The Effectiveness of Cognitive Acceptance and Commitment Therapy on Improving Family Functioning, Marital Life Satisfaction, and Rumination in Women with Obsessive-Compulsive Disorder

Background and Objectives: This research aimed to investigate the effectiveness of Cognitive Acceptance and Commitment Therapy on family functioning, marital life satisfaction, and rumination in married women with obsessive-compulsive disorder. Methods: The research method was semi-experimental with pretest-posttest and group control. The statistical population includes all married women with obsessive-compulsive disorder referred to Bojnoord Counseling Centers in 2023. A sample of 40 people was selected through the purposeful sampling method. The Hodgson and Rachman Obsessive-Compulsive Questionnaire (1977), McMaster Family Functioning Questionnaire (1950), Olson Marital Life Satisfaction Questionnaire (1998), and Nolen Hoeksema rumination scale (1991) were used to collect data. The experimental group underwent 8 sessions of 90-minute cognitive acceptance and commitment therapy, while the control group received no intervention throughout the study. Data were analyzed using analysis of covariance with repeated measures in SPSS23 software. Results: The results show that cognitive acceptance and commitment therapy was effective in improving family functioning, marital life satisfaction, and rumination in married women with obsessive-compulsive disorder. Conclusion: Cognitive acceptance and commitment therapy led to the improvement of family functioning, satisfaction with married life, and rumination by reducing emotional, cognitive, and behavioral symptoms.

The Effectiveness of Cognitive Acceptance and Commitment Therapy on Improving Family Functioning, Marital Life Satisfaction, and Rumination in Women with Obsessive-Compulsive Disorder Keywords:

Cognitive acceptance and commitment therapy , family functioning , marital life satisfaction , Rumination , Obsessive-compulsive disorder