نقش درمانACT در اختلافات زناشویی از دیدگاه زوجهای تازه ازدواج کرده مورد مطالعه شهر رشت
محورهای موضوعی : آسیبهای اجتماعی مرتبط با همسرگزینی، تغییر الگوهای ازدواج، طلاق و ناپایداری خانواده
رضا قاسمی جوبنه
1
,
مجتبی جانعلیپور چناررودخانی
2
*
,
امیرمحمد توخش
3
,
مریم دلدار گوهردانی
4
1 - استادیار مشاوره، گروه روانشناسی، دانشکده ادبیات و علوم انسانی، دانشگاه لرستان، خرمآباد، ایران
2 - کارشناس ارشد مشاوره خانواده، دانشکده ادبیات و علوم انسانی، دانشگاه گیلان، رشت، ایران
3 - کارشناس ارشد مشاوره توانبخشی، دانشکده روانشناسی و علومتربیتی، دانشگاه شهید چمران اهواز، اهواز، ایران
4 - کارشناس ارشد روانشناسی و آموزش کودکان استثنائی، دانشکده ادبیات و علوم انسانی، دانشگاه گیلان، رشت، ایران
کلید واژه: ازدواج, زوج, اختلاف زناشویی, رابطه و درمان مبتنی بر پذیرش و تعهد.,
چکیده مقاله :
اختلاف در رابطۀ زناشویی، طبیعی است، ولی نیازمند مدیریت و حل سازنده بهویژه در زوجهای تازه ازدواج کرده است. هدف پژوهش حاضر، موردپژوهی اثربخشی درمان اختلافات زناشویی از دیدگاه زوجهای تازه ازدواج کرده بود. جامعه مورد مطالعه شامل تمامی زوجین تازه ازدواج کرده مراجعهکننده به مراکز مشاوره شهر رشت -که ACT را دریافت کردند- بود. با توجه به فراخوانی پژوهشگران در مراکز مشاوره شهر رشت، تعداد 30 نفر (15 زوج) اعلام کردند که حاضر به شرکت در پژوهش هستند. با توجه به اشباح نظری با 12 نفر (6 زوج) از شرکتکنندگان مصاحبه شد. در این پژوهش، پژوهشگران از مصاحبه نیمهساختاریافته استفاده کردند. مصاحبهها به روش هفتمرحلهای کلایزی و به کمک نرمافزار MAXQDA تحلیل شد. مضامین اصلی پژوهش شامل تغییر در تفکر و احساس، کاهش اختلاف، چالشها و موانع در درمان، تأثیر بر ارزشها و اهداف مشترک و توجه به احساسات و تأثیرات طولانیمدت درمان بود. بر اساس یافتهها، ACT در حل اختلافات زوجها مؤثر بود، تلویحات مهمی برای مشاوران خانواده دارد تا با استفاده از ACT موجب غنیسازی زندگی زناشویی زوجها، تحکیم خانواده و به تبع آن، پیشگیری از بیثباتی در ازدواج شوند.
Effectiveness of ACT Therapy in Treating
Marital Disputes from the Perspective
of Newlywed Couples in Rasht City
Reza Ghasemi Joubaneh*
Mojtaba Janalipour Chenarroudkhani**
Amir Mohammad Tokhsh***
Maryam Deldar Gohardani****
Disagreements in a marital relationship are natural, but they require constructive management and resolution, especially in newly married couples. The purpose of the present study was to conduct a case study of the effectiveness of acceptance and commitment therapy in treating marital disputes from the perspective of newly married couples. The present study was conducted using a qualitative method and a phenomenological approach. The study population included all newly married couples who referred to counseling centers in Rasht - who received ACT. According to the researchers' call at the counseling centers in Rasht, 30 people (15 couples) announced that they were willing to participate in the study. The research sampling method was criterion-based purposive sampling. 20 people (10 couples) qualified to participate in the study. Due to theoretical considerations, 12 people (6 couples) of the participants were interviewed. In this study, the researchers used semi-structured interviews. The interviews were analyzed using the Claise seven-step method using MAXQDA software. The main themes of the study included changes in thinking and feeling, reducing disagreement, challenges and barriers in treatment, impact on shared values and goals, and attention to feelings and long-term effects of treatment. Based on the findings, ACT was effective in resolving couples' disagreements, which has important implications for family counselors who can use ACT to enrich couples' married lives, strengthen families, and consequently prevent instability in marriage.
