The Effects of Stress Management Training on Communication Skills and Attribution Beliefs on Women with Adjustment Disorders
Authors
-
Gooya Safinia
Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.
https://orcid.org/0000-0001-5915-8548
-
Hossein Ebrahimi Moghadam
Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.
https://orcid.org/0000-0002-0912-761X
-
Khadijeh Abolmaali
Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.
https://orcid.org/0000-0002-9714-1816
DOI:
https://doi.org/10.22100/ijhs.v8i1.893Keywords:
Stress management, Communication, Attribution, Adjustment, BeliefsAbstract
Background: Recognizing the effective factors in marital relationships, control and manage them are among the crucial methods in solving marital problems and achieving marital satisfaction. The present study aimed to investigate the effects of stress management training on communication skills and attribution beliefs on women with adjustment disorders.
Methods: The research method was quasi-experimental with a pre-test, post-test, and follow-up design and a control group. The statistical population included all women with adjustment disorders who were referred to the psychological clinics of district 1 of Tehran in 2020. Thirty women who were willing to participate in the study were selected as the sample using convenience sampling and randomly divided into experimental and control groups (n=15 per group). The experimental group underwent eight sessions (90 minutes sessions per week) of stress management training. The follow-up was performed after 60 days. The research instruments included the Dyadic Adjustment Scale (DAS), the Relationship Attribution Measure (RAM), and the Jarabak Communication Skills Questionnaire (JCSQ). Data analysis was conducted using repeated-measures ANOVA.
Results: The results indicated that stress management training improved communication skills and attribution beliefs in women with adjustment disorders (Pvalue=0.0001).
Conclusions: Stress management training can be recommended as an intervention program to improve the quality of life of women with adjustment disorders.
Keywords: Stress management, Communication, Attribution, Beliefs, Adjustment, Women
References
1. Nouri M, Kebria MH, Ahmadianfar F, Khosravi A, Amiri M. Marital satisfaction and related factors among married women. Int J Health Stud 2018;4(4):11-15. doi:10.22100/ijhs.v4i4.480
2. Asadi M, Ghasemzadeh N, Nazarifar M, Niroumand Sarvandani M. The effectiveness of emotion-focused couple therapy on marital satisfaction and positive feelings towards the spouse. Int J Health Stud 2020;6(4):36-40. doi:10.22100/ijhs.v6i4.804
3. Cottrell DJ, Wright-Hughes A, Collinson M, et al. Effectiveness of systemic family therapy versus treatment as usual for young people after self-harm: a pragmatic, phase 3, multicentre, randomised controlled trial. Lancet Psychiatry. 2018;5(3):203-216. doi:10.1016/S2215-0366(18)30058-0
4. Babolhavaeji M, Khoshnevis E, Jafarzadeh Rastin S. The Effect of Cognitive-Behavioral Group Therapy on Depression and Coping Styles of Women Exposed to Marital Infidelity. Women’s Health Bulletin. 2019;6(4):18-26. doi:10.30476/WHB.2019.45985
5. Ellison CG, Walker AB, Glenn ND, Marquardt E. The effects of parental marital discord and divorce on the religious and spiritual lives of young adults. Social Science Research. 2011;40(2):538-51. doi:10.1016/j.ssresearch.2010.10.010
6. Isanezhad O, Ahmadi S-A, Bahrami F, Baghban-Cichani I, Farajzadegan Z, Etemadi O. Factor Structure and Reliability of the Revised Dyadic Adjustment Scale (RDAS) in Iranian Population. Iran J Psychiatry Behav Sci. 2012;6(2):55-61.
7. Lee J, Kim E, Wachholtz A. The effect of perceived stress on life satisfaction: The mediating effect of self-efficacy. Chongsonyonhak Yongu. 2016;23(10):29-47. doi:10.21509/KJYS.2016.10.23.10.29
8. Urooj M, Shazia Q. Work Related Stress, Time Management and Marital Satisfaction of Females Health Sector Professionals. Annals of King Edward Medical University. 2019;25(4).
