Umm Kulsum Tabarte Farahani, Naimeh Akbari Torkestani, Leila Khazaei, Dr Mehdi Ranjbaran, Masoomeh Davoodabadi Farahani,
Volume 27, Issue 3 (7-2024)
Abstract
Introduction: Sexual self-efficacy is a fundamental concept in behavior, health, and sexual performance that changes over time due to events such as pregnancy and childbirth. The present study was conducted to investigate factors affecting sexual self-efficacy in pregnant women in Arak City.
Methods: The current research is a cross-sectional, descriptive, and analytical study conducted with 234 pregnant women aged 18 to 40 who had minimal reading and writing literacy and lived with their husbands. Ten comprehensive urban health centers were selected using cluster sampling. Data were collected through a demographic information checklist and a sexual self-efficacy questionnaire. Data analysis was done using Mann-Whitney U and Kruskal-Wallis and (LSD) tests.
Results: The mean score of sexual self-efficacy of pregnant women was 28.51 ± 6.45 and was at a high level. Kruskal-Wallis test showed that the sexual self-efficacy of pregnant women is unrelated to their education (P = 0.2). There is a significant relationship between education and the education of their spouses (P = 0.04). (LSD) test showed a significant difference between different levels of education of husbands and the sexual self-efficacy of pregnant women. Also, no significant relationship was observed between the mean score of sexual self-efficacy and other variables.
Conclusions: The sexual self-efficacy of pregnant women is related to the education of their husbands, so it is suggested to provide a suitable platform for increasing the knowledge and awareness of men.
Samaneh Ghobadi, Mr Keivan Kakabraee, Mahmoud Goudarzi,
Volume 27, Issue 4 (10-2024)
Abstract
Introduction: For many people, infertility is a prominent crisis and cause of mental stress that causes many unfavorable psychological reactions. The purpose of the research is to design a cognitive-behavioral coping training package with the stress of infertility and its effectiveness on the hope of infertile women.
Methods: The present study was conducted using a mixed method using the qualitative part, content analysis type, and the quantitative part, semi-experimental, in the pre-test-post-test-two-month follow-up design with the control group. The statistical population of this research was infertile women referring to infertility centers and gynecology and infertility specialists in Kermanshah in 2022. A sample of forty women was selected as a sample using the purposeful sampling method and replaced in two groups (experimental and control) in a simple random manner. Data were collected from Newton et al.'s infertility stress questionnaire (1999) and Schneider's Hope (1991). The data was analyzed using a content validity test and repeated measurement variance analysis tests.
Results: The designed educational package was valid and adequate. The findings showed a significant difference between pre-test, post-test, and follow-up in the component of hope, and this difference continued until the follow-up stage.
Conclusions: The educational package on cognitive-behavioral coping with the stress of infertility of infertile women can be used to reduce the stress and increase the hope of infertile women.
Parvin Roosta, Dr Sayed Abdollah Sadat Bahreinian, Ghasem Ahi, Mohammad Hassan Ghanifar,
Volume 27, Issue 5 (12-2024)
Abstract
Introduction: One of the problems during adolescence is the existence of conflict with parents, which creates object relationships and feelings of shame and guilt in them. This research was conducted to determine the effectiveness of treatment based on the mentalization of object relations and feelings of shame and guilt in conflicting mother-child relationships.
Methods: This research method was semi-experimental and pre-test-post-test with a control group. The statistical population of this research included all mothers and adolescents with conflicting relationships who were referred to counseling centers in Shiraz in 2022. By using the available sampling method, 30 people from the mentioned community were selected as a sample and were randomly divided into two experimental (15 people) and control (15 people) groups. Asadi et al.'s parent-child conflict questionnaires (2010), Bell's object relations (1995), and Cohen et al.'s (2011) feelings of shame and guilt were used to collect information. The experimental group underwent executive function training for 13 sessions twice a week for 60 minutes, and the control group did not receive any training. The research data was analyzed using correlation.
