2010). The control group did not receive an intervention. Data were collected using Beck Anxiety Inventory and Functional Assessment of Cancer Therapy - Breast Cancer (FACT-B) in three stages: pre-test, post-test, and follow up, and analyzed using mixed variance analysis. Findings: Results showed significant within and between subject differences (P<0.01) on measures of anxiety and quality of life. Emotion-focused therapy significantly reduced anxiety and increased quality of life in the treatment group relative to the control group. Moreover, post-test and follow-up levels of anxiety and quality of life differed significantly from pre-test levels, but not from each other. Conclusion: Emotion-focused therapy targeting emotional processing and expression improved [d1] regulation of clients' emotions and can be used as an appropriate intervention method to reduce anxiety and increase quality of life in women with breast cancer.

This research was conducted to compare the effectiveness of reality therapy and emotion-oriented therapy on the symptoms of love trauma in women with love failure. This study was a type of applied and quasi-test research using the pre-test-post-test plan with a follow-up test. The statistical population of the research was all the people who were referred to Aramandish and Chaman clinics in Tehran in 2022, 45 people were selected as a statistical sample based on purposeful sampling. 15 people were in group experiment 1 (reality therapy), 15 people were in experiment 2 (excitement) and 15 people were in the control group. The data collection tool was Love Trauma Inventory (LTI), Rosse (1999). Data analysis was done through the analysis of variance tests with repeated measures. The findings showed that reality therapy and emotion-oriented intervention have a significant effect on the symptoms of emotional failure. The results also showed that there is no significant difference between the two groups of experiments 1 and 2 (reality therapy and emotional therapy). Therefore, it can be concluded that both reality therapy and emotion-oriented interventions can be used for emotional failure syndromes.

 Objective: Patients suffering from psychosomatic disorders such as peptic ulcers struggle with many psychological and physical problems. This study aimed to compare the effectiveness of group mindfulness-based cognitive therapy (MBCT) with emotion-focused therapy (EFT) on cognitive emotional regulation of patients with peptic ulcer. Method: This semi-experimental study was conducted with a pre-test-post-test-3-month follow-up design and a control group. For this purpose, 45 patients were selected through convenience sampling method among patients referred to specialized internal medicine clinics during Jan-March 2023. The participants were randomly assigned to three groups i.e. control (15 people), EFT (15 people), and mindfulness-based cognitive therapy (15 people). The intervention groups received eight sessions of mindfulness-based cognitive therapy/ emotion-focused therapy. The control group did not receive any treatment during the study. The participants completed the standard cognitive emotion regulation questionnaire of Garnefski and Kraaij before, after and three months after the interventions. The obtained data were analyzed by repeated measurement analysis of variance and Bonferroni test. Results: Overall, the obtained results showed that EFT and mindfulness-based cognitive therapy are effective in the emotional regulation of patients with peptic ulcers (P=0.001). Comparing the effectiveness of mindfulness-based cognitive therapy with emotion therapy on adaptive (P=0.56) and maladaptive (P=0.22) emotional regulation showed no significant difference in patients with peptic ulcer. Conclusion: Therefore, it can be said that both emotional therapy methods and mindfulness-based cognitive therapy have a positive effect on the emotional regulation of patients with peptic ulcers, and these two methods can be used for the improvement of emotional improvement in patients. 

