IRCT20120215009014N599 IRCT 2026-04-08 Urmia University of Medical Sciences Comparison of the effectiveness of the integrative cognitive-behavioral art therapy approach and the cognitive-behavioral approach versus control group on sexual anxiety, sexual self-efficacy, and sexual quality-of-life in newly married women Comparison of the effectiveness of the integrative cognitive-behavioral art therapy approach and the cognitive-behavioral approach versus control group on sexual anxiety, sexual self-efficacy, and sexual quality-of-life in newly married women: a randomized clinical trial 2026-05-05 anticipated 36 Complete https://irct.ir/trial/89401 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, random assignment of patients to the intervention and control groups will be performed using block randomization. To achieve this, six sheets of paper will be prepared - two with the name of "Intervention 1," two with the name of "Intervention 2," and two with the name of "Control." These paper sheets will be pooled and placed in a container. Patients will be selected one at a time without replacement, and for each patient, a paper sheet will be randomly drawn from the container. After each draw, the paper sheets will be returned to the container, and the process will be repeated until the desired sample size is reached. N/A Anxiety. Intervention 1: Intervention group 1: Routine education and care of the newly married couples plus integrative cognitive-behavioral art therapy approach for 90 minutes, one session per week for 7 weeks (including: designing a sensation map of the body with anxiety concept using water paint, designing negative thoughts, mapping a face presenting negative believes and writing negative words and placing them around the picture using color pencil, painting with closed ees, painting with freely movement of the hands, writing a letter to yourself about needs, desire, and emotion in respect to sextual relationship). Intervention 2: Intervention group 2: Routine education and care of the newly married couples plus cognitive-behavioral approach for 90 minutes, one session per week for 6 weeks (including: definition of concept of sextual anxiety, training technique of relaxation, detecting anxiety situation and ranking them and training who the deal with them, realizing the strengthening factors of sextual self-confidence, training how the talk and expressing emotion to your husband, training effective relationship about sextual needs and desire, identifying ways of increasing pleasure and intimacy). Intervention 3: Control group: Routine education and care of the newly married couples. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is It depends on the situation and the results of the study as well as the approval of the financial supporting organization.