The effectiveness of Acceptance and Commitment Therapy (ACT) group training on attachment, intimacy and sexual satisfaction in women with sexual reluctance

Document Type : Research Paper


1 Ph.D Student, Department of Counseling Faculty of Humanites, Khomein Branch, Islamic Azad University, Iran

2 Assistant Professor, Department of Counseling, Faculty of Humanities, Khomein Branch, Islamic Azad University, Khomein, Iran (Corresponding Author)

3 Associate Professor, Counseling Department, Khomein Branch, Islamic Azad University, Khomein, Iran

4 Assistant Professor, Department of Counseling Faculty of Humanites, Khomein Branch, Islamic Azad University, Iran


Introduction: Sexual reluctance is one of the most common sexual disorders in women that causes a major part of marital dissatisfaction and reduced intimacy between couples. The aim of this study was to investigate the effectiveness of acceptance and commitment therapy group training on attachment, intimacy and sexual satisfaction in women with sexual reluctance. Method: The statistical population consisted of all married women in Najafabad in 1398. According to inclusion and exclusion criteria, 40 people were selected using available sampling method and randomly assigned to groups. The instruments used in this study were Collins and Reid Attachment Styles Questionnaire, Thompson and Walker Marital Intimacy Questionnaire and Rosen et al.'s Sexual Performance Index. Multivariate analysis of covariance was used to analyze the results at a significant level (α = 0.05). Results: The results showed that group training interventions based on acceptance and commitment could have a significant effect on improving the mean of marital intimacy (P <0.001) and sexual satisfaction (P <0.001). These interventions also had a significant effect on improving the mean of secure attachment styles (P <0.001), avoidant insecurity (P <0.05) and ambivalent insecurity (P <0.001). Conclusion: Considering the significant effectiveness of group therapy training based on acceptance and commitment on research variables, it seems that the implementation of this group therapy method at large levels of society can improve the mental health of women in society.


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