9. Jibeen T. Influence of acculturative stress on marital satisfaction: Moderation effect of gender role and communication styles in Pakistani immigrants. Community Development. 2019;50(5):536-56. doi:10.1080/15575330.2019.1656659
10. Duijndam S, Karreman A, Denollet J, Kupper N. Physiological and emotional responses to evaluative stress in socially inhibited young adults. Biol Psychol. 2020;149:107811. doi:10.1016/j.biopsycho.2019.107811
11. Khezri Moghadam N, Kazerooni G. A study of mindfulness-based stress reduction's effectiveness on marital satisfaction in women. Int J Health Stud 2017;3(1):36-39. doi:10.22100/ijhs.v3i1.149
12. Sidan SA, Ziaei S. Effectiveness of Stress Management Training on Quality of Life and Resilience of Women Victims of Domestic Violence. Medical Journal of Mashhad University of Medical Sciences. 2019;61(supplment1):12-9. doi:10.22038/MJMS.2019.13787
13. Fahami F, Pahlavanzadeh S, Asadi M. Efficacy of communication skills training workshop on sexual function in infertile women. Iran J Nurs Midwifery Res. 2015;20(2):179-83.
14. Asadi ZS, Sadeghi R, Taghdisi MH, Zamani-Alavijeh F, Shojaeizadeh D, Khoshdel AR. Sources, Outcomes, and Resolution of Conflicts in Marriage among Iranian women: A qualitative study. Electron Physician. 2016;8(3):2057-65.
15. Leite RC, Makuch MY, Petta CA, Morais SS. Women's satisfaction with physicians' communication skills during an infertility consultation. Patient Educ Couns. 2005;59(1):38-45. doi:10.1016/j.pec.2004.09.006
16. Graf J, Smolka R, Simoes E, Zipfel S, Junne F, Holderried F, et al. Communication skills of medical students during the OSCE: Gender-specific differences in a longitudinal trend study. BMC Med Educ. 2017;17(1):75. doi:10.1186/s12909-017-0913-4
17. Peskin E, O'Dell K. Communication skills in women's health care: helping students clarify values related to challenging topics in ob-gyn. Acad Med. 2001;76(5):509-10. doi:10.1097/00001888-200105000-00039
18. Iseselo MK, Kajula L, Yahya-Malima KI. The psychosocial problems of families caring for relatives with mental illnesses and their coping strategies: a qualitative urban based study in Dar es Salaam, Tanzania. BMC psychiatry. 2016;16:146. doi:10.1186/s12888-016-0857-y
19. Fincham FD, Harold GT, Gano-Phillips S. The longitudinal association between attributions and marital satisfaction: direction of effects and role of efficacy expectations. J Fam Psychol. 2000;14(2):267-285. doi:10.1037//0893-3200.14.2.267
20. Durtschi JA, Fincham FD, Cui M, Lorenz FO, Conger RD. Dyadic Processes in Early Marriage: Attributions, Behavior, and Marital Quality. Fam Relat. 2011;60(4):421-434. doi:10.1111/j.1741-3729.2011.00655.x
21. Sümer N, Cozzarelli C. The impact of adult attachment on partner and self-attributions and relationship quality. Personal Relationships. 2004;11(3):355-71. doi:10.1111/j.1475-6811.2004.00087.x
22. Pearce ZJ, Halford WK. Do attributions mediate the association between attachment and negative couple communication? Personal Relationships. 2008;15(2):155-70. doi:10.1111/j.1475-6811.2008.00191.x
23. Saavedra MC, Chapman KE, Rogge RD. Clarifying links between attachment and relationship quality: hostile conflict and mindfulness as moderators. J Fam Psychol. 2010;24(4):380-90. doi:10.1037/a0019872.
24. Isa Morad A, Khalili Sadrabad M. Study the relationship between work-family conflict and job stress the moderator role of psychological capital. Counseling Culture and Psycotherapy. 2017;8(29):187-206. doi:10.22054/QCCPC.2017.19178.1448
25. Spanier GB. Measuring Dyadic Adjustment: New Scales for Assessing the Quality of Marriage and Similar Dyads. Journal of Marriage and Family. 1976;38(1):15-28. doi:10.2307/350547
26. Abedi G, Darvari S H, Nadighara A, Rostami F. The Relationship between Quality of Life and Marriage Satisfaction in Infertile Couples Using Path Analysis. J Mazandaran Univ Med Sci. 2014;24(117):184-193.
