Comparison of the effectiveness of cognitive-behavioral therapy and schema therapy on sexual dysfunction in infertile women

Document Type : Original Article

Authors

1 Ph.D. Student, Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran

2 Assistant Professor, Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran

3 Associate Professor, Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran

Abstract

Aim: The aim of this study was to compare the effectiveness of cognitive-behavioral therapy and schema therapy on sexual dysfunction in infertile women. Method: The research method was quasi-experimental with pre-test, post-test design and follow-up with experimental and control groups. The study population was all infertile women referred to infertility centers in Sari in the first 6 months of 2019. The sample consisted of 60 people who were selected by purposive sampling method and randomly assigned to three groups of cognitive-behavioral therapy (20 people), schema therapy (20 people) and control (20 people). The first experimental group received cognitive-behavioral therapy (Becky, Owen and Wright, 2019) and the second experimental group received Young Schematic Therapy (2006) in 8 sessions of 90 minutes. The research instruments were Rosen et al.'s (2000) Sexual Performance Index Questionnaire. Data were analyzed by repeated measures analysis of variance using SPSS-22 software. Results: The results showed that cognitive-behavioral therapy and schema therapy improved sexual dysfunction and subscales of sexual desire (F=12.86, P<0.001), psychological stimulation (F=22.65, P<0.001), moisture (F= 24.84, P<0.001), orgasm (F=16.14, P<0.001), satisfaction (F= 21.23, P<0.001) and sexual pain (F=78.35, P<0.001) has been infertile in women. But there was no significant difference between the effects of these two methods on sexual dysfunction in infertile women (P>0.05). Conclusion: It can be concluded that cognitive-behavioral therapy and schema therapy are effective in improving sexual dysfunction in infertile women.

