Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled Trial
Objective: 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 sel...
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Format: | Article |
Language: | English |
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Tehran University of Medical Sciences
2023-06-01
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Series: | Iranian Journal of Psychiatry |
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Online Access: | https://ijps.tums.ac.ir/index.php/ijps/article/view/3239 |
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author | Sara Banaha Hajar Pasha Afsaneh Bakhtiari Shabnam Omidvar Fereshteh Behmanesh Mahbobeh Faramarzi Sedigheh Esmailzadeh |
author_facet | Sara Banaha Hajar Pasha Afsaneh Bakhtiari Shabnam Omidvar Fereshteh Behmanesh Mahbobeh Faramarzi Sedigheh Esmailzadeh |
author_sort | Sara Banaha |
collection | DOAJ |
description |
Objective: 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.
Method: 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.
Results: 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).
Conclusion: 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.
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first_indexed | 2024-03-12T14:42:09Z |
format | Article |
id | doaj.art-87d191785c1c4bf2a76d3ae960cb3098 |
institution | Directory Open Access Journal |
issn | 1735-4587 2008-2215 |
language | English |
last_indexed | 2024-03-12T14:42:09Z |
publishDate | 2023-06-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Iranian Journal of Psychiatry |
spelling | doaj.art-87d191785c1c4bf2a76d3ae960cb30982023-08-16T06:07:48ZengTehran University of Medical SciencesIranian Journal of Psychiatry1735-45872008-22152023-06-0118310.18502/ijps.v18i3.13004Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled TrialSara Banaha0Hajar Pasha1Afsaneh Bakhtiari2Shabnam Omidvar3Fereshteh Behmanesh4Mahbobeh Faramarzi5Sedigheh Esmailzadeh6Student 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 AND Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.Motion Disorder Research Center, Babol University of Medical Sciences, Babol, Iran.Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IranSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. Objective: 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. Method: 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. Results: 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). Conclusion: 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. https://ijps.tums.ac.ir/index.php/ijps/article/view/3239AdjustmentInfertilityMarital RelationshipSexual HealthSelf EfficacySex Education |
spellingShingle | Sara Banaha Hajar Pasha Afsaneh Bakhtiari Shabnam Omidvar Fereshteh Behmanesh Mahbobeh Faramarzi Sedigheh Esmailzadeh Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled Trial Iranian Journal of Psychiatry Adjustment Infertility Marital Relationship Sexual Health Self Efficacy Sex Education |
title | Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled Trial |
title_full | Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled Trial |
title_fullStr | Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled Trial |
title_full_unstemmed | Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled Trial |
title_short | Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled Trial |
title_sort | effectiveness of group psychosexual training for marital adjustment and sexual self efficacy of infertile women a randomized controlled trial |
topic | Adjustment Infertility Marital Relationship Sexual Health Self Efficacy Sex Education |
url | https://ijps.tums.ac.ir/index.php/ijps/article/view/3239 |
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