The Comparison of the Effects of Training Self-awareness and Problem-solving Skills on Marital Satisfaction of Married Women: A Randomized Controlled Trial.

Many participants withdrew, with reported dropout rates of 43.8%, 40%, and 45.7%, and those who left were replaced, so the analysed groups may not represent the original randomised participants. The paper gives conflicting continuation counts: it says 26, 32, and 32 women continued to follow-up, but also says 35 completed questionnaires were analysed in each group. The last training session was moved online because of the pandemic, and the authors note possible problems with slow internet, unfamiliarity with virtual learning, and limited interaction. Only married women were trained, not their spouses, so couple-level effects were not tested. Follow-up was only one month after the intervention. The study used self-report scales, and some Persian versions had low reliability in this sample, such as Cronbach's alpha 0.46 for public self-awareness and 0.16 for problem-solving control. Participants with incomplete ENRICH questionnaires were excluded from analysis, with 3, 6, and 4 questionnaires excluded in the control, self-awareness, and problem-solving groups.

The work was financially supported by the Research Council of Golestan University of Medical Sciences under grant 110921, and the authors declared no conflict of interest.

Do not conclude that problem-solving training is better than no training for marital satisfaction. The between-group comparison was not significant; the positive finding was a within-group increase one month after training.