Nezamnia Mina, Iravani Mina, Bargard Mehdi Sayah, Latify Mahmood
Student Research Committee, Department of Midwifery, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Reproductive Health Promotion Research Center, Department of Midwifery, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Int J Reprod Biomed. 2020 Aug 19;18(8):625-636. doi: 10.18502/ijrm.v13i8.7504. eCollection 2020 Aug.
Cognitive-behavioral therapy (CBT) is one of the ways to improve an undesirable sexual function.
The purpose of this study was to investigate the effect of CBT on the sexual function and sexual self-efficacy of pregnant women.
In this randomized clinical trial, 36 pregnant women referred to five healthcare centers in Ahvaz, Iran, from December 2016 to January 2017 were enrolled through stratified random sampling in two groups. The case group received counseling based on cognitive behavioral therapy for eight consecutive weeks and the control group received the routine training provided by healthcare staff. Two and four weeks after the end of sessions, both groups completed the Female Sexual Function Index and self-efficacy questionnaires again.
The mean of sexual function and self-efficacy scores in pregnant women in the case and control groups before the intervention did not show a significant difference (p = 0.56). The mean of sexual function and self-efficacy scores of pregnant women in the case and control groups was statistically significant two and four weeks, respectively, after the intervention (p 0.0001).
The results of this study showed that counseling based on CBT in comparison with the routine training during pregnancy improves the sexual performance and self-efficacy of pregnant women.
认知行为疗法（CBT）是改善不良性功能的方法之一。
本研究旨在探讨认知行为疗法对孕妇性功能和性自我效能的影响。
在这项随机临床试验中，2016年12月至2017年1月转诊至伊朗阿瓦士五个医疗保健中心的36名孕妇通过分层随机抽样被纳入两组。病例组连续八周接受基于认知行为疗法的咨询，对照组接受医护人员提供的常规培训。疗程结束后两周和四周，两组再次完成女性性功能指数和自我效能问卷。
干预前病例组和对照组孕妇的性功能和自我效能得分均值无显著差异（p = 0.56）。干预后两周和四周，病例组和对照组孕妇的性功能和自我效能得分均值分别具有统计学意义（p < 0.0001）。
本研究结果表明，与孕期常规培训相比，基于认知行为疗法的咨询可改善孕妇的性功能表现和自我效能。