27. Baniasadi M, Pourshafei H, Abbasi Z. The relationship between parental personality traits and optimism and communication skills of sixth grade elementary students. Journal of Pouyesh in Education and Consultation (JPEC).2019;(11):2-16.
28. Fincham FD, Bradbury TN. Assessing attributions in marriage: the relationship attribution measure. J Pers Soc Psychol. 1992;62(3):457-468. doi:10.1037//0022-3514.62.3.457.
29. Sobouhi R, Fatehizade M, Ahmadi A, Etemadi O. The Effect of Counseling Approach Based on Acceptance and Commitment Therapy (ACT) on Amount of Marital Attributions and Marital Satisfaction in Women Admitted to Isfahan Cultural Centers. Knowledge & Research in Applied Psychology. 2017;18(1):12-22.
30. Bahrami F, Goodarzi K, Farrokhi N. Development and validation of the couples' beliefs and thoughts scale. Iranian Journal of Family Psychology. 2019;6(1):27-38. doi:10.29252/ijfp.6.1.27
31. Fathi Ashtiani A, Pirzadi H, Shokoohi-Yekta M, Tavallai S. The Influence of Teaching Program of Stress Management and Communication Skills on Improvement of Mental Health of Nurses and Hospital Staff: An Experimental Study. Iran Journal of Nursing. 2014;27(90 and 91):1-13. doi:10.29252/ijn.27.90.91.1
32. Amini M, Samavatyan H, Haghighi A, Barati MR. The Effectiveness of Communication Skills Training on Job Stress in Nurses of Isfahan Hojjatieh Hospital. Journal of Industrial and Organizational Psychology Studies. 2015;2(1):71-82. doi:10.22055/JIOPS.2016.12447
33. White VM, English DR, Coates H, Lagerlund M, Borland R, Giles GG. Is cancer risk associated with anger control and negative affect? Findings from a prospective cohort study. Psychosom Med. 2007;69(7):667-74. doi:10.1097/PSY.0b013e31814d4e6a
34. Lau KKH, Randall AK, Duran ND, Tao C. Examining the Effects of Couples' Real-Time Stress and Coping Processes on Interaction Quality: Language Use as a Mediator. Frontiers in psychology. 2019;9:2598. doi:10.3389/fpsyg.2018.02598
35. Shahbazi M, Koraei A, Kianijam N. Marital standards and relationship attributions as predictors of women's marital adjustment and non-adjustment. Iranian Journal of Family Psychology. 2018;4(2):29-42. doi:20.1001.1.24234060.1396.4.2.3.6
2. Asadi M, Ghasemzadeh N, Nazarifar M, Niroumand Sarvandani M. The effectiveness of emotion-focused couple therapy on marital satisfaction and positive feelings towards the spouse. Int J Health Stud 2020;6(4):36-40. doi:10.22100/ijhs.v6i4.804
3. Cottrell DJ, Wright-Hughes A, Collinson M, et al. Effectiveness of systemic family therapy versus treatment as usual for young people after self-harm: a pragmatic, phase 3, multicentre, randomised controlled trial. Lancet Psychiatry. 2018;5(3):203-216. doi:10.1016/S2215-0366(18)30058-0
4. Babolhavaeji M, Khoshnevis E, Jafarzadeh Rastin S. The Effect of Cognitive-Behavioral Group Therapy on Depression and Coping Styles of Women Exposed to Marital Infidelity. Women’s Health Bulletin. 2019;6(4):18-26. doi:10.30476/WHB.2019.45985
5. Ellison CG, Walker AB, Glenn ND, Marquardt E. The effects of parental marital discord and divorce on the religious and spiritual lives of young adults. Social Science Research. 2011;40(2):538-51. doi:10.1016/j.ssresearch.2010.10.010
6. Isanezhad O, Ahmadi S-A, Bahrami F, Baghban-Cichani I, Farajzadegan Z, Etemadi O. Factor Structure and Reliability of the Revised Dyadic Adjustment Scale (RDAS) in Iranian Population. Iran J Psychiatry Behav Sci. 2012;6(2):55-61.
