Effectiveness of Emotionally Focused Couple Therapy Training on Alexithymia and Perceived Stress in Women Affected by Infidelity

Authors

    Atena Nobakht Namini Department of Psychology, WT.C., Islamic Azad University, Tehran, Iran
    Ayatollah Karimi Baghmalek * Department of Educational Sciences, Shahid Rajaee Campus, Farhangian University, Shiraz, Iran Ayat.karimi@cfu.ac.ir
    Alireza Mollazade Department of Psychology, Ash.C., Islamic Azad University, Ashtian, Iran
https://doi.org/10.61838/

Keywords:

emotionally focused couple therapy, alexithymia, perceived stress, infidelity.

Abstract

Objective: The present study aimed to compare the effectiveness of compassion-based positive couple therapy and emotionally focused couple therapy on emotional experience toward spouse among young couples in Tehran.

Methods and Materials: This applied study employed a semi-experimental pretest–posttest design with a control group and a two-month follow-up phase. The statistical population consisted of young couples referring to counseling and psychological service clinics in District 5 of Tehran between July 2024 and March 2025. Using purposive sampling, 45 couples were selected and assigned into two experimental groups and one control group, with 15 couples in each group. The first experimental group received compassion-based positive couple therapy, while the second experimental group participated in emotionally focused couple therapy. Both interventions were implemented in fifteen two-hour sessions conducted twice weekly. The control group remained on a waiting list and received no intervention during the study period. Data were collected using the Emotional Experience Toward Spouse Questionnaire developed by Yusefi and Ghaffaralehi. Data analysis was performed using SPSS-26 through descriptive statistics, repeated measures analysis of variance, multivariate analysis of variance, and Bonferroni post hoc tests.

Findings: The results indicated significant effects of group, time, and group-by-time interaction on positive and negative emotional experiences toward spouse (p < .001). Both compassion-based positive couple therapy and emotionally focused couple therapy significantly increased positive emotional experiences and reduced negative emotional experiences compared with the control group. Bonferroni post hoc comparisons demonstrated that the intervention groups achieved significantly better outcomes than the control group at the posttest stage (p < .001). Pairwise comparisons further revealed significant improvements from pretest to posttest and from pretest to follow-up in both intervention groups, while no significant differences were observed between posttest and follow-up stages, indicating the stability of treatment effects over time.

Conclusion: The findings suggest that both compassion-based positive couple therapy and emotionally focused couple therapy are effective interventions for improving emotional experiences toward spouse among young couples. These approaches appear to strengthen emotional intimacy, emotional responsiveness, and adaptive emotional interactions while reducing negative emotional experiences and relational distress. Therefore, the application of emotion-centered and compassion-oriented therapeutic interventions may play an important role in promoting marital well-being and emotional stability among couples.

Downloads

Download data is not yet available.

References

Babaei, S., Manesh, M. N., Abouzari, F., & Karami, S. (2023). The role of traumatic childhood experiences, mentalization and Alexithymia in predicting depression and suicidal thoughts in women suffering from the trauma of marital betrayal. Iranian Journal of Psychiatric Nursing, 10(6).

Badanfiroz, A. (2025). Comparison of the Effectiveness of Dialectical Behavior Therapy and Emotion-Focused Therapy on Communication Patterns and Marital Intimacy in Marital Infidelity Among Women. Jarac, 7(1), 127-137. https://doi.org/10.61838/kman.jarac.7.1.15

Cheng, B., Roberts, N., Zhou, Y., & Wang, X. (2022). Social support mediates the influence of cerebellum functional connectivity strength on postpartum depression and postpartum depression with anxiety. Translational psychiatry, 25(2).

Chu, T. H., & Jiang, L. C. (2024). Examining the link between distressing life events, social media distress disclosure, and perceived stress: A moderated mediation model. Computers in human Behavior, 151, 108018.

Cole, D. L., & Cole, C. U. (2024). Treating Infidelity: A Gottman Method Couples Therapy Approach. In Infidelity (pp. 127-142). Routledge.

Conroy, J., Perryman, K., Robinson, S., Rana, R., Blisard, P., & Gray, M. (2023). The coregulatory effects of emotionally focused therapy. Journal of Counseling & Development, 101(1), 46-55.

Erfanian Rezaei, M., Keshavarzi Arshadi, F., Golshani, F., Hassani, F., & Roletshahi, B. (2023). The effectiveness of emotion-focused therapy on frustration tolerance and marital quality of life in women with recurrent miscarriages. Quarterly Journal of Healthcare Management(14), 24-31.

Fooladvand, K. (2023). Comparing the difficulty in emotion regulation and distress tolerance in students with depressed and non-depressed symptoms. Rooyesh-e-Ravanshenasi Journal, 12(8), 57-64.

Foran, H. M., & O'Leary, K. D. (2013). The role of relationships in understanding the alexithymia-depression link. European Journal of Personality, 27(5), 470-480.

Ghiasi, N., Rasoal, D., Haseli, A., & Feli, R. (2024). The interplay of attachment styles and marital infidelity: A systematic review and meta-analysis. Heliyon.