Objective: This study aimed to compare the effectiveness of Mindfulness-Based Stress Reduction (MBSR) group exercises and Emotion-Focused Group Therapy (EFGT) on the authentic happiness of critically ill inpatients and those recovered from COVID-19. Methods: The research utilized a quasi-experimental design with three groups (one control group and two experimental groups), conducted in three phases (pre-test, post-test, and three-month follow-up). The study population included all critically ill patients hospitalized and then recovered from COVID-19 during the second quarter of 2021 at Imam Reza Hospital in Mashhad. A sample size of 15 patients per group, totaling 45 patients, was considered. Patients were randomly assigned to three groups using a convenience sampling method. The training group (1) received eight 45-minute sessions of Emotion-Focused Group Therapy by Greenberg, Warwar, and Malcolm (2008), and training group (2) underwent eight 120-minute sessions of MBSR by Kabat-Zinn (2005), while the control group did not receive any treatment. Data were collected using Rashid's (2008) Authentic Happiness Inventory and analyzed using mixed ANOVA with repeated measures through SPSS-23 software. Findings: Results indicated that although both treatments had an effect on authentic happiness and its components up to the follow-up stage (p < 0.01), no significant difference in the effectiveness of the two treatments on authentic happiness in patients was observed. Conclusion: This research could broadly benefit the psychological state improvement in critically ill inpatients and those recovering from acute or chronic illnesses.

Objective: The present study aimed to compare the effectiveness of emotion-focused therapy and short-term psychodynamic therapy on sexual dysfunction and the quality of sexual life in women attending counseling and psychotherapy centers in Isfahan. Methods: The research design was a quasi-experimental pre-test, post-test, and follow-up. The population included all women in Isfahan province suffering from sexual dysfunction in 2023. Sixty individuals were selected through purposive sampling and randomly assigned into three groups: twenty in the first experimental group, twenty in the second experimental group, and twenty in the control group. The first experimental group underwent emotion-focused psychological intervention based on the therapeutic protocol by Gilbert (2014) in fifteen 60-minute sessions, and the second experimental group received short-term psychodynamic psychological intervention based on the therapeutic protocol (Davanloo, 2013) in twelve 60-minute sessions held weekly, followed by a one-month follow-up. The control group was placed on a two-month waiting list for the most effective intervention. Data collection for analysis was conducted using the Rosen et al. (2000) Women's Sexual Dysfunction Questionnaire and the Simonds et al. (2005) Women's Sexual Life Quality Questionnaire. Data analysis was performed using mixed ANOVA with SPSS version 25. Findings: The findings indicated that both treatments were effective in reducing sexual dysfunction in women (F = 73.08, p < .001) and improving the quality of sexual life (F = 18.02, p < .001). However, there was a significant difference between the effectiveness of the two therapeutic methods in reducing sexual dysfunction and increasing the quality of sexual life in women (p < .001). Conclusion: It can be concluded that both emotion-focused and short-term psychodynamic therapies are effective in reducing sexual dysfunction and improving the quality of sexual life in women. Both treatments can be used to reduce psychological issues in women attending counseling centers.

Objective: This research aimed to compare the effectiveness of therapist-assisted couple therapy and emotion-focused couple therapy on psychological well-being, negotiation enhancement, and aggression reduction in women victims of spousal violence. Methods: The study was applied, field-based, and quasi-experimental, employing a pre-test, post-test design with a control group. The sample consisted of couples attending counseling and psychotherapy centers in Qom during the second half of 2021. Out of these, 45 couples were randomly assigned after entry criteria control into three groups: emotion-focused treatment group (15 couples), therapist-assisted treatment group (15 couples), and a control group (15 couples). The research tools included the Strauss et al. (1979) Conflict Tactics Scales and the Ryff (1989) Psychological Well-Being Scales, which were administered to the female victims in three phases: pre-test, post-test, and follow-up. The emotion-focused group received Johnson’s (2003) training package over nine sessions, and the therapist-assisted group received Aghayousefi et al.’s (2020) training package over eight sessions. The control group received no intervention. Data were analyzed using repeated measures ANOVA and SPSS software version 26. Findings: Results showed that both emotion-focused and therapist-assisted couple therapies significantly reduced aggression (F = 90.30, p < .001), increased negotiation (F = 64.47, p < .001), and enhanced psychological well-being (F = 103.81, p < .001) in the female victims of spousal violence, with these effects maintained at follow-up. However, the emotion-focused therapy package was more successful in improving psychological well-being, negotiation, and reducing aggression than the therapist-assisted therapy package. Conclusion: The findings suggest that both emotion-focused and therapist-assisted couple therapies are effective interventions for resolving conflicts and improving psychological well-being.

