The effectiveness of Acceptance and Commitment Therapy on quality of life, marital satisfaction and self-resiliency of women with early menopausal referred to the health center

Besides physical problems, premature menopause is associated with psychological problems like anxiety, depression, reduced resiliency and marriage adjustment problems. The purpose of this study was to investigate the effectiveness of Acceptance and Commitment Therapy on quality of life, marital satisfaction and self-resiliency of women with premature menopausal referred to the health center. In this semi-experimental study with pre- and post-test design, 32 women with premature menopausal referred to the Sari health centers were recruited as an available sample and allocated to an experimental or control group. Data were collected through the three questionnaires: World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), Marital Satisfaction Scale (short-form), and Connor-Davidson Resilience Scale (2003). After the pretest, an 8-session protocol of acceptance and commitment treatment was performed for the experimental group, while the control group participated only in the pretest and posttest sessions. After statistical analysis of data with multiple covariance (MANCOVA) in SPSS25 statistical package, the results showed that therapeutic intervention based on acceptance and commitment has been able to improve quality of life, marital satisfaction, self-resilience and their components in women with premature menopausal referred to health centers. As a result, acceptance and commitment-based psychotherapy can be used as an effective treatment to improve the mental health indicators of women with premature menopause.