Hashemi, M., & Ghahremani, M. (2021). The effectiveness of emotionally focused couple therapy on improving sexual functional disorders and anxiety during sexual intercourse in women with vaginismus. Disability Studies, 11(1), 12-24.

Hatami, Z., Hassani, F., Koochak Entezar, R., & Golshani, F. (2021). The mediating role of cognitive emotion regulation in the relationship between alexithymia and parenting behavior based on attitudes toward eating in female students. Quarterly Journal of Psychological Methods and Models, 12(45), 137-146.

Hosseinzadeh, Z., Ghorban Shiroudi, S., Khalatbari, J., & Rahmani, M. A. (2020). The effectiveness of emotionally focused couple therapy on functional flexibility and distress tolerance in couples. Applied Family Therapy, 1(3), 23-38.

Irvine, T. J., Peluso, P. R., Benson, K., Cole, C., Cole, D., Gottman, J. M., & Schwartz Gottman, J. (2024). A Pilot Study Examining the Effectiveness of Gottman Method Couples Therapy Over Treatment-as-Usual Approaches for Treating Couples Dealing with Infidelity. The Family Journal, 32(1), 81-94.

Kim, H., Seo, J., Namkoong, K., Hwang, E. H., Sohn, S. Y., Kim, S. J., & Kang, J. I. (2016). Alexithymia and perfectionism traits are associated with suicidal risk in patients with obsessive-compulsive disorder. Journal of affective disorders, 192, 50-55.

Mahdi Gholi, M., Dokanei Fard, F., & Jahangir, P. (2023). The effectiveness of emotionally focused couple therapy on marital burnout and resilience in young couples. Applied Family Therapy, 4(2), 47-59.

Malekzadeh, M., & Nazarifar, M. (2019). The effectiveness of emotionally focused couple therapy on frustration tolerance and marital intimacy in couples referred to counseling centers in Ahvaz. Third International Conference on Innovation and Research in Educational Sciences, Management and Psychology, Tehran.

Niknam, M. (2024). Structural modeling for determining marital infidelity based on self-compassion with mediating role of emotional maturity. Journal of Psychological Science, 95-112.

Ogwuche, C. H., Tyav-Tersoo, K. I., Caleb, O. N. A. H., & Orafa, D. T. (2024). Marital Infidelity among Married Couples: Roles of Emotional Intelligence and Narcissistic Personality Traits in Makurdi, Benue State. Journal of Innovation in Psychology, Education and Didactics, 28(1), 27-36.

Rahimi Kelishadi, H. (2024). The effectiveness of Imago therapy-based couple therapy on positive emotion toward spouse, alexithymia, and marital burnout in couples with experience of marital infidelity in Isfahan Islamic Azad University, Khomeini Shahr Branch].

Rodriguez, K. (2024). Intimate Partner Relationships and Infidelity Among Female Adult Survivors of Child Sexual Abuse Walden University].

Ruisoto, P., López-Guerra, V. M., Paladines, M. B., Vaca, S. L., & Cacho, R. (2020). Psychometric properties of the three versions of the Perceived Stress Scale in Ecuador. Physiology & Behavior, 224, 113045.

Salimi, L. (2023). The effectiveness of emotionally focused couple therapy on positive feelings toward spouse and uncertainty frustration in infertile couples seeking divorce. Rooyesh-e-Ravanshenasi, 12(8), 201-210.

Scott, J. P. (2024). Perceived Stress, Social Media Usage, and Sleep Quality in United States Adults Walden University].

Shabani Nia, S., Golparvar, M., & Aghaei, A. (2022). The effectiveness of emotion-focused therapy on tendency toward marital infidelity and marital quality of life in women with low sexual desire. Behavioral Sciences Research, 20(3), 483-492.

Wang, Y. (2024). Effectiveness of Emotionally Focused Therapy (EFT) with Chinese Couple Clients: From the Chinese EFT Therapists' Cultural Lens Liberty University].

Woolley, S. R., & Koren, R. (2025). Using the Woolley Motivation Typology to Heal Infidelity With Emotionally Focused Therapy. European Journal of Mental Health, 20, 1-10. https://doi.org/10.5708/EJMH.20.2025.0035

Zhao, J., Sohn, A., & Tadros, E. (2025). Disability and infidelity with a cross-cultural couple: An emotionally focused therapy case study. Person-Centered & Experiential Psychotherapies, 24(2), 130–152. https://doi.org/10.1080/14779757.2024.2402694

Zhou, Y., Wang, L., Yang, K., Huang, J., Li, Y., Li, W., & Tan, Y. (2024). Correlation of allostatic load and perceived stress with clinical features in first-episode schizophrenia. Journal of psychiatric research, 172, 156-163.

Downloads

Additional Files

Published

2026-09-01

Submitted

2025-12-16

Revised

2026-04-28

Accepted

2026-05-05

Issue

Section

Articles

How to Cite

Nobakht Namini , A. ., Karimi Baghmalek, A., & Mollazade, A. . (2026). Effectiveness of Emotionally Focused Couple Therapy Training on Alexithymia and Perceived Stress in Women Affected by Infidelity. Psychology of Woman Journal, 1-11. https://doi.org/10.61838/