The Effectiveness of Lazarus’s Multimodal Therapy and Islamic-Oriented Marital Skills Training on Marital Satisfaction and Marital Conflicts
Keywords:
Marital satisfaction, marital conflict, multimodal therapy, Islamic marital skills, couple therapy, cultural adaptationAbstract
Purpose: The objective of this study was to compare the effectiveness of Lazarus’s multimodal therapy and Islamic approach-based marital skills training in enhancing marital satisfaction and reducing marital conflicts among couples in Isfahan.
Methods and Materials: This quasi-experimental study employed a pretest–posttest design with a control group. Sixty married couples experiencing marital dissatisfaction were selected through purposive sampling and randomly assigned into three groups: Lazarus’s multimodal therapy, Islamic approach-based marital skills training, and control (20 couples in each). The intervention groups received eight 90-minute sessions of their respective training programs, while the control group received no intervention during the study period. The Marital Satisfaction Questionnaire and Marital Conflict Questionnaire were administered at pretest and posttest. Data were analyzed using analysis of covariance (ANCOVA) after confirming normality, homogeneity of variances, and homogeneity of covariance matrices.
Findings: ANCOVA results indicated a statistically significant difference between the experimental and control groups in marital satisfaction and marital conflict at posttest (p < 0.001). Both intervention groups showed significant increases in marital satisfaction and significant decreases in marital conflict compared to the control group. Pairwise comparisons revealed no significant difference between Lazarus’s multimodal therapy and the Islamic approach-based training in their impact on either marital satisfaction or conflict reduction (p > 0.05).
Conclusion: Both Lazarus’s multimodal therapy and Islamic approach-based marital skills training are effective, culturally relevant interventions for improving marital satisfaction and reducing marital conflicts. Their comparable effectiveness suggests that practitioners can select either approach based on couples’ cultural context, personal values, and therapeutic preferences.
Downloads
References
Alipour, Z., Kazemi, A., & Kheirabadi, G. (2020). Marital communication skills training to promote marital satisfaction and psychological health during pregnancy: a couple focused approach. Reprod Health, 17(23). https://doi.org/10.1186/s12978-020-0877-4
Armanpanah, A., Sajadian, I., & Nadi, M. A. (2021). The effectiveness of an integrated package of marital relationship enrichment and mindfulness-based cognitive therapy on marital satisfaction and relational beliefs of women with addicted husbands. Journal of Mashhad University of Medical Sciences, 4(64). https://mjms.mums.ac.ir/article_19984_en.html
Bean, R. C., Ledermann, T., Higginbotham, B. J., & Galliher, R. V. (2020). Associations between Relationship Maintenance Behaviors and Marital Stability in Remarriages. Journal of Divorce & Remarriage, 61(1), 62-82. https://doi.org/10.1080/10502556.2019.1619385
Bijani, J., Hashemi, N., & Saadati Shamir, A. (2023). Determining the contribution of attachment styles and coping styles in predicting the instability of married life with the mediating role of resilience in conflicted couples. Journal of Adolescent and Youth Psychological Studies, 4(3), 60-71. https://www.magiran.com/paper/2592832
Hakimi Dezfouli, Z. S., & Ebrahimpour, G. (2024). The role of psychological flexibility, emotional empathy and spiritual experiences in predicting marital satisfaction of married women. Studies in Islam and Psychology. https://islamicpsy.rihu.ac.ir/article_2162.html?lang=en
Harahsheh, A. H. M. (2025). Internet Addiction as Predictor in Marital Relationship Among a Sample of Divorced Women. Islamic Guidance and Counseling Journal, 8(1). https://doi.org/10.25217/0020258557900
Harris, M., Guy, D., Piccchio, C. A., White, T. M., Rhodes, T., & Lazarus, J. V. (2021). Concceptualising hepatitis C stigma: A thematic synthesis oof qualitative research. Int J Drug Policy, 96, 1033320. https://doi.org/10.1016/j.drugpo.2021.103320
