Comparison of the Effectiveness of Cognitive Behavioral Therapy and Intensive Short-Term Dynamic Psychotherapy on Conflict Resolution Styles and Cognitive Flexibility in Incompatible Couples

Authors

    Sareh Bagheri * Master's Degree Graduate in Clinical Psychology, Department of Psychology, Ga.C., Islamic Azad University, Garmsar, Iran. bsareh64@gmail.com
    Seyedeh Fatemeh Hosseini Harandehi Master's Degree Graduate in Clinical Psychology, Department of Psychology, Ga.C., Islamic Azad University, Garmsar, Iran.
https://doi.org/10.61838/kman.fct.psynexus.3.16

Keywords:

Cognitive Behavioral Therapy, Intensive Short-Term Dynamic Psychotherapy, Marital Conflict, Cognitive Flexibility, Couples.

Abstract

The present study aimed to compare the effectiveness of Cognitive Behavioral Therapy (CBT) and Intensive Short-Term Dynamic Psychotherapy (ISTDP) on conflict resolution styles and cognitive flexibility in incompatible couples. This study employed a quasi-experimental design with a pre-test–post-test structure including a control group and two experimental groups. The statistical population consisted of all incompatible couples who sought services from family counseling centers in Garmsar in 2024. From this population, 40 couples (80 individuals) were selected through purposive sampling based on specific inclusion and exclusion criteria and were then randomly assigned to three groups: 14 couples in the CBT group, 13 couples in the ISTDP group, and 13 couples in the control group. Data collection instruments included the Marital Conflict Questionnaire (Zaker & Barati, 2008) and the Cognitive Flexibility Inventory (Dennis & Vander Wal, 2010). Therapeutic interventions were conducted over eight sessions based on the Dattilio (2010) protocol for CBT and the Davanloo (2000) protocol for ISTDP. Data analysis was performed using the Shapiro–Wilk test, Levene’s test, and Multivariate Analysis of Covariance (MANCOVA) via SPSS version 27. The results indicated a significant difference between the pre-test and post-test scores in the experimental groups for the variables of marital conflict and cognitive flexibility (p ≤ 0.001), whereas no significant differences were observed in the control group. Additionally, post-test comparisons revealed significant differences between the treatment groups and the control group for both variables (p ≤ 0.001); however, no statistically significant difference was found between the two treatment groups. Based on the findings, CBT was more effective in reducing marital conflict due to its higher effect size, whereas ISTDP had a greater impact on enhancing cognitive flexibility in couples.

Downloads

Download data is not yet available.

References

Bakhtiari, M. (2024). The Effectiveness of Cognitive Behavioral Therapy on Psychological Flexibility in Women Experiencing Marital Distress. Positive Psychology Quarterly, First Series(First Issue), 50-58. https://rpp.araku.ac.ir/article_713641.html

Forouzani, S., Norbakhsh Amiri, M., Abbasi, F., Akbarzadeh, N., & Jafari, Z. (2024). Effectiveness of Cognitive Behavioral Therapy on Psychological Hardiness and Marital Relationship Quality in Couples with Marital Conflicts. Journal of Assessment and Research in Applied Counseling, 6(2), 105-112. https://doi.org/10.61838/kman.jarac.6.2.13

Jarareh, J., & Taleh-Pasand, S. (2011). The Effects of Management of Tactical Defenses in Intensive Short-term Dynamic Psychotherapy on Coupleâs Satisfaction. Journal of Clinical Psychology, 3(2), 13-21. https://doi.org/10.22075/jcp.2017.2050

Kashefi, F., Azkhosh, M., Khanjani, M. S., & Aghae, H. (2024). The Effectiveness of Intensive Short Term Dynamic Psychotherapy on Sensation Seeking and Tendency to Marital Infidelity in Married Women. Journal of Applied Psychological Research. https://doi.org/10.22059/japr.2024.360977.644655

Kashefi, F., Azkhosh, M., Khanjani, M. S., & Aghaei, H. (2023). The Effectiveness of Intensive Short-Term Dynamic Psychotherapy on Self-Differentiation and Attachment Behavior in Couple Relationships in Women with Tendency to Marital Infidelity. Iranian Journal of Psychiatric Nursing, 11(1), 0-0. https://mail.ijpn.ir/article-1-2100-en.pdf

Mobassem, S. (2022). Content analysis of defense mechanisms of a woman with marital conflict in intensive short-term dynamic psychotherapy sessions: A case study. Journal of Alternative Medicine Research, 14(2). https://openurl.ebsco.com/EPDB%3Agcd%3A3%3A5174339/detailv2?sid=ebsco%3Aplink%3Ascholar&id=ebsco%3Agcd%3A162045131&crl=c

Parisuz, A., Najarpourian, S., & Mohammadi, K. (2019). The Effect of Intensive Short Term Dynamic Psychotherapy on Marital Conflicts and Interpersonal Processing of Married Women with Emotional Divorce. Iranian Evolutionary and Educational Psychology Journal, 1(2), 112-122. https://doi.org/10.29252/IEEPJ.1.2.112

