The Effectiveness of Intensive Short-Term Dynamic Psychotherapy on Distress Tolerance and Marital Quality of Life in Infertile Women

• Published in: Women's health bulletin Vol. 11; no. 2; pp. 112 - 119
• Main Authors: Marjan Bahremand, Marzieh Talebzadeh Shoushtari, Fatemeh Sadat Marashian
• Format: Journal Article
• Language: English
• Published: Shiraz University of Medical Sciences 01.04.2024
• Subjects: couple therapy; distress; infertility; quality of life; women
• ISSN: 2345-5136; 2382-9990
• DOI: 10.30476/whb.2024.102054.1278

Background: Infertility is one of the disturbances that may occur in the lives of couples, leading to experiences of psychological distress and endangering interpersonal relationships and marital quality. This study investigated the efficacy of intensive shortterm dynamic psychotherapy (ISTDP) in enhancing distress tolerance and marital quality of life among infertile women in Yazd, Iran.Methods: A semi-experimental pretest-posttest follow-up design with an experimental and control group (n=20 per group) was employed. Forty infertile women from the target population in Yazd, Iran (data collected in 2023) were randomly assigned into either the experimental group receiving eight 45-minute ISTDP sessions or the control group receiving no intervention. For data collection, questionnaires on distress tolerance and perceived relationship quality components were used. Data analysis was done by a repeated-measures analysis of variance (ANOVA) in SPSS version 27 was used.Results: According to the results, for distress tolerance, the mean score for the ISTDP group at the pretest was 31.55 (±13.14), which increased to 50.10 (±9.31) at posttest and 49.70 (±8.68) in the follow-up. The mean score for the control group at the pretest and posttest were 32.05 (±10.28) and 32.25 (±10.17), respectively. Moreover, for the marital quality of life, the mean score for the ISTDP group at the pretest was 70.40 (±19.47), which increased to 90.70 (±20.59) at the posttest and 91.15 (±20.75) at the follow-up. The mean score for the control group at the pretest and posttest was 66.85 (±21.75) and 65.85 (±20.66), respectively. There was a statistically significant within-group effect in the ISTDP group (P<0.01). The results revealed a statistically significant difference (P<0.001) between the intervention and control groups on distress tolerance and marital quality of life measures. The effectiveness of ISTDP in improving distress tolerance and marital quality of life was significant, and the treatment effects remained stable during the follow-up phase.Conclusions: It appears that ISTDP can be an effective step towards improving distress tolerance and marital quality of life. Therefore, ISTDP is considered a key and effective intervention.