Past Issue

Volume 12, Number 2, Jul-Sep 2018, Pages: 99-105

The Effect of Cognitive Behavioral Therapy on Marital Quality among Women

Arezoo Shayan, M.Sc, 1, Masumeh Taravati, M.Sc, 2, Maryam Garousian, M.Sc, 3, Narges Babakhani, M.Sc, 2, Javad Faradmal, Ph.D, 4, Seyedeh Zahra Masoumi, Ph.D, 1, *,
School of Nursing and Midwifery, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
Fatemieh Hospital, Hamadan University of Medical Sciences, Hamadan, Iran
Department of Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
*Corresponding Address: School of Nursing and Midwifery Chronic Diseases (Home Care) Research Center Hamadan University of Medical Sciences Hamadan Iran



Marital quality reflects the individual’s overall evaluation of marital relationship. The aim of study was examine the effect of cognitive behavioral counseling on marital quality among women.

Materials and Methods

The experimental study was a randomized clinical trial with two groups, on 198 qualified women who referred to selected health care centers in Hamadan, Iran in 2016. The intervention participants attended four 90-minute sessions of cognitive behavioral counseling. Demographic information questionnaire and marital qual- ity scale [Revised Dyadic Adjustment Scale (RDAS)] were completed by the two groups before and after the interven- tion. To perform the comparisons, t test, Chi-square test and Fisher’s test, Logistic Regression and covariance analysis were used. Covariance analysis or change analysis were employed. Statistical analysis was done using SPSS Software, version 21.0. The significance level was set at 5% (P<0.05).


According to the results of the present study, the mean age in the control group and the intervention group was 23.58 ± 7.54 and 35.04 ± 7.91 years old, respectively. Covariance analysis was utilized to examine the marital quality scores. In this analysis, after modification of the variables of age, marital quality score of agreement and sat- isfaction before the intervention, and income status, the total marital quality score experienced a significant change in all dimensions (P<0.05) and the mean scores increased remarkably. Moreover, according to the cut-off point of the dimensions, the scores of all dimensions increased remarkably and the proportion of individuals with high marital quality before and after the intervention changed significantly (P<0.05).


Due to the role of sexual relations in stabilizing marriage, cognitive behavioral consultation was effective in improving marital quality especially after agreement and can be used in health care centers in order to improve the relationship between couples and reduce divorce rates (Registration number: IRCT201610209014N125).