Effectiveness of Emotion-Focused Therapy on Attachment Styles, Anger Management, and Social Anxiety Among Female Secondary School Students
Keywords:
Emotional Therapy, Social Anxiety, Attachment Style, Anger Management, StudentAbstract
Objective: This study aimed to investigate the effectiveness of Emotion-Focused Therapy (EFT) on attachment styles, anger management, and social anxiety in female students at the lower secondary school level.
Methods and Materials: The research employed a quasi-experimental design with a pretest-posttest control group and a two-month follow-up period. The statistical population consisted of all female lower secondary school students in Shiraz during the 2024–2025 academic year. From this population, 46 students were selected using multistage cluster random sampling, considering inclusion criteria, and were randomly assigned to two equal groups (23 participants each). Data were collected using the Attachment Style Questionnaire (Hazan & Shaver, 1987), the Adolescent State-Trait Anger Expression Inventory (Burner & Spielberger, 2009), and the Social Anxiety Scale for Adolescents (La Greca & Lopez, 1998). The intervention group received Emotion-Focused Therapy over nine sessions (one 90-minute session per week), while the control group did not receive any intervention. Data analysis was conducted using descriptive statistics, parametric tests, and repeated measures ANOVA with SPSS v26.
Findings: The results showed that the mean scores of anger management, social anxiety, and their respective dimensions significantly improved in the experimental group compared to the control group following the intervention (p < .05). Additionally, findings indicated that Emotion-Focused Therapy effectively enhanced secure attachment and reduced avoidant and anxious attachment styles in the experimental group, with no such changes observed in the control group (p < .05). These therapeutic effects persisted throughout the two-month follow-up period (p < .05).
Conclusion: Based on these findings, psychologists and counselors are encouraged to utilize Emotion-Focused Therapy techniques to promote the psychological and behavioral empowerment of students.
Downloads
References
Achak, A., Pournaghash-Tehrani, S., & Azizi, Z. (2023). Comparison of social health and the level of depression, anxiety, and aggression experienced in adolescents with high and low quality of life: Evidence from Afghan adolescents residing in Tehran. Psychological Sciences, 22(124), 850-863. http://psychologicalscience.ir/browse.php?a_id=1960&sid=1&slc_lang=en
Ahmadi, V., & Valizadeh, H. (2021). The Effectiveness of Acceptance and Commitment-Based Therapy on the Quality of Life and Death Anxiety in the Elderly. Aging Psychology, 7(2), 166-153. https://doi.org/10.22126/jap.2021.6370.1528
Ali, E., Letourneau, N., Benzies, K., Ntanda, H., Dewey, D., Campbell, T., & Giesbrecht, G. (2020). Maternal prenatal anxiety and children's externalizing and internalizing behavioral problems: The moderating roles of maternal-child attachment security and child sex. Canadian Journal of Nursing Research, 52(2), 88-99. https://doi.org/10.1177/0844562119894184
Ardakhani, N., & Seadatee Shamir, A. (2022). The effectiveness of Emotion-focused Couple Therapy on Emotional Self-Disclosure and Marital Commitment of Couples Referring to Counseling Centers. International Journal of Education and Cognitive Sciences, 3(3), 27-34. https://doi.org/10.22034/injoeas.2022.160162
Damavandian, A., Golshani, F., Saffarinia, M., & Baghdasarians, A. (2022). Effectiveness of compassion-focused therapy on aggression, self-harm behaviors, and emotional self-regulation in delinquent adolescents. Journal of Psychological Science, 21(112), 797-818. https://doi.org/10.52547/JPS.21.112.797
Elliott, R., & Macdonald, J. (2021). Relational dialogue in emotion-focused therapy. Journal of Clinical Psychology, 77(2), 414-428. https://doi.org/10.1002/jclp.23069
Gupta, M., & Gupta, N. (2025). A Narrative Review on Aggression in Children and Adolescents: Anthropology, Developmental Phenomenology, Transdiagnostic Trajectories, Contextual Nosology, and Strategic Pathways For Interventions. Adolescent Psychiatry, 15. https://doi.org/10.2174/0122106766336153241216081316
Heidarpour Eskandari, M., Amini, N., & Jafarinia, G. (2021). The comparison of effectiveness of emotion-focused couple therapy and mindfulness-based stress reduction program on covert relational aggression of couples. Iranian Evolutionary and Educational Psychology, 3(4), 583-595. https://doi.org/10.52547/ieepj.3.4.583
Jahangasht Aghkand, Y., Abbasi, G., & Hasanzadeh, R. (2021). The Effects of Intensive Short-Term Dynamic Psychotherapy on Interpersonal Problems in Women with Social Anxiety [Original Research Article]. Middle Eastern Journal of Disability Studies, 11(0), 169-169. http://jdisabilstud.org/article-1-2140-en.html
Liu, F. (2025). Effects of Childhood Inter-Parent Conflict on Reactive Aggression in Emerging Adulthood: The Role of Parental Warmth, and Emotional Dysregulation. https://doi.org/10.21203/rs.3.rs-6195416/v1
Lv, H., Ye, W., Chen, S., Zhang, H., & Wang, R. (2022). The Effect of Mother Phubbing on Young Children's Emotional and Behavioral Problems: A Moderated Mediation Model of Mother-Child Attachment and Parenting Stress. International journal of environmental research and public health, 19(24), 16911. https://doi.org/10.3390/ijerph192416911
