Volume 18, Issue 8 (August 2020)                   IJRM 2020, 18(8): 625-636 | Back to browse issues page


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nezamnia M, iravani M, Sayyah bargard M, Latifi M. Effectiveness of cognitive-behavioral therapy on sexual function and sexual self-efficacy in pregnant women: An RCT. IJRM 2020; 18 (8) :625-636
URL: http://ijrm.ir/article-1-1425-en.html
1- MS.c of Midwifery, Student Research Committee, Midwifery Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- PhD in Reproductive Health, Assistant Professor in Midwifery Department, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran , minairavani2004@yahoo.com
3- M.D. Psychiatrist, Associate Professor of Psychiatry, Educational Development Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
4- MS.c of Biostatistics, Instructor of Biostatistics, Department of Biostatistics and Epidemiology, School of Health, Diabetes Research Center, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran.
Abstract:   (2833 Views)
Abstract
Background: Cognitive-behavioral therapy (CBT) is one of the ways to improve an undesirable sexual function.
Objective: The purpose of this study was to investigate the effect of CBT on the sexual function and sexual self-efficacy of pregnant women.
Materials and Methods: This study was a randomized controlled trial conducted on pregnant women receiving prenatal care at the health centers in Ahvaz, Iran, from December 2016 to January 2017. In total, 60 pregnant women were randomly recruited from 5 health centers through stratified random sampling. Finally, 36 pregnant women who met the inclusion criteria were enrolled in this study and randomly assigned to intervention and control groups. The intervention group received counseling based on cognitive behavioral therapy for 8 consecutive weeks and the control group received the routine training provided by healthcare staff. Two and four weeks after the end of sessions, both groups completed the Female Sexual Function Index and self-efficacy questionnaires again.
Results: The mean of sexual function score and self-efficacy score in pregnant women in the case and control groups before the intervention did not show a significant difference (p=0.56). The mean of sexual function score and self-efficacy score of pregnant women in the case and control groups was statistically significant 2 and 4 wk after intervention (p≤0.0001).
Conclusion: The results of this study showed that counseling based on CBT in comparison with the routine training during pregnancy improves the sexual performance and self-efficacy of pregnant women.

 
 

 
 
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Type of Study: Original Article | Subject: Pregnancy Health

