Midwifery Department, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Reproductive Health Promotion Research Center, Midwifery Department, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Int Urogynecol J. 2023 Aug;34(8):1753-1763. doi: 10.1007/s00192-023-05460-1. Epub 2023 Jan 30.
Patients with urinary incontinence may fear sexual activity due to the unpredictability of urine leakage during intercourse. Given the effective role of cognitive-behavioral therapy in correcting negative thoughts and attitudes, this study was aimed to investigate the effect of cognitive-behavioral therapy on sexual self-esteem and sexual function of reproductive-aged women suffering from urinary incontinence.
This study was a randomized controlled clinical trial conducted on 84 reproductive-aged women (18 to 45 years old) with urinary incontinence who referred to Health Centers of Dezful, Iran. After random allocation, the participants were divided into two groups of intervention and control (n = 42). The intervention group attended eight 45-min sessions of cognitive-behavioral therapy, while the control group received only routine interventions. The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), the Scale of Self-Esteem Index for Women-Short-form (SSEL-W-SF), and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12) were completed before, immediately after, and 4 weeks after the end of the intervention by patients in both groups.
The overall scores of sexual self-esteem and sexual function immediately and 4 weeks after the end of the intervention showed a statistically significant difference in the intervention group compared to the control group (p < 0.001). Also, the results showed that in women with urinary incontinence, an increase in the sexual self-esteem score is associated with an increase in the sexual function score (r = 0.9), p < 0.001).
Cognitive-behavioral therapy was found to increase sexual self-esteem and improve sexual function in reproductive-aged women suffering from urinary incontinence.
患有尿失禁的患者可能会因为在性行为过程中尿液不可预测地泄漏而害怕进行性行为。鉴于认知行为疗法在纠正负面想法和态度方面的有效作用，本研究旨在探讨认知行为疗法对患有尿失禁的育龄期妇女的性自尊和性功能的影响。
这是一项随机对照临床试验，共纳入 84 名（18-45 岁）患有尿失禁的育龄期妇女，这些妇女均来自伊朗德黑兰的健康中心。随机分配后，参与者被分为干预组和对照组（n=42）。干预组参加了 8 次 45 分钟的认知行为疗法，而对照组仅接受常规干预。在干预前、干预结束时以及干预结束后 4 周，两组患者均完成了国际尿失禁咨询问卷-短表（ICIQ-SF）、女性自尊量表-短表（SSEL-W-SF）和盆腔器官脱垂/尿失禁性功能问卷（PISQ-12）。
干预组患者的性自尊和性功能总分在干预结束时和干预结束后 4 周时均显示出与对照组相比具有统计学显著差异（p<0.001）。此外，结果表明，在患有尿失禁的女性中，性自尊评分的增加与性功能评分的增加相关（r=0.9，p<0.001）。
认知行为疗法可提高育龄期尿失禁妇女的性自尊并改善其性功能。
