اثربخشی سکس درمانی بر خودکارآمدی جنسی و صمیمیت زناشویی در زوجین دارای اختلال کژکاری جنسی
الموضوعات : فصلنامه تعالی مشاوره و روان درمانی
سپیده کریم پور
1
,
فائزه تورانی
2
,
جواد خلعتبری
3
1 - دکتری تخصصی، گروه روانشناسی، واحد شاهرود، دانشگاه آزاد اسلامی، سمنان، ایران.
2 - دکتری تخصصی، گروه روانشناسی، واحد شاهرود، دانشگاه آزاد اسلامی، سمنان، ایران.
3 - دانشیار، گروه مشاوره، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران.
الکلمات المفتاحية: صمیمیت زناشویی, کژکاری جنسی, خودکارآمدی جنسی, سکس درمانی,
ملخص المقالة :
هدف: کنش‌جنسی مناسب سهم بسزایی در بهداشت و سلامت زوجین ایفا می‌کند. هدف از این پژوهش تعیین اثربخشی سکس درمانی بر خودکارآمدی جنسی و صمیمیت زناشویی در زوجین دارای اختلال کژکاری جنسی بود.روش: روش پژوهش نیمه‌آزمایشی، با طرح پیش‌آزمون و پس‌آزمون با گروه گواه بود. جامعه‌آماری کلیه زوجین دارای اختلال کژکاری‌جنسی مراجعه‌کننده به کلینیک‌های مشاوره و خدمات روانشناختی منطقه هشت تهران در تابستان سال 1395 بودند که تعداد 30 زوج (60 نفر) با روش نمونه‌گیری هدفمند انتخاب و به صورت تصادفی در دو گروه آزمایش (15 زوج) و گروه گواه (15 زوج) جایگزین شدند. گروه آزمایش تحت 10 جلسه 60 دقیقه‌ای سکس درمانی قرار گرفت؛ اما در این مدت گروه گواه هیچ مداخله‌ای دریافت نکرد. ابزار پژوهش پرسشنامه خودکارآمدی‌جنسی وزیری و کاشانی (1378)، پرسشنامه صمیمیت‌زناشویی زوجین ووندن بروک و برتمن (1995) و پرسشنامه عملکرد جنسی روزن و همکاران (2000) بود. داده‌ها با روش تحلیل کوواریانس تک‌متغیری در نرم افزار SPSS نسخه 21 تحلیل شد.یافته‌ها: نتایج مقایسه اطلاعات جمعیت شناختی نشان داد که بین گروه‌های پژوهش از نظر سن، جنسیت و سطح تحصیلات تفاوت معناداری وجود نداشت (05/0<p). مداخلۀ سکس درمانی به‌طور معناداری موجب افزایش خودکارآمدی جنسی (622/10F=، 003/0 = P) و صمیمیت زناشویی (959/14F=، 001/0 = P) در زوجین دارای اختلال کژکاری جنسی شد.نتیجه‌گیری: نتایج پژوهش بیانگر تاثیر آموزش سکس درمانی بر افزایش خودکارآمدی جنسی و صمیمیت زناشویی در زوجین دارای اختلال کژکاری جنسی بود. مشاوران و درمانگران خانواده می‌توانند از این شیوه درمانی در کنار سایر روش‌های درمانی جهت حل مشکلات زناشویی زوجین بهره ببرند.
