The Effect of Emotionally-Focused Couples Therapy on Sexual Self-Schemas, Sexual Self-Concept, and Sexual Dysfunction in Infertile Women with Polycystic Ovary Syndrome
Advances in Nursing & Midwifery,
Vol. 32 No. 2 (2023),
15 April 2023
,
Page 20-25
https://doi.org/10.22037/anm.v32i2.42372
Abstract
Abstract
Introduction: Physical and appearance changes and the imbalance of sex hormones can decrease the quality of life and sexual performance of infertile women with polycystic ovary syndrome (PCOS). Therefore, this study investigated the effectiveness of emotionally focused couple’s therapy on sexual self-schemas, sexual self-concept, and sexual dysfunction in infertile women with PCOS.
Methods: This was a quasi-experimental study with a pretest-posttest and a control group. The statistical population included all infertile women with PCOS referred to the Ahvaz Health Center in 2022. Thirty women were selected using convenience sampling and randomly divided into two groups: experimental and control (n=15 per group). The experimental group participated in eight sessions of emotionally focused couple’s therapy, but the control group did not receive any intervention. The sexual self-schemas, sexual self-concept, and sexual dysfunctional beliefs questionnaires were employed to collect data. We used Descriptive statistics and analysis of covariance (ANCOVA) to analyze the data.
Results: The mean ±SD of the posttest score of sexual self-schemas, sexual self-concept, and sexual dysfunction in the experimental group was 29.23 ± 5.14, 28.77 ± 461, and 35.96 ± 1.37, respectively. Moreover, the mean ±SD of the posttest score of sexual self-schemas, sexual self-concept, and sexual dysfunction in the control group was 36.66 ± 4.57, 22.29 ± 2.13, and 41.00 ± 2.89, respectively. The results showed that in the post-test stage, there was a considerable difference between the mean scores of sexual self-schemas, sexual self-concept, and sexual dysfunction in the experimental and control groups (P < 0.001).
Conclusions: Emotionally focused couples therapy improved sexual self-schemas, sexual self-concept, and sexual dysfunction in women with PCOS. The researchers suggested using emotionally focused couples therapy as a complementary treatment in medical centers to improve the sexual performance of infertile women with PCOS.
- Couples therapy
- Self-concept
- Sexual dysfunction
- Infertile
- Polycystic ovary syndrome
How to Cite
References
Stener-Victorin E, Padmanabhan V, Walters KA, Campbell RE, Benrick A, Giacobini P, et al. Animal Models to Understand the Etiology and Pathophysiology of Polycystic Ovary Syndrome. Endocr Rev. 2020;41(4). doi: 10.1210/endrev/bnaa010 pmid: 32310267
Facchinetti F, Unfer V, Dewailly D, Kamenov ZA, Diamanti-Kandarakis E, Lagana AS, et al. Inositols in Polycystic Ovary Syndrome: An Overview on the Advances. Trends Endocrinol Metab. 2020;31(6):435-47. doi: 10.1016/j.tem.2020.02.002 pmid: 32396844
Katole A, Saoji AV. Prevalence of Primary Infertility and its Associated Risk Factors in Urban Population of Central India: A Community-Based Cross-Sectional Study. Indian J Community Med. 2019;44(4):337-41. doi: 10.4103/ijcm.IJCM_7_19 pmid: 31802796
Saei Ghare Naz M, Ozgoli G, Sayehmiri K. Prevalence of Infertility in Iran: A Systematic Review and Meta-Analysis. Urol J. 2020;17(4):338-45.