Objective: The aim of this study was to examine the effectiveness of emotion-focused therapy on self-efficacy and posttraumatic growth in women with breast cancer. Methods: This quasi-experimental study (pre-test - post-test with control group) involved 30 women with breast cancer in Sari (2021) who were selected through purposive sampling and randomly assigned into two groups of 15 participants each, an experimental group and a control group. The measurement instruments used were the General Self-Efficacy Scale by Schwarzer and Jerusalem (1979) and the Posttraumatic Growth Inventory by Tedeschi and Calhoun (1996), completed by the participants. Subsequently, participants in the experimental group attended 10 sessions of 60-minute emotion-focused therapy over a period of ten weeks. However, no therapy sessions were conducted for the control group. Ultimately, data analysis was performed using the covariance analysis method. Findings: The analysis revealed that after the intervention, there was a significant difference between the control and experimental groups in both variables of self-efficacy and posttraumatic growth (p ≤ .05). Significant differences were observed in the components of self-efficacy (general self-preparedness and social self-efficacy) and three components of posttraumatic growth (relating to others, personal strength, and appreciation of life) between the women in the experimental and control groups (p ≤ .05); however, no significant differences were observed in the components of new possibilities and spiritual change. Conclusion: The use of emotion-focused therapy is an appropriate intervention to enhance self-efficacy and posttraumatic growth in women with breast cancer, which can be beneficial for improving psychological well-being and better coping with the disease and treatment.

Objective: The aim of this study was to compare the effectiveness of positive psychotherapy and emotion-focused therapy on attachment patterns, communication patterns, and lifestyle of incompatible couples who referred to counseling centers. Methods: This study is applied research in nature and quasi-experimental in execution, utilizing a pre-test and post-test design with a control group. The statistical population included all couples with incompatible spouses who referred to counseling centers (Behesht Counseling Center) in Isfahan in 2022. From this population, 45 individuals were selected using convenience and purposive sampling and divided into three groups: two experimental groups (each with 15 participants) and one control group (15 participants). The first experimental group underwent Goodwin's positive psychotherapy (2018) in ten sessions, and the second experimental group underwent Johnson's emotion-focused therapy (2006) in eight sessions. The questionnaires used in this study were Hazan and Shaver's Attachment Questionnaire (1987), Christensen and Sullaway's Communication Patterns Questionnaire (1984), and Miller-Smith's Lifestyle Questionnaire (2003). Findings: Using covariance analysis, the results indicated that, after controlling for pre-test levels, there were significant differences between the experimental and control groups of incompatible couples in terms of attachment patterns (secure, avoidant-insecure, and ambivalent-insecure), communication patterns (constructive mutual), communication pattern (demand/withdraw), communication pattern (avoidant), and lifestyle. The effect size was 0.48 for emotion-focused therapy. Similarly, significant differences were observed for positive psychotherapy with an effect size of 0.41. There was a significant difference in the effectiveness of positive psychotherapy and emotion-focused therapy on attachment patterns (secure, avoidant-insecure, and ambivalent-insecure). Conclusion: Overall, the results indicate that emotion-focused therapy has a greater impact on attachment patterns (secure, avoidant-insecure, and ambivalent-insecure) compared to positive psychotherapy. Significant differences were also observed in the impact on communication patterns (constructive mutual, demand/withdraw, and avoidant) and lifestyle, with emotion-focused therapy showing a greater effect.

