A Longitudinal Analysis of Changes in Marital Intimacy among Couples Participating in Therapeutic Interventions
Keywords:
Marital intimacy, couple therapy, longitudinal analysis, relationship quality, psychological interventionsAbstract
This study aimed to examine the longitudinal pattern of changes in marital intimacy and the stability of these changes among couples participating in couple therapy interventions. This study employed a quasi-experimental longitudinal design with three measurement points: pre-test, post-test, and three-month follow-up. The population consisted of couples attending family counseling centers in Tehran, selected through convenience sampling based on predefined inclusion and exclusion criteria. Participants received therapeutic interventions including emotionally focused couple therapy, cognitive–behavioral couple therapy, and communication skills training. Data were collected using a standardized Marital Intimacy Questionnaire assessing emotional, cognitive, communicative, sexual, and social intimacy. Statistical analyses included descriptive statistics and repeated-measures ANOVA with post-hoc comparisons. The results of repeated-measures ANOVA indicated a significant effect of time on overall marital intimacy and all its dimensions. Pairwise comparisons revealed a significant increase from pre-test to post-test, with this improvement maintained at the follow-up stage. No statistically significant difference was observed between post-test and follow-up. The largest effect sizes were found for emotional and communicative intimacy. The findings suggest that couple therapy interventions produce significant and stable improvements in marital intimacy and play a critical role in enhancing relationship quality.
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Abolhasani, S. S., Shirodi, S. G., & Bahri, M. R. Z. (2023). Comparison of the Effectiveness of Schema Therapy Based on Communication Enrichment Program, Acceptance and Knowledge, and Integrated Systemic Couple Therapy on Marital Commitment and Reduction of Injuries Caused by Infidelity of Women Affected by Extrama. Jayps, 4(1), 113-125. https://doi.org/10.61838/kman.jayps.4.1.12
Ahmed, A., & Hasona, A. E. (2024). The Influence of a Cognitive-Behavioral Counselling Program on Marital Adjustment in Sudan The Influence of a Cognitive-Behavioral Counselling Program on Marital Adjustment in Sudan. Journal of Arts and Social Sciences [Jass], 14(3). https://doi.org/10.53542/jass.v14i3.6279
Ansari, Z., Naderian, F., abedini, F. G., & Kermani, M. (2023). Comparison of the Effectiveness of Emotion-Oriented Couple Therapy and Structural Couple Therapy on Marital Justice and Relationship Maintenance Strategies in Conflicting Couples. Aftj, 4(2), 1-28. https://doi.org/10.61838/kman.aftj.4.2.1
Arab, A., & Khodabakhshi-Koolaee, A. (2022). The Magic of WDEP in Reality Therapy. European Journal of Psychology Open, 81(3), 97-103. https://doi.org/10.1024/2673-8627/a000029
Bliton, C. F., Johnson, B. N., & Pincus, A. L. (2021). My Problem or Yours? Interpersonal Problems and Marital Quality. Journal of personality, 90(4), 595-614. https://doi.org/10.1111/jopy.12685
Chen, Z., Tong, W., Li, Q., He, Q., Ma, S. S., & Fang, X. (2024). Couple Affection Exchange Profiles and Marital Quality in Chinese Couples. Personal Relationships, 31(4), 926-945. https://doi.org/10.1111/pere.12574
