Ethics code: IR.SHAHED.REC.1401.034
1- Shahed University, Tehran, Iran.
2- Tarbiat Modarres University, Tehran, Iran.
2- Tarbiat Modarres University, Tehran, Iran.
Abstract: (422 Views)
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Background & Objective: Genito-Pelvic Pain/Penetration Disorder leads to a decrease in psychological and physical performance and has an adverse effect on sexual self-esteem, self-efficacy, which impairs the ability of women with vaginismus and their spouses to achieve sexual satisfaction. Commonly, in the cognitive-behavioral treatments used for the treatment of vaginismus disorder, women are the target of treatment, while when, in addition to women, their spouses are also the target of cognitive-behavioral therapy, sexual performance and satisfaction increases. Due to the lack of such a treatment approach in the country, in addition to the woman suffering from vaginismus, his husband should also be treated and evaluated, that there is a fundamental gap in this area, and also considering the prevalence of sexual dysfunction, especially vaginismus, in Iranian women and on the other hand, since sexual satisfaction plays a major role in marital satisfaction and the quality of life of couples, the purpose of the present study was to determine the preliminary efficacy of the couple's cognitive behavioral therapy program in reducing pain and fear, increasing sexual function and satisfaction of woman with vaginismus and his spouse.
Methods: A single-case research design was implemented on a couple using purposive sampling. During this research, the sample studied three times before, during and after the intervention using diagnostic questionnaires for vaginismus (Reisy, 2014)(α=0/91, r =0/81), women's sexual performance scale (Rosen, 2000)(α=0/78, r =0/95), men's sexual health (Rosen, 2004) (α=0/84, r =0/90), sexual satisfaction (Golombok-Rust, 1986)(α=0/84, r =0/73), marital adjustment (Spanier, 1976)(α=0/96), disease symptoms (Derogatis, 1973)(α=0/70), personality disorder (Krueger, 2012)(α=0/74), women's sexual self-esteem (Zeanah and Schwarz, 1966)(α=0/88) and sexual self-efficacy (Schwarz, 1996)(α=0/86, r =0/77)were evaluated. Also, the effectiveness of the couple's cognitive-behavioral package for the treatment of vaginismus was investigated in the validation process, in addition to evaluating the experts' opinion, by implementing it on an Iranian couple. In the content validity process, it was scored by 12 experts, therapists, and patients. The CVI rate was in the range of (0.85-1) and the CVR rate was in the range of (0.71-1). After attending the assessment session, the participant couple attended six therapy sessions once a week. Assessments were conducted after the baseline phase, once at the end of the fourth session and once again after the completion of treatment. The results were analyzed using descriptive indices, dispersion and stability interval of 20% of the mean. Demographic data and other variables of this study were analyzed by descriptive statistics based on SPSS26 program, inter-situational analysis and its trend based on graphic diagram analysis.
Results: The analysis method of this research was inter-situational analysis based on which the trends of the research variables were investigated. The scores of female client in post-baseline evaluations and especially the third evaluation showed an increase except for fear and pain, and the trend about pain and fear decreased and sexual function, sexual self-esteem, sexual self-efficacy, sexual satisfaction and Marital satisfaction was on the rise. The variables for this female case had a rate of improvement of 16% at the lowest level in the case of male client, the upward trend of sexual satisfaction and marital satisfaction showed the efficiency of the intervention. In this male case, an increase of at least 15% was achieved among the variables under investigation.
Conclusion: Based on the findings obtained from the present single case study, it was found that, among other treatment approaches available for the treatment of vaginismus disorder, the couple's cognitive behavioral therapy program is effective in reducing pain and fear, increasing the performance and sexual satisfaction of the woman with vaginismus and his spouse.
Background & Objective: Genito-Pelvic Pain/Penetration Disorder leads to a decrease in psychological and physical performance and has an adverse effect on sexual self-esteem, self-efficacy, which impairs the ability of women with vaginismus and their spouses to achieve sexual satisfaction. Commonly, in the cognitive-behavioral treatments used for the treatment of vaginismus disorder, women are the target of treatment, while when, in addition to women, their spouses are also the target of cognitive-behavioral therapy, sexual performance and satisfaction increases. Due to the lack of such a treatment approach in the country, in addition to the woman suffering from vaginismus, his husband should also be treated and evaluated, that there is a fundamental gap in this area, and also considering the prevalence of sexual dysfunction, especially vaginismus, in Iranian women and on the other hand, since sexual satisfaction plays a major role in marital satisfaction and the quality of life of couples, the purpose of the present study was to determine the preliminary efficacy of the couple's cognitive behavioral therapy program in reducing pain and fear, increasing sexual function and satisfaction of woman with vaginismus and his spouse.Methods: A single-case research design was implemented on a couple using purposive sampling. During this research, the sample studied three times before, during and after the intervention using diagnostic questionnaires for vaginismus (Reisy, 2014)(α=0/91, r =0/81), women's sexual performance scale (Rosen, 2000)(α=0/78, r =0/95), men's sexual health (Rosen, 2004) (α=0/84, r =0/90), sexual satisfaction (Golombok-Rust, 1986)(α=0/84, r =0/73), marital adjustment (Spanier, 1976)(α=0/96), disease symptoms (Derogatis, 1973)(α=0/70), personality disorder (Krueger, 2012)(α=0/74), women's sexual self-esteem (Zeanah and Schwarz, 1966)(α=0/88) and sexual self-efficacy (Schwarz, 1996)(α=0/86, r =0/77)were evaluated. Also, the effectiveness of the couple's cognitive-behavioral package for the treatment of vaginismus was investigated in the validation process, in addition to evaluating the experts' opinion, by implementing it on an Iranian couple. In the content validity process, it was scored by 12 experts, therapists, and patients. The CVI rate was in the range of (0.85-1) and the CVR rate was in the range of (0.71-1). After attending the assessment session, the participant couple attended six therapy sessions once a week. Assessments were conducted after the baseline phase, once at the end of the fourth session and once again after the completion of treatment. The results were analyzed using descriptive indices, dispersion and stability interval of 20% of the mean. Demographic data and other variables of this study were analyzed by descriptive statistics based on SPSS26 program, inter-situational analysis and its trend based on graphic diagram analysis.
Results: The analysis method of this research was inter-situational analysis based on which the trends of the research variables were investigated. The scores of female client in post-baseline evaluations and especially the third evaluation showed an increase except for fear and pain, and the trend about pain and fear decreased and sexual function, sexual self-esteem, sexual self-efficacy, sexual satisfaction and Marital satisfaction was on the rise. The variables for this female case had a rate of improvement of 16% at the lowest level in the case of male client, the upward trend of sexual satisfaction and marital satisfaction showed the efficiency of the intervention. In this male case, an increase of at least 15% was achieved among the variables under investigation.
Conclusion: Based on the findings obtained from the present single case study, it was found that, among other treatment approaches available for the treatment of vaginismus disorder, the couple's cognitive behavioral therapy program is effective in reducing pain and fear, increasing the performance and sexual satisfaction of the woman with vaginismus and his spouse.
Keywords: vaginismus, Sexual self-efficacy, sexual satisfaction, Cognitive-Behavioral Couples Therapy
Type of Study: Original Research Article |
Subject:
Psychology
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