Volume 10 -                   MEJDS (2020) 10: 111 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Zamani S N, Zarei E, Haji Alizadeh K, Na'ami A. Combined Cognitive–Behavioral Therapy and Counseling Program Based on Islamic Spiritual Teachings and Cognitive Flexibility on the Sexual Function of Pregnant Women. MEJDS 2020; 10 :111-111
URL: http://jdisabilstud.org/article-1-1797-en.html
1- Department of Psychology, Bandar Abbas Branch, Islamic Azad University
2- Department of Psychology, University of Hormozgan
3- Department of Psychology, Shahid Chamran University
Abstract:   (1660 Views)
Background & Objectives: Delivery, as a traumatic event, could put the mother at risk for postpartum disorders, which necessitates psychological interventions. The present study aimed to investigate the effects of a combined cognitive–behavioral therapy and counseling program based on Islamic spiritual teachings and cognitive flexibility on the sexual function of pregnant women.
Methods: This was a quasi–experimental study with a pretest–posttest and a control group design. The statistical population of the study consisted of all pregnant women who referred to Bandar Abbas Health Centers between October and December 2018. Forty patients were selected and randomly divided into two groups of test and control (n=20/group). Rosen et al.'s Sexual Dysfunction Index (2000) and Denis and Vendular's Cognitive Flexibility Scale (2010) were completed by the study groups before, after, and two months after providing the intervention sessions. By working closely with Bandar Abbas Health Centers’ staff, we reviewed the records of individuals who met the study inclusion criteria (i.e., 2–8 weeks gestation, having informed consent to participate in the study, not using psychiatric medications, no specific psychiatric illness). Accordingly, 90 patients were selected and screened for cognitive flexibility; 40 subjects with scores lower than the average were selected as the study sample and were randomly placed in the two experimental and control groups. They were invited to participate in a briefing session (recruiting partners, acquaintance with pregnancy, & problems during this period, research intervention methods, therapeutic expectations, & discussing confidentiality issues, etc.). At the end of the session, the quality of life questionnaire, fear of pain, and postpartum depression scales were completed by the explored pregnant women. The training intervention was conducted in 12 sessions and twice a week for 90 to 110 minutes at an educational institution in Bandar Abbas, Iran. Furthermore, the sexual function questionnaire was completed by both groups after the intervention, and two months later (follow–up). The obtained data were analyzed using descriptive statistics and repeated–measures Analysis of Variance (ANOVA) at the significance level of 0.05 in SPSS.
Results: The present study findings revealed the significant effects of the integrated cognitive–behavioral therapy and resilience and Islamic spiritual teachings–based cognitive flexibility on sexual function in the studied pregnant women (p<0.001). In the three study phases, the two study groups were measured on the variables of sexual function (p<0.001) and psychological stimulation (p=0.008), vaginal moisture (p=0.028), and sexual pain (p=0.007). There were significant differences in the above–mentioned dimensions. In other words, the provided program was effective on the sexual function of pregnant women and the dimensions of psychological stimulation, vaginal moisture, and sexual pain in them.
Conclusion: The present study findings supported that the implementation of combined cognitive–behavioral therapy and counseling program based on Islamic spiritual teachings could positively impact the sexual function of pregnant women.
