The Impact of Group-Based Acceptance and Commitment Therapy on Trust in Interpersonal Relationships and Emotion Control among Married Women

Document Type : Original Article


1 Associate Professor, Department of Counseling, University of Kurdistan, Sanandaj, Iran

2 Assistant Professor, Department of Counseling, University of Kurdistan, Sanandaj, Iran

3 Corresponding Author: M.A. Family Counseling, Department of Counseling, University of Kurdistan, Sanandaj, Iran


Acceptance and commitment therapy is a third-generation behavioral therapy that seeks to enhance a person's psychological connection to his / her thoughts and feelings rather than to change cognitions. The purpose of this study was to determine the impact of acceptance and commitment therapy on trust in interpersonal relationships and emotion control among married women. In a quasi-experimental intervention with pre-test, post-test and follow-up, 24 married women were selected through the available sampling method from among women with marital problems, who had referred to Kermanshah Relief Committee Counseling Center. They were randomly divided into experimental and control groups (n ₌ 12). The research instruments were the Trust in Interpersonal Relationships Questionnaire and the Emotion Control Questionnaire. The experimental group received group-based acceptance and commitment therapy for ten sessions, but the control group received no treatment. After the end of treatment sessions, both groups took the post-test. Multivariate analysis of covariance was used to analyze the data. According to the findings, group-based acceptance and commitment therapy was effective on trust in interpersonal relationships (P < 0.05) and emotion control (P < 0.05). The follow-up results after one month also indicated that there was a significant difference between experimental and control groups in trust in interpersonal relationships and emotion control (P < 0.05). Based on the results, it can be concluded that acceptance and commitment therapy positively affects trust in interpersonal relationships and emotion control.


