Effectiveness of Schema Therapy on Ambiguity Tolerance, Social Competence, Family Emotional Atmosphere, and Individual Self-Efficacy Among Spouses of Individuals Seeking Treatment at Addiction Treatment Centers
Keywords:
Schema Therapy, Ambiguity Tolerance, Social Competence, Family Emotional Atmosphere, Individual Self-EfficacyAbstract
Objective: This study examines the effectiveness of schema therapy on ambiguity tolerance, social competence, family emotional atmosphere, and individual self-efficacy among spouses of individuals seeking treatment for addiction.
Methods and Materials: The research design is a quasi-experimental, pretest-posttest-follow-up format with control and experimental groups. The study population comprises spouses of individuals receiving addiction treatment in 2024. A sample of 30 participants was selected via convenience sampling and allocated to experimental (n=15) and control (n=15) groups using a simple random assignment technique. Data collection instruments included the Tolerance for Ambiguity Scale (McLain, 2009), the Social Competence Scale (Parandin, 2006), the Family Emotional Atmosphere Questionnaire (Hillburn, 1964), and the Individual Self-Efficacy Scale (Sherer, 1982).
Findings: The intervention group received schema therapy over ten 90-minute sessions. Data were analyzed using repeated-measures ANOVA. Results indicate that schema therapy significantly enhances ambiguity tolerance, social competence, family emotional atmosphere, and individual self-efficacy among spouses of individuals in addiction treatment (p < 0.05).
Conclusion: These findings suggest that schema therapy has a positive impact on improving these psychological and social outcomes.
Downloads
References
Ahmadpour, R., Hashemi, N., Najari, M., & Armand, M. (2021). The structural model of academic conscience based on social competence with the mediating role of academic enthusiasm. Child Mental Health Quarterly, 8(2), 107-119. https://doi.org/10.52547/jcmh.8.2.107
Akbari, M., Aryanpour, H., & Rezapoue Mirsaleh, Y. (2022). The Effectiveness of Group Reality Therapy Based on Choice Theory on Responsibility, Locus of Control, and Dose Reduction of Agonist Drugs in Substance-Dependent Individuals under Maintenance Treatment. Journal of Etiadpajohi, 16(65), 227-254. https://doi.org/10.52547/etiadpajohi.16.65.227
Amanelahi, A., Andarz, R., & Abbaspour, Z. (2023). Predicting Sexual Behavior Based on Family Emotional Climate and Exposure to the Sexual Environment in Children with and Without Sexual Problems. Iranian journal of psychiatry and behavioral sciences, 17(2). https://doi.org/10.5812/ijpbs-130686
Ariana Kia, E., Rahimi, C., & Mohammadi, N. (2023). Comparing online group therapy based on emotional schema therapy with transdiagnostic therapy in improving distress tolerance and cognitive emotion regulation among university students with adjustment disorders due to romantic break‐ups. Counseling and Psychotherapy Research. https://doi.org/10.1002/capr.12681
Bahram Abadian, F., Mojtabaie, M., & Sabet, M. (2021). Comparison of the efficacy of acceptance and commitment-based therapy and schema therapy on self-efficacy and craving for change in addicts. Journal of Psychological Science, 20(106), 1849-1863. https://doi.org/10.52547/JPS.20.106.1849
Briedis, J., & Startup, H. (2020). Somatic perspective in Schema Therapy: The role of the body in the awareness and transformation of modes and schemas. In Creative methods in schema therapy (pp. 60-75). Routledge. https://doi.org/10.4324/9781351171847-3
Carter, J. D., McIntosh, V. V., Jordan, J., Porter, R. J., Frampton, C. M., & Joyce, P. R. (2013). Psychotherapy for depression: a randomized clinical trial comparing schema therapy and cognitive behavior therapy. Journal of affective disorders, 151(2), 500-505. https://doi.org/10.1016/j.jad.2013.06.034
Chen, L., & Yang, F. (2022). Social Support and Loneliness among Chinese Rural-to-Urban Migrant Children: A Moderated Mediation Analysis of the Roles of Social Competence and Stress Mindset. International journal of environmental research and public health, 19(23), 15933. https://doi.org/10.3390/ijerph192315933
Chen, Y., & Zhou, S. (2023). Impacts of video communication on psychological well-being and cosmetic surgery acceptance. Computers in human Behavior, 141, 107625. https://doi.org/10.1016/j.chb.2022.107625
Devoe, D. J., Cadenhead, K. S., Cornblatt, B., Granholm, E., & Addington, J. (2022). Negative symptoms: associations with defeatist beliefs, self-efficacy, and maladaptive schemas in youth and young adults at risk for psychosis. Behavioral and Cognitive Psychotherapy, 50(3), 298-311. https://doi.org/10.1017/S1352465821000461
Estaki Organi, M., & Gorji, Y. (2023). Effectiveness of schema therapy on differentiation of women having addicted husbands in Shahin Shahr County. 1st International Conference on Psychology, Social Sciences, Educational Sciences and Philosophy, Babol.