Full-Text [PDF 548 kb]   (475 Downloads)    
Type of Study: Original Research Article | Subject: Psychology

References
1. Brunton RJ, Dryer R, Krägeloh C, Saliba A, Kohlhoff J, Medvedev O. The pregnancy-related anxiety scale: A validity examination using Rasch analysis. Journal of Affective Disorders. 2018;236:127–35. [DOI]
2. Maleki-Saghooni N, Heidarian Miri H, Karimi FZ, Mirteimouri M. The effect of systemic lupus erythematosus on women’s sexual function: A systematic review and meta-analysis. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2018;21(7):86–96. [Persian] [DOI]
3. Bakouei F, Omidvar SH, Nasiri F. Prevalence of female sexual dysfunction in married women and its related factors (Babol 2006). J Babol Uni Med Sci. 2007;9(4):59–64. [Persian] [DOI]
4. Josefsson A, Angelsiöö L, Berg G, Ekström C-M, Gunnervik C, Nordin C, et al. Obstetric, somatic, and demographic risk factors for postpartum depressive symptoms. Obstet Gynecol. 2002;99(2):223–8. [DOI]
5. Tork Zahrani S, Banaei M, Ozgoli G, Azad M. Investigation of the postpartum female sexual dysfunction in breastfeeding women referring to healthcare centers of Bandar Abbas. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2016;19(35):1–12. [Persian] [DOI]
6. Qian R, Chen Z, Tang L, Zhang W. Postpartum adverse effects and sexual satisfaction following cesarean delivery in Beijing. Int J Gynaecol Obstet. 2016;132(2):200–5. [DOI]
7. Barbara G, Pifarotti P, Facchin F, Cortinovis I, Dridi D, Ronchetti C, et al. Impact of mode of delivery on female postpartum sexual functioning: spontaneous vaginal delivery and operative vaginal delivery vs. cesarean section. J Sex Med. 2016;13(3):393–401. [DOI]
8. Dennis C-L, Hodnett E. Psychosocial and psychological interventions for treating postpartum depression. Cochrane Database Syst Rev. 2007;(4):CD006116. [DOI]
9. Burton NW, Pakenham KI, Brown WJ. Feasibility and effectiveness of psychosocial resilience training: a pilot study of the READY program. Psychol Health Med. 2010;15(3):266–77. [DOI]
10. Haglund MEM, Nestadt PS, Cooper NS, Southwick SM, Charney DS. Psychobiological mechanisms of resilience: relevance to prevention and treatment of stress-related psychopathology. Dev Psychopathol. 2007;19(3):889–920. [DOI]
11. Phillips EL. Resilience, mental flexibility and cortisol response to the Montreal Imaging Stress Task in unemployed men [Ph.D. dissertation in Nursing]. [Michigan, USA]: The University of Michigan; 2011.
12. Barrera TL, Zeno D, Bush AL, Barber CR, Stanley MA. Integrating religion and spirituality into treatment for late-life anxiety: Three case studies. Cognitive and Behavioral Practice. 2012;19(2):346–58. [DOI]
13. Weisman de Mamani AG, Tuchman N, Duarte EA. Incorporating Religion/Spirituality Into Treatment for Serious Mental Illness. Cognitive and Behavioral Practice. 2010;17(4):348–57. [DOI]
14. Heinemann J, Atallah S, Rosenbaum T. The Impact of Culture and Ethnicity on Sexuality and Sexual Function. Curr Sex Health Rep. 2016;8(3):144–50. [DOI]
15. Kabat-Zinn J, Massion AO, Kristeller J, Peterson LG, Fletcher KE, Pbert L, et al. Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. Am J Psychiatry. 1992;149(7):936–43. [DOI]
16. Kajbaf MB, Hoseini F, Ghamarani A, Razazian N. Comparison of effectiveness of quality of life therapy and treatment based on islamic spirituality on distress tolerance, stress, anxiety, and depression in women with tension headaches. Journal of Clinical Psychology. 2017;9(1):21–38. [Persian] [DOI]
17. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191–208. [DOI]
18. Mohammadi kh, Heydari M, Faghihzadeh S. The Female Sexual Function Index (FSFI): validation of the Iranian version. Payesh (Health Monitor). 2008;7(3):269–78. [Persian] [Article]
19. Dennis JP, Vander Wal JS. The cognitive flexibility inventory: Instrument development and estimates of reliability and validity. Cogn Ther Res. 2010;34(3):241–53. [DOI]
20. Taghizadeh ME, Farmani A. A Study of the Role of Cognitive Flexibility in Predicting Hopelessness and Resilience among University Students. Journal of Cognitive Psychology. 2014;1(2):67–75. [Persian] [Article]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Middle Eastern Journal of Disability Studies

Designed & Developed by : Yektaweb