{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T07:40:22Z","timestamp":1792395622058,"version":"4.4.0"},"reference-count":33,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Infertility is associated with several psychological problems. Considering the increasing prevalence of infertility and the role of psychological factors, the purpose of this study was to investigate the effectiveness of cognitive behavioral couple therapy on increasing the happiness and marital satisfaction among infertile couples.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this randomized controlled trial, 24 infertile couples were selected via convenience sampling from Infertility Center Kermanshah and randomly assigned to cognitive\u2011behavioral couple therapy (CBCT; 12 couples) or control (routine care; 12 couples). The CBCT group received ten 120\u2011minute weekly sessions. Data were collected using the Oxford Happiness and ENRICH Marital Satisfaction scales at pre\u2011test, post\u2011test, and two\u2011month follow\u2011up. Group homogeneity at baseline was assessed using Chi\u2011square and independent t\u2011tests. repeated\u2011measures ANOVA was conducted to evaluate main and interaction effects of group and time on the outcomes. All analyses were performed using SPSS\u201125, with significance set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Repeated\u2011measures ANOVA revealed significant time \u00d7 group interaction effects for happiness (F (2,86)\u2009=\u200913.48,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, \u03b7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.239) and marital satisfaction (F(2,86)\u2009=\u200916.36,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, \u03b7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.276). The CBCT group demonstrated significant improvements in both outcomes from pre\u2011test to post\u2011test and follow\u2011up, while the control group remained stable.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cognitive Behavioral Couple Therapy can be used in women and in particular infertile men to increasing the happiness and marital satisfaction among them.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73369","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:03:20Z","timestamp":1791525800000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of Cognitive Behavioral Couples Therapy on Increasing the Happiness and Marital Satisfaction of Infertile Couples: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"9","author":[{"given":"Malihe Gholamzade","family":"Deharab","sequence":"first","affiliation":[{"name":"CEO of Abarkoh Life Station Psychology Institute Shahid Sadoughi University of Medical Sciences Yazd Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamile","family":"Shahverdi","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, School of Behavioral Sciences and Mental Health Iran University of Medical Sciences Tehran Iran"},{"name":"Social Determinants of Health Research Center Lorestan University of Medical Sciences Khorramabad Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2232-1860","authenticated-orcid":false,"given":"Elham","family":"Goodarzi","sequence":"additional","affiliation":[{"name":"Social Determinants of Health Research Center Lorestan University of Medical Sciences Khorramabad Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azam","family":"Ardeh","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, School of Public Health Shahid Sadoughi University of Medical Sciences Yazd Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyed Mojtaba","family":"Ahmadi","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, School of Medicine Shahid Beheshti University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"issue":"3","key":"e_1_2_13_2_1","first-page":"393","article-title":"The Effectiveness of Emotionally Focused Couples Therapy on Sexual Satisfaction and Marital Adjustment of Infertile Couples With Marital Conflicts","volume":"9","author":"Soleimani A. 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O.","year":"2016","journal-title":"Family Pathology, Counseling & Enrichment Journal"},{"key":"e_1_2_13_9_1","first-page":"10","volume-title":"Quarterly Journal of Nursing Bodybuilding, Faculty of Medical Sciences","author":"Almasi M.","year":"2016"},{"issue":"17","key":"e_1_2_13_10_1","first-page":"85","article-title":"Comparing the Relation Between Spiritual Growth and Perceived Stress With Happiness Among Fertile and Infertile Women of Tehran City","volume":"5","author":"Khani S.","year":"2016","journal-title":"Health Psychology"},{"issue":"5","key":"e_1_2_13_11_1","article-title":"The Effect of Resilience Training on Increasing Psychological Well\u2010Being of Infertile Women","volume":"23","author":"Behzadpoor S.","journal-title":"Journal of Ilam University of Medical Sciences"},{"issue":"2","key":"e_1_2_13_12_1","first-page":"281","article-title":"A Study on the Effectiveness of Systemic Behavioral Couple Therapy on Marital Adjustment","volume":"3","author":"Goudarzi M.","year":"2013","journal-title":"Family Counseling and Psychotherapy"},{"issue":"95","key":"e_1_2_13_13_1","first-page":"22","article-title":"Effectiveness of Behavioral\u2010Communication Couple Therapy on Marital Adjustment and Sexual Intimacy Iran","volume":"28","author":"Abbasi M.","year":"2015","journal-title":"Journal of Nursing"},{"issue":"4","key":"e_1_2_13_14_1","first-page":"1","article-title":"The Effectiveness of Bornstein Behavioral\u2010Communication Couple Therapy on Marital Conflicts","volume":"8","author":"Soudani M.","year":"2011","journal-title":"Journal of Clinical Psychology"},{"issue":"1","key":"e_1_2_13_15_1","first-page":"53","article-title":"The Effects of Relationship Enrichment Program on Compatibility and Marital Satisfaction of Infertile Couples","volume":"1","author":"Miri M. 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J.","year":"2015","journal-title":"Journal of Clinical Research in Paramedical Sciences"},{"issue":"3","key":"e_1_2_13_27_1","first-page":"31","article-title":"Role of Infertility, Emotional Intelligence and Resilience on Marital Satisfaction among Indian Couples","volume":"3","author":"Barani","year":"2013","journal-title":"International Journal of Applied Psychology"},{"issue":"2","key":"e_1_2_13_28_1","first-page":"238","article-title":"The Effectiveness of Emotionally Focused Therapy on Enhancing Marital Adjustment and Quality of Life Among Infertile Couples With Marital Conflicts","volume":"9","author":"Najafi M.","year":"2015","journal-title":"International Journal of Fertility & Sterility"},{"issue":"4","key":"e_1_2_13_29_1","first-page":"77","article-title":"The Effectiveness of Self\u2013 Regulation Couple Therapy in Marital Satisfaction and Expression of Positive Feelings","volume":"5","author":"Khalegkhah A.","year":"2016","journal-title":"Family Counseling and 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