Results: The mean ± standard deviation of the experimental group in the post-test in the variable of object relations from 1.5 ± 1.37 to 28.6 ± 4.3 and in the variable of shame and guilt from 5 ± 1.60 to 5.60 ± 3. 51.2 ± 9.1 decreased. The results showed that in the post-test stage, the mean scores of object relations and feelings of shame and guilt in the experimental group decreased significantly compared to the control group (P < 0.01).
Conclusions: Treatment based on mentalization was effective in improving object relationships and reducing feelings of shame and guilt. Therefore, this treatment can be suggested to reduce the conflict between adolescents and mothers.
Masoumeh Fathi, Masoumeh Davoodabadi , Fereshteh Farzan Azar, Efat Noroozi, Dr Azam Moslemi,
Volume 27, Issue 6 (1-2025)
Abstract
Introduction: Deep physical and psychological changes in pregnancy can affect women's sexual relations. This study aims to investigate the effect of psychological counseling on problem-solving skills on sexual dysfunction and satisfaction of pregnant women.
Methods: In a pre-test-post-test intervention study, 70 pregnant volunteers meeting the inclusion criteria, referring to health centers in Arak City, and with sexual function and sexual satisfaction questionnaire scores of less than 28 and 42, respectively, were randomly assigned to two intervention groups of 35 and a control group. The intervention group received six counseling sessions based on problem-solving, and both groups received routine care. Rosen's sexual performance questionnaire and Larson's sexual satisfaction questionnaire were answered by both groups before, immediately, and one month after the intervention. Data analysis was done using Chi-square, Fisher's exact test, and Repeated measure tests.
Results: The repeated measure design test showed that immediately and one month after the intervention, the average sexual performance (26.82 ± 1.61 and 28.88 ± 1.1) and sexual satisfaction (39.22 ± 2.27 and 15.15) (43.19 ± 2) compared to the control group (23.69±1.97, 22.63±2.08) (36.23±2.44, 35.06±2.46) compared to the control group (P < 0.05).
Conclusions: This study showed that counseling based on problem-solving improves the performance and sexual satisfaction of pregnant women effectively and can be included in educational protocols during pregnancy to improve the quality of sexual life.
Zahra Zohre Vandi, Narges Babakhani, Afsaneh Taheri,
Volume 28, Issue 1 (3-2025)
Abstract
Introduction: The present study was conducted to investigate the effectiveness of acceptance and commitment-based therapy on the lifestyle of improving the health and emotional distress of women undergoing infertility treatment with the in vitro fertilization (IVF) method.
Methods: The method of this study was semi-experimental with a pre-test-post-test design with a control group and a follow-up stage. The statistical population of the study included women undergoing infertility treatment with the IVF method referring to the infertility center of Imam Khomeini Hospital in Tehran in the first six months of 2012. In this research, 27 women undergoing infertility treatment with IVF method were selected by voluntary sampling method and replaced by random method in test and control groups. The experimental group underwent acceptance and commitment therapy (10 sessions) for two and a half months. A health-promoting lifestyle questionnaire (HPLP) and an emotional distress questionnaire (Lavibond and Lavibond, 1995) were used as research tools. The data were analyzed using a mixed analysis of variance and Bonferroni post hoc test.
Results: It showed that the treatment based on acceptance and commitment to the lifestyle level improves health (Eta = 0.56, F = 19.74) and has a significant effect on the dimensions of emotional disorders such as depression (P < 0.0001, Eta = 0.58, F = 0.58). F = 34), anxiety (P > 0001; Eta = 0.59; F = 35.69), and stress (P > 0.0001; Eta = 0.61; F = 40.12) of women undergoing infertility treatment with the IVF, and has been able to lead to increase a healthy lifestyle, reduce depression, anxiety, and stress in these individuals.
Conclusions: Acceptance and commitment therapy, utilizing six psychological acceptance processes, cognitive breakdown, self under context, interaction with the present, specified values, and committed behavior, can be used as an effective treatment to reduce emotional distress in women undergoing IVF infertility treatment.
