认知行为疗法和性健康教育对新婚女性性自信的影响。

The effect of cognitive-behavioral therapy and sexual health education on sexual assertiveness of newly married women.

机构信息

Student Research Committee, Midwifery Department, Tabriz University of Medical Sciences, Tabriz, Iran.

Midwifery Department, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

BMC Psychiatry. 2023 Mar 28;23(1):201. doi: 10.1186/s12888-023-04708-w.

DOI:10.1186/s12888-023-04708-w

PMID:36978034

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10045628/

Abstract

BACKGROUND

The present study aimed at investigating the effect of sexual health education and cognitive-behavioral therapy (CBT) on sexual assertiveness (primary outcome) and sexual satisfaction (secondary outcome) of newly married women.

METHOD

This RCT was conducted on 66 newly married women with cases in pre-marriage counseling centers in Tabriz, Iran. Participants were assigned into three groups using block randomization. Eight group sessions of CBT were held for one of the intervention groups (n = 22) and 5-7 sessions of sexual health education for other intervention group (n = 22). The control group (n = 22) received neither education nor counseling during the research. The data were collected using the demographic and obstetric characteristics, Hulbert sexual assertiveness index, and Larson sexual satisfaction questionnaires, and analyzed using ANOVA and ANCOVA tests.

RESULTS

The mean (standard deviation: SD) score of the sexual assertiveness and sexual satisfaction in the CBT group enhanced from 48.77 (13.94) and 73.13 (13.53) before the intervention to 69.37 (7.28) and 86.57 (7.5) after the intervention, respectively. The mean (SD) score of the sexual assertiveness and sexual satisfaction in the sexual health education group increased from 48.9(11.39) and 74.95 (8.30) before the intervention to 66. 94 (7.42) and 84.93 (6.34) after the intervention, respectively. The mean (SD) score of the sexual assertiveness and sexual satisfaction in the control group changed from 45.04 (15.87) and 69.04 (10.75) before the intervention to 42.74 (14.11) and 66.44 (10.11) after the intervention, respectively. Eight weeks after the intervention, the mean scores of sexual assertiveness and sexual satisfaction in two intervention groups were more than that in the control group (P < 0.001), However, there was no significant difference between the two intervention groups (P > 0.05).

CONCLUSION

The results of this research indicated that CBT and sexual health education are effective in improving women's sexual assertiveness and sexual satisfaction. Considering that sexual health education, does not require complex counseling skills compared to CBT, it can be used as a preferred intervention in promoting sexual assertiveness and satisfaction of newly married women.

TRIAL REGISTRATION

Iranian Registry of Clinical Trials: IRCT20170506033834N8. Date of registration: 11.09.2021. URL: http://en.irct.ir .

摘要

背景

本研究旨在探讨性健康教育和认知行为疗法（CBT）对新婚女性的性自信（主要结局）和性满意度（次要结局）的影响。

方法

这项 RCT 研究纳入了伊朗大不里士婚前咨询中心的 66 名新婚女性作为研究对象，采用区组随机分组方法将参与者分为三组。其中一组（n=22）接受 8 节 CBT 团体课程，另一组（n=22）接受 5-7 节性健康教育课程，对照组（n=22）在研究期间不接受任何教育或咨询。使用人口统计学和产科特征、Hulbert 性自信指数和 Larson 性满意度问卷收集数据，并采用方差分析和协方差分析进行分析。

结果

CBT 组的性自信和性满意度的平均（标准偏差：SD）评分分别从干预前的 48.77（13.94）和 73.13（13.53）提高到干预后的 69.37（7.28）和 86.57（7.5）。性健康教育组的性自信和性满意度的平均（SD）评分分别从干预前的 48.9（11.39）和 74.95（8.30）提高到干预后的 66.94（7.42）和 84.93（6.34）。对照组的性自信和性满意度的平均（SD）评分分别从干预前的 45.04（15.87）和 69.04（10.75）提高到干预后的 42.74（14.11）和 66.44（10.11）。干预 8 周后，两组干预组的性自信和性满意度的平均评分均高于对照组（P<0.001），但两组干预组之间无显著差异（P>0.05）。