探究在线叙事疗法对不孕女性生殖器自我形象和性满意度的影响：一项随机对照试验。

Investigating the effect of online narrative therapy on the genital self-image and sexual satisfaction of infertile women: a randomized controlled trial.

作者信息

Shahriari Fatemeh, Firoozi Armin, Azizi Marzieh, Moslemyzadeh Narges, Nataj Abolfazl Hossein, Khani Soghra

机构信息

Counseling in Midwifery, Nasibeh Nursing and Midwifery School, Mazandaran University of Medical Sciences, Sari, Iran.

Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.

出版信息

BMC Psychol. 2025 Jun 5;13(1):615. doi: 10.1186/s40359-025-02927-2.

DOI:10.1186/s40359-025-02927-2

PMID:40474302

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12142880/

Abstract

BACKGROUND

One of the problems of infertility is damage to the genital self-image, which is one of the essential components of sexual health and is associated with sexual satisfaction and all dimensions of sexual function. Recently, narrative therapy has been used to treat a wide range of sexual disorders and marital incompatibility. The present study aimed to determine the effect of online narrative therapy on the genital self-image and sexual satisfaction of infertile women.

METHODS

This randomized controlled trial was conducted with 64 women with infertility, who were selected through the convenience sampling method from gynaecologists with infertility fellowship and family physician clinics. Genital self-image score and sexual satisfaction of the participants were evaluated using the Female Genital Self-Image Scale (FGSIS) and the Hudson sexual satisfaction questionnaire, respectively. The participants were randomly assigned to two narrative therapy and control groups of 32 women using the RANDBETWEEN software. The intervention group received five sessions of weekly 90-minute online narrative therapy sessions using the WhatsApp platform, and the control group received routine care. The data of the two groups, before the intervention, immediately after, and 45 days after the completion of the intervention, were collected and assessed. SPSS version 22 software and statistical tests such as Mann-Whitney U, Friedman, Bonferroni test, and repeated measures ANOVA were used for data analysis.

RESULTS

The Mann-Whitney U test showed that the mean score of the genital self-image in infertile women in the intervention and control groups showed no significant differences before the intervention (p = 0.312). The study results immediately and 45 days after the intervention demonstrated significant differences regarding the mean score of genital self-image compared to the control group (p < 0.001). In addition, according to the Bonferroni test, the mean sexual satisfaction score immediately and 45 days after the intervention had a significant difference from before the intervention (p < 0.001).

CONCLUSIONS

Online narrative therapy can be a suitable approach to improving genital self-image score and sexual satisfaction in infertile women.

TRIAL REGISTRATION

The protocol of this research was registered in the Iranian Registry of Clinical Trials (IRCT20161126031117N11) on 15/11/2021.

摘要

背景

不孕症的问题之一是生殖器官自我形象受损，而这是性健康的重要组成部分之一，与性满意度及性功能的各个方面相关。最近，叙事疗法已被用于治疗多种性障碍和婚姻不和谐问题。本研究旨在确定在线叙事疗法对不孕女性生殖器官自我形象和性满意度的影响。

方法

本随机对照试验对64名不孕女性进行，这些女性通过便利抽样法从有不孕症专科 fellowship 的妇科医生和家庭医生诊所中选取。分别使用女性生殖器官自我形象量表（FGSIS）和哈德逊性满意度问卷对参与者的生殖器官自我形象得分和性满意度进行评估。使用RANDBETWEEN软件将参与者随机分为两个组，叙事疗法组和对照组，每组32名女性。干预组使用WhatsApp平台接受为期五周、每周90分钟的在线叙事疗法课程，对照组接受常规护理。收集并评估两组在干预前、干预结束后即刻以及干预结束45天后的数据。使用SPSS 22版软件以及诸如曼-惠特尼U检验、弗里德曼检验、邦费罗尼检验和重复测量方差分析等统计检验进行数据分析。

结果

曼-惠特尼U检验显示，干预组和对照组不孕女性在干预前生殖器官自我形象的平均得分无显著差异（p = 0.312）。干预后即刻及45天的研究结果表明，与对照组相比，生殖器官自我形象的平均得分存在显著差异（p < 0.001）。此外，根据邦费罗尼检验，干预后即刻及45天性满意度的平均得分与干预前有显著差异（p < 0.001）。