Evidence map›Paper›PMID 41057959›Full record

Trial reportBMC psychology2025

The effect of emotionally focused couple therapy (EFCT) on shame and intimacy in couples: a randomized controlled trial (RCT).

Zahra Mirzazade, Javad Molazade, Habib Hadianfard, Mohamadreza Taghavi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Zahra MirzazadeDepartment of Clinical Psychology, Shiraz University, Shiraz, Iran.
Javad MolazadeDepartment of Clinical Psychology, Shiraz University, Shiraz, Iran. molazade@shirazu.ac.ir.
Habib HadianfardDepartment of Clinical Psychology, Shiraz University, Shiraz, Iran.
Mohamadreza TaghaviDepartment of Clinical Psychology, Shiraz University, Shiraz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIntimate relationships can enhance quality of life and reduce the risk of psychological disorders. Self-disclosure, a fundamental component of intimacy, occurs only when vulnerability is met with acceptance rather than rejection. However, shame disrupts this process by inhibiting vulnerability and promoting defensive strategies, thereby undermining intimacy and relational security. This study aimed to address shame within an Emotionally Focused Couple Therapy framework to enhance intimacy.

methodA randomized controlled design was employed. Twenty-six married couples were randomly assigned to either an experimental group or a control group. The Experience of Shame Scale and the Personal Assessment of Intimacy in Relationships were used as assessment tools.

resultsCompared with the control, EFCT significantly increased intimacy and reduced shame in the experimental group (p < 0.05).

conclusionShame may disrupt both intimacy and the therapeutic relationship and should be addressed during treatment. The discussion outlines possible mechanisms of change.

trial registrationThis paper has been registered with the Clinical Trial ID (71773). It was registered on 2024/10/04. (Clinical Trial Number IRCT20230801058994N1).

Indexed as

Couples TherapyEmotion-Focused TherapyEmotionsInterpersonal RelationsShameAdultFemaleHumansMaleMiddle AgedAttachmentEmotionally focused couple therapyIntimacyShame

Identifiers

PMID41057959
PMCPMC12506414

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.