Janitz AE, Peck JD, Craig LB. Racial/Ethnic Differences in the Utilization of Infertility Services: A Focus on American Indian/Alaska Natives. Matern Child Health J. 2019;23(1):10-8. doi: 10.1007/s10995-018-2586-y pmid: 29998430
Hanson B, Johnstone E, Dorais J, Silver B, Peterson CM, Hotaling J. Female infertility, infertility-associated diagnoses, and comorbidities: a review. J Assist Reprod Genet. 2017;34(2):167-77. doi: 10.1007/s10815-016-0836-8 pmid: 27817040
Shahverdi J, Rezaei M, Ayazi roozbahani M, Sadeghi K, Bakhtiari M, Shahverdi M. Relationship between general health with happiness, inferiority feeling and marital conflict in Borujerd city infertile women. Adv Nurs Midwife. 2016;25(90):47-4.
Zarif Golbar Yazdi H, Aghamohammadian Sharbaf H, Kareshki H, Amirian M. Infertility and Psychological and Social Health of Iranian Infertile Women: A Systematic Review. Iran J Psychiatry. 2020;15(1):67-79. pmid: 32377216
Evli M, Simsek N, Ozkan F, Dagdelen D. The effect of sexual self-schemas and sexual embarrassment of nursing students on the attitudes and beliefs of students related to sexual health. Nurse Educ Pract. 2021;57:103241. doi: 10.1016/j.nepr.2021.103241 pmid: 34678636
Sheikhan Z, Ozgoli G, Zahiroddin A, Khodakarami N, Nasiri M, Kavosi F. Effective Factors on Sexual Quality of Life in Iranian Women: A Path Model. Adv Nurs Midwife. 2019;28(3):15-1.
Mam Salehi H, Moradi O, Arefi M, Yar Ahmadi Y. The Relationship between Sex Schemas and Sexual Satisfaction of Couples: The Mediating Role of Communication Patterns. JHC. 2019;21(3):242-51. doi: 10.29252/jhc.21.3.242
Tabatabaee A, Fallahi A, Shakeri B, Baghi V, Ghanei Gheshlagh R. Marital satisfaction in Iranian infertile women: A systematic review and meta-analysis. Front Public Health. 2022;10:1027005. doi: 10.3389/fpubh.2022.1027005 pmid: 36504968
Lotfollahi H, Riazi H, Omani-Samani R, Maroufizadeh S, Montazeri A. Sexual Self-Concept in Fertile and Infertile Women: A Comparative Study. Int J Fertil Steril. 2021;15(1):60-4.
Guyon R, Fernet M, Canivet C, Tardif M, Godbout N. Sexual self-concept among men and women child sexual abuse survivors: Emergence of differentiated profiles. Child Abuse Negl. 2020;104:104481. doi: 10.1016/j.chiabu.2020.104481 pmid: 32259709
Dvoryanchikov NV, Shipitsyn DY. Specifics of Sexual Self-Concept and Interpersonal Perception in Convicted Non-Imprisoned Sexual Offenders. Psychol Law. 2021;11(1):14-26. doi: 10.17759/psylaw.2021110102
Adigun OT. Self-esteem, self-efficacy, self-concept and intimate image diffusion among deaf adolescents: A structural equation model analysis. Heliyon. 2020;6(8):e04742. doi: 10.1016/j.heliyon.2020.e04742 pmid: 32885078
Hidalgo DA, Dewitte M. Individual, Relational, and Sociocultural Determinants of Sexual Function and Sexual Satisfaction in Ecuador. Sex Med. 2021;9(2):100307. doi: 10.1016/j.esxm.2020.100307 pmid: 33721691
Thakral M, Von Korff M, McCurry SM, Morin CM, Vitiello MV. Changes in dysfunctional beliefs about sleep after cognitive behavioral therapy for insomnia: A systematic literature review and meta-analysis. Sleep Med Rev. 2020;49:101230. doi: 10.1016/j.smrv.2019.101230 pmid: 31816582
Haciomeroglu B. The role of reassurance seeking in obsessive compulsive disorder: the associations between reassurance seeking, dysfunctional beliefs, negative emotions, and obsessive- compulsive symptoms. BMC Psychiatry. 2020;20(1):356. doi: 10.1186/s12888-020-02766-y pmid: 32635924
Edwards AP. Elevating Equity and Inclusion for People With Intellectual Disabilities: A Nursing Student Sexual Health Promotion Project. Creat Nurs. 2021;27(3):195-200. doi: 10.1891/CRNR-D-20-00048 pmid: 34493641
Mobach L, Klein AM, Schniering CA, Hudson JL. Specificity of Dysfunctional Beliefs in Children with Social Anxiety Disorder: Effects of Comorbidity. J Clin Child Adolesc Psychol. 2022;51(4):389-96. doi: 10.1080/15374416.2019.1697930 pmid: 31951760
Najafi M, Soleimani AA, Ahmadi K, Javidi N, Kamkar EH. The Effectiveness of Emotionally-focused Therapy on Enhancing Marital Adjustment and Quality of Life among Infertile Couples with Marital Conflicts. Int J Fertil Steril. 2015;9(2):238-46.
