Introduction: Emotional divorce happens when a man and a woman live coldly together but do not request a legal divorce. So the aim of this study is to investigate the impact of acceptance and commitment group therapy (ACT) on emotional divorce and self-efficacy of couples. Methods: This was a experimental study with a control group. The statistical population consisted of 338 married people working in an industrial factory in Bu Ali town of Hamedan province in 2020. After distributing an emotional divorce questionnaire, authors selected 60 people with emotional divorce problems. Then, 40 people who had obtained average scores in the self-efficacy questionnaire were selected as the sample and were randomly divided into experimental and control groups. The experimental group received acceptance and commitment-based treatment for 8 weeks, but the control group did not receive any intervention. Research instruments were Gottman's Emotional Divorce Questionnaire (1994) as well as self-efficacy questionnaire of Scherer et al., (1982) used as a pre-test-post-test. SPSS version 23 software was used for data analysis Shapiro-Wilk test was used to evaluate the normality of the distribution of the variables. According to the level of significance (P <0.05) of the variables of emotional divorce and self-efficacy, the normality of the distribution of scores in the experimental and control groups is confirmed. Leven's test was used to examine the presumption of variances' equality of the two groups in the population. Results: The results of analysis of covariance showed that acceptance and commitment group treatment reduced the scores of emotional divorce (p <0.05) and increased self-efficacy (p <0.05) in the experimental group compared to the control group in the post-test phase. The results of Leven test for the emotional divorce variable (P = 0.414, F = 0.682) and self-efficacy variable (P = 0.601, F = 0.278) confirmed variances' equality Conclusions: Acceptance and commitment group therapy was able to significantly reduce emotional divorce and increase self-efficacy compared to the control group. Therefore, it is possible to prevent acceptance and commitment therapy to reduce emotional divorce and prevent psychological and social damage.

Background: The medical staff working on the front-line battle against coronavirus disease 2019 (COVID-19) are more exposed to mental health risks than the general population. Resilience is the ability to withstand challenging situations and help people defend their mental health against stressors. The present study aimed to compare the effectiveness of Yalom and acceptance and commitment therapy (ACT) on medical staff resilience in COVID-19 centers. Methods: The research method was quasi-experimental with a pre-test-post-test design and a control group. The statistical population includes all 600 medical staff of Hamedan City, Iran, caring for patients with COVID-19 in 2021. Based on the average variance of resilience obtained in previous studies, 45 people were selected by convenience sampling and randomly assigned to two experimental groups (each 15) and one control group (n=15). The experimental groups were divided into Yalom and ACT group psychotherapy, and all three groups responded to the Connor-Davidson resilience scale (CD-RISC) before and after the intervention. The obtained data were analyzed by analysis of covariance in SPSS software, version 25. Results: Yalom group psychotherapy and ACT group therapy had different effects on the participants’ resilience and are statistically significant since the F statistics (106.722) was significant (P=0.001 and P=0.05, respectively). Based on the results, Yalom group psychotherapy has a better rate of improvement than ACT. Conclusion: Considering the significant efficacy of Yalom group psychotherapy and its relative ease of implementation compared to ACT, it is possible to employ this intervention to protect the mental health of medical staff during severe epidemics of diseases such as coronavirus.

Nowadays, experts and health organizations consider mental emotions and sexual well-being the most crucial parts of sexual self-concept and mental health. Numerous variables can influence women's sexual self-perception and mental health. Consequently, this study aimed to examine the parameters associated with sexual self-concept and mental health in lesbian and heterosexual women. In this scoping review study, researchers performed computer searches on databases, Google Web, SID, Scholar Scopus, and PubMed, using keywords. Finally, the complete data of 29 articles have been used in this review article. Factors related to self-concept and mental health can be also enumerated, which were generally studied. The findings of the present review show that sexual self-concept and mental health as a key indicator in sexual activity and predict sexual behavior are influenced by various factors which includes the effect of hormones, genetic differences, age, gender, marital status, race, impotency and various diseases. Therefore, it seems that paying attention to relevant factors to the characteristics of each person can improve women's sexual health. In order to increase the depth and breadth of our knowledge of factors related to and affecting mental health and sexual self-concept, conducting studies with a qualitative approach is also recommended.