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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Main Authors: Sara Banaha, Hajar Pasha, Afsaneh Bakhtiari, Shabnam Omidvar, Fereshteh Behmanesh, Mahbobeh Faramarzi, Sedigheh Esmailzadeh
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2023-06-01
Series:Iranian Journal of Psychiatry
Subjects:
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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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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