مسعود شهبازی

Aim:   Considering the effects of hidden communication aggression and its consequences on the couple's relations, reducing it can diminish its consequences. The present study aimed to examine the model of direct and indirect effects of self-esteem and communication skills on sexual satisfaction with mediating role of hidden aggression dimensions of spouses in female nurses of public and private hospitals in Shiraz city.   Methods: The study sample consisted of 310 female nurses selected through the two-stage random cluster sampling method. The research method was correlational, and the research tools were the Self-Esteem Scale (SES), the Marital Social-Skills Inventory (MSSI), the Hidden Communication Aggression Scale (HCAS), and the Sexual Satisfaction Scale for Women (SSSW). Data analysis was done using Pearson's correlation coefficient and structural equation modeling.   Results:   The results showed that there was a significant relationship in the direct paths of self-esteem to the social image sabotage, self-esteem to emotional withdrawal, communication skills to emotional withdrawal, self-esteem to sexual satisfaction, communication skills to sexual satisfaction, social image sabotage to sexual satisfaction, and emotional withdrawal to sexual satisfaction, but the relation of communication skills to the social image sabotage was not significant (P=0.41). Also, the mediating role of emotional withdrawal was significant between self-esteem and sexual satisfaction (P=0.006, b=0.038) and between communication skills and sexual satisfaction (P=0.006, b=-0.062) at P<0.05. But the mediating role of the social image sabotage variable was not significant between communication skills and sexual satisfaction (P=0.20, b=0.027) and between self-esteem and sexual satisfaction (p=0.06, b=-0.034).   Conclusion: Researchers interested in this field are suggested to examine the effect of home violence and especially covert violence in other psychological variables so that the results of this type of violence in married life can be better recognized. The results of this research on self-esteem showed that people with high self-esteem have higher quality and satisfaction in their relationships and married life. Thus, those responsible for the education and upbringing of people since childhood (family, teachers, counselors, etc.) should attempt to increase this spirit in people and make the increase of this spirit in the individual a priority of their work

The purpose of this study was the effectiveness of couple therapy based on acceptance and commitment on love schemas and emotional schemas in couples with extramarital relationships with a two-month follow-up period. In this research, a single case semi-experimental design of multiple baseline type was used. The statistical population of this research included all couples with experience of extramarital relations who referred to the family courts and prevention unit of Dezful city welfare department in 2021-22. After the diagnostic interview and specifying the couples who met the entry criteria, 4 couples (8 persons) were selected based on purposive sampling. The protocol of the couples therapy method was implemented in the form of three baseline stages and 8 90-minute sessions and a two-month follow-up. The participants responded to Yarmohammadi Vasil et al.'s Love Schema Questionnaire (2019) and Leahy Emotional Schema Scale (LES). The data were analyzed by visual drawing method, stable change index and recovery percentage formula. The results showed that couple therapy based on acceptance and commitment increased adaptive emotional schemas and decreased maladaptive emotional schemas of couples with extramarital relationships (p<0.05). Couple therapy based on acceptance and commitment has a significant effect on secure love schema, unstable love schema, clingy love schema, avoidant love schema, and non-serious love schema (p<0.05) and its results continued until the follow-up stage. Therefore, couple therapy based on acceptance and commitment as a stable intervention to increase love schemas and emotional schemas can be used in health and treatment centers in couples with extramarital relationships.