Maalouf, E., Salameh, P., Haddad, C., Sacre, H., Hallit, S., & Obeid, S. (2022). Attachment styles and their association with aggression, hostility, and anger in Lebanese adolescents: a national study. BMC psychology, 10(1), 104. https://doi.org/10.1186/s40359-022-00813-9
Mirzalu, F. (2022). Investigating the relationship between life skills and aggression with the mediation of social anxiety. Islamic and Humanities Sciences, 11(4), 160-186. https://journals.icscr.ir/?p=3141
Moradi, M., Farhangi, A., & Tizdast, T. (2023). Modeling children's behavioral problems based on attachment styles with parent-child relationship mediation. Journal of Adolescent and Youth Psychological Studies, 4(2), 9-17. http://dx.doi.org/10.52547/jspnay.4.2.12
Moreira, D. (2024). Addressing the Complex Links Between Psychopathy and Childhood Maltreatment, Emotion Regulation, and Aggression—A Network Analysis in Adults. Behavioral Sciences, 14(2), 115. https://doi.org/10.3390/bs14020115
Rajaeinia, A. (2022). Effectiveness of Cognitive Behavior Group Therapy on decreasing perfectionism, increasing positive affect and mental performance in Female Clergies. International Journal of Education and Cognitive Sciences, 2(4), 45-53. https://doi.org/10.22034/injoeas.2022.160688
Roghani, F., Jadidi, M., & Peymani, J. (2022). The Effectiveness of Floortime Play Therapy on Improving Executive Functions and Cognitive Emotion Regulation in Children with Attention Deficit / Hyperactivity Disorder (ADHD). International Journal of Education and Cognitive Sciences, 2(4), 30-44. https://doi.org/10.22034/injoeas.2022.160686
Rong-shuang, Z., & Zhou, Y. (2023). Research on the Therapeutic Effect of Sandplay Intervention on Emotional and Behavioral Problems of a Primary School Student. Journal of Contemporary Educational Research, 7(10), 173-178. https://doi.org/10.26689/jcer.v7i10.5474
Sari, F. S., Batubara, I. M. S., Solikhah, M. M., Kusumawati, H. N., Eagle, M., Sulisetyawati, S. D., & Mariyati, M. (2022). Effect of Cognitive Behavior-Anger Management Therapy on Aggressive Behavior in Adolescents. Open Access Macedonian Journal of Medical Sciences, 10(G), 275-278. https://doi.org/10.3889/oamjms.2022.8496
Seçer, İ., Ulaş, S., Tatlı, E., Çi̇men, F., Bülbül, B., & Tosunoğlu, B. (2025). Investigation of the Effectiveness of Parent-Child Interaction Therapy on Adjustment and Behavioral Problems in Children With Subthreshold Autism. Frontiers in psychology, 15. https://doi.org/10.3389/fpsyg.2024.1408847
Shahar, B. (2020). New developments in emotion-focused therapy for social anxiety disorder. Journal of clinical medicine, 9(2918), 1-15. https://doi.org/10.3390/jcm9092918
Sharif, F. (2022). The Effectiveness of Solution-Focused Intervention on Problem-Solving Skills, Resilience, and Peer Relationships in Socially Vulnerable Children with Emotional-Behavioral Problems University of Tehran, Faculty of Psychology and Educational Sciences]. https://en.civilica.com/doc/1203398/
Sukhodolsky, D. G., Smith, S. D., McCauley, S. A., Ibrahim, K., & Piasecka, J. B. (2016). Behavioral Interventions for Anger, Irritability, and Aggression in Children and Adolescents. Journal of Child and Adolescent Psychopharmacology, 26(1), 58-64. https://doi.org/10.1089/cap.2015.0120
Tabesh Mofrad, N., & Mansouriyeh, n. (2023). The effectiveness of compassion-based therapy in regulating emotion, self-criticism and anger in male students second secondary level. Journal-of-Psychological-Science, 22(130), 2041-2058. https://doi.org/10.52547/JPS.22.130.2041
Tafà, M., Cerniglia, L., & Cimino, S. (2025). The Role of Parental and Adolescent Psychosocial Factors in Different Aggression Profiles: A Comparative Approach. Journal of clinical medicine, 14(6), 1924. https://doi.org/10.3390/jcm14061924
Tarlow, N., & Greca, A. M. L. (2020). The Role of Empathy and Social Anxiety in Latinx Adolescents' Indirect Peer Aggression During the Transition to High School. Aggressive Behavior. https://doi.org/10.1002/ab.21926
Vacher, C., Romo, L., Dereure, M., Soler, M., Picot, M. C., & Purper-Ouakil, D. (2022). Efficacy of cognitive behavioral therapy on aggressive behavior in children with attention deficit hyperactivity disorder and emotion dysregulation: study protocol of a randomized controlled trial. Trials, 23(1), 124. https://doi.org/10.1186/s13063-022-05996-5
Xiang, Y., Shi, D., Li, G., Bao, K., Wang, Y., Li, Y., Gao, W., & Zhang, R. (2023). Prevalence of behavioral problems among 6-to-14-year children with asthma and without asthma. https://www.researchsquare.com/article/rs-2425933/latest
Zolrahim, R., & Azmoudeh, M. (2020). The Effect of Cognitive-Behavioral Play Therapy on Social Anxiety and Aggressive Behaviors in Primary School Children [Research]. Quarterly Journal of Child Mental Health, 6(4), 231-240. https://doi.org/10.29252/jcmh.6.4.21
Zuppardo, L., Serrano, F., Pirrone, C., & Rodriguez-Fuentes, A. (2023). More Than Words: Anxiety, Self-Esteem, and Behavioral Problems in Children and Adolescents With Dyslexia. Learning Disability Quarterly, 46(2), 77-91. https://doi.org/10.1177/07319487211041103
Downloads
Additional Files
Published
Submitted
Revised
Accepted
Issue
Section
License
Copyright (c) 2025 Zahra Dehghani (Author); Marjan Al-Behbahani (Corresponding Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