Darwiche, J., Carneiro, C., Vaudan, C., Imesch, C., Nunes, C. E., Favez, N., & Roten, Y. d. (2022). Parents in Couple Therapy: An Intervention Targeting Marital and Coparenting Relationships. Family Process, 61(2), 490-506. https://doi.org/10.1111/famp.12773
Dolinschi, C., & Carolina, P. (2023). Harmonizing the Couple’s Relationships by Improving the Perceptions of the Partners and the Relationship. Studia Universitatis Moldaviae Seria Științe Ale Educației(5(165)), 257-264. https://doi.org/10.59295/sum5(165)2023_41
Javadivala, Z., Allahverdipour, H., Jafarabadi, M. A., Azimi, S., Gilani, N., & Chattu, V. K. (2021). Improved Couple Satisfaction and Communication With Marriage and Relationship Programs: Are There Gender Differences?—a Systematic Review and Meta-Analysis. Systematic Reviews, 10(1). https://doi.org/10.1186/s13643-021-01719-0
Jolin, S., Lafontaine, M. F., Brassard, A., & Lussier, Y. (2024). Which Comes First? Associations Between Communication Patterns and Relationship Satisfaction in Couples Over a 1-Year Period. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement, 56(1), 70-80. https://doi.org/10.1037/cbs0000342
Jun, J. (2023). A Case Study of Family Therapy on the Factors That Cause Change and Hormonal Changes in a Middle-Aged Couple Experiencing Marital Conflict in Their 50s: KBS 1tv Mysteries of the Human Body. Korean Soc Cult Converg, 45(7), 677-686. https://doi.org/10.33645/cnc.2023.07.45.07.677
Karami, S., Ebrahimi, M. E., & Jafari, D. (2024). Comparison of the Effectiveness of Emotionally Focused Couple Therapy Based on Attachment Injury Model and Acceptance and Commitment Therapy on Positive Feelings Toward Spouse and Withdrawal From Divorce. PDMD, 3(2), 142-153. https://doi.org/10.61838/kman.pdmd.3.2.13
Khodabakhsh, S., & Ong, Y. L. (2021). The Impact of Partner Phubbing on Marital Quality Among Married Couples in Malaysia: Moderating Effect of Gender and Age. Aloma Revista De Psicologia Ciències De L Educació I De L Esport, 39(1), 9-16. https://doi.org/10.51698/aloma.2021.39.1.9-16
Khodabakhsh, S., Torkan, H., & Golparvar, M. (2024). Comparison of the Effectiveness of Imago Therapy and Narrative Therapy on Regret About Spouse Selection, Marital Burnout, and Resilience in Women Victims of Domestic Violence. PDMD, 3(4), 82-96. https://doi.org/10.61838/kman.pdmd.3.4.6
Krok, D., Telka, E., & Moroń, M. (2023). Marital Satisfaction, Partner Communication, and Illness Acceptance Among Couples Coping With Breast Cancer: A Dyadic Approach. Psycho-Oncology, 32(8), 1240-1247. https://doi.org/10.1002/pon.6174
LeBaron‐Black, A. B., Saxey, M. T., Totenhagen, C. J., Wheeler, B., Archuleta, K. L., Yorgason, J. B., & James, S. (2022). Financial Communication as a Mediator Between Financial Values and Marital Outcomes. Family Relations, 72(4), 1974-1992. https://doi.org/10.1111/fare.12786
Liu, L., & Espinosa, P. P. J. (2023). Dyadic Coping, Perceived Stress, and Marital Adjustment Among Female Cancer Patients and Spouses. Jher, 11(1), 126-155. https://doi.org/10.70228/yjher2024027
Makena, V. K., & Kamunyu, R. N. (2021). The Role of Trait Forgiveness in Marital Contentment Among Married Couples in Citam Assemblies, Nairobi, Kenya. International Journal of Education Psychology and Counseling, 6(42), 383-398. https://doi.org/10.35631/ijepc.642030
Mirshafieian, N., Bokaie, M., & Jafari, M. S. (2023). The Effectiveness of Solution-Focused Brief Counseling on Marital Intimacy in Mothers of Children With Down Syndrome: A Randomized Clinical Trial. Galen Medical Journal, 12. https://doi.org/10.31661/gmj.v12i.2747
