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Aim and Background: While Parents affect other members of the family, children also have effects on their parents with their own personal, behavioral and growth characteristics reciprocally. The behavioral disorder of one of the children, such as attention deficit hyperactivity disorder (ADHD), is usually conceived as a stressful element which can affect all aspects of family, including the relationship between mothers and their spouses. The aim of this study was to survey of stress management group training effectiveness, using acceptance and commitment therapy (ACT) method, on the relationship between mothers of ADHD children and their spouses. Methods and Materials: The research method was quasi-experimental, pre-test, post-test and 9-month follow-up with control group. The population of the research was included all mothers of children with ADHD in Esfahan who referred to clinics and psychologists offices in 2013. Thirty mothers which had highest score of stress in relationship with spouse from parenting stress index (PSI) were selected and assigned into two groups of test and control. Eight 90-minute sessions of acceptance and commitment stress management training was performed for the test group, while the control group had no intervention. PSI subscale of relationship with spouse from parent characteristics was used in order to review the hypothesis of the study, which was completed before and after intervention by mothers. Data were analyzed by covariance statistical methods using SPSS software. Findings: There was a considerable difference between scores of pre-test and post-test of the test group in comparison with control group (P = 0.001), reflecting the improvement of relationship with spouses in mothers. Conclusions: ACT-based stress management group training could improve the relationship between the mothers of ADHD children and their spouses.

Keywords: Attention deficit hyperactivity disorder, Acceptance and commitment therapy, Spouse, Women

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