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Volume 25, Issue 162 (8-2026)
Journal of Psychological Science 2026, 25(162): 1-20 |
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amiri N, Imani M, Mohammadi N, Goodarzi M A. (2026). Effectiveness of Shame-Focused Online ACT Group Therapy on Quality of Life in Depressed Infertile Women. Journal of Psychological Science. 25(162), : 3 doi:10.66224/jps.25.162.3
URL: http://psychologicalscience.ir/article-1-3083-en.html
URL: http://psychologicalscience.ir/article-1-3083-en.html
Department of Clinical Psychology, Faculty of Education and Psychology, Shiraz University, Shiraz, Iran. , mimani@shirazu.ac.ir
Abstract: (93 Views)
Background:Infertility in women is often accompanied by depression and feelings of shame, which diminish quality of life and its components (e.g., physical, psychological, and social health). Shame-based Acceptance and Commitment Therapy (ACT) may improve these relationships, but research on its online group format in this population is limited.
Aims: This study aimed to investigate the effectiveness of online group-based shame-focused ACT on quality of life and its components in depressed infertile women.
Methods: This randomized clinical trial employed a pretest-posttest design with a control group and a one-month follow-up. The study population consisted of all infertile women attending infertility treatment centers in Tehran in 2023. A purposive sample of 40 infertile women was randomly assigned to experimental and control groups (20 per group). Data were collected using the Quality of Life Questionnaire for Infertile Couples by Yaghmaei et al. (2009) and the Beck Depression Inventory-II (1996). The intervention comprised 10 weekly online ACT sessions based on the 10-session shame-focused ACT protocol by McKee et al. (2020). Data were analyzed using repeated-measures analysis of variance in SPSS version 25.
Results: The results showed that online shame-based acceptance and commitment group therapy significantly improved the overall quality of life score and all its components, including physical, psychological, emotional, spiritual-religious, economic, sexual, and social dimensions, in depressed infertile women (p < 0.05). These results were sustained during the follow-up period.
Conclusion: Online shame-based acceptance and commitment group therapy was effective in enhancing the quality of life of depressed infertile women. Therefore, it is recommended that this intervention be used as a complementary treatment alongside other mental health services to improve the quality of life in this population.
Aims: This study aimed to investigate the effectiveness of online group-based shame-focused ACT on quality of life and its components in depressed infertile women.
Methods: This randomized clinical trial employed a pretest-posttest design with a control group and a one-month follow-up. The study population consisted of all infertile women attending infertility treatment centers in Tehran in 2023. A purposive sample of 40 infertile women was randomly assigned to experimental and control groups (20 per group). Data were collected using the Quality of Life Questionnaire for Infertile Couples by Yaghmaei et al. (2009) and the Beck Depression Inventory-II (1996). The intervention comprised 10 weekly online ACT sessions based on the 10-session shame-focused ACT protocol by McKee et al. (2020). Data were analyzed using repeated-measures analysis of variance in SPSS version 25.
Results: The results showed that online shame-based acceptance and commitment group therapy significantly improved the overall quality of life score and all its components, including physical, psychological, emotional, spiritual-religious, economic, sexual, and social dimensions, in depressed infertile women (p < 0.05). These results were sustained during the follow-up period.
Conclusion: Online shame-based acceptance and commitment group therapy was effective in enhancing the quality of life of depressed infertile women. Therefore, it is recommended that this intervention be used as a complementary treatment alongside other mental health services to improve the quality of life in this population.
Article number: 3
Type of Study: Research |
Subject:
Special
Received: 2025/08/15 | Accepted: 2026/07/19 | Published: 2026/08/23
Received: 2025/08/15 | Accepted: 2026/07/19 | Published: 2026/08/23
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This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) License. |
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)