Keywords: Marriage, Marital Conflict, Couple, Relationship, Acceptance and Commitment Therapy.
Introduction
Marital disputes are an inevitable challenge in life together, especially in the early years of marriage. Research shows that the first five years of marriage are a critical and decisive period for the formation of future communication patterns and marital satisfaction (Lavner, 2014). Newly married couples are exposed to increased tensions due to the changes in roles, expectations, and adaptation to the lifestyle of the couple. The inability to constructively manage these conflicts can lead to the accumulation of problems, reduced satisfaction, emotional distress, and in extreme cases, an increased risk of emotional or formal divorce (Abdollahi et al., 2021). According to statistics, the divorce rate is higher in the early years of marriage, which indicates the importance of timely and effective interventions at this stage. In the meantime, Acceptance and Commitment Therapy (ACT), as one of the third wave behavioral therapies, has attracted considerable attention in the field of couples therapy) Khanjani Veshki et al, 2016(and its main goal is to increase psychological flexibility. Rather than focusing on directly eliminating or changing difficult thoughts and feelings, ACT emphasizes six key processes: acceptance of unpleasant internal experiences, cognitive dissociation, contact with the present moment, self as context, clarification of values, and committed action in line with those values (Ito & Muto, 2020). Although previous studies have confirmed the effectiveness of ACT in reducing marital conflict and increasing satisfaction (Pour seyyed Aghaei et al., 1403; Khosravi et al., 2025), most of these studies have been conducted with quantitative methods and from an external perspective. There is a lack of qualitative research that addresses the lived experience and in-depth understanding of couples themselves of the treatment process. Therefore, the aim of the present study was to conduct an in-depth and case study investigation of the effectiveness of acceptance and commitment therapy in managing marital conflicts, from the perspective of newly married couples themselves.
Research Method
This study was conducted with a qualitative method and a phenomenological approach to understand and describe the participants' shared experience of receiving ACT treatment. The research population included all newly married couples (less than 14 months since the date of marriage) who referred to counseling centers in Rasht and had undergone ACT treatment. Using purposive sampling based on criteria, and considering the inclusion criteria (such as age 25 to 35 years, minimum diploma (qualified), unique receipt of ACT and no use of psychotropic drugs), 10 couples (20 people) were identified as eligible out of 15 volunteer couples. However, for data collection, interviews continued until theoretical saturation was reached, and finally in-depth interviews were conducted with 6 couples (12 people). The main data collection tool was a semi-structured interview, which was conducted with 10 central questions. Each interview lasted between 40 and 50 minutes and was recorded and then transcribed with the consent and confidentiality of the participants. The seven-step Claise method was used to analyze the data with the help of MAXQDA software. The analysis steps included: 1) repeated reading of the interview text, 2) extraction of meaningful phrases, 3) formulation of meanings, 4) organization of meanings in conceptual clusters, 5) creation of subcategories and categories, 6) comprehensive description of the phenomenon, and 7) validation by returning the findings to the participants. Internal validation (acceptability) was carried out through feedback from the participants.
Research findings
The analysis of the interviews led to the extraction of 5 main
themes and 10 subthemes that reflected the participants’ experience of ACT therapy.
- Change in thinking and feeling: This theme refers to a fundamental transformation in the couple attitudes and emotions. Acceptance of negative feelings and thoughts: Participants reported that after therapy, instead of suppressing or fighting feelings such as anger, frustration, or sadness, they learned to accept them as a natural part of the relationship. Change in attitude towards disagreements: The view of conflict changed from a “threat” or “failure” to an “opportunity” for mutual understanding and dialogue.
- Reduced conflict: Participants reported a significant reduction in the intensity and frequency of conflicts. Reduced tension and conflict: The skills learned, such as acceptance and forgiveness, prevented small arguments from escalating into major arguments Improved communication and interactions: Conversations became more constructive and focused on solving the problem. Active listening and non-blaming expression of feelings increased.
- Challenges and barriers to treatment: two main problems were identified. Resistance to accepting unpleasant emotions &Time-consuming changes: Waiting to see tangible and lasting results required patience and persistence.
