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.