References
1. Rajabi Naeeni M, Simbar M. Effect of child birth preparation classes on empowering iranian pregnant women: A systematic review. J Educ Community Health 2018, 5: 61-71. [DOI:10.21859/jech.5.1.61]
2. Erbil N. Sexual function of pregnant women in the third trimester. Alexandria Journal of Medicine 2018; 54: 139-142. [DOI:10.1016/j.ajme.2017.03.004]
3. Sossah L. Sexual behavior during pregnancy: a descriptive correlational study among pregnant women. European Journal of Research in Medical Sciences 2014; 2: 16-27.
4. Ribeiro MC, Nakamura MU, Torloni MR, Scanavino MT, do Amaral MLS, Santos Puga MED, Mattar R. Treatments of female sexual dysfunction symptoms during pregnancy: A systematic review of the literature. Sex Med Rev 2014; 2: 1-9. [DOI:10.1002/smrj.18] [PMID]
5. Nik-Azin A, Nainian MR, Zamani M, Rabani Bavojdan M, Rabani Bavojdan M, Jamali Motlagh M. Evaluation of sexual function, quality of life, and mental and physical health in pregnant women. J Family Reprod Health 2013; 7: 171-176.
6. Salim M, Fatehizade M. Investigation of effectiveness of sexual education based on behavioral-cognitive method on sexual intimacy. knowledge and self-expression of married woman in mobarakeh. Journal of Psychology 2013; 7: 105-122.
7. Kheiri M, Vakilian K. Misconceptions about sexual intercourse during pregnancy: cognitive-behavioral counseling in prenatal care. Family Medicine and Primary Care Review 2019; 21: 112-116. [DOI:10.5114/fmpcr.2019.84545]
8. Brotto LA, Seal BN, Rellini A. Pilot study of a brief cognitive behavioral versus mindfulness-based intervention for women with sexual distress and a history of childhood sexual abuse. J Sex Marital Ther 2012; 38: 1-27. [DOI:10.1080/0092623X.2011.569636] [PMID]
9. Ghasemi F, Bolbol-Haghighi N, Mottaghi Z, Hosseini SR, Khosravi A. The effect of group counseling with cognitive-behavioral approach on self-efficacy of pregnantwomen's choice of vaginal delivery. Iran J Psychiatry Behav Sci 2018; 12: e7632-e7639. [DOI:10.5812/ijpbs.7632]
10. Hamid N, Dehghanizadeh Z, Firuzi A, Asghar A. [Effects of cognitive-behavioral therapy on sexual function in women with vaginismus disorder]. The Iranian Journal of Obstetrics, Gynecology and Infertility 2012; 15: 1-11. (in Persian)
11. Green SM, Haber E, Frey BN, McCabe RE. Cognitive-behavioral group treatment for perinatal anxiety: a pilot study. Arch Womens Ment Health 2015; 18: 631-638. [DOI:10.1007/s00737-015-0498-z] [PMID]
12. Navidian A, Kykhaee A, Imani M, Taimoori B, Soltani P. The effect of group sexual counseling on the sexual response of pregnant women. International Journal of Women's Health and Reproduction Sciences 2017; 5: 60-65. [DOI:10.15296/ijwhr.2017.11]
13. Kafaei Atrian M, Mohebbi Dehnavi Z, Kamali Z. The relationship between sexual self-efficacy and sexual function in married women. Journal of Midwifery and Reproductive Health 2019; 7: 1683-1690.
14. Jamali M, Feiz Abadi S, Jamali M. [The effect of cognitive behavioral intervention on women's sexual self-efficacy and marital satisfaction.] Journal of Fundamental Mental Health 2017; 19: 29-38. (in Persian)
15. Dargis L, Trudel G, Cadieux J, Villeneuve L, Préville M, Boyer R. Validation of the female sexual function index (FSFI) and presentation of norms in older women. Sexologies 2012; 21: 126-131 [DOI:10.1016/j.sexol.2012.01.002]
16. Fakhri A, Pakpour AH, Burri A, Morshedi H, Zeidi IM. The female sexual function index: translation and validation of an Iranian version. J Sex Med 2012; 9: 514-523. [DOI:10.1111/j.1743-6109.2011.02553.x] [PMID]
17. Vaziri Sh, Lotfi Kashani F. [Study of factor structure, reliability and validity of the sexual self-efficacy Questionnaire.] J Thought Behav Clin Psychol 2013; 8: 47-56. (In Persian)
18. Kaboli KS, Mahmoodi Z, Mehdizadeh Tourzani Z, Tehranizadeh M, Kabir K, Dolatian M. The effect of group counseling based on cognitive-behavioral approach on pregnancy-specific stress and anxiety. Shiraz E-Med J 2017; 18: e45231-e45237. [DOI:10.5812/semj.45231]
19. Lee JT, Lin CL, Wan GH, Liang CC. Sexual positions and sexual satisfaction of pregnant women. J Sex Marital Ther 2010; 36: 408-420. [DOI:10.1080/0092623X.2010.510776] [PMID]
20. Hummel SB, Lankveld J, Oldenburg HS, Hahn DE, Broomans E, Aaronson NK. Internet-based cognitive behavioral therapy for sexual dysfunctions in women treated for breast cancer: design of a multicenter, randomized controlled trial. BMC Cancer 2015; 15: 321. [DOI:10.1186/s12885-015-1320-z] [PMID] [PMCID]
21. Babakhani N, Taravati M, Masoumi Z, Garousian M, Faradmal J, Shayan A. The effect of cognitive-behavioral consultation on sexual function among women: A randomized clinical trial. J Caring Sci 2018; 7: 83-88. [DOI:10.15171/jcs.2018.013] [PMID] [PMCID]
