Mashhad Razavi Hospital Razavi Journal of Medicine 3115-753X 13 1 2025 03 01 The Effectiveness of Cognitive Acceptance and Commitment Therapy on Improving Family Functioning, Marital Life Satisfaction, and Rumination in Women with Obsessive-Compulsive Disorder 126 140 118583 10.30483/rijm.2024.254536.1334 EN Mahdieh Rahmanian Associate Professor, Department of psychology, Payame Noor University, Tehran, Iran 0000-0002-6745-1426 Amin Rafieipoor Associate Professor, Department of psychology, Payame Noor University, Tehran, Iran Zahra Nameni Master of Psychology, Department of psychology, Payame Noor University, Tehran, Iran Journal Article 2024 03 03 <strong>Background and Objectives:</strong> 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.<br /> <br /><strong>Methods:</strong> 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.<br /> <br /><strong>Results:</strong> 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.<br /> <br /><strong>Conclusion:</strong> 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. https://journal.razavihospital.ir/article_118583_72907f9b8929c95f640e5f55504b63a6.pdf