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Volume 24, Issue 2 (Summer 2022)                   JHC 2022, 24(2): 120-131 | Back to browse issues page

Ethics code: (IR.ZUMS.REC.1398.328)


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Rostamkhani F, Ghamari M, Babakhani V, Merghati Khoei E. Comparing the Effectiveness of Two Therapeutic Methods "Cognitive-Behavioral" and "Based on Acceptance and Commitment" on the Sexual Schema of Postmenopausal Women. JHC 2022; 24 (2) :120-131
URL: http://hcjournal.arums.ac.ir/article-1-1351-en.html
Department of Counseling, Abhar Branch, Islamic Azad University, Abhar, Iran
Abstract:   (734 Views)
Background & aim: Sexual schemas are the central beliefs of a person's sexual dimensions that affect sexual and non-sexual performance. The present study was conducted with the aim of determining the effectiveness of two methods of cognitive behavioral therapy and therapy based on acceptance and commitment on the sexual schema of postmenopausal women.
Methods: This was a semi-experimental study with a pre-test, post-test and follow up design with control group, which was conducted in 2019-2020. Among the menopausal women who visited health centers in Zanjan to receive services, 45 people who scored less than 28 (out of 36) in the "Women's Sexual Performance Index" test were purposefully selected and they were divided into three groups of 15 people by random allocation method (2 intervention groups and one control group). In the first group, cognitive behavioral therapy (CBT) and in the second group, acceptance and commitment-based therapy (ACT), were implemented for 8 sessions of 2 hours each. The data was collected from the intervention and control groups in the pre-test, post-test and follow-up stages with the "female sexual self-schema scale" which had 50 traits with a 7-point Likert scale. The data obtained from the research was analyzed through analysis of variance with repeated measures and using SPSS-24 software.
Results: The results showed that cognitive behavioral therapy improved the sexual schema of postmenopausal women (F=4.355, p=0.021), while acceptance and commitment therapy did not have a significant effect on their sexual schema (F=0.232, p=0.633). In comparing the effects of two intervention groups on sexual schema (F=0.226 and p=0.638), no statistically significant difference was observed.
Conclusion: Based on the findings, cognitive behavioral therapy improves sexual schemas in postmenopausal women. Therefore, it is suggested to use this treatment method to improve the sexual schemas of postmenopausal women in health care centers.
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Type of Study: quasi-experimental | Subject: pregnancy health
Received: 2022/03/19 | Accepted: 2022/09/15 | Published: 2022/09/22

