The Effectiveness of Emotion-Focused Therapy on Negative Emotions and Social Isolation of Infertile Women in Yazd

Kargarian Marvasti, Najmeh; Azizi Bandarabadi, Mahdieh; Mohammad Khani, Parvane

doi:10.22055/psy.2025.46822.3260

The Effectiveness of Emotion-Focused Therapy on Negative Emotions and Social Isolation of Infertile Women in Yazd

Document Type : Research Article

Authors

Najmeh Kargarian Marvasti ¹

Mahdieh Azizi Bandarabadi ²

Parvane Mohammad Khani ³

¹ M.Sc. Graduate of Agronomy Clinical Psychology, Department of Psychology, Science and Art University , Yazd Iran.

² Ph.D Psychology, Department of Psychology, Science and Art University, Yazd Iran.

³ Professor, Department of Psychology, Science and Art University, Yazd Iran.

10.22055/psy.2025.46822.3260

Abstract

Objectives: Fertility and the desire to have children are among the most fundamental human motivations. Infertility is one of the major challenges in developed countries, has become a growing social concern, and is associated with numerous psychosocial consequences for infertile couples. This study aimed to investigate the effectiveness of emotion-focused therapy on negative affect and social isolation among infertile women in Yazd.
Methods:The research method was quasi-experimental, using a pretest-posttest design with a control group. The statistical population included all infertile women introduced by the Population Working Group of the Cultural and Popular Front of Yazd City in 2022. In this study, 30 infertile women were selected through convenience sampling and randomly assigned to experimental and control groups (15 participants in each group). The experimental group received emotion-focused therapy in 8 sessions, while the control group received no intervention. Both groups completed the Negative Affect and Social Isolation Questionnaires at the pretest and posttest stages. The data were analyzed at two levels: descriptive (mean and standard deviation) and inferential (analysis of covariance).
Results:. The results showed that, after controlling for the pretest effect, there was a significant difference between the posttest scores for negative affect and social isolation. Therefore, emotion-focused therapy reduced negative affect and social isolation among infertile women.
Conclusion: Given the effectiveness of this therapy, its application is recommended to specialists in this field

Keywords

emotion-focused therapy

infertile women

negative emotion

social isolation

Afrookhteh L, ParsaMoein K, GhorbanJahromi R. (2022). The Effectiveness of Emotion-Focused Therapy on Academic Help Seeking Behavior and Social Adjustment in High School Students. JNIP; 13(17), 1-15. URL: http://jnip.ir/article-1-733-fa.html. [Persian]‏.

Alder, M. C., Dyer, W. J., Sandberg, J. G., Davis, S. Y., & Holt-Lunstad, J. (2018). Emotionally-focused therapy and treatment as usual comparison groups in decreasing depression: A clinical pilot study. The American Journal of Family Therapy, 46(5), 541-555. https://doi.org/10.1080/01926187.2019.1572478

Allahyari, T., Ghorbani, B., & Alamin, S. (2019). Infertility and lack of sense of security in marital life. Journal of Social Order, 11(3), 67-92.‌ DOI: https://doi.org/10.22034/jpai.2023.1995843.1276‌ [Persian]‏.

Amirshahi, M., Saremi, A. A., Nouri, R., Karbalaee, M. H., & Sadat, R. H. (2024). Comparing the effectiveness of emotion-focused and cognitive-behavioral therapies on body image, anxiety, and depression in women with PCOS. Journal of Education and Health Promotion, 13, 230.‏ http://doi: 10.4103/jehp.jehp_687_23. [Persian]‏‏‏

Antequera-Jurado, R., Moreno-Rosset, C., & Ramírez-Uclés, I. (2024). The specific psychosocial modulator factors of emotional adjustment in infertile individuals compared to fertile people. Current Psychology, 43(2), 1943-1951.‏ https://doi.org/10.1007/s12144-023-04436-0

Bakhshi Pourrodsari, Abbas, and Dezhkam, Mahmoud. (2004). Confirmatory factor analysis of positive and negative affect scale. Journal of Psychology, 9(4(36)), 351-365. SID. https://sid.ir/paper/54494/fa. . [Persian]

Chaves, C., Canavarro, M. C., & Moura‐Ramos, M. (2019). The role of dyadic coping on the marital and emotional adjustment of couples with infertility. Family Process, 58(2), 509-523. https://doi.org/10.1111/famp.12364

Cotterell, N., Buffel, T., & Phillipson, C. (2018). Preventing social isolation in older people. Maturitas, 113, 80-84. https://doi.org/10.1016/j.maturitas.2018.04.014

Deshiri, Gholamreza, Barjali, Ahmad, Sheikhi, Mansoura, and Habibi Asgarabadi, Mojtabi. (2007). Construction and validation of loneliness scale among students. Journal of Psychology, 12(3(47)), 282-296. SID. https://sid.ir/paper/54424/fa. [Persian]

