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Modeling the vulnerability to extramarital relationships and the effectiveness of couple therapy based on the acceptance and commitment therapy with schema awareness on couples with extramarital relationships experience and relational obsessive-compulsive symptoms

Modeling the vulnerability to extramarital relationships and the effectiveness of couple therapy based on the acceptance and commitment therapy with schema awareness on couples with extramarital relationships experience and relational obsessive-compulsive symptoms

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
IRCT
Registry ID
IRCT20250129064559N1
Enrollment
32
Registered
2025-03-02
Start date
2025-06-22
Completion date
Unknown
Last updated
2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

extramarital relationships. Problems in relationship with spouse or partner

Interventions

Intervention 1: Intervention group: Contents of the intervention sessions for Acceptance and Commitment Couple Therapy with schema awareness (Experimental Group):1. Establishing rapport, explaining

Sponsors

Iran University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
20 Years to 60 Years

Inclusion criteria

Inclusion criteria: Couples must be legally married and have been in a committed relationship for at least one year. Both partners must have a minimum of a high school diploma (or equivalent). Both partners must be between the ages of 20 and 60 years old. Couples must not have a history of alcohol, drug, or psychotropic substance abuse or dependence. Both partners must be willing to participate in couple therapy sessions and be able to attend sessions consistently and regularly. Couples must be living together at the time of enrollment and throughout the study, and must not be in the process of legal divorce. Couples should not be experiencing significant stressors such as unemployment or remarriage (for either partner). Couples must have experienced at least one instance of sexual or emotional infidelity in their current marital relationship and express a desire to increase marital satisfaction and address the negative consequences of the infidelity experience (e.g., anxiety, depression, marital dissatisfaction). At least 6 months and no more than 5 years must have passed since the disclosure of the extramarital affair within their relationship. Based on the results of the SCID-5/RV interview (and the Relationship-Focused and Partner-Focused Obsessive-Compulsive Questionnaires), couples must report relationship-related or partner-focused obsessive-compulsive beliefs, but not meet the full diagnostic criteria for Obsessive-Compulsive Disorder.

Exclusion criteria

Exclusion criteria: - Presence of a psychological disorder in either partner - Use of any type of psychiatric medication - Use of any psychological or psychotherapeutic services for Axis I and II disorders and marital problems within the 6 months prior to the start of treatment - Presence of serious suicidal ideation - Absence from more than 3 treatment sessions - Initiation of drug or substance use during the intervention - Diagnosis of an acute psychiatric or physical illness during the intervention

Design outcomes

Primary

MeasureTime frame
Anxiety score on the Beck Anxiety Inventory. Timepoint: Before the intervention, after the intervention, and 3 months after the intervention is completed. Method of measurement: Beck anxiety inventory.;Depression score on the Beck Depression Inventory. Timepoint: Before the intervention, after the intervention, and 3 months after the intervention is completed. Method of measurement: Beck depression inventory.;Marital adjustment score on the Dyadic Adjustment Scale (DAS). Timepoint: Before the intervention, after the intervention, and 3 months after the intervention is completed. Method of measurement: Dyadic Adjustment Scale (DAS).;Psychological Inflexibility. Timepoint: Before the intervention, after the intervention, and 3 months after the intervention is completed. Method of measurement: The Multidimensional Psychological Flexibility Inventory (MPFI).

Secondary

MeasureTime frame
Conflict resolution styles score on Rahim Organizational Conflict Inventory–II (ROCI-II). Timepoint: Before the intervention, after the intervention, and 3 months after the intervention is completed. Method of measurement: Rahim Organizational Conflict Inventory–II(ROCI-II).;Relational Obsessive-Compulsive Disorder score on the The Relationship Obsessive–Compulsive Inventory and the The Partner-Related Obsessive–Compulsive Symptoms Inventory. Timepoint: Before the intervention, after the intervention, and 3 months after the intervention is completed. Method of measurement: The Relationship Obsessive–Compulsive Inventory (ROCI) and The Partner-Related Obsessive–Compulsive Symptoms Inventory (PROCSI).

Countries

Iran (Islamic Republic of)

Contacts

Public ContactSeyede Ayda Mousavi Moghadam

Iran University of Medical Sciences

mousavi.ay@iums.ac.ir+98 21 6692 6608

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026