What type of study is this?

This is a RCT study (also classified as: Human Clinical Trial).

August 25, 2025Open Access

Investigating the Effectiveness of Acceptance and Commitment Therapy (ACT) on Emotional Empathy, Adaptability, Alexithymia, and Marital Functioning in Incompatible Young Couples

AMAmir Masoud MirbagheriShahid Beheshti University of Medical Sciences AAAbbas Masjidi AraniShahid Beheshti University of Medical Sciences AKAmir Sam KianimoghadamShahid Beheshti University of Medical Sciences

Key Points

ACT significantly increased emotional empathy among incompatible young couples, enhancing their emotional connections.
Post-intervention results revealed reduced alexithymia, indicating better emotional understanding and expression in participants.
This study employed a randomized controlled trial design with 52 couples over a six-month period to evaluate ACT's impact.
Findings suggest that ACT can effectively enhance couple functioning, indicating its practical applications in therapy for young couples.

Abstract

Objectives Incompatibility in young couples and its resolution failure are among the main causes of emotional separation and divorce, which have several personal and social consequences. The present study aimed to examine the impact of acceptance and commitment therapy (ACT) on emotional empathy, adaptability, alexithymia, and couple functioning in incompatible young couples. Methods This randomized controlled clinical trial utilized a two-group research design with a pretest-posttest and a 6-month follow-up. The research sample consisted of incompatible young couples from Yazd County, Iran, who had been referred to this city’s counseling and divorce centers in 2023. Based on the inclusion criteria and using simple random sampling, 52 couples (104 individuals) were selected and randomly assigned to the experimental group (ACT) and the control group. Participants were assessed before and after the intervention using the following tools: Mehrabian and Epstein’s empathy questionnaire, Olson’s adaptability and cohesion questionnaire, Toronto alexithymia scale, and the ENRICH couples’ satisfaction questionnaire. The experimental group received a specified ACT protocol consisting of 8 sessions lasting 60 to 90 minutes each week. The project executor monitored the control group weekly, but no specific therapeutic protocol was implemented for them. After the follow-up phase, the treatment protocol was also applied to them. Finally, the data were analyzed using SPSS software, version 29. Results The analysis of covariance indicated significant differences in the pretest and posttest stages in the mean scores of the experimental and control groups in the variables of emotional empathy, adaptability, alexithymia, and couple functioning (P>0.01). Conclusion We found that the ACT intervention led to increased emotional empathy, decreased alexithymia, and a modulation of adaptability and couple functioning in incompatible young couples. Therefore, ACT can be utilized for incompatible couples seeking assistance at counseling and divorce centers.

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