Investigating Effectiveness of Cognitive-Behavioral Couple Therapy on Sexual Desire and Entitlement in Women

Subject Areas : general Psychology

Somayeh Mohammadverdi ¹ , Shima Heydari ²

1 - Master's student in clinical psychology, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran, [e-mail]
2 - (Corresponding author): Master of General Psychology, Department of Psychology, Payam Noor University, Astana Ashrafieh Center, Iran, [e-mail], tell: 09185410219

Received: 2023-01-24 Accepted : 2023-03-12 Published : 2023-12-23

Keywords: couple therapy, cognitive behavioral couple therapy, sexual desire sexual entitlement,

Abstract :

Introduction: Marital relationships play an important role in the health and strength of the family. Cognitive behavioral couple therapy can be effective in improving marital satisfaction by modifying cognitive and behavioral patterns. This research was conducted with the aim of investigating the effectiveness of cognitive behavioral couple therapy on sexual desire and entitlement in women. Research method: This is a semi-experimental research of pre-test-post-test type with a control group and a 1-month follow-up. The statistical population of the research was all married women aged 19 to 42 who referred to Shahr Karaj counseling centers in the first 6 months of 1401. For sampling, 30 people from the community group who referred for marital problems were selected using the available method and were randomly assigned to experimental and control groups. The experimental group underwent 8 1-hour sessions of cognitive behavioral couple therapy, but the They did not receive an intervention control. Data collection was done using Halbert's Sexual Desire Questionnaire and Sexual Entitlement Questionnaire. The data were analyzed using the mixed variance analysis method. Findings: The results showed that there is a significant difference in terms of sexual desire and sexual entitlement in the studied groups in the post-test stage; So that cognitive-behavioral couple therapy has been able to significantly increase the scores of sexual desire and sexual entitlement in the experimental group (p<0.001). In addition, the effects of the treatment were more stable according to the follow-up period in all indicators of sexual desire and entitlement. Conclusion: Based on the results of this study, cognitive behavioral couple therapy can be effective in increasing sexual desire and sexual rights.

References:

