Volume 10, Issue 1 (Winter 2022)                   Iran J Health Sci 2022, 10(1): 21-30 | Back to browse issues page

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Habibi N, Fathi E, Hatami Varzaneh A, Aghajani S. The Effectiveness of Prevention and Relationship Enhancement Program on the Quality of Life and Marital Commitment in Married Women. Iran J Health Sci 2022; 10 (1) :21-30
URL: http://jhs.mazums.ac.ir/article-1-794-en.html
Assistant Professor of Hazrat-e Masoumeh University , fathielham@ymail.com
Abstract:   (1931 Views)
Background and purpose: There are several ways to enhance marriage. Prevention and Relationship Enhancement Program (PREP) are among the methods of educating relationships. Relationship education programs have made a significant contribution to the growth and development of millions of couples. This study aimed to investigate the effectiveness of the  Prevention and Relationship Enhancement Program (PREP ) on quality of life and marital commitment in married women.
Materials and Methods:  This quasi-experimental research was conducted in a pretest-posttest control group design with 15 participants in the experimental group and 15 participants in the control group. Marital Commitment Questionnaire (DCI), and World Health Organization Quality of Life Questionnaire (WHOQOL) were completed as research instruments by the participants. The full version of PREP.8 was presented to the group of 15 participants over a weekend for a total of 12 hours, with each segment lasting for two hours. The Multivariate Analysis of Covariance (MANCOVA) as well as the Univariate Analysis of Covariance (ANCOVA) tests were used. Hedge´s g effect size (ES) was also calculated to determine the magnitude of pairwise comparisons.
Results: The findings indicated that there was a significant difference between the experimental and control groups in terms of quality of life (Social Relations: Exp: 12.27±1.28, Cont:11.13±1.64, P≤0.03; Environment, Exp: 30.73±3.06, Cont:28.67±3.27, P≤0.02) and marital commitment (Structural Commitment: Exp: 76.40±5.08, Cont: 70.53±3.42 ;P≤0.02).
Conclusion: We concluded that utilizing PREP can successfully help Iranian couples in their relationships providing them with more knowledge and skills.
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Type of Study: Original Article | Subject: Family Health

1. Kõu A, Bailey A. 'Some people expect women should always be dependent': Indian women's experiences as highly skilled migrants. Geoforum. 2017;85:178-86. [DOI:10.1016/j.geoforum.2017.07.025]
2. McNulty JK, Wenner CA, Fisher TD. Longitudinal associations among relationship satisfaction, sexual satisfaction, and frequency of sex in early marriage. Archives of Sexual Behavior. 2016;45(1):85-97. [DOI:10.1007/s10508-014-0444-6] [PMID] [PMCID]
3. Mosko JE, Pistole MC. Attachment and religiousness: Contributions to young adult marital attitudes and readiness. The Family Journal. 2010;18(2):127-35. [DOI:10.1177/1066480710364132]
4. Shahhossiani Tajik S, Sayadi M, Taheri N. Marital Commitment and Relationship Quality in Fertile Couples and In-fertile. Horizon of Medical Sciences. 2019;25(3):184-97. [DOI:10.32598/hms.25.3.184]
5. Goodfriend W, Agnew CR. Sunken costs and desired plans: Examining different types of investments in close relationships. Personality and social psychology Bulletin. 2008;34(12):1639-52. [DOI:10.1177/0146167208323743] [PMID]
6. Stanley SM, Rhoades GK, Whitton SW. Commitment: Functions, formation, and the securing of romantic attachment. Journal of family theory & review. 2010;2(4):243-57. [DOI:10.1111/j.1756-2589.2010.00060.x] [PMID] [PMCID]
7. Agnew CR, Vanderdrift LE. Commitment processes in personal relationships. In A. L. Vangelisti & D. Perlman (Eds.), The Cambridge handbook of personal relationships. Cambridge University Press. 2018;437-448. [DOI:10.1017/9781316417867.034]
8. Masters A. Marriage, commitment and divorce in a matching model with differential aging. Review of Economic Dynamics. 2008;11(3):614-28. [DOI:10.1016/j.red.2007.08.005]
9. Tilghman-Osborne C, Cole DA, Felton JW, Ciesla JA. Relation of guilt, shame, behavioral and characterological self-blame to depressive symptoms in adolescents over time. Journal of Social and Clinical Psychology. 2008;27(8):809-42. [DOI:10.1521/jscp.2008.27.8.809] [PMID] [PMCID]
