Banaha Sara, Pasha Hajar, Bakhtiari Afsaneh, Omidvar Shabnam, Behmanesh Fereshteh, Faramarzi Mahbobeh, Esmailzadeh Sedigheh
Student Research Committee, Babol University of Medical Sciences, Babol, Iran.
Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Iran J Psychiatry. 2023 Jul;18(3):275-284. doi: 10.18502/ijps.v18i3.13004.
Infertility can be associated with unfavorable psychological consequences such as a sense of marital incompatibility and sexual inadequacy. To address these issues, this study aimed to assess the effectiveness of group psycho-sexual training in improving marital adjustment and sexual self-efficacy of infertile women. A randomized controlled clinical trial (RCT) study was conducted in Babol, Iran, with 72 infertile women, randomly assigned to either the intervention group (n = 36) or the control group (n = 36). The intervention group underwent psychosexual training, while the control group received routine care. The Dyadic Adjustment Scale (DAS) and Sexual Self-Efficacy Scale (SSES) were used to assess their marital adjustment and sexual self-efficacy. Data analysis was performed using various tests, including the independent t-test, Chi-squared test, paired t-test, ANCOVA, and MANCOVA. Most infertile women had moderate sexual self-efficacy (80%). The intervention group had a significantly better response to group psycho-sexual training compared to the control group. This intervention improved sexual self-efficacy and marital adjustment and its subscales including marital consensus, satisfaction, cohesion (P < 0.0001), and affectional expression (P < 0.001). The mean pre-to-post treatment scores of sexual self- efficacy, marital adjustment, and its subscales increased significantly in the intervention group, while no significant difference was observed in the control group (P < 0.0001). Based on the findings, it is recommended to provide educational services alongside the infertility treatment process for enhancing the quality of marital adjustment and promoting sexual self-efficacy.
不孕症可能会带来一些不良的心理后果，比如婚姻不和谐感和性能力不足感。为了解决这些问题，本研究旨在评估团体心理性训练对改善不孕女性婚姻调适和性自我效能的有效性。在伊朗巴博勒进行了一项随机对照临床试验（RCT）研究，72名不孕女性被随机分为干预组（n = 36）和对照组（n = 36）。干预组接受心理性训练，而对照组接受常规护理。采用二元调适量表（DAS）和性自我效能量表（SSES）评估她们的婚姻调适和性自我效能。使用包括独立t检验、卡方检验、配对t检验、协方差分析（ANCOVA）和多变量协方差分析（MANCOVA）等各种测试进行数据分析。大多数不孕女性的性自我效能处于中等水平（80%）。与对照组相比，干预组对团体心理性训练的反应明显更好。这种干预改善了性自我效能和婚姻调适及其子量表，包括婚姻共识、满意度、凝聚力（P < 0.0001）和情感表达（P < 0.001）。干预组性自我效能、婚姻调适及其子量表的治疗前至治疗后的平均得分显著增加，而对照组未观察到显著差异（P < 0.0001）。基于这些发现，建议在不孕症治疗过程中提供教育服务，以提高婚姻调适质量并促进性自我效能。