Ahmadi M & Sedaghatifard M. (2021). Comparison of sexual perversion and marital commitment in married men with traditional and modern marriage. Journal of Cognitive Analytical Psychology, 12(47): 127-138. [Link]
Ahramian A, Sudani M & Gholamzadeh Jafreh M. (2021). The effectiveness of solution-oriented and emotion-oriented therapy on marital intimacy of couples with attitudes toward marital infidelity. Journal of Cognitive Analytical Psychology, 12(45): 17-35. [Link]
Amiri Nejad M, Sadeghi M & Panaghi L. (2021). The mediating role of emotional schemas in the relationship between parental bond and marital intimacy. Family Studies, 17(2): 209-241. [Link]
Amrayi K, Papi F & Tahoneyi M. (2021). Predicting the quality of life of women with multiple sclerosis based on coping styles, social support and sexual perversion mediated by resilience. Quarterly Journal of Nursing Midwifery and Paramedical, 7(1): 24-12. [Link]
Audrey S, Marion R, Béatrice M, Stéphane V & Katelyne H. (2022). Sexual dysfunction in women with multiple sclerosis: expectations regarding treatment and information, and utility of the SEA-MS-F questionnaire. Sexual Medicine, 10(3): 50-58. [Link]
Bavi A, Amanullah A & Attari Y. (2014). Evaluation of the effectiveness of sex education on women's Sexual self-efficacy on the eve of marriage in Ahvaz. Jundishapur Medical Scientific Journal, 13(4): 485-493. [Link]
Begdali Mojarad F, Intisarfomeni G & Hejazi M. (2019). The effectiveness of sex therapy training (sexual relations) based on cognitive behavior on reducing marital boredom and increasing marital quality of married female nurses. Nursing Research, 15(3): 1-9. [Link]
Belau M, Wiessner C, Becher H, Rüden U & Briken P. (2022). Frequent cannabis use moderates the relationship between sexual dysfunction and depression among female german adults. The Journal of Sexual Medicine, 14(1): 14-23. [Link]
Bond C, Morrison M & Hawes E. (2020). Sexual self-efficacy and entitlement to pleasure: the association of the female sexual subjectivity inventory with sexual risk taking and experience of orgasm. Sexual Behavior, 49(1): 1029-1038. [Link]
Brezsnyak M, & Whisman M. (2018). Sexual desire and relationship functioning: the effects of marital satisfaction andpower. Journal Sex Marital Ther, 30(3): 199-211. [Link]
Dalgaard L, Oxfeld M, Dam T & Hansen, M. (2022). Intramuscular sex steroid hormones are reduced after resistance training in postmenopausal women, but not affected by estrogen therapy, 186(11): 90-98. [Link]
Edison M & Robert W. (2021). Sexual communication and sexual consent self-efficacy among college students: implications for sexually transmitted infection prevention. Journal of Adolescent Health, 70(2): 282-289. [Link]
Farhadian F & Asghari Ebrahimabad M. (2016). The effectiveness of sexual skills training on marital satisfaction and sexual intimacy of women. Master Thesis in Educational Sciences, Ferdowsi University of Mashhad. [Link]
Ghosh A, Kathiravan S, Sharma K & Mattoo S. (2022). A Scoping review of the prevalence and correlates of sexual dysfunction in adults with substance use disorders. The Journal of Sexual Medicine, 19(2): 216-233. [Link]
Hossein Nejad H, Khademi A, Alivandi Wafa M & Ismaili A. (2021). The effectiveness of mindfulness intervention in sex therapy on sexual arousal, extramarital relationships and marital frustration of couples. Journal of Psychological Sciences, 20(106): 1879-1865. [Link]
Hosseini F, Mohammadi M & Jokar M. (2015). Investigating marital intimacy in middle age, the role of couple personality traits. Cultural and Educational Quarterly of Women and Family, 9(30): 51-27. [Link]
Jadiri Abolghasemi S & Panah Ali A. (2020). The effectiveness of sexual skills training on intimacy and aggression of married students of Tabriz Azad University. Women and Family Studies, 13(47): 109-117. [Link]
Khatami M, Bayanfar F & Tabatabai M. (2021). The mediating role of sexual assertion in the relationship between sexual self-efficacy and emotional divorce. Bi-Quarterly Journal of Family Psychology, 7(1): 107-120. [Link]
Khojastehmehr R, Shirmardi S, Omidian M & Sodani M. (2021). A meta-analysis of the effectiveness of marriage enrichment programs on marital intimacy. Psychological sciences. 20(103): 1077-1094. [Link]
Labrecque T & Whisman M. (2019). Extramarital sex and marital dissoltion: does identity of the extramarital partner matter? Journal of Family Process, 59(3): 1308-1318. [Link]
Liu T, Jia C, Peng Y, Zhong W & Fang X. (2019). The effect of sex therapy on marital intimacy and premature ejaculation of men with sexual dysfunction. Psychiatry Research, 2(72): 69-72. [Link]
