Sadeghian Bahareh, Abedi Parvin, Hamid Najmeh, Maraghi Elham, Molavi Shahla
Midwifery Department, Reproductive Health Promotion Research Center Ahvaz Jundishapur University of Medical Sciences Ahvaz Iran.
Midwifery Department, Menopause Andropause Research Center Ahvaz Jundishapur University of Medical Sciences Ahvaz Iran.
Health Sci Rep. 2024 Mar 11;7(3):e1956. doi: 10.1002/hsr2.1956. eCollection 2024 Mar.
Sexual self-efficacy refers to a woman's belief that she can be sexually active and attractive for her sexual partner and has acceptable sexual function. One of the issues that may negatively affect sexual self-efficacy is HIV infection. The present study aimed to evaluate the effect of 8 weeks of counseling based on mindfulness on sexual self-efficacy of women affected with HIV.
This was a randomized controlled trial involving 62 HIV-positive women in their reproductive age. Women in the intervention group were further divided into four groups. Each group received eight sessions of counseling based on mindfulness, while the control group received no intervention. A demographic questionnaire and sexual self-efficacy questionnaire were used to collect the data. The independent test, , and repeated measure tests were used to analyze the data.
The mean change of total score of sexual self-efficacy in Week 8 compared with before intervention was 37.04 (95% CI: 31.38-42.70, < 0001) and in Week 12 compared with before intervention was 36.97 (95% CI: 31.59-42.34, < 0.0001), while in the control group, it almost remained unchanged. The score of readiness for sexual relationship, sexual self-stimulation, intimacy without sexual intercourse, and orgasm improved significantly 8 and 12 weeks after intervention ( < 0.0001), whereas no significant differences were observed in these dimensions in the control group.
The results of this study showed that 8 weeks of counseling based on mindfulness could significantly improve all dimensions of sexual self-efficacy and its total score in women affected with HIV. Thus, this method of counseling is recommended for HIV-positive women.
性自我效能是指女性相信自己在性生活中能够表现得积极主动、对性伴侣具有吸引力且性功能正常。可能对性自我效能产生负面影响的问题之一是感染艾滋病毒。本研究旨在评估基于正念的8周咨询对感染艾滋病毒女性性自我效能的影响。
这是一项随机对照试验，纳入了62名处于生育年龄的艾滋病毒阳性女性。干预组的女性进一步分为四组。每组接受八次基于正念的咨询，而对照组不接受任何干预。使用人口统计学问卷和性自我效能问卷收集数据。采用独立样本t检验、方差分析和重复测量检验对数据进行分析。
与干预前相比，第8周性自我效能总分的平均变化为37.04（95%置信区间：31.38 - 42.70，P < 0.0001），第12周与干预前相比为36.97（95%置信区间：31.59 - 42.34，P < 0.0001），而对照组几乎没有变化。干预8周和12周后，性关系准备度、性自我刺激、无性接触的亲密感和性高潮得分显著提高（P < 0.0001），而对照组在这些维度上未观察到显著差异。
本研究结果表明，基于正念的8周咨询可显著改善感染艾滋病毒女性性自我效能的所有维度及其总分。因此，建议对艾滋病毒阳性女性采用这种咨询方法。