- Impact on shared values and goals: It helped couples focus on everyday issues deeper than ACT differences. Greater alignment in life goals: Discussions about values made individual and shared goals clearer and more aligned. Strengthening shared values in the relationship: Values such as respect, honesty, and shared growth were strengthened as a framework for evaluating behaviors and decisions.
- Attention to feelings and long-term effects of therapy: Participants noted the lasting effects of therapy on the overall quality of the relationship. Increased feelings of peace and satisfaction in the relationship: With a decrease in fear of conflict and an increase in mutual understanding, feelings of security and peace in the relationship increased. Individual and shared growth: Participants felt that they had grown not only in their relationship, but also as individuals. This individual growth, in turn, enriched the relationship.
Discussion and Conclusion
The findings of this qualitative study showed that acceptance and
commitment therapy (ACT) is an effective intervention in managing marital conflicts from the perspective of newlywed couples. The mechanism of this effectiveness can be summarized in several axes: first, increasing psychological flexibility through acceptance and disengagement allowed couples to break out of the vicious cycle of “emotional reaction-conflict escalation” (Peterson et al, 2009). Second, clarifying and committing to shared values reduced conflicts from the level of personal disputes to an opportunity to move towards larger goals. Third, changing the attitude towards conflict from a destructive phenomenon to a natural and manageable situation increased resilience. These findings are consistent with previous quantitative studies that have shown a reduction in marital conflict (Naderi Moghaddam et al., 2023), increased intimacy (Khanjani-Vashki et al., 2016), and improved satisfaction (Zanganeh et al., 2017) after ACT. However, by exploring lived experience, these studies demonstrate the depth of these changes: ACT is not just a set of techniques, but a process of transformation in cognition, emotion, and action that helps couples build a more meaningful and resilient relationship. Despite the reported effectiveness, challenges such as initial difficulty in accepting negative emotions and the need for patience to stabilize changes were also raised, which highlights the need for a detailed explanation of the treatment process, setting realistic expectations, and ongoing support from the therapist. This study showed that ACT therapy is effective for managing disagreements in novice couples. Therefore, it is suggested that this approach be included in premarital education and initial counseling programs to prevent more serious problems from occurring.
Resources
Abdollahi Asghar, ahadi Hassan, Tajeri Biuook, HajiAlizadeh Kobra. (2021) Developing a conceptual model of the factors forming divorce in the first five years of life: a grounded theory study. Journal of Psychological Science. 20(97), 1-12.
https://dor.isc.ac/dor/20.1001.1.17357462.1400.20.97.10.7
Zanganeh Motlaq Firoozeh , Bani Jamali Shokoh Sadat , Ahadi Hassan, Hatami Hamidreza, (2017) The effectiveness of acceptance and commitment-based and emotion-focused couple therapy on improving couples' marital adjustment and commitment, Quarterly Cultural-Educational Journal of Women and Family, 11(38), 49-70.
https://dor.isc.ac/dor/20.1001.1.26454955.1396.11.38.3.4
Ito, Masahiro, & Muto, Takashi. (2020) Effectiveness of acceptance and commitment therapy for irritable bowel syndrome non-patients: A pilot randomized waiting list controlled trial. Journal of Contextual Behavioral Science, 15, 85-91. https://doi.org/10.1016/j.jcbs.2019.11.009
Khosravi, Farajullah, Mirzamani Bafghi, Seyed Mahmood, & Jaafari Roshan, Marjan Roshan. (2025) Effectiveness of Acceptance and Commitment Therapy on Conflict Resolution Strategies in Conflicting Couples. Iranian Evolutionary Educational Psychology Journal, 7(1), 189-200.
https://doi.org/10.22034/7.1.189
Khanjani Veshki, S., Farzad, V., & Fatehizade, M. (2016). A comparison of the effectiveness of cognitive–behavioral couple therapy and acceptance and commitment couple therapy in the couple’s conflict in the city of Isfahan. Jundishapur Journal of Health Sciences, 9(3), 13-19.
https://dor.isc.ac/dor/20.1001.1.17352029.1395.14.4.7.5
Lavner, Justin A, Karney, Benjamin R, & Bradbury, Thomas N. (2014) Relationship problems over the early years of marriage: stability or change?. Journal of family psychology: JFP: journal of the Division of Family Psychology of the American Psychological Association (Division 43), 28(6), 979–985.
https://doi.org/10.1037/a0037752
Naderi Moghaddam, Nahide., Panah Ali, Ali, Aghdasi, Ali Naghi , & Hejazi, Masoud. (2023) The Effectiveness of Acceptance and Commitment Therapy on Marital Conflict and Emotional Divorce of Women Facing Divorce. Women’s Health Bulletin, 10(2), 122-132. https://doi.org/10.30476/whb.2023.97237.1204.
