<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20260616069833N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-07-07</date_registration>
      <primary_sponsor>Kashan University of Medical Sciences</primary_sponsor>
      <public_title>Comparison of the effectiveness of Emotion Efficacy Therapy and Mindfulness-Based Cognitive Therapy in improving symptoms and functioning in women with vaginismus</public_title>
      <acronym>EET-MBCT</acronym>
      <scientific_title>A Comparison of the Effectiveness of Emotion Efficacy Therapy and Mindfulness-Based Cognitive Therapy on Emotional Symptoms, Psychological Flexibility,Marital Satisfaction, and Sexual Function in Women with Vaginismus</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-08-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/91285</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Factorial, Purpose: Treatment, Other design features: The study will be conducted as an open-label trial. However, to minimize bias, the data analyst will be blinded to group allocation, Randomization description: After confirming eligibility and obtaining written informed consent, a unique identification code will be assigned to each participant. A random allocation sequence will then be generated using a random number table, and participants will be randomly assigned in a 1:1:1 allocation ratio to the Emotion Efficacy Therapy group, the Mindfulness-Based Cognitive Therapy group, or the control group. Allocation will be performed according to the pre-generated sequence obtained from the random number table.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Vaginismus.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Participants will receive eight weekly 90-minute sessions of Emotion Efficacy Therapy, based on a standardized treatment protocol, in addition to usual treatment. Intervention 2: Intervention group: Participants will receive eight weekly 90-minute sessions of Mindfulness-Based Cognitive Therapy, based on a standardized treatment protocol, in addition to usual treatment. Intervention 3: Control group: Participants will receive usual treatment only, with no additional psychological intervention during the study period.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is Individual participant data will not be shared due to participant confidentiality.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Monire Artang</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 4, Fereshteh 3 Alley, Khwarizmi 1 St., Sepahan Shahr, Isfahan, Iran</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8179934571</zip>
        <telephone>+98 31 3651 6736</telephone>
        <email>mnr.artang@gmail.com</email>
        <affiliation>Kashan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Monire Artang</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 4, Fereshteh 3 Alley, Khwarizmi 1 St., Sepahan Shahr, Isfahan, Iran</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8179934571</zip>
        <telephone>+98 31 3651 6736</telephone>
        <email>mnr.artang@gmail.com</email>
        <affiliation>Kashan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Diagnosis of vaginismus confirmed by a gynecologist or obstetrician.
Age between 18 and 45 years.
Absence of psychiatric disorders requiring immediate treatment.
Absence of other significant physical illnesses.
Not receiving any other psychological intervention or psychotherapy concurrently.
Provision of written informed consent to participate in the study.
Iranian nationality.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>45 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Receiving any other educational or therapeutic intervention concurrently.
Development of psychiatric disorders during the study that require immediate treatment.
Absence from more than two psychotherapy sessions.
Incomplete completion of the study questionnaires.
Withdrawal of consent to continue participation in the study at any stage of the trial.
Use of medications that may affect sexual function.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>N94.2</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Vaginismus</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Participants will receive eight weekly 90-minute sessions of Emotion Efficacy Therapy, based on a standardized treatment protocol, in addition to usual treatment.</i_keyword>
      <i_keyword>Intervention group: Participants will receive eight weekly 90-minute sessions of Mindfulness-Based Cognitive Therapy, based on a standardized treatment protocol, in addition to usual treatment.</i_keyword>
      <i_keyword>Control group: Participants will receive usual treatment only, with no additional psychological intervention during the study period.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Emotional symptoms score measured by the DASS-21 questionnaire. Timepoint: At baseline (pre-test), immediately after completion of the 8 intervention sessions (post-test), and 3 months after the completion of the intervention (follow-up). Method of measurement: Depression, Anxiety and Stress Scale, 21-Item Version.</prim_outcome>
      <prim_outcome>Psychological flexibility score measured by the AAQ-II questionnaire. Timepoint: At baseline (pre-test), immediately after completion of the 8 intervention sessions (post-test), and 3 months after the completion of the intervention (follow-up). Method of measurement: Acceptance and Action Questionnaire, Second Version.</prim_outcome>
      <prim_outcome>Marital satisfaction score measured by the ENRICH Marital Satisfaction Questionnaire. Timepoint: At baseline (pre-test), immediately after completion of the 8 intervention sessions (post-test), and 3 months after the completion of the intervention (follow-up). Method of measurement: Enrich Marital Satisfaction Questionnaire.</prim_outcome>
      <prim_outcome>Sexual function score measured by the Female Sexual Function Index (FSFI). Timepoint: At baseline (pre-test), immediately after completion of the 8 intervention sessions (post-test), and 3 months after the completion of the intervention (follow-up). Method of measurement: Female Sexual Function Index.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Kashan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2026-06-29</approval_date>
        <contact_name>Ethics committee of Kashan University of Medical Sciences</contact_name>
        <contact_address>Kashan University of Medical Sciences, Physician Blvd., Km 3, Ravand Road, Kashan, Isfahan, Iran Kashan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