Fakharian, J., Yaghobi, A., Zargham, M., & Mohagheghi, H. (2019). The designing of academic buoyancy model based on family emotional climate, social constructive learning environment, and academic engagement mediated by academic self-efficacy in high school girl students. Research in Teaching, 7(3), 28-21. https://trj.uok.ac.ir/article_61293.html
Ghayour Kazemi, F., Shahhabizadeh, F., Safara, M., & Shahidsales, S. (2022). Effectiveness of Transdiagnostic Intervention and Mindfulness-Based Schema Therapy on Cancer Self-Efficacy and Resilience in Women with Breast Cancer. North Khorasan University of Medical Sciences, 14(3), 24-33. https://doi.org/10.32592/nkums.14.3.24
Golavari, M., & Khayatan, F. (2022). The Effectiveness of Schema Therapy on The Ambiguity Tolerance and Resilience in Mothers of Children with Attention Deficit Hyperactivity Disorder. Journal of Clinical Psychology and Personality, 20(1). https://cpap.shahed.ac.ir/article_3864.html
Groot, I. Z., Venhuizen, A. S. S., Bachrach, N., Walhout, S., de Moor, B., Nikkels, K., & Arntz, A. (2022). Design of an RCT on the cost-effectiveness of group schema therapy versus individual schema therapy for patients with Cluster-C personality disorder: the QUEST-CLC study protocol. BMC psychiatry, 22(1), 637. https://doi.org/10.1186/s12888-022-04248-9
Hukkelberg, S., Keles, S., Ogden, T., & Hammerstrøm, K. (2019). The relation between behavioral problems and social competence: A correlational Meta-analysis. BMC psychiatry, 19(1), 354. https://doi.org/10.1186/s12888-019-2343-9
Kazemi, S. A. H., Yasouj, F. F., Beigirad, A., Memar, F. Z., Khodabandehlou, S. K., Rafie, M., & Narimani, M. (2022). The effect of group assertive training on the self-esteem and quality of life in the spouses of drug-abusing patients. Brain and Behavior, 12(9), e2745. https://doi.org/10.1002/brb3.2745
Kopf-Beck, J., Zimmermann, P., Egli, S., Rein, M., Kappelmann, N., Fietz, J., Tamm, J., Rek, K., Lucae, S., Brem, A. K., Sämann, P., Schilbach, L., & Keck, M. E. (2020). Schema therapy versus cognitive behavioral therapy versus individual supportive therapy for depression in an inpatient and day clinic setting: study protocol of the OPTIMA-RCT. BMC psychiatry, 20(1), 506. https://doi.org/10.1186/s12888-020-02880-x
Louis, J. P., Ortiz, V., Barlas, J., Lee, J. S., Lockwood, G., Chong, W. F., Louis, K. M., & Sim, P. (2021). The Good Enough Parenting early intervention schema therapy-based program: Participant experience. PLoS One, 16(1), e0243508. https://doi.org/10.1371/journal.pone.0243508
Maghsoudi, J., Alavi, M., Sabzi, Z., & Mancheri, H. (2019). Experienced Psychosocial Problems of Women with Spouses of Substance Abusers: A Qualitative Study. Open Access Macedonian Journal of Medical Sciences, 7(21), 3584-3591. https://doi.org/10.3889/oamjms.2019.729
Mehrdadfar, M., Ghasemzadeh, S., Ghobari-Bonab, B., Hasanzadeh, S., & Vakili, S. (2023). Effectiveness of unified protocols for online transdiagnostic treatment on social-emotional skills and parent-child interaction in school-aged children with cochlear implants. International Journal of Pediatric Otorhinolaryngology, 167, 111490. https://doi.org/10.1016/j.ijporl.2023.111490
Mohammadi, H., Afshar-Zanjani, H., Goli, F., Hasanzadeh Kashtli, A., & Abolmaali, K. (2022). Role of Traumatic Events and Motivational Structure in Ambiguity Tolerance of Irritable Bowel Syndrome. Middle East Journal of Digestive Diseases, 14(4), 452-461. https://doi.org/10.34172/mejdd.2022.307
Peeters, N., van Passel, B., & Krans, J. (2022). The effectiveness of schema therapy for patients with anxiety disorders, OCD, or PTSD: A systematic review and research agenda. The British Journal of Clinical Psychology, 61(3), 579-597. https://doi.org/10.1111/bjc.12324
Peyman, S., Askari, M., Samavi, A., & Amirfakhraei, A. (2021). The effectiveness of schema therapy on adaptive and maladaptive strategies of cognitive regulation of emotion and psychological well-being in addicted individuals undergoing preservation treatment with methadone. Thought and Behavior in Clinical Psychology, 16(60), 79-90. https://www.sid.ir/paper/1091726/fa
Downloads
Additional Files
Published
Submitted
Revised
Accepted
Issue
Section
License
Copyright (c) 2025 Fatemeh Mohammadi (Author); Floor Khayatan (Corresponding Author)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