Lyons M, Houghton E, Brewer G, O’Brien F. The Dark triad and sexual assertiveness predict sexual coercion differently in men and women. Journal of Interpers Violence 2020; 3:1–16. doi: 10.1177/0886260520922346. Epub 2020 May 21. PMID: 32438885;
Sierra JC, Arcos-Romero AI, Álvarez-Muelas A, Cervilla O. The Impact of intimate partner violence on sexual attitudes, sexual assertiveness, and sexual functioning in men and women. International Journal of Environmental Research and Public Health 2021; 18:594. doi: 10.3390/ijerph18020594. PMID: 33445643;
Moyano N, Granados R, Durán CA, Galarza C. Self-Esteem, attitudes toward love, and sexual assertiveness among pregnant adolescents. International Journal of Environmental Research and Public Health 2021; 18: 1270. doi: 10.3390/ijerph18031270. PMID: 33572645;
Martin SP. Young people’s sexual health literacy: seeking, understanding, and evaluating online sexual health information. PhD thesis, University of Glasgow 2017.
López-Alvarado S, Van Parys H, Cevallos- Neira A, Enzlin P. Latin American women´s beliefs,views and ideas about sexual assertiveness: a focus group study in cuenca (ecuador). Journal of Sex Research 2020; 57:307–21. doi: 10.1080/00224499.2019.1615031. Epub 2019 May 29. PMID: 31140883.
Sayyadi F, Golmakani N, Ebrahimi M, Saki A, Karimabadi A, Ghorbani F. Determination of the effect of sexual assertiveness training on sexual health in married women: A randomized clinical trial. Iranian Journal of Nursing and Midwifery Research 2019; 24:274–80. doi: 10.4103/ijnmr.IJNMR_51_17. PMID: 31333741;
Gilbert M, Ferlatte O, Michelow W, Martin S, Young I, Donelle L, et al. P02.05 Sexual health literacy – an emerging framework for research and intervention to improve sexual health for gay men. Sexually Transmitted Infections 2015; 91: 85. https://doi.org/10.1136/sextrans-2015-052270.226
Wong JYH, Zhang W, Wu Y, Hang Choi EP, Ming Lo HH, Wong W, et al. An interactive webbased sexual health literacy program for safe sex practice for female Chinese university students: Multicenter randomized controlled trial. Journal of Medical Internet Research 2021; 23: e22564. doi: 10.2196/22564. PMID: 33709941; PMCID: PMC7998327.
Azmoude E, Firoozi M, Sadeghi Sahebzad E, Asgharipour N, Sahebzad ES, MS, et al. Relationship between Gender Roles and Sexual Assertiveness in Married Women. International Journal Community Based Nurs Midwifery 2016; 4: 363–73.
Zarenezhad H, Hoseyni SM, Rahmati A. Relationships between sexual assertiveness and sexual dissatisfaction with couple burnout through the mediating role of marital conflict. Family Counseling and Psychotherapy 2019; 9: 1-14 D.o.i: 22034/FCP.2019.61300 [Persian].
Sayyadi F, Golmakani N, Ebrahimi M, Saki A. The Relationship between sexual assertiveness and positive feelings towards spouse in married women. Journal of Midwifery and Reproductive Health 2018; 6: 1314–9.
Sayyadi F, Golmakanin N. Investigating the relationship between sexual assertiveness and sexual quality of life in married women. Journal of Nursing and Midwifery Sciences 2020; 18:750-758 URL: http://unmf.umsu.ac.ir/article-1-3858-en.html [Persian].
Ashdown K, Hackathorn J, Clark M. In and out of the bedroom: sexual satisfaction in the marital relationship. Journal of Integrated Social Sciences 2011; 2:41–57.
Maasoumi R, Tavousi M, Zarei Z. Development and psychometric properties of sexual health literacy for adults (SHELA) questionnaire. Journal of Hayat 2019; 25:56-69 [Persian].
NasrollahiMola N, Bahrami N, Ranjbaran M, Alimoradi Z. Predictors of sexual assertiveness in a sample of Iranian married women of reproductive age. Sexual and Relationship Therapy 2020; 5:1–13. DOI:1080/14681994.2020.1740672
Rajmil L, Roizen M, Psy AU, Hidalgo-Rasmussen C, Fernández G, Dapueto JJ, et al. Health-related quality of life measurement in children and adolescents in Ibero-American countries, 2000 to 2010. Value Health. 2012; 15(2):312–22. doi: 10.1016/j.jval.2011.11.028 .
Wilson SJ, Andridge R, Peng J, Bailey BE, Malarkey WB, Kiecolt-Glaser JK. Thoughts after marital conflict and punch biopsy wounds: Age-graded pathways to healing. Psychoneuroendocrinology. 2017; 85:6–13. doi: 10.1016/j.psyneuen.2017.07.489.
Korporaal M, Broese van Groenou MI, van Tilburg TG. Health problems and marital satisfaction among older couples. J Aging Health. 2013; 25(8):1279–98. doi: 10.1177/0898264313501387.
Epstein NB, Zheng L. Cognitive-behavioral couple therapy. Current Opinion in Psychology. 2017;13:142–7. doi: 10.1016/j.copsyc.2016.09.004.
Hurlbert DF, Apt C. Motherhood and female sexuality beyond one year postpartum A study of military wives. Journal of Sex Education and Therapy.2001: 18; 104-114.
Yousefi N, Farsani K, Shakiba A, Hemmati S, Nabavi Hesar Halbert Index of Sexual Desire (HISD) Questionnaire Validation. Clinical Psychology and Personality, 2013; 11(2): 107-118. https://cpap.shahed.ac.ir/article_2696.html?lang=en
Cohn BR. An integrative approach to couple therapy: Altering the treatment modality to resolve an impasse. British Journal of Psychotherapy. 2007; 3 (3): 226-238. [ in Persian] https://fcp.uok.ac.ir/article_62342.html
Goldenberg I, Goldenberg H. (5th Ed), Family Therapy, Peacock Publishers; 2004.
Lue S, Klohnen E. Quality in newlyweds: A couple centered approach, Journal of Pres Social Psychology. 2005; 88: 304-326. doi: 10.1037/0022-3514.88.2.304. PMID: 15841861.