Objective: This study aimed to compare the effectiveness of Paradox Timetable Cure (PTC), Acceptance and Commitment Therapy Matrix (ACTM), and Emotion-Focused Therapy (EFT) on differentiation and emotional self-regulation in women experiencing marital conflicts. Methods: The research employed a quasi-experimental design with pre-test, post-test, and follow-up stages. The study sample consisted of 60 women with marital conflicts, selected through purposive sampling from an initial group of 154. The participants were randomly assigned to four groups: PTC, MACT, EFT, and a control group, each containing 15 members. The intervention included ten 90-minute sessions for each therapy group, while the control group received no treatment. Data were collected using the Differentiation of Self Inventory and the Emotion Regulation Questionnaire. Repeated measures ANOVA and Bonferroni post hoc tests were used for data analysis. Findings: The results indicated significant improvements in differentiation and emotional self-regulation across all three therapeutic approaches compared to the control group. ACTM and EFT were found to be slightly more effective than PTC in enhancing differentiation and emotional self-regulation (MACT and EFT p = .000, PTC p = .004 in differentiation; ACTM and EFT p = .000, PTC p = .001 in emotional self-regulation). Conclusion: All three therapeutic approaches—PTC, MACT, and EFT—were effective in improving differentiation and emotional self-regulation in women with marital conflicts. However, ACTM and EFT demonstrated marginally higher effectiveness compared to PTC. These findings suggest the utility of these therapies in clinical settings for addressing marital conflicts.

Objective: The present study aimed to compare the effectiveness of reality therapy and emotion-focused therapy (EFT) on love trauma syndrome, self-worth, and relationship beliefs in divorced women residing in Tehran. Methods and Materials: This research is applied in terms of purpose and quasi-experimental in terms of data collection, using a pretest-posttest-follow-up design with a control group. The statistical population included all divorced women residing in District 2 of Tehran in 2023, from whom 45 participants were selected through convenience sampling. The participants were randomly assigned, with age-matching, into two intervention groups and one control group. Participants completed the Relationship Beliefs Questionnaire, Ross's Love Trauma Syndrome Questionnaire, and the Self-Worth Questionnaire at pretest, posttest, and follow-up phases. The first intervention group received 8 sessions of reality therapy, while the second group received 10 sessions of emotion-focused therapy. Data were analyzed using repeated measures analysis of variance (ANOVA) with SPSS version 22. Findings: Both reality therapy and emotion-focused therapy were effective in enhancing self-worth, improving relationship beliefs, and reducing love trauma syndrome symptoms among divorced women in Tehran. Moreover, the effectiveness of both treatments persisted over time. No significant difference was found between the effectiveness of reality therapy and emotion-focused therapy on the studied variables. Conclusion: Based on the results, it can be concluded that both reality therapy and emotion-focused therapy are effective interventions for improving love trauma syndrome symptoms, enhancing self-worth, and modifying relationship beliefs in divorced women in Tehran

Objective: The present study aimed to examine and compare the effectiveness of emotion-focused therapy and schema therapy on attachment styles and emotion regulation in women affected by infidelity. Methods and Materials: This research employed a quasi-experimental design with a pretest–posttest and control group. The statistical population included all women affected by infidelity who referred to counseling centers in Tehran in 2023. From this population, 45 participants were selected using purposive sampling and randomly assigned to three groups: the first experimental group (emotion-focused therapy, 15 participants), the second experimental group (schema therapy, 15 participants), and the control group (15 participants). The experimental groups received the respective interventions across a set number of sessions, while the control group did not receive any intervention. All three groups were assessed at pretest, posttest, and follow-up stages using the Attachment Styles Questionnaire and the Emotion Regulation Questionnaire. Findings: Data analysis using repeated measures analysis of variance and post hoc tests indicated that both therapeutic approaches led to significant improvements in attachment styles and enhanced emotion regulation abilities in women affected by infidelity (p < .05). Moreover, a comparison of results showed that schema therapy demonstrated greater effectiveness than emotion-focused therapy in certain indices. Conclusion: Based on the findings, emotion-focused therapy and schema therapy can be considered effective approaches for promoting secure attachment styles and improving emotion regulation among women affected by infidelity.