Lolowang N, Afiyanti Y & Ungsianik T. (2019). Kegel's exercise to improve sexual self-efficacy in primiparous women. Enfermería Clínica, 29(2): 535-540. [Link]
Lurati A. (2022). Management of antidepressant therapy–induced sexual dysfunction in women. The Journal for Nurse Practitioners, 24(1): 1-3. [Link]
Mansoori, N., Saffarian Tusi, M., Mansoori, A. (2021). The mediating role of cognitive factors in the relationship between childhood abuse and sexual misconduct. Practical Advice, 11(2): 77-104. [Link]
Masters H, Johnson E & Kolodny C. (2008). Human sexuality. Boston: Longman. [Link]
Meidayanti I, Abdullah T, Bustan N & Anwarmallongi C. (2020). The relationship between Self efficacy and premarital sexual behavior among high school student in Makassar city. Enfermería Clínica, 30(4): 303-307. [Link]
Moody T, Feusner J, Reggente N & Vanhoecke J. (2021). Predicting outcomes of cross-sex hormone therapy in transgender individuals with gender incongruence based on pre-therapy resting-state brain connectivity. NeuroImage: Clinical, 79(1): 17-25. [Link]
Moon S, Jin J, Cheon S & Park S. (2018). The influence of marital intimacy on urinary and sexual symptom experience among patients with prostate cancer: a cross-sectional study. Contemporary Nurse; 54(2): 171-181. [Link]
Nazarpour S, Simbar M, Ramezani Tehrani F & Alavi Majd, H. (2015). Sexual dysfunction and underlying medical problems in postmenopausal women. Journal of the School of Medicine, Tehran University of Medical Sciences, 73(11): 798-811. [Link]
Pepping C, Cronin J, Lyons A & Caldwell G. (2018). The effects of mindfulness on sexual outcomes: The role of emotion regulation. Archives of sexual behavior, 47(6): 1601-1612. [Link]
Rafiei M, Sabahi P, Rafiei Nia P & Tabatabai Pour M. (2020). The effectiveness of mindfulness-based sex therapy on marital satisfaction of couples in patients with premature ejaculation. Growth Psychology, 9(9): 166-157. [Link]
Rihani Asl F & Khayatan F. (2018). The effectiveness of sexual skills training on women's sexual schemas, sexual self-esteem and sexual satisfaction of women referring to Isfahan counseling centers. Journal of nursing and midwifery, 16(2): 138-138. [Link]
Rodríguez F, Clares R & Muñoz M. (2020). The effect of sexual skill training on sexual self-efficacy, resilience and empathy in couples. Int J Environ Res Public Health, 17(17):19-27. [Link]
Rosen R, Brown C, Heiman J, Leiblum S & Meston, C. (2000). Female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of sex & marital therapy, 26(1): 191-208. [Link]
Rostamkhani F, Qamari M, Babakhani W & Merghati Khoei I. (2020). The effect of acceptance and commitment based therapy on sexual function of postmenopausal women. Journal of Health and Care, 22(2): 102-113. [Link]
Sanamnejad A, Ghamari Givi H, Sheykholeslami A & Rezaiisharif A. (2021). Comparison of the effectiveness of contextual therapy fair- centered and emotion-focused therapy on marital intimacy and marital burnout among couples. QJCR, 20(79): 139-166. [Link]
Sarabi P, Al-Hayari V, Parvizi F & Kakabraei K. (2021). The effectiveness of integrated behavioral couple therapy on sexual self-efficacy and sexual self-concept in individuals with acquired premature ejaculation. Growth Psychology, 10(10): 11-26. [Link]
Schwarzer R, & Jerusalem, M. (1993). General perceived self-efficacy. In J. weinmanr, S.W. & M. Johnston (eds.), measures in health psychology: a user’s portfolio. england: NFER-Nelson. [Link]
Shiri F & Goodarzi M. (2020). Comparison of the effectiveness of self-regulatory couple therapy-attachment and systemic-behavioral couple therapy on sexual function of women with extramarital affair. Family Studies, 16(3): 395-412. [Link]
Siah Kamari R, Momeni K & Karami J. (2018). The mediating role of sexual self-efficacy in the relationship between attachment styles and sexual satisfaction in addicted men in Kermanshah. Journal of Psychological Sciences, 17(68): 442-437. [Link]
Taghdir M, Sepandi M. (2019). Sample Size Calculation in Medical Studies; a Brief Report. Hrjbaq, 5(1): 49-53. [Link]
Van den Broucke S, Vertommen H & Vandereycken W, (1995). Construction and Validation of a Marital Intimacy Questionnaire. Family Relations, 44(3): 285 290. [Link]
Waziri Sh & Lotfi Kashani F. (2013). Evaluation of factor structure, reliability and validity of sexual self-efficacy questionnaire. Thought and Behavior in Clinical Psychology, 8(29): 47-56. [Link]
Weinberger J, Houman J, Caron A & Anger J. (2019). Female sexual dysfunction: A systematic review of outcomes across various treatment modalities. Sexual Medicine Reviews, 7(2): 223-250. [Link]
Wittmann D & Bober S. (2021). Incorporating the Principles of Sex Therapy into Urologic Care. Urologic Clinics of North America, 48(4): 425-436. [Link]
_||_