Pour seyyed Aghaei Zahra Sadat, Mahmudi Zahra, zibaei Nejad Masoumeh. The effect of group couple therapy based on the acceptance and commitment approach on marital conflicts and emotional divorce of couples. Shenakht Journal of Psychology and Psychiatry 2024; 11 (3) :54-66.
http://dx.doi.org/10.32598/shenakht.11.3.54.
*Assistant Professor of Counseling, Department of Psychology, Faculty of Literature and Humanities, Lorestan University, Khorramabad, Iran.
https://orcid.org/0000-0002-2627-462X
** Corresponding Author: M.A. in Family Counseling, Faculty of Literature and Human Sciences, University of Guilan, Rasht, Iran.
https://orcid.org/0000-0003-3377-8727
*** M.A. in Rehabilitation Counseling, Faculty of Educational Sciences and Psychology, Shahid Chamran University, Ahvaz, Iran.
https://orcid.org/0009-0003-9573-9958
**** M.A. in Psychology and Education of Exceptional Children, Faculty of Literature and Humanities, University of Guilan, Rasht, Iran.
https://orcid.org/0000-0002-0883-2931
امیری، زهره و اصغر نوروزی و شهنام ابوالقاسمی (1403) «اثربخشی زوجدرمانی پذیرش و تعهد بر انتظارات زناشویی و هوش ارتباط جنسی در زوجین دارای تعارضات زناشویی»، پویاییهای روانشناختی در اختلالهای خلقی، 3(4)، صص 45- 63.
https://doi.org/10.61838/kman.pdmd.3.4.4.
ایزدی، مهنوش و امید مرادی و کاکابرایی (1403) «اثربخشی بسته آموزشی سلامت جنسی بر دانش و نگرش جنسی زنان و مردان در آستانه ازدواج شاغل در دانشگاه علوم پزشکی کرمانشاه»، مجله علوم روان¬شناختی، سال بیست¬وسوم، شماره 133، صص 165-182.
http://dx.doi.org/10.52547./JPS.23.133.165.
آرمین، محمد و دیجه عرب شیبانی ( 1403) «اثربخشی درمان پذیرش و تعهد بر کیفیت زندگی در افراد مبتلا به بیماری مزمن در ایران: مرور نظامند و فراتحلیل»، مجله تحقیقات علوم رفتاری، 22(3)، صص 563-574.
http://dx.doi.org/22.3.15/10.48305.
پورسید آقایی، زهراسادات و زهرا محمودی و معصومه زیبایینژاد (1403) «تأثیر زوجدرمانی گروهی بر اساس رویکرد پذیرش و تعهد بر تعارضات زناشویی و طلاق عاطفی زوجین»، مجله روانشناسی و روانپزشکی شناخت، 11(3)، صص 54-66.
http://dx.doi.org/10.32598/shenakht.11.3.54.
خانجانی وشکی، سحر و عبداله شفیعآبادی و ولیاله فرزاد و مریم فاتحیزاده (1395) «مقایسه اثربخشی زوجدرمانی شناختی رفتاری و زوجدرمانی مبتنی بر پذیرش و تعهد بر صمیمیت زناشویی زوجین متعارض شهر اصفهان»، دانش و پژوهش در روانشناسی کاربردی، سال هفدهم، شماره 4 (پیاپی 66)، صص 31-40.
https://dor.isc.ac/dor/20.1001.1.17352029.1395.14.4.7.5.
دیدهبان، رودابه و محمدحسین محبی نورالدینوند (1404) «اثربخشی زوجدرمانی کوتاهمدت راهحلمحور بر رضایت جنسی و همجوشی زناشویی در زوجین دارای تعارضات زناشویی»، نشریه پژوهش توان¬بخشی در پرستاری، سال یازدهم، شماره 3، صص 101-110.
http://dx.doi.org/10.22034/IJRN.11.3.101.