7. Lee J, Kim E, Wachholtz A. The effect of perceived stress on life satisfaction: The mediating effect of self-efficacy. Chongsonyonhak Yongu. 2016;23(10):29-47. doi:10.21509/KJYS.2016.10.23.10.29
8. Urooj M, Shazia Q. Work Related Stress, Time Management and Marital Satisfaction of Females Health Sector Professionals. Annals of King Edward Medical University. 2019;25(4).
9. Jibeen T. Influence of acculturative stress on marital satisfaction: Moderation effect of gender role and communication styles in Pakistani immigrants. Community Development. 2019;50(5):536-56. doi:10.1080/15575330.2019.1656659
10. Duijndam S, Karreman A, Denollet J, Kupper N. Physiological and emotional responses to evaluative stress in socially inhibited young adults. Biol Psychol. 2020;149:107811. doi:10.1016/j.biopsycho.2019.107811
11. Khezri Moghadam N, Kazerooni G. A study of mindfulness-based stress reduction's effectiveness on marital satisfaction in women. Int J Health Stud 2017;3(1):36-39. doi:10.22100/ijhs.v3i1.149
12. Sidan SA, Ziaei S. Effectiveness of Stress Management Training on Quality of Life and Resilience of Women Victims of Domestic Violence. Medical Journal of Mashhad University of Medical Sciences. 2019;61(supplment1):12-9. doi:10.22038/MJMS.2019.13787
13. Fahami F, Pahlavanzadeh S, Asadi M. Efficacy of communication skills training workshop on sexual function in infertile women. Iran J Nurs Midwifery Res. 2015;20(2):179-83.
14. Asadi ZS, Sadeghi R, Taghdisi MH, Zamani-Alavijeh F, Shojaeizadeh D, Khoshdel AR. Sources, Outcomes, and Resolution of Conflicts in Marriage among Iranian women: A qualitative study. Electron Physician. 2016;8(3):2057-65.
15. Leite RC, Makuch MY, Petta CA, Morais SS. Women's satisfaction with physicians' communication skills during an infertility consultation. Patient Educ Couns. 2005;59(1):38-45. doi:10.1016/j.pec.2004.09.006
16. Graf J, Smolka R, Simoes E, Zipfel S, Junne F, Holderried F, et al. Communication skills of medical students during the OSCE: Gender-specific differences in a longitudinal trend study. BMC Med Educ. 2017;17(1):75. doi:10.1186/s12909-017-0913-4
17. Peskin E, O'Dell K. Communication skills in women's health care: helping students clarify values related to challenging topics in ob-gyn. Acad Med. 2001;76(5):509-10. doi:10.1097/00001888-200105000-00039
18. Iseselo MK, Kajula L, Yahya-Malima KI. The psychosocial problems of families caring for relatives with mental illnesses and their coping strategies: a qualitative urban based study in Dar es Salaam, Tanzania. BMC psychiatry. 2016;16:146. doi:10.1186/s12888-016-0857-y
19. Fincham FD, Harold GT, Gano-Phillips S. The longitudinal association between attributions and marital satisfaction: direction of effects and role of efficacy expectations. J Fam Psychol. 2000;14(2):267-285. doi:10.1037//0893-3200.14.2.267
20. Durtschi JA, Fincham FD, Cui M, Lorenz FO, Conger RD. Dyadic Processes in Early Marriage: Attributions, Behavior, and Marital Quality. Fam Relat. 2011;60(4):421-434. doi:10.1111/j.1741-3729.2011.00655.x
21. Sümer N, Cozzarelli C. The impact of adult attachment on partner and self-attributions and relationship quality. Personal Relationships. 2004;11(3):355-71. doi:10.1111/j.1475-6811.2004.00087.x
22. Pearce ZJ, Halford WK. Do attributions mediate the association between attachment and negative couple communication? Personal Relationships. 2008;15(2):155-70. doi:10.1111/j.1475-6811.2008.00191.x
23. Saavedra MC, Chapman KE, Rogge RD. Clarifying links between attachment and relationship quality: hostile conflict and mindfulness as moderators. J Fam Psychol. 2010;24(4):380-90. doi:10.1037/a0019872.
