]>
IRCT20260315068992N1 IRCT 2026-03-18 Islamic Azad University Acceptance and Commitment Couple Therapy for Relationship Improvement Study of the effectiveness of couple therapy based on acceptance and commitment on distress tolerance, rumination, and marital adjustment of couples with marital conflicts referring to psychological counseling centers 2026-04-04 anticipated 40 Complete https://irct.ir/trial/89330 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The statistical population of the study includes all couples with marital conflicts referred to the psychological counseling center during the period of April 2026. In this type of impact assessment study, a two-stage approach is usually used. In the sample selection stage, a convenience sampling method is used. After selecting samples totaling 40 individuals (20 couples) based on the research inclusion and exclusion criteria, participants will be randomly assigned to two groups: intervention and control. Randomization will be performed using the method of random block sizes (4 and 6 persons) by an independent statistician who is not involved in the implementation process. The randomization allocation list will be generated using the RAND function in Excel software so that the researcher and participants are unaware of the allocation sequence. To ensure the equality of baseline variables, their distribution in the two groups will be examined at the statistical analysis stage. N/A Marital Conflicts. Intervention 1: Intervention group: Acceptance and Commitment Therapy (ACT) based couples therapy. Session Duration: 90 minutes. Total Number of Sessions: 8 sessions. Session Frequency: Twice a week. Therapeutic Tools Used: Acceptance and Commitment Therapy (ACT), including mindfulness, acceptance, defusion, values clarification, and committed actions. Session Content: Session 1: Pre-test; Introduction to ACT and the concept of “Creative Hopelessness.” Session 2: Identifying marital problems from an ACT perspective; beginning values exploration. Session 3: Practicing acceptance of difficult thoughts and feelings; mindfulness. Session 4: Deepening values; linking values to behavior. Session 5: Defusion techniques for observing thoughts. Session 6: Planning committed actions; overcoming obstacles. Session 7: Strengthening value-based connections; practicing new skills. Session 8: Post-test; wrap-up; follow-up planning. Intervention 2: Control group: The control group will not receive any intervention during the implementation of the research. However, to prevent threats to the internal validity of the research, such as compensatory rivalry of the control group or demoralization, they will receive the intervention after data collection. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Due to the incomplete research work and the lack of article writing, which are essential for data publication, I will proceed with data publication as soon as the aforementioned issues are resolved.
public Azam Safari
Qaem 1 Alley, Khorramshahr Street
Mahshahr Iran (Islamic Republic of) 6351886662 +98 61 5233 2752 azzm.safari@iau.ir Islamic Azad University scientific Azam Safari
Qaem 1 Alley, Khorramshahr Street
Mahshahr Iran (Islamic Republic of) 6351886662 +98 61 5233 2752 azzm.safari@iau.ir Islamic Azad University Iran (Islamic Republic of) Married couples with a duration of marriage not exceeding 3 to 5 years Scoring above the average on the rumination questionnaire Scoring below average on marital adjustment and distress tolerance Couples must have marital conflicts and meet diagnostic criteria 20 years 35 years Both Individuals unwilling to participate in the study participation in other psychotherapy sessions F43.2 Adjustment disorders Treatment - Other Treatment - Other Intervention group: Acceptance and Commitment Therapy (ACT) based couples therapy. Session Duration: 90 minutes. Total Number of Sessions: 8 sessions. Session Frequency: Twice a week. Therapeutic Tools Used: Acceptance and Commitment Therapy (ACT), including mindfulness, acceptance, defusion, values clarification, and committed actions. Session Content: Session 1: Pre-test; Introduction to ACT and the concept of “Creative Hopelessness.” Session 2: Identifying marital problems from an ACT perspective; beginning values exploration. Session 3: Practicing acceptance of difficult thoughts and feelings; mindfulness. Session 4: Deepening values; linking values to behavior. Session 5: Defusion techniques for observing thoughts. Session 6: Planning committed actions; overcoming obstacles. Session 7: Strengthening value-based connections; practicing new skills. Session 8: Post-test; wrap-up; follow-up planning. Control group: The control group will not receive any intervention during the implementation of the research. However, to prevent threats to the internal validity of the research, such as compensatory rivalry of the control group or demoralization, they will receive the intervention after data collection. Distress Tolerance. Timepoint: 1. Pre-test (before the intervention begins). 2. Post-test (immediately after the intervention period ends). 3. One-month follow-up after the intervention. Method of measurement: The measurement tool will be the Simons and Gaher Distress Tolerance Questionnaire (2005). Rumination. Timepoint: 1. Pre-test (before the intervention begins). 2. Post-test (immediately after the intervention period ends). 3. One-month follow-up after the intervention. Method of measurement: The measurement tool will be the Nolen-Hoeksema and Morrow (1991) Rumination Questionnaire. Marital Adjustment. Timepoint: 1. Pre-test (before the intervention begins). 2. Post-test (immediately after the intervention period ends). 3. One-month follow-up after the intervention. Method of measurement: The measurement tool will be Spanier’s Marital Adjustment Questionnaire (1976). Islamic Azad University Approved 2026-02-21 Ethics Committee of Islamic Azad University of Ahvaz Branch Opposite Keshavarz Street, Farhang Shahr, Golestan Highway Ahvaz Khouzestan Iran (Islamic Republic of)