اثربخشی شفقت درمانی متمرکز بر خود بر افسردگی، اضطراب و رضایت جنسی در بیماران زن مبتلا به ناباروری

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استاد گروه روانشناسی، دانشگاه پیام نور، تهران، ایران

2 دانشجوی دکتری گروه روانشناسی سلامت، دانشگاه پیام نور، تهران، ایران

3 استاد، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران

چکیده

هدف: لذا مطالعه حاضر با هدف تعیین میزان اثربخشی شفقت درمانی متمرکز بر خود بر افسردگی، اضطراب و رضایت جنسی در بیماران زن مبتلا به ناباروری بود. روش: این مطالعه از نوع کارآزمایی بالینی بود. 52 نفر از زنان مبتلا به ناباروری که دارای اختلال در عملکرد جنسی بودند و از خرداد تا شهریور ماه سال 1400 مراجعه کننده به بخش ناباروری بیمارستان امام حسین (ع) واقع در استان تهران با روش نمونه‌گیری هدفمند انتخاب شدند. سپس به صورت تصادفی در گروه آزمایش (تحت شفقت درمانی متمرکز بر خود ) (n=26 ) و گروه کنترل (n=26) گمارده شدند. ابزار جمع آوری اطلاعات پرسشنامه استاندارد مسائل جنسی(MSQ) اسنل و فیشرو والترز (1993)، در سه مرحله خط پایه، پس از مداخله و پیگیری سه ماهه جمع آوری شدند. تجزیه و تحلیل داده ها با استفاده از روش تحلیل واریانس اندازه گیری مکرر چند متغیری انجام شد. یافته ها: یافته ها نشان داد که در گروه تحت شفقت درمانی متمرکز بر خود ، میانگین نمره اضطراب و افسردگی جنسی همچنین رضایت جنسی در گروه آزمایش در مقایسه با گروه کنترل به طرز معناداری کاهش و افزایش پیدا کرده است (001/0 < P ). نتیجه‌گیری: نتایج این پژوهش نشان داد که شفقت درمانی متمرکز بر خود می‌تواند در بهبود اضطراب و افسردگی جنسی همچنین رضایت جنسی در زنان مبتلا به ناباروری موثر باشد.

کلیدواژه‌ها


عنوان مقاله [English]

Sexual dysfunction is one of the complications of infertility treatment and is often overlooked in the care of women with infertility

نویسندگان [English]

  • Majid Saffarinia 1
  • Zohreh Mortezaei 2
  • Ahmad Alipour 3
1 Professor, Department of Psychology, Payame Noor University, Tehran, Iran
2 Ph.D. Student of Health Psychology, Department of Psychology, Payame Noor University, Tehran, Iran
3 Professor, Department of Psychology, Payame Noor University, Tehran, Iran
چکیده [English]

Aim: Sexual dysfunction is one of the complications of infertility treatment and is often overlooked in the care of women with infertility. Therefore, the aim of this study was to determine the effectiveness of self-centered compassion therapy on depression, anxiety and sexual satisfaction in patients. The woman was infertile. Method: This study was a clinical trial study. Fifty-two women with infertility who had sexual dysfunction and referred to the infertility ward of Imam Hossein Hospital in Tehran province from June to September 1400 were selected by purposive sampling. Then they were randomly assigned to the experimental group (under self-centered compassion therapy) (n = 26) and the control group (n = 26). Data collection tools Standard Questionnaire of Sexual Issues (MSQ) Snell and Fisher Walters (1993) were collected in three baseline stages, after intervention and quarterly follow-up. Data analysis was performed using repeated measures multivariate repeated measures analysis of variance. Results: The results showed that in the group under self-centered compassion therapy, the mean score of sexual anxiety and depression as well as sexual satisfaction in the experimental group decreased and increased significantly compared to the control group (P <0.001). Conclusion: The results of this study showed that self-centered compassion therapy can be effective in improving sexual anxiety and depression as well as sexual satisfaction in women with infertility.

کلیدواژه‌ها [English]