Beasley CC, Ager R. Emotionally Focused Couples Therapy: A Systematic Review of Its Effectiveness over the past 19 Years. J Evid Based Soc Work (2019). 2019;16(2):144-59. doi: 10.1080/23761407.2018.1563013 pmid: 30605013
Panabad S, Gholamzadeh Jofreh M, Asgari P, Kazemian Moghaddam K. Effectiveness of Emotionally-Focused Couples Therapy on Marital Violence, Marital Adjustment, and Sexual Intimacy of Couples Visiting Counseling Centers of Ahvaz. Adv Nurs Midwife. 2022;31(1):1-6.
Rathgeber M, Burkner PC, Schiller EM, Holling H. The Efficacy of Emotionally Focused Couples Therapy and Behavioral Couples Therapy: A Meta-Analysis. J Marital Fam Ther. 2019;45(3):447-63. doi: 10.1111/jmft.12336 pmid: 29781200
Esmaeeli F, Navabinejad S, Kiamanenh A. The effectiveness of emotion-oriented therapy on early maladaptive schemas during marriage. J Res Behav Sci. 2021;19(2):1000-1. doi: 10.52547/rbs.19.2.251
Bodenmann G, Kessler M, Kuhn R, Hocker L, Randall AK. Cognitive-Behavioral and Emotion-Focused Couple Therapy: Similarities and Differences. Clin Psychol Eur. 2020;2(3):e2741. doi: 10.32872/cpe.v2i3.2741 pmid: 36398146
Andersen BL, Cyranowski JM. Women's sexual self-schema. J Person Soc Psychol. 1994;67:1079-100. doi: 10.1037/0022-3514.67.6.1079
Refahi J, Dastan N, Behnam M. Psychometric Adequacy of Persian Version of Women Sexual Schema. Famil Sex Health. 2020(1):7-19. doi: 10.52547/Fsh.1.1.7
Snell WE, Fisher TD, Walters AS. The multidimensional sexuality questionnaire: An objective self-report measure of psychological tendencies associated with human sexuality. Annal Sex Res. 1993;6(1):27-55. doi: 10.1007/BF00849744
Ziaei T, Khoei EM, Salehi M, Farajzadegan Z. Psychometric properties of the Farsi version of modified Multidimensional Sexual Self-concept Questionnaire. Iran J Nurs Midwife Res. 2013;18(6):439-45.
Nobre PJ, Pinto-Gouveia J, Gomes FA. Sexual Dysfunctional Beliefs Questionnaire: An instrument to assess sexual dysfunctional beliefs as vulnerability factors to sexual problems. Sex Relation Therap. 2003;18:171-204. doi: 10.1080/1468199031000061281
Abdolmanafi A, Azadfallah P, Fata L, Roosta M, Peixoto MM, Nobre P. Sexual Dysfunctional Beliefs Questionnaire (SDBQ): Translation and Psychometric Properties of the Iranian Version. J Sex Med. 2015;12(8):1820-7. doi: 10.1111/jsm.12931 pmid: 26176716
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