10. Gottman JM. Gottman method couple therapy. Clinical handbook of couple therapy. 2008;4(8):138-64.
11. Amato PR, DeBoer DD. The transmission of marital instability across generations: Relationship skills or commitment to marriage? Journal of marriage and family. 2001;63(4):1038-51. [DOI:10.1111/j.1741-3737.2001.01038.x]
12. Amiri Majd M, Hosseini SF, Jafari A. Comparing the quality of life and marital intimacy among parents of children with Down syndrome, parents of children with learning disabilities, and parents of normal children. Journal of Learning Disabilities. 2014;4(1):38-55.
13. Gameiro S, Nazaré B, Fonseca A, Moura-Ramos M, Canavarro MC. Changes in marital congruence and quality of life across the transition to parenthood in couples who conceived spontaneously or with assisted reproductive technologies. Fertility and sterility. 2011;96(6):1457-62. [DOI:10.1016/j.fertnstert.2011.09.003] [PMID]
14. Nazari F, Etemadi O, Aabedi A. The Effectiveness of Olson Couples Enrichment on Couples' Marital Intimacy. Journal of Research in Behavioural Sciences. 2019;17(3):448-56. [DOI:10.52547/rbs.17.3.448]
15. Rostami M, Abolghasemi A, Narimani M. The effectiveness of quality of life therapy on quality of life in maladjustment couples. Pajouhan Scientific Journal. 2016;15(1):19-27.
16. Givertz M, Segrin C, Woszidlo A. Direct and indirect effects of commitment on interdependence and satisfaction in married couples. Journal of family psychology. 2016;30(2):214. [DOI:10.1037/fam0000174] [PMID]
17. Fathi E, Daneshpour M, Hatami Varzaneh A. The Effectiveness of Preparation for Marriage Education with PREP in Iran. Marriage & Family Review. 2021;57(4):312-28. [DOI:10.1080/01494929.2020.1861164]
18. Daire AP, Harris SM, Carlson RG, Munyon MD, Rappleyea DL, Beverly MG, et al. Fruits of improved communication: The experiences of Hispanic couples in a relationship education program. Journal of Couple & Relationship Therapy. 2012;11(2):112-29. [DOI:10.1080/15332691.2012.666498]
19. Owen J, Quirk K, Bergen C, Inch LJ, France T. The effectiveness of PREP with lower‐income racial/ethnic minority couples. Journal of Marital and Family Therapy. 2012;38:296-307. [DOI:10.1111/j.1752-0606.2012.00294.x] [PMID]
20. Beach S, Hurt T, Fincham F, Franklin K, McNair L, Stanley S. Enhancing the cultural sensitivity of marital enrichment through spirituality: Efficacy data for prayer focused PREP (PFP). Psychology of Religion and Spirituality. 2011;3(3):201-16. [DOI:10.1037/a0022207]
21. Stanley SM, Trathen D, McCain S, Bryan BM. A lasting promise: The Christian guide to fighting for your marriage. John Wiley & Sons.2013.
22. Bagheri E. The Effectiveness of Prevention and Relationship Education Program (PREP) on promoting marital satisfaction of married female students. [Master Thesis]. Faculty of Educational Sciences and Psychology: Tabriz University. 2019.
23. Eslami F, Farahbakhsh K, Salimi H. The Effectiveness of Prevention and Relationship Education Program (PREP) on Communication Beliefs. Journal of Applied Family Therapy. 2020;1(1):17-34. [DOI:10.52547/psychowoman.2.1.1]
24. Mortazavi M, Rasooli R, Hoseinian S, Zareei H. Effectiveness of the Prevention and Relationship Enhancement Program Based on Gottman & Glaser's Integrated Approach to Love, Respect, and Marital Intimacy. Journal of Applied Psychological Research. 2020;11(1):137-49.