ربانی، شیرین و محمدمسعود دیاران و فهیمه نامدارپور (1401) «بررسی کیفی علل تعارض زوجین در یک مطالعه اکتشافی»، مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد، سال شصت¬وپنجم، شماره 5، صص 1-5.
https://doi.org/10.22038/mjms.2022.67921.4027.
رستمی، مهدی و شکوه نوابینژاد و ولیالله فرزاد (1398) «آسیبشناسی مشکلات زوجین در مرحله نامزدی: یک مطالعه کیفی»، روان¬شناسی خانواده، سال ششم، شماره 1، صص 55-68.
https://doi.org/10.29252/ijfp.6.1.55.
رضاپور میرصالح، یاسر و ملیحه مصیبی و زهرا خندقی و بتول ناظمی (1400) «شناسایی و سطحبندی عوامل مؤثر بر تعارضات اولیه زناشویی در زوجین تازه ازدواج کرده با رویکرد مدلسازی ساختاری تفسیری (ISM)»، خانوادهپژوهی، سال هفدهم، شماره 4، صص 541-560.
https://doi.org/10.52547/JFR.17.4.541.
رهبری، شکرانه و ابراهیم نعمتی و معصومه اسمعیلی (1400) «الگوهای ارتباطی در زنان دارای تعارض زناشویی: یک مطالعه کیفی»، فصلنامه فرهنگی- تربیتی زنان و خانواده، سال شانزدهم، شماره 55، صص 83-113.
https://dor.isc.ac/dor/20.1001.1.26454955.1400.16.55.4.0.
عبداللهی، اصغر و حسن احدی و بیوک تاجری و کبری حاجیعلیزاده (1400) «تدوین الگوی مفهومی عوامل شکلدهنده طلاق در پنج سال اول زندگی: یک مطالعه داده-بنیاد»، مجله علوم روانشناختی، سال بیستم، شماره ۹۷، صص 1-12.
https://dor.isc.ac/dor/20.1001.1.17357462.1400.20.97.10.7.
عظیمیفر، شیرین و مریمالسادات فاتحیزاده و فاطمه بهرامی و احمد احمدی و احمد عابدی (1395) «مقایسة اثربخشی زوجدرمانی شناختی- رفتاری و درمان مبتنی بر پذیرش و تعهد بر افزایش شادی زناشویی زوجین ناراضی شهر اصفهان: یک پژوهش مورد منفرد»، مجله روانشناسی و روانپزشکی شناخت، سال سوم، شماره 2، صص 56-81.
https://dor.isc.ac/dor/20.1001.1.25886657.1395.3.2.1.2.
عقیلی، سیدمجتبی و فاطمه یزدانیمهر (1402) «اثربخشی درمان مبتنی بر پذیرش و تعهد به شیوه مجازی بر پریشانی روانشناختی، تابآوری و مشکلات خواب در معلمان در دوران همهگیری شیوع کرونا»، فصلنامه علمی فرهنگ در دانشگاه اسلامی، سال یکم، شماره 46، صص 145-164.
https://www.doi.org/10.22034/ciu.2023.46.145.
فصاحتی، شیده و علی کوپکن شیرافکن و محمد قمری (1402) «اثربخشی درمان مبتنی بر پذیرش و تعهد بر نگرش به ازدواج و ملاکهای انتخاب همسر در دانشجویان مجرد»، پژوهشهای مشاوره، سال بیست¬ودوم، شماره ۸۸، صص ۱۴۸-۱۷۲.
https://dx.doi.org/10.18502/qjcr.v22i88.15458.
قربانی، وجیهه و رویا فرنودیمهر و سمانه سلطانآبادی و نرگس یگانه (1400) «تأثیر درمان مبتنی بر پذیرش و تعهد (ACT) بر اضطراب، استرس و رضایت زناشویی افراد متأهل مبتلا به سرطان پستان»، رویش روانشناسی، 10(8)، صص 103- 114.
https://dor.isc.ac/dor/20.1001.1.2383353.1400.10.8.5.9.
