Document Type : original article


1 MSc in Clinical Psychology, department of Psychology, Shiraz University, Shiraz, Iran.

2 MSc in Clinical Psychology, Islamic Azad University, Ashtian branch, Ashtian, Iran.

3 MSc in Clinical Psychology, Pardis University of kharazmi, Tehran, Iran.

4 MSc in Educational Psychology, Islamic Azad University, Sari branch, Sari, Iran.

5 PhD candidate in Psychology, Allameh Tabataba'i University, Tehran, Iran.

6 Instructor, department of Psychology, Payame Noor University, Tehran, Iran.


Background: When a child is diagnosed with cancer, parents face many logistical and emotional difficulties that can impact their relationship significantly. We aimed to investigate the effectiveness of the couple's communication skills on marital instability, marital adjustment, and the quality of couples with pediatric cancer.
Materials and Methods: 
The samples of this quasi-experimental included all the parents of children with cancer in Ahvaz, Iran, from 2019- 2020, were selected using purposive sampling and randomly divided into two experimental groups (communication skills) (n=15), and one control group(n=15). Each of the experimental groups was under 10 secessions treatment for one-hour while the control group was not offered any therapy from the second half of October until the second half of December 2020. The subjects were assessed before and after treatment using the marital instability index (MII) using the Dyadic Adjustment Scale (DAS). The WHOQOL – BREF Questionnaire. Data were analyzed using SPSS software version 23.0.
 Results: The total sample was 30 couples, of which 35% were in the age group of 38-34 years, 35% were in the age group of 43-39 years and 30% were inthe age group of 44-48 years. The results of an analysis of covariance showed that the training couples communication skills on reducing the Marital instability (f = 88.14; P = 0.001), increasing the Marital adjustment (f = 13.88; P = 0.001) and increasing the quality of life (f = 12.93; P = 0.001) among parents of pediatric cancer was significant.  
Conclusion: It seems that those trained with effective communication skills could have to reduce their marital instability and to increase their marital adjustment and quality of life.