  • Sexual Anxiety
  • Sexual Depression
  • Sexual Satisfaction
  • Self-Focused Compassion Therapy
  • Infertility
برجعلی، محمود.، رحمانی، سهیلا.، ذاکرزاده، پریسا.، و زینالی، مریم. (1400). اثربخشی درمان متمرکز بر شفقت به خود بر اضطراب و کیفیت زندگی والدین کودکان مبتلا به سرطان. روانشناسی بالینی و شخصیت، 19(2): 25-32.
References
Brug, J., Spikmans, F., & Aartsen, C., Breedveld, B., Bes, R., & Fereira, I. (2017). Training dietitians in basic motivational interviewing skills results in changes in their counseling style and in lower saturated fat intakes in their patients. Journal of Nutrition Education and Behavior. 39(1): 8-12.
Drosdzol, A., & Skrzypulec, V. (2008). Quality of life and sexual functioning of Polish infertile couples. The European Journal of Contraception & Reproductive Health Care. 13(3):271-81.
El Amiri, S., Brassard, A., Rosen, N. O., Rossi, M. A., 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(12):1984-97
Erickson, T. M., Granillo. M. T., Crocker, J., Abelson, J. L., Reas, H. E., & Quach, C. M. (2018). Compassionate and self‐image goals as interpersonal maintenance factors in clinical depression and anxiety. Journal of clinical psychology. 74(4):608-25.
Fernandes, J., Pedro, J., Costa, M. E. (2021). Martins MV. Effect of depression and anxiety on sexual functioning in couples trying to conceive with and without an infertility diagnosis. Psychology & Health. 12: 1-8.
Fox, J., Cattani, K., & Burlingame, G. M. (2021). Compassion focused therapy in a university counseling and psychological services center: A feasibility trial of a new standardized group manual. Psychotherapy Research. 31(4):419-31.
Gilbert P. (2017). A brief outline of the evolutionary approach for compassion focused therapy. EC Psychology and psychiatry. 3(6): 218-227.
Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in psychiatric treatment. 15(3): 199-208.
Gilbert, P. (2010). Compassion focused therapy: Distinctive features. Routledge.
Gilbert, P. (2015). Compassion focused therapy. In The Beginner's Guide to Counselling & Psychotherapy, Sage publications. 127.
Hocken, K., & Taylor, J. (2021). Compassion-focused therapy as an intervention for sexual offending. In Forensic Interventions for Therapy and Rehabilitation. Routledge. 189-219.
Khaksari, M. E. (2022). Pursuing Treatment for Fertility Problems: The Effect of Depression, Social Support, and Perceived Barriers. A Thesis Submitted to the Faculty of (Doctoral dissertation, Drexel University).
Kim, M., Moon, S. H., & Kim, J. E. (2020). Effects of psychological intervention for Korean infertile women under in vitro fertilization on infertility stress, depression, intimacy, sexual satisfaction and fatigue. Archives of Psychiatric Nursing. 34(4):211-17.
Lawrence, V. A., & Lee, D. (2014). An exploration of people's experiences of compassion‐focused therapy for trauma, using interpretative phenomenological analysis. Clinical psychology & psychotherapy. 21(6): 495-507.
Lo, S. S., Li, R. H., Kok, W. M., Wong, G. C., Ng, E. H., & Chan, C. H. (2021). Sexual function and quality of life in Chinese couples undergoing assisted reproductive treatment: a prospective cohort study. Human Fertility. 6: 1-3.
Lucre, K., & Clapton, N. (2021). The Compassionate Kitbag: A creative and integrative approach to compassion‐focused therapy. Psychology and Psychotherapy: Theory, Research and Practice. 94: 497-516.
Maroufizadeh, S., Hosseini, M., Foroushani, A. R., Omani-Samani, R., & Amini, P. (2018). The effect of depression on quality of life in infertile couples: an actor-partner interdependence model approach. Health and quality of life outcomes, 16(1), 1-7.
Mohammadzadeh, M., Lotfi, R., Karimzadeh, M., & Kabir, K. (2021). The Effect of Sexual Counseling Using BETTER Model on Sexual Function of Women with Infertility: A Randomized Controlled Trial. International Journal of Sexual Health. 33(2):175-84.
Pasha, H., Faramarzi, M., Basirat, Z., Kheirkhah, F., & Adib-Rad, H. (2021). Role of mental health in prediction of sexual function in infertile women, Babol, Iran. Journal of Education and Health Promotion. 10(1): 171.
Peterson, B. D., Newton, C. R., & Feingold, T. (2007). Anxiety and sexual stress in men and women undergoing infertility treatment. Fertility and sterility. 88(4):911-4.
Ringenbach, R. A. (2019). comparison between counselors who practice meditation and those who do not on compassion fatigue, compassion satisfaction, burnout and self-compassion. The University of Akron.
Snell, W. E., & Fisher, T. D., & Walters, A. S. (1993). The Multidimensional Sexuality Questionnaire: An objective self-report measure of psychological tendencies associated with human sexuality. Annals of Sex Research. 6(1):27-55.
Sripad, P., Desai, S., Regules, R., Chakraborty, S., Habib, H., Viloria, A. R., Ankomah, A., Fuseini, K., Jarvis, L., Kirk, K., & Tawab, N. (2021). Exploring experiences of infertility amongst women and men in low-income and middle-income countries: protocol for a qualitative systematic review. BMJ open. 11(11): 505-28.
Valsangkar, S., Bodhare, T., Bele, S., & Sai, S. (2011). An evaluation of the effect of infertility on marital, sexual satisfaction indices and health-related quality of life in women. Journal of human reproductive sciences. 4(2):80.
Vizheh, M., Pakgohar, M., Rouhi, M., & Veisy, A. (2015). Impact of gender infertility diagnosis on marital relationship in infertile couples: a couple-based study. Sexuality and Disability. 33(4):457-68.
Zheng, X., Zhong, W., O’Connell, C. M, Liu, Y., Haggerty, C. L., Geisler, W. M., Anyalechi, G. E., Kirkcaldy, R. D., Wiesenfeld, H. C., Hillier, S.L., & Steinkampf, M. P. (2021). Host genetic risk factors for Chlamydia trachomatis-related infertility in women. The Journal of infectious diseases. 224(2): 64-71.