{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T19:09:26Z","timestamp":1784056166808,"version":"3.55.0"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Human papillomavirus (HPV) is a prevalent sexually transmitted infection that negatively affects women\u2019s psychological, social, and sexual well-being worldwide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effect of group Acceptance and Commitment Therapy (ACT) counseling on sexual function in women diagnosed with HPV infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single-blind randomized clinical trial was conducted on 56 women with HPV infection. Participants were randomly assigned to an intervention group (n\u2009=\u200928) receiving 8 sessions of ACT counseling or a control group (n\u2009=\u200928) receiving routine care. The Female Sexual Function Index (FSFI) questionnaire was administered at baseline, immediately after, and 1\u00a0month following the intervention. Descriptive statistics were calculated, and chi-square and independent t-tests were used to examine baseline differences. Longitudinal changes and between-group comparisons were analyzed using Generalized Estimating Equations with an appropriate correlation structure. A P-value of &amp;lt;.05 was considered statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>The primary outcome was the change in overall sexual function score, as measured by the FSFI, across the 3 assessment points.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants in the intervention and control groups had mean ages of 35.96\u2009\u00b1\u20098.53 and 32.48\u2009\u00b1\u20096.40\u00a0years, respectively. The baseline mean FSFI scores were similar between groups (16.06\u2009\u00b1\u20097.69 vs. 15.86\u2009\u00b1\u20098.08). Following ACT counseling, the intervention group\u2019s mean FSFI score significantly increased to 20.68\u2009\u00b1\u20094.58 immediately post-intervention and 20.64\u2009\u00b1\u20094.29 1\u00a0month later, while the control group\u2019s scores decreased slightly to 15.36\u2009\u00b1\u20098.68 and 14.20\u2009\u00b1\u20098.83, respectively. Between-group differences were statistically significant both immediately (B\u00a0=\u20095.120, P\u00a0=\u2009.002) and 1 month (B\u00a0=\u20096.244, P\u00a0&amp;lt;\u2009.001) after the intervention. Improvements were observed in the desire, arousal, satisfaction, and orgasm domains (P\u00a0&amp;lt;\u2009.001), but changes in lubrication and pain were not significant (P\u00a0&amp;lt;\u2009.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Implications<\/jats:title>\n                    <jats:p>Group ACT counseling offers a promising psychotherapeutic approach to improve sexual health and emotional well-being among women affected by HPV infection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Strengths &amp; Limitations<\/jats:title>\n                    <jats:p>Strengths include the randomized design and the use of validated assessment tools, while limitations involve the small sample size, short follow-up period, and restriction to a single geographic location, limiting generalizability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Group Acceptance and Commitment Therapy effectively enhances sexual function and overall quality of life in women with HPV, suggesting its integration into supportive healthcare interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jsxmed\/qdag214","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T18:45:58Z","timestamp":1784054758000},"source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of acceptance and commitment therapy on sexual function in women infected with human papillomavirus: a randomized controlled trial"],"prefix":"10.1093","volume":"23","author":[{"given":"Saba","family":"Mahmoudi","sequence":"first","affiliation":[{"name":"Department of Midwifery, School of Nursing and Midwifery, Urmia University of Medical Sciences , Urmia , 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