The effectiveness of positive psychotherapy on marital satisfaction, cognitive emotion regulation, and marital burnout in women affected by marital infidelity.
Determining the effectiveness of positive psychotherapy on marital satisfaction, cognitive emotion regulation, and marital burnout in women affected by marital infidelity
Design
A randomized, double-blind, parallel-group, controlled clinical trial on 30 women affected by marital infidelity. The rand function of Excel software will be used for randomization.
Settings and conduct
This study will use a field experimental research method with a pre-test, post-test, and follow-up design with a control group. The research will be conducted at the Pewand Counseling Center in Masjed-e-Suleiman on women affected by marital infidelity. All participants, clinical caregivers, outcome assessors, and statistical analysts who are responsible for measuring and interpreting the data will be double-blinded to the allocation process; all information will be kept strictly confidential, and to maintain confidentiality, all participants will be assigned abbreviations and identification codes.
Participants/Inclusion and exclusion criteria
Inclusion criteria
Be between 20 and 50 years of age
Have at least a high school diploma
Have at least three years of shared marital life
At least six months have passed since the disclosure of their spouse’s infidelity
Exclusion criteria
Having a physical illness that interferes with the treatment process
Use of psychiatric medications
Intervention groups
Intervention group: Positive psychotherapy based on the positive psychotherapy protocol of Mirdrikund et al. (2019) is implemented in a group setting in 13 90-minute sessions, one session per week. Control group: Do not receive any intervention.
The effectiveness of positive psychotherapy on marital satisfaction, cognitive emotion regulation, and marital burnout in women affected by marital infidelity.
Public title
The effectiveness of positive psychotherapy
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Be between 20 and 50 years of age
Have at least a high school diploma
Have at least three years of shared marital life
At least six months have passed since the disclosure of their spouse’s infidelity
Exclusion criteria:
Having a physical illness that interferes with the treatment process
Use of psychiatric medications
Age
From 20 years old to 50 years old
Gender
Female
Phase
N/A
Groups that have been masked
Care provider
Outcome assessor
Data analyser
Sample size
Target sample size:
30
Randomization (investigator's opinion)
Randomized
Randomization description
In this study, a simple randomization method is used to assign participants to two experimental groups (positive psychotherapy) and control. The randomization unit in this study is women affected by marital infidelity who are referred and eligible for the study. First, a complete list of volunteers who are selected based on the study's inclusion criteria (including the age range of 20 to 50 years, minimum diploma education, at least 3 years of cohabitation history, and more than 6 months have passed since the disclosure of the spouse's infidelity) and the absence of exclusion criteria (such as physical illnesses that interfere with the treatment process and the use of psychiatric medications) is prepared. Then, a unique numerical identification code is assigned to each participant. These codes are entered into the Random Number Generator software and a random number is generated for each individual. After generating these numbers, the participants are sorted in ascending order based on the value of the random number. Then, the individuals are assigned to two groups; The first 15 people on the list are assigned sequentially to the experimental group (recipients of the positive psychotherapy intervention) and the next 15 people to the control group (on the waiting list). With this method, the order of entry into the study and the researcher's knowledge of the participants will not play any role in determining the group. To conceal the allocation, the person responsible for entering the data and carrying out the randomization process in the software will be independent of the intervention administrators and the evaluators of the research variables (including marital satisfaction, cognitive emotion regulation, and marital burnout) and will not have the possibility of knowing the process of implementing the sessions or changing the allocation of the individuals. Also, the identification codes of the participants are kept confidential and separate from their other personal information. Therefore, it will not be possible to predict the assigned group for each participant before the randomization process.
Blinding (investigator's opinion)
Double blinded
Blinding description
In order to control bias and improve the internal validity of the research, this study was designed with a double-blind protocol; in this way, the outcome assessor and data analyst will be kept unaware of the allocation of women affected by marital infidelity to the experimental (positive psychotherapy) and control groups. In this process, the outcome assessor will collect and measure the dependent variables (marital satisfaction, cognitive emotion regulation, and marital burnout) at all stages of the pretest, posttest, and follow-up, without knowing the assigned group of the participants, in order to prevent bias in the measurement; also, all raw data will be provided to the statistical analyst with anonymous codes (such as groups 1 and 2), and the true nature of the groups (positive intervention group versus control group) will not be revealed until the end of the data analysis process. All allocation steps are performed by an individual independent of the research team, and allocation codes are decoded only after the final completion of statistical analyses.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Behbahan Islamic Azad University Ethics Committee
Street address
Shahid Bayani St., Amir Kabir Blvd.