25. Azimi Khoei A, Zahrakar K, Ahmadi K. The Effectiveness of Premarital Education based on the Prevention and Relationship Improvement Program (PREP) on Communication Beliefs and Attitudes Toward Marriage of Couples on the Verge of Marriage. Islamic Life Journal. 2021; 4:63-73.
26. Heydarnia A, Nazari AM, Soleimanian AA. The Effectiveness of Prevention and Relationship Enhancement Program (PREP) on Marital Intimacy. Clinical Psychology Studies. 2014;4(15):61-78.
27. National Organization For Civil Registration.Vital Events Data. (Jun2021). Downloaded from https://www.sabteahval.ir/
28. Cohen J. Statistical power analysis for the behavioral sciences. United States of America: Lawrence Erlbaum Associates.1977; 2nd ed: 215-71. [DOI:10.1016/B978-0-12-179060-8.50012-8]
29. Adams JM, Jones WH. The conceptualization of marital commitment: An integrative analysis. Journal of personality and social psychology. 1997;72(5):1177. [DOI:10.1037/0022-3514.72.5.1177]
30. Zareyi S, Sabet M. Effectiveness of Emotionally Focused Couples Therapy on Marital Commitment, Intimacy and Confidence of Tehran City Married Women. (Journal Of Health Breeze) Family Health.2014;3(1):21-27
31. Skevington SM, Lotfy M, O'Connell KA. The World Health Organization's WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Quality of life Research. 2004;13(2):299-310. [DOI:10.1023/B:QURE.0000018486.91360.00] [PMID]
32. Masaeli N, Attari A, Molavi H, Najafi M, Siavash M. Normative data and psychometric properties of the quality of life questionnaire for patients with diabetes mellitus. Koomesh. 2010; 11(4):263-9.
33. Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh S. The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version. Journal of School of Public Health and Institute of Public Health Research. 2006; 4 (4) :1-12. [Persian]
34. Van Esch L, Den Oudsten BL, De Vries J. The World Health Organization quality of life instrument-short form (WHOQOL-BREF) in women with breast problems. International Journal of Clinical and Health Psychology. 2011;11(1):5-22.
35. Hou Y, Jiang F, Wang X. Marital commitment, communication and marital satisfaction: An analysis based on actor-partner interdependence model. International Journal of Psychology. 2019;54(3):369-76. [DOI:10.1002/ijop.12473] [PMID]
36. Madison JK, Madison LS. A review of research-based interventions on marriage preparation. Journal of Rational-Emotive & Cognitive-Behavior Therapy. 2013;31(2):67-74. [DOI:10.1007/s10942-013-0160-5]
37. Killawi A, Fathi E, Dadras I, Daneshpour M, Elmi A, Altalib H. Perceptions and experiences of marriage preparation among US Muslims: Multiple voices from the community. Journal of marital and family therapy. 2018;44(1):90-106. [DOI:10.1111/jmft.12233] [PMID]
38. Joanning H. The long‐term effects of the couple communication program. Journal of Marital and Family Therapy. 1982;8(4):463-8. [DOI:10.1111/j.1752-0606.1982.tb01472.x]
39. Grills C, Villanueva S, Anderson M, Corsbie-Massay CL, Smith B, Johnson L, et al. Effectiveness of choice theory connections: A cross-sectional and comparative analysis of California female inmates. International journal of offender therapy and comparative criminology. 2015;59(7):757-71. [DOI:10.1177/0306624X13520129] [PMID]
40. Ghazanfari B, Keshavarzi Arshadi F, Hassani F, Emamipour S. Effectiveness of couple therapy based on Choice Theory on conflict resolution styles and marital relationship quality of incompatible couples. Journal of Applied Psychology. 2018; 12(1): 47-62.
41. Araghian S, Nejat H, Toozandejani H, Bagherzadeh Golmakani Z. Comparison of the effectiveness of quality of life therapy and compassion-focused therapy in the distress tolerance and meaning in life in of women with marital conflicts.2020;11(39):121-138.

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