The Effectiveness of Integrative Family Therapy (Cognitive-Behavioral and Emotion-Focused) on Improving Metacognitions and Reducing Depression in Couples

Authors
Ali Yousefi Rudpish
Roya Tavakoli
Fatemeh Mohammadifar
Ziba Poursadegh Gavgani
Abstract
The aim of the present study was to investigate the effectiveness of an integrated family therapy program (combining cognitive-behavioral and emotion-focused approaches) on reducing depression and improving metacognitive beliefs in spouses. This quasi-experimental study was conducted with a pre-test, post-test, and follow-up design with a control group. The statistical population included all couples who referred with symptoms of depression. A sample of 30 people (15 in the experimental group and 15 in the control group) was selected using a convenient and purposive sampling method and randomly assigned. The research instruments included the Beck Depression Inventory and the Wells and Cartwright-Hatton Metacognitive Questionnaire. The experimental group received the treatment protocol during 10 sessions, and the data were analyzed using repeated measures analysis of variance. The results showed that integrated family therapy significantly and strongly reduced depression and significantly improved metacognitive beliefs in the experimental group compared to the control group. In addition, the results of the follow-up phase showed that the treatment effect remained stable in both dependent variables. Based on the findings, combining cognitive-behavioral and emotion-focused approaches in the form of family therapy can be used as an effective and sustainable intervention to promote mental health and correct dysfunctional cognitive-emotional processes in spouses.
Keywords
Integrative family therapy
Metacognition
depression
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