Abstract
BACKGROUND: Infertility affects different aspects of a person's life. It can be said that infertility is one of the most stressful events in people's lives and this research was conducted with the aim of investigating the effectiveness of treatment based on commitment and acceptance on quality-of-life dimensions during menopause. MATERIALS AND METHODS: This study was randomized clinical trial before and after the intervention and one-month follow-up with the intervention and control groups. The sample consisted of 100 eligible postmenopausal women. The intervention group (IG, n = 46) received 6 sessions weekly 90-minute counseling based on acceptance and commitment therapy (ACT), and the control group (CG, n = 45) received routine middle-aged and menopausal care. The intervention group completed the menopause quality of life questionnaire (MENQOL) before, after and one month after the intervention, and the control group also completed the questionnaire with the same time interval. After collecting the data, it was entered into the SPSS 18 software and analyzed with the help of descriptive and analytical statistics. RESULTS: The quality of life before the intervention was not significantly different in both groups, but it improved immediately and one month after the intervention in IG (group by time P < 0.001). Vasomotor (P < 0.001), psychosocial (P < 0.001), sexual (P < 0.001) and physical (P = 0.001) domains improved immediately after the intervention and one-month follow-up in IG. The time effect, time group interaction and group effect were significant in all areas. CONCLUSIONS: Based on the findings of this research, it can be concluded that commitment and acceptance therapy improve the quality of life of infertile couples. And considering the high rate of infertility, this treatment can be used to increase the quality of life of this group.