Razi Nursing and Midwifery Faculty, Kerman University of Medical Sciences, Kerman, Iran.
Department of Epidemiology and Biostatistics, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
Rev Bras Ginecol Obstet. 2020 Jun;42(6):333-339. doi: 10.1055/s-0040-1712483. Epub 2020 Jun 30.
Sexual function is a multidimensional phenomenon that is affected by many biological and psychological factors. Cognitive-behavioral sex therapies are among the most common nonpharmacological approaches to psychosexual problems. The purpose of the present study was to investigate the effectiveness of psychoeducational and cognitive-behavioral counseling on female sexual dysfunction.
The present study was a clinical trial with intervention and control groups. The study population consisted of women referring to the general clinic of a governmental hospital in Iran. After completing the demographic questionnaire and Female Sexual Function Index (FSFI), those who obtained the cutoff score ≤ 28 were contacted and invited to participate in the study. Convenience sampling method was used and 35 subjects were randomly allocated for each group. Eight counseling sessions were held for the intervention group (two/week/1.5 hour). Post-test was taken from both groups after 1 month, and the results were statistically analyzed by PASW Statistics for Windows, Version 18 (SPSS Inc., Chicago, IL, USA).
The total mean scores of FSFI and the subscales of sexual desire, arousal, orgasm, and satisfaction were significantly higher in the intervention group than in the control group after the intervention. In addition, postintervention pain mean scores in the intervention group were significantly lower than in the control group ( < 0.05).
The results of the present study indicate that psychoeducational cognitive-behavioral counseling is effective in improving female sexual function. It is recommended to compare the effects of psychoeducational cognitive-behavioral counseling on sexual dysfunctions of couples and with a larger sample size in future research.
性机能是一种受多种生物和心理因素影响的多维现象。认知行为性治疗是治疗性心理问题最常用的非药物方法之一。本研究旨在探讨心理教育和认知行为咨询对女性性功能障碍的疗效。
本研究为干预组和对照组的临床试验。研究人群包括来自伊朗一家政府医院普通诊所的女性。在完成人口统计学问卷和女性性功能指数（FSFI）后，对得分≤28 的女性进行联系并邀请她们参加研究。采用方便抽样法，每组随机分配 35 名受试者。干预组进行了 8 次咨询（每周两次/每次 1.5 小时）。干预 1 个月后对两组进行了后测，结果采用 PASW Statistics for Windows，Version 18（SPSS Inc.，芝加哥，IL，USA）进行统计分析。
干预后，FSFI 的总分和性欲、唤起、高潮和满意度的子量表评分在干预组明显高于对照组。此外，干预组的疼痛评分在干预后明显低于对照组（<0.05）。
本研究结果表明，心理教育认知行为咨询对改善女性性功能有效。建议在未来的研究中，将心理教育认知行为咨询对夫妇性障碍的效果进行比较，并采用更大的样本量。
