The Effect of Acceptance and Commitment Therapy on Sexual Function and Sexual Satisfaction in Pregnant Women

INTERVENTION: Intervention 1: Intervention group: Participants in this group will receive Acceptance and Commitment Therapy (ACT) in an online group format via Skyroom in 4 weekly sessions of 90 minutes. Session content will include acceptance of unpleasant thoughts and emotions, mindfulness, cognitive defusion, self‐as‐context, values clarification in marital relationships, and committed actions to improve sexual function and sexual satisfaction. Homework will be assigned for each session. Intervention 2: Control group: Participants in this group will receive no psychological or online intervention and will only receive routine prenatal care and standard education at health centers. CONDITION: Sexual function and satisfaction problems in pregnant women. ; Encounter for supervision of normal pregnancy PRIMARY OUTCOME: Sexual function of pregnant women will be measured using the total score of the Female Sexual Function Index (FSFI). Timepoint: Baseline: one day before the intervention Post‐intervention: immediately after completion of the intervention Follow‐up: two months after the intervention. Method of measurement: The FSFI questionnaire will be completed online, and the total sexual function score will be calculated. SECONDARY OUTCOME: Sexual satisfaction of pregnant women will be measured using the Larson Sexual Satisfaction Questionnaire. Timepoint: Baseline: one day before the intervention Post‐intervention: immediately after completion of the intervention Follow‐up: two months after the intervention. Method of measurement: The Larson Sexual Satisfaction Questionnaire will be completed online. INCLUSION CRITERIA: Singleton pregnancy without serious medical complications Gestational age between 12 and 24 weeks at enrollment. Access to the internet and a smart device to participate in online sessions Willingness and ability to attend all intervention sessions. Absence of severe or persistent psychiatric disorders. Provision of written informed consent.