Monfared, F. R., Arvand, J., & Joneidi, G. S. z. (2021). The Effectiveness of Solution-Oriented Couple Therapy on Marital Conflict and Boredom. Assessment and Research in Counseling and Psychology, 3(4), 53-67. https://doi.org/10.52547/jarcp.3.4.53
Monfared, F. R., Arvand, j., & Jonidi, G. S. (2021). The Efficiency of Solution-Based Couple Therapy on the Conflicts and Marital Burnout of Couples. Jarac, 3(4), 53-67. https://doi.org/10.61838/kman.jarac.3.4.5
Nyundo, L., Whittaker, M., Eagle, L., & Low, D. (2021). Adaptation of Community-Based Distribution of Family Planning Services to Context-Specific Social Networks: A Case of Marriage Counsellors in Lusaka District, Zambia. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-06422-3
Park, J. H., & Choi, N. S. (2022). A Study on the Effect of Using Art Therapy Programs to Promote Couples' Relationship and Communication, on Couples' Conflict and Happiness. Korean Association for Learner-Centered Curriculum and Instruction, 22(23), 89-113. https://doi.org/10.22251/jlcci.2022.22.23.89
Rasmus, A., & Orłowska, E. (2020). Marriage and Post-Stroke Aphasia: The Long-Time Effects of Group Therapy of Fluent and Non-Fluent Aphasic Patients and Their Spouses. Frontiers in psychology, 11. https://doi.org/10.3389/fpsyg.2020.01574
Sa, E. (2024). Decoding the Mechanism of the Loss of Self in Spouse Caregivers of Alzheimer’s Patients: A Sociocultural and Communication Perspective. Alzheimer S & Dementia, 20(S4). https://doi.org/10.1002/alz.093488
Shams, N., & Haerei, Y. (2019). The Effectiveness of Couple Therapy Based on the Choice Theory in Reducing Marital Burnout and Conflict. Jarac, 1(2), 55-70. https://doi.org/10.61838/kman.jarac.1.2.4
Smith, T. W., Baron, C. E., Caska-Wallace, C. M., Knobloch‐Fedders, L. M., Renshaw, K. D., & Uchino, B. N. (2021). PTSD in Veterans, Couple Behavior, and Cardiovascular Response During Marital Conflict. Emotion, 21(3), 478-488. https://doi.org/10.1037/emo0000727
Tahan, M., Saleem, T., Moshtagh, M., Fattahi, P., & Rahimi, R. (2020). Psychoeducational Group Therapy for Sexual Function and Marital Satisfaction in Iranian Couples With Sexual Dysfunction Disorder. Heliyon, 6(7), e04586. https://doi.org/10.1016/j.heliyon.2020.e04586
Tan, K., Jarnecke, A. M., & South, S. C. (2023). Social Anhedonia, Communication, and Marital Satisfaction in Newlywed Couples. Journal of personality, 91(5), 1239-1252. https://doi.org/10.1111/jopy.12798
Tavaloli, T., Kimiaee, S. A., & Mohammadian, H. A. (2022). The Effectiveness of Marriage Enrichment Training of TIME Plan on Improving Marital Intimacy and Women’s Psychological Security. Practice in Clinical Psychology, 10(3), 259-274. https://doi.org/10.32598/jpcp.10.3.857.1
Tazik, S. d. S., Taheri, N., & Sayyadi, M. (2019). Comparison of Marital Commitment and Relationship Quality Between Fertile- And Infertile Couples. Sarem Journal of Reproductive Medicine, 4(2), 111-116. https://doi.org/10.29252/sjrm.4.2.111
Windle, M., & Windle, R. C. (2019). Partner Conflict and Support as Moderators of Alcohol Use on Alcohol Problems and Marital Satisfaction in Young Adult Marital Dyads. Alcoholism Clinical and Experimental Research, 43(4), 668-678. https://doi.org/10.1111/acer.13977
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Copyright (c) 2026 Roodabeh Hooshmandi (Corresponding author); Farzaneh Mardani, Seyed Ali Darbani (Author)

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