ناجی اصفهانی، زهرا و جهانگیر جهانگیری و عبدالعلی لهساییزاده (1397) «کاوش در چگونگی حل مسئله در بین همسران تازه ازدواج کرده شهر اصفهان»، فصلنامه مطالعات راهبردی زنان، سال بیست¬ویکم، شماره 81، صص 83-109.
https://doi.org/10.22095./JWSS.2018.89246.
ولایتی، الهه و محمدرضا نیلی احمدآبادی و اسماعیل زارعی زوارکی و پرویز شریفی درامدی (1397) «طراحی الگوی آموزشی مبتنی بر نظریة بارشناختی براساس تحلیل محتوای کیفی و اعتباریابی درونی و بیرونی آن»، فصلنامه روانشناسی تربیتی، سال چهاردهم، شماره 49، صص 1-27.
https://doi.org/10.22054/jep.2019.9326.1360.
Aalami, Mahdi, Taimory, Saeed & Ahi, Ghasem. (2020) The Efficacy of Acceptance and Commitment Therapy (ACT) on Marital Conflicts and Improvement of Intimacy in Divorce Applicant Couples. Quarterly Journal of Social Work, 9(3), 12-19.
http://dx.doi.org/10.52547/rbs.18.1.13.
Ahmadi, Khodabkhsh, Rezazade, Majid, Saadat, Hassan, Kimiaei, Seyed Ali, & Hoseyn Zade, Nima. (2015) Contribution of marital conflict to marital quality in short and long-term marriages: An actor-partner interdependence model. Journal of education and health promotion, 4, 42.
https://doi.org/10.4103/2277-9531.157228.
Aravind, Arya, Agarwal, Manju, Malhotra, Shahzadi, & Ayyub, Sayma (2025) Effectiveness of acceptance and commitment therapy on mental health issues: a systematic review. Annals of Neurosciences, 32(4), 321-327.
doi: 10.1177/0972753124130074/10.1177.
Armanpanah, Azadeh, Sajjadian, Ilnaz, & Nadi, Mohammad Ali. (2020) The mediating role of marital conflicts in the relationship between communication beliefs, emotional disorders, marital relationships, and marital satisfaction of women with addicted spouses.
https://dx.doi.org/10.29252/etiadpajohi.14.55.9.
Beris Letafati, Ramin, Kiani, Ahmad Reza, & Sheykholeslami, Ali. (2024) Comparison of the Effectiveness of the Schema Mode Tand Emotional-focused Therapy on Emotional Adjustment in New Married Couples with Conflict. Journal of Counseling Research.
https://doi.org/10.18502/qjcr.v23i89.15790.
Brassington, Lindsay, Ferreira, Nuno Bravo., Yates, Shona, Fearn, Jackie, Lanza, Pam, Kemp, Kim, & Gillanders, David. (2016) Better living with illness: A transdiagnostic acceptance and commitment therapy group intervention for chronic physical illness. Journal of Contextual Behavioral Science, 5(4), 208-214.
https://doi.org/10.1016/j.jcbs.2016.09.001.
Braun, Virginia, & Clarke, Victoria (2006) Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.
https://doi.org/10.1191/1478088706qp063oa.
Camisasca, Elena, Miragoli, Sarah, & Di Blasio, Paloa. (2016) Families with distinct levels of marital conflict and child adjustment: Which role for maternal and paternal stress?. Journal of Child and Family Studies, 25(3), 733-745.
https://doi.org/ 10.1007/s10826-015-0261-0.
Dewhurst, Edel, Novakova, Barbora, & Reuber, Markus. (2015) A prospective service evaluation of acceptance and commitment therapy for patients with refractory epilepsy. Epilepsy & Behavior, 46, 234-241.
https://doi.org/10.1016/j.yebeh.2015.01.010.
Dildar, Saadia, Sitwat, Aisha, & Yasin, Sumaira. (2013) Intimate enemies: Marital conflicts and conflict resolution styles in dissatisfied married couples. Middle-East Journal of Scientific Research, 15(10), 1433-1439.
https://doi.org/10.5829/idosi.mejsr.2013.15.10.11581.
Dinmohaamadpour, Malihe, Tavanaei, Solmaz, Kabiri, Elnaz, Hajiyousefi, Elaheh, Beki Ardekani, & Mohebian, Mehran. (2024) The Effectiveness of Systemic Family Therapy on Marital Conflicts and Marital Burnout of Couples. Iranian Evolutionary Educational Psychology Journal, 6(2), 157-169.
https://doi.org/10.22034/6.2.157.