Hashemi Babaheydari, S. N., Ahmadi, R., Sharifi, T., & Ghazanfari, A. (2020). Comparing the effectiveness of different levels of marital life enrichment training programs considering Islamic psychological teachings on marital disengagement. Islamic Research on Women and Family, 8(2), 9-26. https://cpap.shahed.ac.ir
Iranizadeh, J., Zarei Mahmoodabadi, H., Vaziri, S., & Afshani, S. A. (2020). The Effectiveness of the Native Training Model Designed Based on Lazarus Theory and Behavioral Planning Theory in the Consolidation of Family Functioning: A case study. JCHR, 9(2), 119-128. https://doi.org/10.18502/jchr.v9i2.3406
Işık, R. A., & Kaya, Y. (2022). The relationships among perceived stress, conflict resolution styles, spousal support and marital satisfaction during the COVID-19 quarantine. Curr Psychol, 41, 3328-3338. https://doi.org/10.1007/s12144-022-02737-4
Khatibi, P., & Meghrazi, P. (2023). Predicting psychological helplessness based on initial maladaptive schemas and coping strategies in women affected by marital infidelity. Journal of Applied Family Therapy, 4(2), 487-506. https://doi.org/10.22034/aftj.2022.304757.1200
Kim, S. J., & Yeo, J. H. (2020). Factors Affecting Posttraumatic Stress Disorder in South Korean Trauma Nurses. J Trauma Nurs, 27(1), 50-57. https://doi.org/10.1097/JTN.0000000000000482
Lazarus, A. (2020). Missing LLinks and Lacunae, in Therapists' Dilemmas. Taylor & Francis. https://doi.org/10.4324/9781003070337-14
Lotfi, Z. (2025). Comparison of the Effectiveness of Olson's Marital Enrichment Training, Lazarus's Multimodal Therapy, and Islamic Approach-Based Marital Skills Training on Marital Satisfaction and Conflicts Among Couples. Aftj, 6(1), 89-99. https://doi.org/10.61838/kman.aftj.6.1.10
Maftei, A. A. U. L. G. (2022). Times Are Harsh, Be Kind to Yourself! Anxiety, Life Satisfaction, and the Mediating Role of Self-Compassion. Front Psychol, 13, 915524. https://doi.org/10.3389/fpsyg.2022.915524
Moslem Bayat, S. S., & Ameri, F. (2022). The effect of group training of marital skills with an Islamic approach on marital satisfaction and quality of life of married couples in Tehran. Islamic lifestyle with a focus on health, 6(1), 98-107. https://www.sid.ir/paper/992308/en
namani, E., & Dehmardeh, M. (2020). The effectiveness of structural family therapy on coping strategies, family cohesion and adaptability in couples with marital dissatisfaction. Counseling Culture and Psycotherapy, 11(44), 187-218. https://doi.org/10.22054/qccpc.2020.51841.2381
Nematzadeh Getabi, S., Vaziri, S., & lotfi kashani, f. (2022). Investigating the modeling of communication patterns and marital intimacy based on attachment styles and thematic relationships mediated by coping styles. Journal of Applied Family Therapy, 3(2), 20-50. https://doi.org/10.22034/aftj.2022.298631.1159
Salari Far, M. R. (2021). Marital Skills with an Islamic Resources Perspective. Institute of Seminary and University Research and Secretariat for Supporting Research Projects in Seminaries. https://search.ebscohost.com
Shah, S. (2022). Black and white or shades of grey: Religious approaches and Muslim marital conflict. Soc Compass, 69(1), 113-132. https://doi.org/10.1177/00377686211020567
Stone, D., Longhurst, G. J., & Dulohery, K. (2022). A Multicentre Analysis of Approaches to Learning and Student Experiences of Learning Anatomy Online. Med.Sci.Educ., 32, 1117-1130. https://doi.org/10.1007/s40670-022-01633-7
Thanagouizadeh, M. (2021). The model of marital intimacy enrichment from an Islamic perspective: A qualitative study. Culture, Counseling, and Psychotherapy, 12(45), 1-32. https://www.tandfonline.com
Wang, Y.-X., Guo, H.-T., Du, X.-W., Song, W., Lu, C., & Hao, W.-N. (2020). Factors associated with post-traumatic stress disorder of nurses exposed to corona virus disease 2019 in China. Medicine, 99(26), e20965. https://journals.lww.com
Downloads
Published
Submitted
Revised
Accepted
Issue
Section
License
Copyright (c) 2025 Zahra Lotfi (Author); Mohammad Reza Salarifar; Kamran Shivandi Cheliche (Author)

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