The Effectiveness of Prevention and Relationship Enhancement Program (PREP) on Marital Burnout in Married Women




Prevention and Relationship Enhancement Program (PREP), PREP, Marital Burnout, Married Women


Background: This study aimed to investigate the effectiveness of the prevention and relationship enhancement program (PREP) on marital burnout in married women.

Methods: Thirty married women were selected and randomly replaced in experimental (n=15) and control (n=15) groups. The quasi-experimental research method was conducted in the pretest-posttest control group design to examine the effectiveness of the PREP on marital burnout in married women. The sessions of the PREP were implemented for the experimental group during 8 sessions of 90 minutes, one session per week, and no educational intervention was performed for the control group. Multivariate analysis of covariance was used as a statistical method.

Results: The results showed that there was a significant difference between the control and experimental groups in psychological and emotional aspects of marital burnout(Pvalue≤0.02). Our results also showed that the total burnout score was significantly different from pre-test to post-test in the experimental group (Pvalue≤0.01).

Conclusions: It can be implied from the results of our study that PREP can have different implications in Iranian culture.

Keywords: Prevention and Relationship Enhancement Program (PREP), Marital Burnout, Married Women.


1. McKay M, Fanning P, Paleg K. Couple skills: Making your relationship work: New Harbinger Publications; 2006.
2. Hou Y, Jiang F, Wang X. Marital commitment, communication, and marital satisfaction: An analysis based on the actor–partner interdependence model. International Journal of Psychology 2019; 54(3):369-76.
3. Panahi M, Kazemi Jamarani SH, Enayatpour Shahrbabaki M, Rostami M. Effectiveness of integrative behavioral couple therapy on reducing marital burnout and fear in couples of intimacy. Journal of Applied Psychology 2017; 3 (43):373-392.
4. Pines AM, Neal MB, Hammer LB, Icekson T. Job burnout and couple burnout in dual-earner couples in the sandwiched generation. Social Psychology Quarterly 2011; 74(4):361-386. Doi: 10.1177/0190272511422452
5. Alsawalqa R O. Marriage Burnout: When the Emotions Exhausted Quietly Quantitative Research, Iranian Journal of Psychiatry and Behavioral Sciences 2019; 13(2):e68833. DOI: 10.5812/ijpbs.68833.
6. Ahmadimehr Z, Yousefi Z, Gol Parvar M. Exploration and Explanation the Marital Disillusionment among Married Women: Grounded Theory. Journal of Applied Psychology 2020; 14(3): 290-269.
7. Maher PJ, Igou ER, van Tilburg WAP. Disillusionment: a prototype analysis. Cogn Emot 2020; 34(5):947-959. DOI: 10.1080/02699931.2019.1705764.
8. Ahadizadeh N, Khalatbari J. The relationship between optimism, sexual self-efficacy, and loneliness with couple burnout in married women. Journal of Fundamentals of Mental Health 2020; 22(2): 91-97. DOI: 10.22038/jfmh.2020.16149
9. Khosravi J, Moradi O, Ahmadiyan H, Yousefi N. Causal Model of Tendency to Emotional Divorce Based on Couples' Communication Patterns Mediated by Marital Boredom (Case Study: Qasrshirin City). Population Studies 2019; 5(2): 185-210. DOI: 10.22034/jips.2019.113849
10. Sabbagh Z, Salehzadeh M, Zareei H. Marital burnout and dependence on virtual social networks: Difference between women and men. Journal of Fundamentals of Mental Health 2020; 22(5): 361-369. DOI: 10.22038/jfmh.2020.17342
11Sepahvand T, Rasoolzade Tabatabaei SK, Besharat MA, Allahyari AA. Comparison of an integrated model of self-regulation_ attachment couple therapy and marital enrichment program in marital satisfaction and psychological wellbeing of couples. Contemporary psychology 2014; 9(1): 55-70.
12. Welch TS, Lachmar EM, Leija SG, Easley T, Blow AJ, Wittenborn AK. Establishing Safety in Emotionally Focused Couple Therapy: A Single-Case Process Study. Journal of Marital and Family Therapy 2019;45(4):621-634. DOI: 10.1111/jmft.12398. Epub 2019 Jul 29. PMID: 31355959.
13. Shapiro AF, Gottman JM, Fink BC. Short-Term Change in Couples' Conflict Following a Transition to Parenthood Intervention. Couple Family Psychology 2015; 4(4):239-251. DOI: 10.1037/cfp0000051
14. Mortazavi M, Rasooli R, Hosseini 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.
15. Scuka RF. The Radical Nature of the Relationship Enhancement Expressive Skill and Its Implications for Therapy and Psychoeducation. The Family Journal 2011; 19(1):30-35. doi:10.1177/1066480710387491
16. 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.
17. 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.
18. 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.
19. 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.
20. 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.
21. 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.
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. 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
24. Pines AM, Nunes R. The relationship between career and couple burnout: implications for career and couple counseling. Journal of Employment Counseling 2003; 40(2):50-64.
25. Pines AM, Keinan G. Stress and burnout: The significant difference. Personality and Individual Differences 2005; 39(3):625-35.
26. Kebritchi A, Mohammadkhani S. The role of marital burnout and early maladaptive schemas in marital satisfaction between young couples. International Journal of Medical Research & Health Sciences 2016; 5(12):239-46.
27. 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.
28. 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.
29. 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.







How to Cite

The Effectiveness of Prevention and Relationship Enhancement Program (PREP) on Marital Burnout in Married Women. (2021). International Journal of Health Studies, 8(2), 36-40.