24. Isa Morad A, Khalili Sadrabad M. Study the relationship between work-family conflict and job stress the moderator role of psychological capital. Counseling Culture and Psycotherapy. 2017;8(29):187-206. doi:10.22054/QCCPC.2017.19178.1448
25. Spanier GB. Measuring Dyadic Adjustment: New Scales for Assessing the Quality of Marriage and Similar Dyads. Journal of Marriage and Family. 1976;38(1):15-28. doi:10.2307/350547
26. Abedi G, Darvari S H, Nadighara A, Rostami F. The Relationship between Quality of Life and Marriage Satisfaction in Infertile Couples Using Path Analysis. J Mazandaran Univ Med Sci. 2014;24(117):184-193.
27. Baniasadi M, Pourshafei H, Abbasi Z. The relationship between parental personality traits and optimism and communication skills of sixth grade elementary students. Journal of Pouyesh in Education and Consultation (JPEC).2019;(11):2-16.
28. Fincham FD, Bradbury TN. Assessing attributions in marriage: the relationship attribution measure. J Pers Soc Psychol. 1992;62(3):457-468. doi:10.1037//0022-3514.62.3.457.
29. Sobouhi R, Fatehizade M, Ahmadi A, Etemadi O. The Effect of Counseling Approach Based on Acceptance and Commitment Therapy (ACT) on Amount of Marital Attributions and Marital Satisfaction in Women Admitted to Isfahan Cultural Centers. Knowledge & Research in Applied Psychology. 2017;18(1):12-22.
30. Bahrami F, Goodarzi K, Farrokhi N. Development and validation of the couples' beliefs and thoughts scale. Iranian Journal of Family Psychology. 2019;6(1):27-38. doi:10.29252/ijfp.6.1.27
31. Fathi Ashtiani A, Pirzadi H, Shokoohi-Yekta M, Tavallai S. The Influence of Teaching Program of Stress Management and Communication Skills on Improvement of Mental Health of Nurses and Hospital Staff: An Experimental Study. Iran Journal of Nursing. 2014;27(90 and 91):1-13. doi:10.29252/ijn.27.90.91.1
32. Amini M, Samavatyan H, Haghighi A, Barati MR. The Effectiveness of Communication Skills Training on Job Stress in Nurses of Isfahan Hojjatieh Hospital. Journal of Industrial and Organizational Psychology Studies. 2015;2(1):71-82. doi:10.22055/JIOPS.2016.12447
33. White VM, English DR, Coates H, Lagerlund M, Borland R, Giles GG. Is cancer risk associated with anger control and negative affect? Findings from a prospective cohort study. Psychosom Med. 2007;69(7):667-74. doi:10.1097/PSY.0b013e31814d4e6a
34. Lau KKH, Randall AK, Duran ND, Tao C. Examining the Effects of Couples' Real-Time Stress and Coping Processes on Interaction Quality: Language Use as a Mediator. Frontiers in psychology. 2019;9:2598. doi:10.3389/fpsyg.2018.02598
35. Shahbazi M, Koraei A, Kianijam N. Marital standards and relationship attributions as predictors of women's marital adjustment and non-adjustment. Iranian Journal of Family Psychology. 2018;4(2):29-42. doi:20.1001.1.24234060.1396.4.2.3.6
Published
2021-08-24
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How to Cite
The Effects of Stress Management Training on Communication Skills and Attribution Beliefs on Women with Adjustment Disorders. (2021). International Journal of Health Studies (Undergoing Change to Shahroud Journal of Medical Sciences), 8(1), 18-23. https://doi.org/10.22100/ijhs.v8i1.893
