Designing model for improving relationship of wives with men with erectile dysfunction
Advances in Nursing & Midwifery,
Vol. 25 No. 88 (2016),
10 April 2016
,
Page 39-49
Abstract
Abstract
Background and Aim: Studies have shown erectile dysfunction is a common problem in men which
has negative impact on both man and his partner. This dysfunction causes sexual and marital
relationship difficulties. Efforts are not effective until relationship has not been improved. Thus the
purpose of this study is to design a model for improving relationship of wives with men with
erectile dysfunction.
Materials and Methods: This is a qualitative study; data collecting method was unstructured
interview with 16 female partners of men with erectile dysfunction. Field notes were also used as
data. Constant comparison analysis was done simultaneously using Strauss and Corbin method.
Sexuality in female partners of men with erectile dysfunction was explained using grounded theory.
The model which improves the relationship between wives and men with erectile dysfunction was
composed using the findings of grounded theory and literature review based on the Walker and
Avant theory synthesis method.
Findings: results of this grounded theory indicted that loss of intimacy was the main concern of
female partners of men with erectile dysfunction. And main strategy in facing with sexuality was
preserving the family unity. In this model, unlike the existing models, the starting point for sexual
dysfunction treatment is the female partner. This model designed through three phases: first phase
was aimed to identify the status of marital relationship, second phase was aimed to empower
women participation of spouses, and third phase was aimed to perform holistic interventions to
stabilize desirable marital relationship.
Conclusion: Using this model, in sexual problem condition, at first woman, then couple will be
empowered. Thus the overall marital relationship will not be damaged or the intensity of damage
will be reduced.
Key word: Erectile dysfunction, Sexual problem, Sexual relationship, Marital relationship, Mod
- Erectile dysfunction
- Sexual problem
- Sexual relationship
- Marital relationship
- Mod
How to Cite
References
‐ Almås E and Landmark B (2010). Non-pharmacological treatment of sexual problems–A review of
research literature 1970–2008. Sexologies. 19(4) 202-211.
‐ Althof SE (2002). When an erection alone is not enough: biopsychosocial obstacles to lovemaking.
International journal of Impotence Research. 14 (Suppl 1)S99-S104.
‐ Althof SE, Leiblum SR, Chevret ‐Measson M etal ( 2005). Psychological and interpersonal dimensions of
sexual function and dysfunction. The Journal of Sexual Medicine. 2 (6) 793-8.
‐ Bastani S, Gulzar M, Roshani sh (2010).[ Mediation in divorce causes emotional conditions]. Journal of
Social Issues Iran. 1(3) 1 -20(Persian).
‐ Basson R (2003). Biopsychosocial models of women's sexual response: applications to management of
‘desire disorders’. Sexual and Relationship Therapy. 18(1) 107-115.
‐ Christensen A and Shenk JL (1991) .Communication, conflict, and psychological distance in nondistressed,
clinic, and divorcing couples. Journal of Consulting and Clinical Psychology. 59(3) 458.
‐ Cuzin B (2006). Managing erectile dysfunction from the point of view of the couple. European Endocrine
Disease.2006(1)93-96.
‐ Dily D, and Bhugra D (2004). Models of Psychopathology.Berkshire , McGraw-Hill International.
‐ Dean J, Rubio‐Aurioles E, McCabe M etal (2008). Integrating partners into erectile dysfunction treatment:
improving the sexual experience for the couple. International journal of clinical practice. 62(1) 127-133.
‐ DeRogatis LR, and Burnett A L (2008). The epidemiology of sexual dysfunctions. The journal of sexual
medicine. 5(2) 289-300.
‐ Dzara K (2010). Assessing the effect of marital sexuality on marital disruption. Social Science Research.
(5) 715-724.
‐ Fereydoni K J, Tabrizi M, Nejad SN (2009). The impact " Self Regulation Brief Couple Therapy" increase
couple’s satisfaction in the Clients of babolsar Farhangian Clinic. Journal of Family Research.4(15)213-229
‐ Fisher WA, Meryn S, Sand M et al (2005). Communication about erectiledysfunction among men with ED,
partners of men with ED, and physicians: The Strike Up a Conversation Study (Part I). The journal of
men's health & gender. 2(1) 64-78.