Parvizi, M., Askari, M., & Yousefi, E. (2025). Comparison of the Effectiveness of Cognitive-Behavioral Therapy and Metaphor Therapy on Marital Burnout in Women With Marital Conflicts. Aftj, 6(1), 141-148. https://doi.org/10.61838/kman.aftj.6.1.14

Pourjaberi, B., Shirkavand, N., & Ashoori, J. (2023). The Effectiveness of Cognitive Rehabilitation Training on Prospective Memory and Cognitive Flexibility in Individuals with Depression. International Journal of Education and Cognitive Sciences, 4(3), 45-53. https://doi.org/10.61838/kman.ijecs.4.3.5

Ranjbar Bahadori, S., Taklavi, S., & Kazemi, R. (2022). The effectiveness of intensive short-term dynamic psychotherapy on emotional expressiveness and differentiation betrayed women. frooyesh, 11(1), 113-124. http://frooyesh.ir/article-1-3219-en.html

Rasoulian, B., Janbozorgi, M., Noohi, S., & Rezvani, A. (2024). The Effectiveness of Cognitive Behavioral Therapy on Emotional and Cognitive Flexibility in Individuals with Psychological Distress. Journal of Disability Studies. https://jdisabilstud.org/article-1-3003-en.html

Sarafraz, M., & Moradi, S. (2022). The effect of intensive short-term dynamic psychotherapy (ISTDP) on attachment styles in women with marital conflicts [Research]. Journal of Psychology New Ideas, 14(18), 1-20. http://jnip.ir/article-1-802-en.html

Shafaghi, E. (2024). The Role of Cognitive-Behavioral Therapy (CBT) in Marital Commitment and the Management of Interpersonal Conflicts Among Couples. JCBL, 1(2), 157-170. https://doi.org/10.61838/jcbl.1.2.10

Shams, S., Ghelichkhan, N., Yousefi, N., & Alijani, S. (2022). Comparison of the Effectiveness of Short Term Intensive Dynamic Psychotherapy and Mentalization Based Therapy on Emotional Dysregulation, Defense Mechanisms and Insecure Attachment Styles in Women Who Have Experienced the Trauma of Marital Infidelity. International Journal of Psychology and Counselling, 10(1), 106-121. http://ijpn.ir/article-1-1964-en.html

Sheykhangafshe, F. B., Saeedi, M., Niri, V. S., Nakhostin, Z., & Bourbour, Z. (2023). The effectiveness of cognitive-behavioral therapy on difficulties in emotional regulation and cognitive flexibility in patients with obsessive-compulsive disorder. Journal of Psychology, 27(1), 28-37. https://psycnet.apa.org/record/2024-37952-004

Shojaeian, S., Khajavand Khoshli, A., Asadi, J., & Azizi, L. S. (2023). Comparing the effectiveness of mindfulness-based cognitive behavioral therapy with emotion-focused therapy on cognitive flexibility and impulsivity in adolescents with internet addiction. Journal of Nurse and Physician in Combat, 11(40), 26-33. https://www.researchgate.net/publication/380140314_Comparison_of_the_Effectiveness_of_Mindfulness-Based_Cognitive-Behavioral_Therapy_with_Emotion-Focused_Therapy_on_Sensation_Seeking_in_Adolescents_with_Internet_Addiction

Tahvilian, M. (2023). Effects of Psychodrama and Cognitive Behavioral Therapy on Assertiveness Skills of Women With Marital Conflicts. Journal of Multidisciplinary Care, 12(2), 97-103. https://doi.org/10.34172/jmdc.1172

Tavakoli, S., Abbasi, F., Heydari, B., & Akhondzadeh, M. (2024). Comparing the Effectiveness of Cognitive Behavioral Play Therapy and Gestalt Play Therapy on Vandalistic Behaviors, Impulsivity, and Cognitive Flexibility in Aggressive Male Elementary Students. Journal of Assessment and Research in Applied Counseling (JARAC), 6(3), 28-36. https://doi.org/10.61838/kman.jarac.6.3.4

Zamanifar, M., Keshavarzi, F., Hassani, F., & Emamipour, S. (2022). Comparing effectiveness of cognitive-behavioral couple therapy with systemic-behavioral couple therapy on intimacy and differentiation of self in couples with marital conflict. Journal of Psychological Science, 21(117), 1779-1798. https://doi.org/10.52547/JPS.21.117.1779

Ziapour, A., Hajiazizi, A., Ahmadi, M., & Dehghan, F. (2023). Effect of short-term dynamic psychotherapy on sexual function and marital satisfaction in women with depression: Clinical trial study. Health Science Reports, 6(6), e1370. https://doi.org/10.1002/hsr2.1370

Additional Files

Published

2025-07-21

Submitted

2025-04-05

Revised

2025-07-05

Accepted

2025-07-13

Issue

Section

Family and Couple Therapy

Categories

How to Cite

Bagheri, S. ., & Hosseini Harandehi, S. F. (2025). Comparison of the Effectiveness of Cognitive Behavioral Therapy and Intensive Short-Term Dynamic Psychotherapy on Conflict Resolution Styles and Cognitive Flexibility in Incompatible Couples. KMAN Counseling & Psychology Nexus, 3, 1-9. https://doi.org/10.61838/kman.fct.psynexus.3.16