IRCT20260205068766N1 IRCT 2026-05-23 Torbate-Heidaria University of Medical Sciences The Effect of Acceptance and Commitment Therapy on Sexual Function and Sexual Satisfaction in Pregnant Women Effectiveness of Acceptance and Commitment Therapy (ACT) on Sexual Function and Sexual Satisfaction in Pregnant Women: A Randomized Clinical Trial 2026-09-23 anticipated 44 Recruiting https://irct.ir/trial/88982 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: After obtaining written informed consent, participants will be randomly allocated to the intervention and control groups using simple randomization based on a random numbers table. The randomization process will be performed by an independent person, Blinding description: Due to the psychological nature of the intervention, blinding of participants and therapists is not feasible. However, data analysis will be performed by a blinded statistician who is unaware of group allocation (single-blind). 0 (exploratory trials) Sexual function and satisfaction problems in pregnant women. Intervention 1: Intervention group: Participants in this group will receive Acceptance and Commitment Therapy (ACT) in an online group format via Skyroom in 4 weekly sessions of 90 minutes. Session content will include acceptance of unpleasant thoughts and emotions, mindfulness, cognitive defusion, self-as-context, values clarification in marital relationships, and committed actions to improve sexual function and sexual satisfaction. Homework will be assigned for each session. Intervention 2: Control group: Participants in this group will receive no psychological or online intervention and will only receive routine prenatal care and standard education at health centers. No - There is not a plan to make this available Justification or reason for not sharing IPD is Due to the sensitive nature of the study topic and the need to protect participants’ confidentiality, individual participant data (IPD) will not be shared.