Fung, Kenneth. (2015) Acceptance and commitment therapy: Western adoption of Buddhist tenets?. Transcultural Psychiatry, 52(4), 561-576. https://doi.org/10.1177/1363461514537544.
Hayes, Steven C, Luoma, Jason B, Bond, Frank W, Masuda, Akihiko, & Lillis, Jason. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy, 44(1), 1-25.
https://doi.org/10.1016/j.brat.2005.06.006.
Ito, Masahiro, & Muto, Takashi. (2020) Effectiveness of acceptance and commitment therapy for irritable bowel syndrome non-patients: A pilot randomized waiting list controlled trial. Journal of Contextual Behavioral Science, 15, 85-91.
https://doi.org/10.1016/j.jcbs.2019.11.009.
Kämper, Ella., Katajavuori, Nina, & Asikainen, Henna (2025). Effects of an ACT-based online intervention on university students' psychological flexibility, well-being and study skills. Journal of University Teaching and Learning Practice, 22(2), 1-26.
https://doi.org/10.53761/pgsppe36.
Khosravi, Farajullah, Mirzamani Bafghi, Seyed Mahmood, & Jaafari Roshan, Marjan Roshan. (2025) Effectiveness of Acceptance and Commitment Therapy on Conflict Resolution Strategies in Conflicting Couples. Iranian Evolutionary Educational Psychology Journal, 7(1), 189-200.
https://doi.org/10.22034/7.1.189.
Lavner, Justin A, Karney, Benjamin R, & Bradbury, Thomas N. (2014) Relationship problems over the early years of marriage: stability or change?. Journal of family psychology: JFP: journal of the Division of Family Psychology of the American Psychological Association (Division 43), 28(6), 979–985.
https://doi.org/10.1037/a0037752.
Mohammadian, Shabnam, Asgari, Parviz, Makvandi, Behnam, & Naderi, Farah. (2021) Effectiveness of acceptance and commitment therapy on anxiety, cognitive avoidance, and empathy of couples visiting counseling centers in Ahvaz City, Iran. Journal of Research and Health, 11(6), 393-402.
https://dx.doi.org/10.32598/JRH.11.6.1889.1.
Naderi Moghaddam, Nahide., Panah Ali, Ali, Aghdasi, Ali Naghi , & Hejazi, Masoud. (2023) The Effectiveness of Acceptance and Commitment Therapy on Marital Conflict and Emotional Divorce of Women Facing Divorce. Women’s Health Bulletin, 10(2), 122-132.
https://doi.org/10.30476/whb.2023.97237.1204.
Öst, Lars Göran. (2014) The efficacy of acceptance and commitment therapy: an updated systematic review and meta-analysis. Behaviour research and therapy, 61, 105-121.
https://dx.doi.org/10.1016/j.brat.2014.07.018.
Panton, K. R, Bebbington, K, Finlay-Jones, A, Bufacchi T, Davey, M, Smith, M, & Fried, L. (2025) Acceptance and Commitment Therapy (ACT) intervention in adolescents with type 1 diabetes: A pilot and feasibility study. Journal of Health Psychology, 13591053251328961.
https://doi.org/10.1177/13591053251328961.
Peterson, Brennan D., Eifert, Georg H, Feingold, Tal, & Davidson, Sarah. (2009)Using Acceptance and Commitment Therapy to treat distressed couples: A case study with two couples. Cognitive and Behavioral Practice, 16(4), 430-442.
https://doi.org/10.1016/j.cbpra.2008.12.009.
Saunders, Benjamin, Sim, Julius, Kingstone, Tom, Baker, Shula, Waterfield, Jackie, Bartlam, Bernadette, ... & Jinks, Clare. (2018) Saturation in qualitative research: exploring its conceptualization and operationalization. Quality & quantity, 52(4), 1893-1907.
https://doi.org/10.1007/s11135-017-0574-8.
Yu, Lin., & McCracken, Lance M. (2016) Model and processes of acceptance and commitment therapy (ACT) for chronic pain including a closer look at the self. Current pain and headache reports, 20(2), 12.
https://doi.org/10.1007/s11916-016-0541-4.