Erfanian Razaei, M., Keshavarzi Arshadi, F., Golshani, F., Hasani, F., & Dolatshahi, B. (2023). Effectiveness of Emotion Focused Therapy on Tolerance of Failure and Marital Quality in Women with Recurrent Miscarriages. Journal of Healthcare Management, 14(4), 21-34.‏

Faqih, S, & Kazemi, H. (2017). The effectiveness of emotion-oriented couple therapy on bearing the distress of infertile couples in Isfahan city. Community Health, 12(1), 22-29. https://doi: 10.22123/chj.2018.110652.1068. [Persian]

Fathi, M., Noroozi, E., & Jenabi, M. (2025). The effectiveness of emotion focused therapy on psychological pain, emotion control and belief in a just world in infertile women. Shenakht Journal of Psychology and Psychiatry, 12(5), 73-84.‏. http://shenakht.muk.ac.ir/article-1-2411-fa.html. [Persian]‏‏‏

Fernandes, L. S., Galvão, A., Santos, R., & Monteiro, S. (2023). Impact of water reuse on agricultural practices and human health. Environmental Research, 216, 114762.‏ https://doi.org/10.1016/j.envres.2022.114762

Ganz, M. B., Rasmussen, H. F., McDougall, T. V., Corner, G. W., Black, T. T., & De Los Santos, H. F. (2022). Emotionally focused couple therapy within VA healthcare: Reductions in relationship distress, PTSD, and depressive symptoms as a function of attachment-based couple treatment. Couple and Family Psychology: Research and Practice, 11(1), 15–32. https://doi.org/10.1037/cfp0000210

Geller, S. M., & Greenberg, L. S. (2012). Therapeutic presence: A mindful approach to effective therapy. American Psychological Association.‏‌ https://doi.org/10.1037/13485-000

Ghaderi, M. , Dokaneei Fard, F. , Jahangir, P. A. , & Vosogh Taghi Dizaj, A. (2023). The Model of Predicting Psychological Distress According to Emotional Regulation with the Mediation Role of Adaptation to Infertility in the Infertile Women. Psychological Achievements, 30(2), 223-244.‌ https://doi.org/10.22055/psy.2022.40485.2831

Greenberg, L. S. (2002). Integrating an emotion-focused approach to treatment into psychotherapy integration. Journal of Psychotherapy Integration, 12(2), 154. https://doi/10.1037/1053-0479.12.2.154

Greenberrg, L. S., & Goldman, R. N. (2019). Clinical handbook of emotion-focused therapy (pp. xiv-534). American Psychological Association. https://psycnet.apa.org/books/TOC/16087

Greenman, P. S., & Johnson, S. M. (2022). Emotionally focused therapy: Attachment, connection, and health. Current Opinion in Psychology, 43, 146-150. https://doi.org/10.1016/j.copsyc.2021.06.015

Hatami, M., Farmani, F., Safavi, S., Najafizadeh, A., & Asadi Qale Shidi, M. (2015). The effectiveness group therapy based on choice theory on loneliness feeling in patients with multiple sclerosis (MS). Quarterly Journal of Health Psychology, 4(16), 109-120.‏ [Persian]

Hess, R. F., Ross, R., & Gililland Jr, J. L. (2018). Infertility, psychological distress, and coping strategies among women in Mali, West Africa: a mixed-methods study. African Journal of Reproductive Health, 22(1), 60-72. https://DOI: 10.29063/ajrh2018/v22i1.6

Jafarkhany, Z. S. M., Shabanian, G., & Manzary Tavakoly, V. (2017). A comparison of marital adjustment, empathy and positive and negative emotions fertile and infertile women in Kerman. J Woman Stud Family, 10, 119-136. https://sanad.iau.ir/journal/jwsf/Article/545365?jid=545365 [Persian]

Karimi, M., & KhoshAkhlaq, H. (2020). Investigating the effectiveness of emotion-oriented couple therapy approach in improving positive and negative emotions, sexual intimacy, marital empathy and communication documents of troubled couples in Isfahan city, 12th National Conference of Psychology, Educational and Social Sciences, Babol. https://civilica.com/doc/1253019/ [Persian]

Kebritchi, A., Abolghasemi, S., & Shahriari Ahmadi, M. (2024). The effectiveness of emotion-focused therapy on cognitive flexibility and distress tolerance married women with social anxiety disorder. Journal of Psychological Science, 2667-2684.‏ https://doi:10.52547/JPS.23.143.2667

Keshtkar, Z. (2011). A comparative study of emotion-oriented couple therapy in a group way and practical training of intimate communication skills in reducing domestic violence in Mashhad couples. https://elmnet.ir/doc/10575138-61264. [Persian]