Keywords

References

Afzali Goroh, A., Nosratabadi, M., Ghasemzadeh, M., & Chobdari, A. (2017). The effectiveness of schema therapy on the improvement of lack of sexual desire of married women in Sirjan city. community health 11 (No. 3 and 4), 38-46.
Alessandra, P. (2015). Prevalence of sexual dysfunction during pregnancy. Rev Assoc Med Bras. 55, 5, 563-8.
Allan, M.J.(2015). Effect Family Therapy to Family Intervention, Child and Adolescent Psychiatric Clinics of North America, 24, 3, 457-470.
Aramesh, Sh., Diba, E., Hassanzadeh, S., & Taghavi, S. A. (2020). Prevalence of infertility in Boyer Ahmed city based on the apple system in 2016-2016: a cross-sectional study. Armaghane knowledge. 25 (4): 487-502.
Ayadi, N., Rasouli, M., & Nazari, A. (2017). Investigating the mediating role of self-esteem in the relationship between sexual deviance and marital despondency of opiate-dependent men. Health and care magazine. 19 (2): 129-139.
Babakhanian, M., Ghazanfarpour, M., Najafi, M. N., Dizavandi, F. R., Khadivzadeh, T., Safaei, M., & Nooghabi, M. J. (2018). Psychometric properties of the Persian language version of the Female Sexual Function index among postmenopausal women. Journal of the Turkish German Gynecological Association, 19(4), 187.
Baldur, F.B., Kjaer, S.K., Albieri, V., Steding, M., Kjaer, T., & Johansen, C.(2013). Psychiatric disorders in women with fertility problems: results from a large Danish register-based cohort study. Hum Reprod, 28, 3, 683-690.
Baucom, B.R., Elisa, Sh., Andrew, Ch., Panayiotis, G., Shrikanth, S.N., & David, C.A.(2015). Behaviorally-based couple therapies reduce emotional arousal during couple conflict, Behaviour Research and Therapy, 72, 49-55.
Becky, F.A., Owen, J., & Wright, J.(2019). The Effectiveness cognitive-behavior therapy for Marital Conflicts, Attribution Styles and Social Welfare, Contemporary Clinical Trials, 78, 46-52.
Bernhard, LA. (2005). Sexuality and sexual health care for women. Clin Obstet Gynecol, 45(4): 1089-98.
Carvalheira, A.A., & Leal, L.(2017). Determinant factors of female sexual satisfaction. Sexology. 17, 1, 117-129.
El Amiri, S., Brassard, A., Rosen, N.O., Meghan A.Rossi, Beaulieu, N., Bergeron, S., & Péloquin, K.(2021). Sexual Function and Satisfaction in Couples with Infertility: A Closer Look at the Role of Personal and Relational Characteristics, The Journal of Sexual Medicine, 18, 2, 1984-1997.
Elahiaee, H., Kazemian Moghadam, K., & Haroun Rashidi, H. (2020). The effectiveness of schema therapy on improving communication documents and sexual performance of women affected by extramarital relations. Psychological Studies, 16(2), 125-140.
Fani Sobhani, F., Khalatbari, J., & Rahmati, S. (2018). The effectiveness of cognitive behavioral therapy based on body image on sexual satisfaction and marital adjustment of married infertile women. Journal of Applied Psychology, 12(1), 25-46.
Faqih, S., & Kazemi, H. (2018). The effectiveness of emotion-focused therapy on distress tolerance of infertile couples in Isfahan city. Journal of Community Health, 12(1), 22-29.
Heydari, F., Asgari, P., Heydari, A. R., Pasha, R., & Makvandi, B. (2018). The effectiveness of cognitive-behavioral therapy on psychological flexibility and rumination in patients with non-cardiac chest pain. Community Health, 12(1), 30-40.
Hisasue, S, Kumamoto, Y, Sato, Y, Masumori, N, Horita, H, Kato, R, & et al.(2005). Prevalence of female sexual dysfunction symptoms and its relationship to quality of life: a Japanese female cohort study. Urology, 65, 1, 143-8.
Hoff, H. S., Crawford, N. M., & Mersereau, J. E. (2015). Mental health disorders in infertile women: prevalence, perceived effect on fertility, and willingness for treatment for anxiety and depression. Fertility and Sterility, 104(3), e357.
Hossein Panahi, M., Mirghafoorvand, M., & Farshbaf Khalili, A. (2021). The effect of acceptance counseling and commitment therapy on mental health and quality of life of infertile couples: a randomized controlled trial. Journal of Health Education and Promotion. 9(2), 25-33.
Jahangiri, M. M., Teymouri, H., & Tahmasabian, H. (2017). The effectiveness of schema therapy on reducing anxiety and depression of infertile women in Arak city. Scientific Journal of Medical Organization of the Islamic Republic of Iran. 35 (3), 259-263.
Kuile, M., Both, S., & van Lankveld, J.(2017). Cognitive Behavioral Therapy for Sexual Dysfunctions in Women, Psychiatric Clinics of North America, 33, 3, 595-610.
Lauren, D.A., & Rachel, M.(2019).Cognitive Behavioral Therapy for Depression patients. Cognitive and Behavioral Practice. 14, 2, 177-184.
Lazaro, J., Capones, H., & Antonett, R. (2017). Relationship of  sex satisfaction with delight sex of the divorcing woman. Journal of psychology. 38, 6, 337-344.
Mahadeen, A. I., Hamdan-Mansour, A. M., Habashneh, S. A., & Dardas, L. A. (2020). Sexual satisfaction among infertile couples: demographics and psychosocial health factors. Journal of Psychosocial Nursing and Mental Health Services, 58(9), 40-47.
Malogiannis, I.A., Arntz, A., Spyropoulou, A., Tsartsara, E., Aggeli, A., & Karveli, S. (2014). Schema therapy for patients with chronic depression: a single case series study. JBTEP, 45, 3, 319-29.
Mansouri, M., Heyder, Z., Lotfi, R., Rahimzadeh Kivi, M., & Tehamtan, T. (2021). The relationship between the level of sexual and marital satisfaction and the causes of infertility in infertile couples referring to Nahal Infertility Center of Alborz province. Alborz Journal of Medical Sciences. 11(1), 24-34.
Mascarenhas, M.N., Flaxman, S.R., Boerma, T., Vanderpoel, S., & Stevens G.A. (2012). National, regional, and global trends in infertility prevalence since 1990: A systematic analysis of 277 health surveys. Plos Medicine, 9, 12, 100-135.
Nosrat Abadi, M., & Afzali Goroh, A. (2020). The effectiveness of schema therapy on reducing anxiety and depression and improving sexual performance of women with vaginismus. Clinical Psychology and Personality, 18(2), 11-19.
Peixoto, M.M., & Nobre, P.(2017). The Activation of Incompetence Schemas in Response to Negative Sexual Events in Heterosexual and Lesbian Women: The Moderator Role of Personality Traits and Dysfunctional Sexual Beliefs. JSR, 54(9):1188-96.
Pirfalak, M., Sudani, M., & Shafiabadi, A. (2014). The effectiveness of cognitive-behavioral group couple therapy (GCBCT) on reducing marital burnout. Counseling and family psychotherapy. 4(2), 247-269.
Refahi, J, Ghaderi, Z., & Bahmani, M. (2011). The effect of schema-based couple therapy training on improving the performance of couples. Journal of psychological methods and models. 2: 45-29.
Rosen, C. Brown, J. Heiman, S. Leiblum, C. Meston, R. Shabsigh, D. Ferguson, R. D'Agostino, R. (2000). The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of sex & marital therapy, 26(2), 191-208.
Roshan, R., & Mogadashin, M. (2015). The role of big five personality factors and defense mechanisms in predicting quality of life in sexually dysfunctional female patients. Research in Cognitive and Behavioral Sciences, 5(1), 37-50.
Sayadi, M., Shah Hosseini Tazik, S., Madani, Y., & Lavasani, M. (2017). Effectiveness of emotional couple therapy focused on marital commitment and couple burnout in infertile couples. Education and Community Health Quarterly, 4(3), 26-37.
Shahid Sales, S., Hassanzadeh, M., Sajjadi, S., & Al Davoud, S. A. (2017). A comparative study of sexual function disorders in women with breast cancer: a case-control report. Journal of Faculty of Medicine, Tehran University of Medical Sciences. 75 (5): 357-350.
Taghiyar, Z., Pahlavanzadeh, F., & Samavi, S. A. (2016). The effectiveness of schema therapy on marital frustration of married women. Women and Family Studies, 9(34), 49-63.
Tomlinson, R. M., Keyfitz, L., Rawana, J. S. & Lumley, M. N. (2017). Unique contributions of positive schemas for understanding child and adolescent life satisfaction and happiness. Journal of HappinessStudies, 18, 5, 1255-1274.
Vander Borght, M., & Wyns, C. (2018). Fertility and infertility: Definition and epidemiology. Clinical biochemistry, 62, 2-10.
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2006). Schema therapy: A practitioner's guide. guilford press.
Journal of Applied Family Therapy
Volume 3, Issue 5 - Serial Number 14
December 2022
Pages 447-465

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History

  • Receive Date: 12 February 2022
  • Revise Date: 22 May 2022
  • Accept Date: 23 December 2022

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