City
بهبهان
Province
Khouzestan
Postal code
6361713198
Approval date
2026-08-24, 1405/06/02
Ethics committee reference number
IR.IAU.BEHBAHAN.REC.1405.235
Health conditions studied
1
Description of health condition studied
Damage from marital infidelity
ICD-10 code
Z63.0
ICD-10 code description
Problems in relationship with spouse or partner
Primary outcomes
1
Description
Marital satisfaction
Timepoint
before performing the intervention and two weeks after completion of the intervention
Method of measurement
Enrich Marital Satisfaction Questionnaire (1989)
2
Description
Cognitive regulation of emotion
Timepoint
before performing the intervention and two weeks after completion of the intervention
Method of measurement
Granofsky et al.'s Cognitive Emotion Regulation Questionnaire (2001)
3
Description
Marital boredom
Timepoint
before performing the intervention and two weeks after completion of the intervention
Method of measurement
Pines Marital Disgust Scale (1998)
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Positive Psychotherapy (PPT) sessions will be based on the treatment protocol designed by Mirdrikvand et al. (2019). The sessions of this intervention will be conducted in 13 90-minute sessions (one session per week) in a group setting for the experimental group. Positive psychotherapy is an approach that aims to identify and strengthen the secretary's capabilities, cultivate positive emotions, and reconstruct the meaning of lived experiences, helping women affected by marital infidelity to improve their sense of self-worth, resilience, and psychological well-being by utilizing internal resources, instead of focusing solely on the damage and ruminations caused by the breach of contract. This approach has main educational and therapeutic axes that lead to improving cognitive emotion regulation, increasing marital satisfaction, and reducing marital burnout; these axes include: establishing familiarity, explaining the therapeutic logic, and examining the role of the lack of positive resources and emotions in the continuation of individual and interpersonal problems; Assessing and measuring the clients' secretarial capabilities through a questionnaire and discussing how to use strengths; cultivating special capabilities and shaping objective and achievable behaviors; reviewing good memories versus bad memories and discharging bitter emotions along with recognizing their effects on mental health; teaching and applying forgiveness techniques as a powerful tool for transforming negative emotions into neutral or positive emotions; explaining and reinforcing the concept of gratitude and highlighting positive memories of life; teaching the skill of contentment versus maximization to strengthen commitment and realism in relationships; strengthening the components of hope and optimism in the face of interpersonal failures and rejections and providing coping strategies; redefining love, secure attachment, and active-constructive response styles; drawing and examining the family tree of family capabilities; teaching the sense of taste and tasting pleasures to intentionally become aware of pleasant experiences and protect them from harm; Utilizing the gift of time in service to others and promoting a sense of meaning; and finally integrating the components of pleasure, commitment, and meaning in the form of a "full life" model, summarizing achievements, and consolidating the durability of the intervention's effects. The main emphasis of this treatment is to replace positive emotional experiences, strengthen psychological resilience, rebuild positive emotions, and develop personality capabilities in the face of trauma and the crisis of marital infidelity.
Category
Behavior
2
Description
Control group: They do not receive any intervention or treatment.
Category
N/A
Recruitment centers
1
Recruitment center
Name of recruitment center
Center for Christian Psychology
Full name of responsible person
Fariba Davoudi
Street address
4th Floor, Setayesh Building, Beginning of Hosseinieh Azam Alley, Imam Khomeini St.
City
ایذه
Province
Khouzestan
Postal code
6391846895
Phone
+98 916 735 5681
Email
kh1365aa@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Islamic Azad University
Full name of responsible person
Behrang Mohammad Salehi
Street address
Daneshjo Square, Zagros Blvd.
City
Izeh
Province
Khouzestan
Postal code
6391693627
Phone
+98 996 477 0611
Email
bsalehi@iau.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Islamic Azad University
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Islamic Azad University
Full name of responsible person
Fariba Davoudi
Position
Master's student
Latest degree
Bachelor
Other areas of specialty/work
Psychology
Street address
No. 30, Golestan Alley, Imam St.
City
Izeh
Province
Khouzestan
Postal code
6391753611
Phone
+98 916 735 5681
Fax
Email
kh1365aa@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Islamic Azad University
Full name of responsible person
Fariba Davoudi
Position
Master's student
Latest degree
Bachelor
Other areas of specialty/work
Psychology
Street address
No. 30, Golestan Alley, Imam St.
City
Izeh
Province
Khouzestan
Postal code
6391753611
Phone
+98 916 735 5681
Fax
Email
kh1365aa@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Islamic Azad University
Full name of responsible person
Fariba Davoudi
Position
Master's student
Latest degree
Bachelor
Other areas of specialty/work
Psychology
Street address
No. 30, Golestan Alley, Imam St.
City
Izeh
Province
Khouzestan
Postal code
6391753611
Phone
+98 916 735 5681
Fax
Email
kh1365aa@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
No - There is not a plan to make this available
Justification/reason for indecision/not sharing IPD
Participant data is completely confidential and I do not intend to publish it.
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
No - There is not a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available