Austin, E. J., Saklofske, D. H., & Egan, V. (2005). Personality, well-being and health correlates of trait emotional intelligence. Personality and Individual Differences, 38(3), 547-558.
Bohus, M., Haaf, B., Simms, T., Limberger, M. F., Schmahl, C., Unckel, C., & Linehan, M. M. (2004). Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: A controlled trial. Behaviour Research and Therapy, 42(5), 487-499.
Bond, F. W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology, 88(6), 1057-1067.
Brown, D. (2001). The relationship between attachment styles, Trust and marital atituds ofcollege students. Facalthy of the gradute school of psychology. Seton Hall university LosAngeles. Colifornia.
Brown, F. L., Whittingham, K., Boyd, R. N., McKinlay, L., & Sofronoff, K. (2015). Does stepping stones triple plus acceptance and commitment therapy improve parent, couple, and family adjustment following paediatric acquired brain injury? A randomised controlled trail. Behavior Research and Therapy, 73, 58-66.
Burckhardt, R., Manicavasagar, V., Batterham, P. J., & Hadzi-Pavlovic, D. (2016). A randomized controlled trial of strong minds: A school-based mental health program combining acceptance and commitment therapy and positive psychology. Journal of School Psychology, 57, 41-52.
Cole, P. M., Michel, M. K., & Teti, L. O. D. (1994). The development of emotion regulation and dysregulation: A clinical perspective. Monographs of the Society for Research in Child Development, 59(2‐3), 73-102.
Dawda, D., & Hart, S. D. (2000). Assessing emotional intelligence: Reliability and validity of the Bar-On Emotional Quotient Inventory (EQ-i) in university students. Personality and Individual Differences, 28(4), 797-812.
Debrot, A., Schoebi, D., Perrez, M., & Horn, A. B. (2013). Touch as an interpersonal emotion regulation process in couples’ daily lives: The mediating role of psychological intimacy. Personality and Social Psychology Bulletin, 39(10), 1373-1385.
De Houwer, J., Barnes‐Holmes, Y., & Barnes‐Holmes, D. (2016). Riding the waves: A functional‐cognitive perspective on the relations among behaviour therapy, cognitive behaviour therapy and acceptance and commitment therapy. International Journal of Psychology, 51(1), 40-44.
Dixon-Gordon, K. L., Bernecker, S. L., & Christensen, K. (2015). Recent innovations in the field of interpersonal emotion regulation. Current Opinion in Psychology, 3, 36-42.
Eisenberg, N., & Spinrad, T. L. (2004). Emotion‐related regulation: Sharpening the definition. Child Development, 75(2), 334-339.
Erden, A., & Erden, H. (2009). Predicting organizational trust level of school managers and teachers at elementary schools. Procedia-Social and Behavioral Sciences, 1(1), 2180-2190.
Folke, F., Parling, T., & Melin,  L. (2012). Acceptance and Commitment Therapy for Depression: A Preliming Randomize Clinical Trail for Unemployedon Long-Term Sick Leave. Cognitive Behaviovr Part, 19 (4), 94-583.
Filkowski, M. M., Anderson, I. W., & Haas, B. W. (2016). Trying to trust: Brain activity during interpersonal social attitude change. Cognitive, Affective, & Behavioral Neuroscience, 16(2), 325-338.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy: The process and practice of mindful change. Guilford Press.
Kröger, C., Schweiger, U., Sipos, V., Arnold, R., Kahl, K. G., Schunert, T., ... & Reinecker, H. (2006). Effectiveness of dialectical behaviour therapy for borderline personality disorder in an inpatient setting. Behaviour Research and Therapy, 44(8), 1211-1217.
Lev, A. (2011). A New Group Therapy Protocol Combining Acceptance and Commitment Therapy (ACT) and Schema Therapy in the Treatment of Interpersonal Disorders: A Randomized Controlled Trial. PsyD diss., Wright Institute, Berkeley, CA. The Interpersonal Problems Workbook.
Lewicki, R. J., Tomlinson, E. C., & Gillespie, N. (2006). Models of interpersonal trust development: Theoretical approaches, empirical evidence, and future directions. Journal of Management, 32(6), 991-1022.
Luo, Q., & Zhang, H. (2016). Building interpersonal trust in a travel-related virtual community: A case study on a Guangzhou couchsurfing community. Tourism Management, 54, 107-121.
Miller, A. L., Rathus, J. H., & Linehan, M. M. (2006). Dialectical behavior therapy with suicidal adolescents. Guilford Press.
Netzer, L., Van Kleef, G. A., & Tamir, M. (2015). Interpersonal instrumental emotion regulation. Journal of Experimental Social Psychology, 58, 124-135.
Peterson, B. D., Eifert, G. H., Feingold, T., & Davidson, S. (2009). Using Acceptance and Commitment Therapy to Treat Distressed Couples: A Case Study With Two Couples. Cognitive and Behavioral Practice, 16(4), 430-442.
Rempel, J. K., & Holmes, J. G. (1986). How do I trust thee. Psychology Today, 20(2), 28-34.
Rempel, J. K., Ross, M., & Holmes, J. G. (2001). Trust and communicated attributions in close relationships. Journal of Personality and Social Psychology, 81(1), 57-64.
Rousseau, D. M., Sitkin, S. B., Burt, R. S., & Camerer, C. (1998). Not so different after all: A cross-discipline view of trust. Academy of Management Review, 23(3), 393-404.
Ruiz, F. J. (2012). Acceptance and commitment therapy versus traditional cognitive behavioral therapy: A systematic review and meta-analysis of current empirical evidence. International Journal of Psychology and Psychological Therapy, 12(3), 333-357.
Schutte, N. S., Malouff, J. M., Bobik, C., Coston, T. D., Greeson, C., Jedlicka, C., ... & Wendorf, G. (2001). Emotional intelligence and interpersonal relations. The Journal of Social Psychology, 141(4), 523-536.
Simpson, J. A. (2007). Psychological foundations of trust. Current Directions in Psychological Science, 16(5), 264-268.
Skowron, E. A., Stanley, K. L., & Shapiro, M. D. (2009). A longitudinal perspective on differentiation of self, interpersonal and psychological well-being in young adulthood. Contemporary Family Therapy, 31(1), 3-18.
Tokuda, Y., Fujii, S., Jimba, M., & Inoguchi, T. (2009). The relationship between trust in mass media and the healthcare system and individual health: evidence from the AsiaBarometer Survey. BMC Medicine, 7(1), 4.
van den Bosch, L. M., Verheul, R., Schippers, G. M., & van den Brink, W. (2002). Dialectical behavior therapy of borderline patients with and without substance use problems: Implementation and long-term effects. Addictive Behaviors, 27(6), 911-923.
Wechsler, D. (1952). Range of human capacities Baltimore. Md Williams and Wilkins.
Williams, K. E., Chambless, D. L., & Ahrens, A. H. (1997). Are emotion frightening? An extension of the fear of fear concept. Behaviour Research and Therapy, 35, 239-248.
Zettle, R. D. (2005). The evolution of a contextual approach to therapy: From comprehensive distancing to ACT. International Journal of Behavioral Consultation and Therapy, 1(2), 77-89.