References
1. Nazarpour S, Simbar M, Ramezani Tehrani F. Factors affecting sexual performance in menopause: a review of research texts. Journal of Payesh. 2014;14(1):58-41 [Persian].
2. Berek JS. Berek & Novak's Gynecology. 16th Edition. Lippincott Williams & Wilkins (LWW); 2020.
3. Susan AO. Essentials of maternity, newborn, women health nursing. 4th Edition. Philadelphia: Wolters Kluwer; 2016.
4. Andersen BL, Cyranowski JM. Women's sexual self-schema. Journal of Personality and Social Psychology. 1994;67(6):1079-1100. [DOI:10.1037/0022-3514.67.6.1079]
5. Goldenberg H & Goldenberg I. Family therapy: an overview. 9th edition. Broadman & Holman Publishers; 2016.
6. Ghahhary Sh. Cognitive-behavioral couple therapy guide for psychologists and counselors. Roshd Publications; 2017.
7. Rostamkhani F, Ghamari M, Babakhani V, Mergati Khoi A. The effectiveness of cognitive-behavioral therapy on sexual function and sexual schemas in postmenopausal women. Journal of Health Promotion Management. 2020;9(6):84-95 [Persian].
8. Rezaei A, Fathi R, Ahmadi A. Investigating the effectiveness of cognitive-behavioral therapy on dysfunctional communication beliefs and sexual knowledge of married women. Journal of Women and Family Studies. 2016;8(30):35-47 [Persian].
9. Del Rey G, Stanton A, Meston C. The relationship between sexual shame and sexual self-schemas in college women. Journal of Sexual Medicine. 2017;14(6):351-70. [DOI:10.1016/j.jsxm.2017.04.051]
10. Izadi R, Abedi MR. Acceptance and commitment-based therapy. Fifth Edition. Tehran: Jangal Publication; 2018.
11. Harris R. ACT made simple: an easy-to-read primer on acceptance and commitment therapy. Translation: Aminzadeh A. fifth edition. Tehran: Arjmand Publication; 2021.
12. Luoma JB, Villatt JL. Mindfulness in the treatment of suicidal individuals. Journal Cognitive Behavioral Practice. 2012:19(2):265-76. [DOI:10.1016/j.cbpra.2010.12.003] [PMID] [PMCID]
13. Tabatabayi AS, Sajjadian I, Motamedi M. Effectiveness of acceptance and commitment therapy on sexual function, sexual self-consciousness and sexual assertiveness among women with sexual dysfunction. Journal of Behavioral Science Research. 2017;15(1):84-92 [Persian].
14. Azimifar Sh, Fatehizadeh M, Bahrami F, Ahmadi A, Abedi A. Comparison of the effectiveness of cognitive-behavioral couple therapy and acceptance-based therapy and commitment to increase the marital happiness of dissatisfied couples. Journal of Psychology and Psychiatry. 2016;3(2):56-81 [Persian].
15. Ghasemi S, Arman A, Ismaili N. Comparison of acceptance and commitment-based therapy with cognitive-behavioral therapy on marital satisfaction of women with obsessive-compulsive disorder in 2016. Journal of Community Health. 2017;11(2):58-67 [Persian].
16. Khanjani Vashki S, Shafiabadi A, Farzad V, Fatehizadeh M. A Comparison between the effectivness of cognitive-behavioral couple therapy and acceptance and commitment on marital intimacy of conflicting couples in Isfahan. Journal Knowledge and Research in Applied Psychology. 2016:17(4):31-40 [Persian]. [DOI:10.17795/jjhs-43085]
17. Zarei J, Tarafdari A, Pourhossein R, Habibi Asgarabadi M. The relationship between gender schemas and the sexual health of postmenopausal women. Journal of Psychological Development. 2017;6(3):191-212 [Persian].
18. Delavar A. Applied probability and statistics in psychology and educational sciences. Tehran: Roshd publication; 2014.
19. Ter Kuile MM, Both S, Van Kankueld JJ. Cognitive behavioral therapy for sexual dysfunction in woman. Psychiatric Clinics North America. 2010;33(3):595-610. [DOI:10.1016/j.psc.2010.04.010] [PMID]
20. Kaplan HS. The new sex therapy: active treatment of sexual dysfunction. New York: Brunner-Mazel; 1974
21. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: the process and practice of mindful change. Guilford Press; 2011.
22. Jadidian A, Behram M. The effect of cognitive-behavioral education on sexual schema of married women in Hamedan. Journal of Psychological Studies and Educational Sciences. 2016;10(2/2):15-37 [Persian].
23. Sanei F, Mehrabi H, Sedaghat M, Zarandi F. The effectiveness of sexual skills training on sexual schema and marital satisfaction of married women. Quarterly Journal of Nurse and Physician in War. 2019;24(7):93-102 [Persian].
24. Mutabi F, Fati L. The way of drawing therapy in cognitive-behavioral theory. Fifth Edition. Tehran Danjeh Publications; 2021.
25. Mohammadi Sh. A complete set of life skills. 14th Edition. Tehran: Specialized Media Publications; 2018.
26. Boland R, Verduin M L, Ruiz P. Kaplan & Sadock's Synopsis of Psychiatry. 12th Edition. Wolters Kluwer; 2021.
27. Leahy R. Cognitive therapy techniques. Translated by Hamidpour H, Andooz Z. 10th Edition. Tehran: Arjmand Publication; 2021.
28. Mojtabaei M, Saberi H, Alizadeh A. The role of sexual schemas and body image on women's sexual function. Journal of Health Psychology. 2014;14(13):36-19.
29. Zargarinejad F, Ahmadi M. The mediating role of sexual self-schemas in the relationship of sexual functioning with sexual satisfaction in married female college students. Iranian Journal of Psychiatry and Clinical Psychology. 2020;25(4):412-26 [Persian]. [DOI:10.32598/ijpcp.25.4.5]
30. Babaei E, Abbasi A, Mir Mohammadi M, Entezari S. Investigating the relationship between sexual schemas and sexual function with marital conflicts of women involved in domestic violence. Zanko Journal of Medical Sciences. 2019;20(65):87-96.

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