22. Shayan A, Taravati M, Garousian M, Babakhani N, Faradmal J, Masoumi SZ. The effect of cognitive behavioral therapy on marital quality among women. Int J Fertil Steril 2018; 12: 99-105.
23. IsHak W. The textbook of clinical sexual medicine. 1th Ed. Switzerland: Springer International Publishing AG; 2017. [DOI:10.1007/978-3-319-52539-6]
24. Polomeno V. Sex and Pregnancy: A perinatal educator's guide. J Perinat Educ 2000; 9: 15-27. [DOI:10.1624/105812400X87879] [PMID] [PMCID]
25. Avagianou PA. Cognitive behavioral therapy in sexual dysfunction. In: Viigimaa M., Vlachopoulos C., Doumas M. (eds) Erectile dysfunction in hypertension and cardiovascular disease. Cham: Springer; 2015. [DOI:10.1007/978-3-319-08272-1_21]
26. Chang SR, Chen KH, Lin HH, Yu HJ. Comparison of overall sexual function, sexual intercourse/activity, sexual satisfaction, and sexual desire during the three trimesters of pregnancy and assessment of their determinants. J Sex Med 2011; 8: 2859-2867. [DOI:10.1111/j.1743-6109.2011.02420.x] [PMID]
27. Babazadeh R, Mirzaei Najmabadi K, Masoumi Z, Raei M. Investigating effect of teaching on sexual-activity changes during pregnancy. The Iranian Journal of Obstetrics, Gynecology and Infertility 2012; 15: 18-26.
28. Afshar M, Mohammad-Alizadeh-Charandabi S, Merghti-Khoei ES, Yavarikia P. The effect of sex education on the sexual function of women in the first half of pregnancy: A randomized controlled trial. J Caring Sci 2012; 1: 173-181.
29. Wannakosit S, Phupong V. Sexual behavior in pregnancy: comparing between sexual education group and nonsexual education group. J Sex Med 2010; 7: 3434-3438. [DOI:10.1111/j.1743-6109.2010.01715.x] [PMID]
30. Lowndes TA, Egan SJ, McEvoy PM. Efficacy of brief guided self-help cognitive behavioral treatment for perfectionism in reducing perinatal depression and anxiety: a randomized controlled trial. Cogn Behav Ther 2019; 48: 106-120. [DOI:10.1080/16506073.2018.1490810] [PMID]
31. Sabetnejad Z, Assarian F, Omidi A, Najarzadegan MR. Effectiveness of cognitive behavioral therapy and fluoxetine on sexual function of women with obsessive compulsive disorder: A double-blind randomized controlled trial. Electron Physician 2016: 8: 3156-3163. [DOI:10.19082/3156] [PMID] [PMCID]
32. Riazi H, Banoo Zadeh S, Moghim Beigi A, Amini L. [The effect of sexual health education on sexual function during pregnancy]. PAYESH 2013; 12: 367-374. (in Persian)
33. Navidian A, Navabi Rigi S, Soltani P. Effects of group sexual counseling on the traditional perceptions and attitudes of Iranian pregnant women. Int J Womens Health 2016; 8: 203-211. [DOI:10.2147/IJWH.S104887] [PMID] [PMCID]
34. Ter Kuile MM, Both S, van Lankveld JJ. Cognitive behavioral therapy for sexual dysfunctions in women. Psychiatr Clin North Am 2010; 33: 595-610. [DOI:10.1016/j.psc.2010.04.010] [PMID]
35. McCabe MP. Evaluation of a cognitive behavior therapy program for people with sexual dysfunction. J Sex Marital Ther 2001; 27: 259-271. [DOI:10.1080/009262301750257119] [PMID]
36. El-sayed Saboula N, Ahmed Shahin M. Effect of cognitive behavioral therapy on women with dyspareunia: A nursing intervention. IOSR Journal of Nursing and Health Science 2015; 4: 81-91. [DOI:10.11648/j.ajns.20150404.21]
37. Masheb RM, Kerns RD, Lozano C, Minkin MJ, Richman S. A randomized clinical trial for women with Vulvodynia: Cognitive-behavioral therapy vs. supportive psychotherapy. Pain 2009; 141: 31-40. [DOI:10.1016/j.pain.2008.09.031] [PMID] [PMCID]
38. Ramesh S, Rostami R, Merghati-Khoei E, Hemmat Boland E. [Effectiveness of combination of cognitive-behavioral therapy and biofeedback on vaginismus patients′ sexual function and marital status.] Appl Counsel 2016; 6: 1-22. (in Persian)
39. Vakilian K, Kheiri M, Majidi A. Effect of cognitive-behavioral sexual counseling on female sexual function during pregnancy: An interventional study. Int J Women's Health Reprod Sci 2018; 6: 369-373. [DOI:10.15296/ijwhr.2018.60]
40. Mohamadi zadeh S, Moradi joo M. [Effectiveness of mindfulness education on female Sexual Self-Efficacy Breast cancer.] Thought Behav Clin Psychol 2014; 31: 7-16. (in Persian)
41. Alirezaee S, Ozgoli G, Alavi Majd H. [Comparison of sexual self-efficacy and sexual function in fertile and infertile women referred to health centers in Mashhad in 1392]. Pajoohande 2014; 19: 131-136. (in Persian)
42. Ramezani M, Dolatian M, Shams J, Alavi H. [The relationship between self-esteem and sexual dysfunction and satisfaction in women]. J Arak Univ Med Sci 2012; 14: 57-65. (in Persian)

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