Kremer, F., Ditzen, B., & Wischmann, T. (2023). Effectiveness of psychosocial interventions for infertile women: A systematic review and meta-analysis with a focus on a method-critical evaluation. Plos one, 18(2), e0282065.‏ https://doi.org/10.1371/journal.pone.0282065

Kulaksiz, D., Toprak, T., Ayribas, B., Ozcan, E., Arslan, U., & Dokuzeylul Gungor, N. (2022). The effect of male and female factor infertility on women’s anxiety, depression, self-esteem, quality of life and sexual function parameters: a prospective, cross-sectional study from Turkey. Archives of Gynecology and Obstetrics, 306(4), 1349-1355.‏ https://doi.org/10.1007/s00404-022-06713-y

Mazloom Ghaziani, A., & Ghorbani, M. (2023). Evaluation of the effectiveness of emotion-focused therapy on emotional balance, psychological cohesion, and self-efficacy in fibromyalgia patients. Psychological Achievements. https://doi.org/10.22055/psy.2023.43773.3033

Motiee, G., Aghayousfi, A., Chobsaz, F., & Shaghaghi, F. (2011). The effectiveness of coping therapy on the loneliness of infertile women. Applied Psychology, 5(3(19)), 85-98. SID. https://sid.ir/paper/151687/fa. [Persian]

O'Brien, K., O'Keeffe, N., Cullen, H., Durcan, A., Timulak, L., & McElvaney, J. (2019). Emotion-focused perspective on generalized anxiety disorder: A qualitative analysis of clients’ in-session presentations. Psychotherapy Research, 29(4), 524-540.‏ https://doi.org/10.1080/10503307.2017.1373206

Prochaska, J. O., & Norcross, J. C. (2018). Systems of psychotherapy: A transtheoretical analysis. Oxford University Press. https://psycnet.apa.org/record/1980-51428-000

Russell, D., Peplau, L. A., & Ferguson, M. L. (1978). Developing a measure of loneliness. Journal of Personality Assessment 42(3), 290-294.‏ https://doi.org/10.1207/s15327752jpa4203_11

Sahebi Bazaz, L., Sudani, M., & Mehrabizadeh Artman, Mahnaz (2018). The effectiveness of emotion-oriented therapy on failure tolerance and marital adjustment of couples referring to the consulting center of the oil company. Journal of Recent Advances in Behavioral Sciences, 4(34), 59-83. http://ijndibs.com/article-1-338-fa.html. [Persian]

Simionescu, G., Doroftei, B., Maftei, R., Obreja, B. E., Anton, E., Grab, D., ... & Anton, C. (2021). The complex relationship between infertility and psychological distress. Experimental and Therapeutic Medicine, 21(4), 1-1. https://doi.org/10.3892/etm.2021.9737

Soltani, D., & Tabatabainejad, F. (2020). The effect of emotion-oriented therapy on the cognitive regulation of emotions and social isolation of women with social anxiety, 17th National Conference on Psychology, Social and Educational Sciences, Babol. https://civilica.com/doc/1565323/ [Persian]

Taghvaeinia A. (2020). The Relationship between Emotion Regulation Difficulties with the Quality of Life Veterans' Spouses: the Mediating Role of Positive and Negative Emotions. armaghanj 2020; 25(2), 392-406. http://armaghanj.yums.ac.ir/article-1-2629-en.html. [Persian]‏‏‏

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063.‏ https://pubmed.ncbi.nlm.nih.gov/3397865/

Whaite, E. O., Shensa, A., Sidani, J. E., Colditz, J. B., & Primack, B. A. (2018). Social media use, personality characteristics, and social isolation among young adults in the United States. Personality and Individual Differences, 124, 45-50. https://doi.org/10.1016/j.paid.2017.10.030

Wiebe, S. A., Elliott, C., Johnson, S. M., Burgess Moser, M., Dalgleish, T. L., Lafontaine, M. F., & Tasca, G. A. (2019). Attachment change in emotionally focused couple therapy and sexual satisfaction outcomes in a two-year follow-up study. Journal of Couple & Relationship Therapy, 18(1), 1-21.‏ https://doi.org/10.1080/15332691.2018.1481799

Yasmin, E., Balachandren, N., Davies, M. C., Jones, G. L., Lane, S., Mathur, R., ... & Anderson, R. A. (2018). Fertility preservation for medical reasons in girls and women: British fertility society policy and practice guideline. Human Fertil (Camb) 21(1), 3–26.‏ https://doi.org/10.1080/14647273.2017.1422297

Yazdani, F., Elyasi, F., Peyvandi, S., Moosazadeh, M., Galekolaee, K. S., Kalantari, F., Rahmani, Z., & Hamzehgardeshi, Z. (2017). Counseling-supportive interventions to decrease infertile women's perceived stress: A systematic review. Electronic physician, 9(6), 4694–4702. https://doi: 10.19082/4694. [Persian]‏‏‏