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Background & Aims: Family is the most important component of community and family health leads to spiritual excellence and intellectual growth. The high and still growing figures of divorce highlights the importance of emotional and sexual intimacy, which culminates in sexual satisfaction, and development and promotion of knowledge about sexual compatibility in couples as the most important and efficient approach. A conventional approach is currently being implemented in premarital counseling centers. The aim of this study is to investigate the effect of acceptance commitment therapy (ACT)-based premarital counseling on sexual satisfaction in comparison with a conventional approach. Materials & Methods: The study population of this clinical trial consisted of all couples referring to premarital counseling centers across Isfahan, Iran. Sixty couples were selected and then randomly divided into two groups of 30 each: experimental and control. The data were analyzed by SPSS 21and Mann-whitney test. Results: No significant difference was seen in effect on the couples' sexual satisfaction between the couples undergoing ACT-based counseling and conventional premarital counseling (P>0.02).We need more research with samples and select a target that last between one and five years of their marriage, be considered. Conclusion: It seems that choosing a very short time before common life or immediately afterwards was not effective in teaching with methods such as an acceptance and commitment approach, because at this time couples have a special excitement And still have not faced with encounters the problems that make them need to get advice.

Keywords: Acceptance and commitment therapy, sexual satisfaction, premarital counseling

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