مقایسه اثربخشی درمان پذیرش و تعهد و شناختی- رفتاری بر اختلال میل/ برانگیختگی، صمیمیت جنسی و خودپنداره جنسی زنان
محورهای موضوعی : روانشناسیمریم محققیان 1 , محمد باقر کجباف 2 , علیرضا ماردپور 3
1 - دانشجوی دکتری گروه روانشناسی، واحد یاسوج، دانشگاه آزاد اسلامی، یاسوج، ایران.
2 - استاد گروه روانشناسی، دانشکده روان شناسی و علوم تربیتی، دانشگاه اصفهان، اصفهان، ایران.
3 - استادیار گروه روانشناسی، واحد یاسوج، دانشگاه آزاد اسلامی، یاسوج، ایران.
کلید واژه: درمان پذیرش و تعهد, درمان شناختی- رفتاری, اختلال میل/ برانگیختگی جنسی زنان, صمیمیت جنسی, خودپنداره جنسی.,
چکیده مقاله :
هدف پژوهش مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و درمان شناختی- رفتاری بر اختلال میل/ برانگیختگی جنسی، صمیمیت جنسی و خودپنداره جنسی زنان متاهل مراجعه کننده به مراکز مشاوره شهر اصفهان بود. طرح پژوهش نیمه‌تجربی با پیش‌آزمون، پس‌آزمون، پیگیری وگروه کنترل بود. جامعه آماری شامل زنان متاهل دارای مشکلات میل برانگیختگی جنسی پاسخ‌گو به فراخوان مراکز مشاوره در سال 1398 بودند. نمونه‌ها (45 نفر) با انجام مصاحبه بالینی طبق معیارهای نسخه پنجم راهنمای تشخیصی آماری اختلالات روانی و نمره پرسش‌نامه عملکرد جنسی زنان انتخاب و به‌صورت تصادفی در دو گروه آزمایش و گروه کنترل قرار گرفنتد. گروه‌های آزمایش 8 جلسه 90 دقیقه‌ای مداخله هفتگی دریافت کردند. ابزارهای اندازه‌گیری پرسش‌نامه سنجش عملکرد جنسی زنان روزن، صمیمیت جنسی بطلانی و خودپنداره جنسی اسنل فرم کوتاه بود. تجزیه و تحلیل داده‌ها با آزمون تحلیل کوواریانس با اندازه‌گیری‌های مکرر انجام شد. نتایج نشان داد هر دو رویکرد درمانی تاثیر معناداری بر هر سه متغیر داشته است(05/0> p). این تغییرات در مرحله پیگیری نیز پایدار ماند. بین اثربخشی دو رویکرد درمانی تفاوت معناداری وجود نداشت. به این ترتیب هر دو مداخله‌ی درمانی می تواند در جهت بهبود اختلال میل/ برانگیختگی جنسی و افزایش صمیمیت جنسی و ایجاد خودپنداره جنسی مورد استفاده قرار گیرد.
The purpose of this study was to compare the effectiveness of acceptance and commitment therapy and cognitive behavior therapy on female sexual interest/arousal disorder, sexual intimacy and sexual self- concept of married women referring to counseling centers in Isfahan city. This was a quasi-experimental design with pretest, posttest, three months follow up and control group. The population included married women with sexual interest arousal problems who responded to calls from counseling centers. 45 Samples were selected with Diagnostic and Statistical Manual of Mental Disorders-fifth edition criteria and female sexual function questionnaire scores. Subjects were randomly assigned in two experimental groups and control group. The experimental groups received 8 sessions 90 minutes weekly intervention. The instruments used in this study included Rosen Female Sexual Function Questionnaire, Botlani Sexual Intimacy Questionnaire and Snell Sexual Self- Concept Questionnaire. Data analysis was performed by analysis of covariance with repeated measures. The results showed that both treatment approaches had a significant effect on all three variables. (P>0.05). And there was no significant difference between the two treatment approaches. Thus, both therapeutic interventions can be used to improve sexual desire / arousal disorders and increase sexual intimacy and sexual self-concept.
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