‐ Gottman J M (1993). A theory of marital dissolution and stability. Journal of Family Psychology. 7(1) 57.
‐ Halford W K, Markman H J, Stanley S (2008). Strengthening couples' relationships with education: Social
policy and public health perspectives. Journal of Family Psychology. 22(4) 497.
‐ Halford W K, Sanders MR, Behrens BC (2001). Can skills training prevent relationship problems in at-risk
couples? Four-year effects of a behavioral relationship education program. Journal of Family
Psychology.15(4) 750.
‐ Hedon F (2003). Anxiety and erectile dysfunction: A global approach to ed enhances results and quality of
life. International Journal of Impotence Research. 15(Supp2) S16-S19.
‐ Karney B R, Bradbury TN (1995). The longitudinal course of marital quality and stability: A review of
theory, methods, and research. Psychological Bulletin. 118(1) 3.
‐ Lawrance K, Byers ES (1995). Sexual satisfaction in long‐term heterosexual relationships: The
interpersonal exchange model ofsexual satisfaction. Personal Relationships. 2(4) 267-285.
‐ Lazarus R S, Folkman S (1984). Stress, Appraisal and Coping. New York, Amazon publication .
‐ McCabe M, Althof SE, Assalian P et al (2010). Psychological and interpersonal dimensions of sexual
function and dysfunction. The Journal of Sexual Medicine. 7(1pt2) 327-336.
‐ McCabe M P (2008). Relationship factors in the development and maintenance of ED: Implications for
treatment effectiveness. The Journal of Sexual Medicine. 5(8) 1795-1804.
‐ McCarthy B (2003). Marital sex as it ought to be. Journal of Family Psychotherapy.14(2) 1-12.
‐ McCubbin HI and Patterson JM. (1983). The family stress process: The double ABCX model of
adjustment and adaptation. Marriage & Family Review. 6(1-2) 7-37.
‐ Meleis A I (2011). Theoretical Nursing: Development and Progress. philadelphia ,Lippincott Williams & Wilkins.
‐ Morris ML, and Carter SA (1999). Transition to marriage: A literature review. Journal of Family and
Consumer Sciences Education.17(1) 1-21.
‐ Rafaie Shirpak Kh,Chinichian M,Eftekhar H(2010).[Need assessment :Sexual health education in family
planning centers of Tehran].Payesh 9(3)251-260 ( Persian).
‐ Revolution High Council of Cultural Revolution ( 1984). Family Principles, Objectives, Principles and
Policies to Strengthen Families and Excellence of its 564 Meeting dated 07.04.1384 passed by the High
Council of Cultural Revolution. (Persian).
‐ Safarinejad M (2003). Prevalence and risk factors for erectile dysfunction in a population-based study in
Iran. International Journal of Impotence Research. 15(4) 246-252.
‐ Shabsigh R, Anastasiades A, Cooper KL etal (2006). Female sexual dysfunction, voiding symptoms and
depression: common findings in partners of men with erectile dysfunction. World Journal of Urology.
(6) 653-656.
‐ Spence S H (1991). Psychosexual Therapy: A Cognitive-Behavioural Approach. beckenham ,Chapman & Hall.
‐ Sprecher S (2002). Sexual satisfaction in premarital relationships: Associations with satisfaction, love,
commitment, and stability. Journal of Sex Research. 39(3) 190-196.
‐ Straus A and Corbin J( 1998). Basics of Qualitative Research: Techniques and Procedures for Developing
Grounded theory. 2 nd Ed .London , Sage publication.
‐ Vahid-Vahdat S, Yousefi-Nooraie R, Raisi F etal (2007). Systematic review of prevalence of sexual
disorders in Iran. Iranian Journal of Psychiatry.2(4)151-156
‐ Walker, and Avant (2011). Strategies for Theory Construction in Nursing. Upper Saddle River, NJ, Person
Prentice Hall co.
‐ Weber J G (2010). Individual and Family Stress and Crises. London, Sage publication
‐ Yeh HC, Lorenz FO, Wickrama K etal (2006). Relationships among sexual satisfaction, marital quality,
and marital instability at midlife. Journal of Family Psychology. 20(2) 339
- Abstract Viewed: 314 times
- PDF Downloaded: 317 times