The Effect of Mindfulness and Pilates on Female Sexual Function
محورهای موضوعی : Exercise Physiology and Performance
Farzaneh Salahshor Dashtmal
1
(ms in sport psychology, Departmentof Physical Education and Sports Sciences, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran)
Rokhsareh Badami
2
(Associate Professor of Motor Behavior, Department of Physical Education and Sport Science, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran, P.O. box: 158/81595)
کلید واژه: Exercise, Female, sexual dysfunction, cognitive- behavioral,
چکیده مقاله :
Background: sexual dysfunction is common amongst women and is considered one of the important causes of divorce. The current research aims to investigate the effect of mindfulness and Pilates exercises on the amount of female sexual function. The current research is a semi-experimental study with a pretest-posttest design.Methods: The current research participants consisted of 44 married women (mean age = 35.8 ± 5.1 years) with sexual dysfunction. They were selected as samples using the convenience sampling method. They were matched and divided into four groups: mindfulness, Pilates, combined exercises (mindfulness-Pilates), and control groups. Mindfulness and combined groups participated in mindfulness interventions for eight sessions (8 weeks, 1 session per week) and Pilates and combined groups performed Pilates exercises for 24 sessions (8 weeks, 3 sessions per week). During this period, the participants assigned to the no-intervention control group did their daily activities. Before and after intervention, data were collected using the Female Sexual Function Index questionnaire.Results: Results from covariance analysis showed all three types of interventions have led to sexual function increase. However, combined exercises were more effective than the other two interventions.Conclusion: Our findings suggest that Pilates and mindfulness exercises may improve sexual function in women with sexual dysfunction.
Background: sexual dysfunction is common amongst women and is considered one of the important causes of divorce. The current research aims to investigate the effect of mindfulness and Pilates exercises on the amount of female sexual function. The current research is a semi-experimental study with a pretest-posttest design.Methods: The current research participants consisted of 44 married women (mean age = 35.8 ± 5.1 years) with sexual dysfunction. They were selected as samples using the convenience sampling method. They were matched and divided into four groups: mindfulness, Pilates, combined exercises (mindfulness-Pilates), and control groups. Mindfulness and combined groups participated in mindfulness interventions for eight sessions (8 weeks, 1 session per week) and Pilates and combined groups performed Pilates exercises for 24 sessions (8 weeks, 3 sessions per week). During this period, the participants assigned to the no-intervention control group did their daily activities. Before and after intervention, data were collected using the Female Sexual Function Index questionnaire.Results: Results from covariance analysis showed all three types of interventions have led to sexual function increase. However, combined exercises were more effective than the other two interventions.Conclusion: Our findings suggest that Pilates and mindfulness exercises may improve sexual function in women with sexual dysfunction.
Rosen,R.C. Brown, J. Heiman, S. Leiblum, C. Meston, R. Shabsigh, D. Ferguson, R. D'Agostino R. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex &Marital Therapy. 2000 Apr 1;26(2):191-208.
Rosen RC, Taylor JF, Leiblum SR, Bachmann GA. Prevalence of sexual dysfunction in women: results of a survey study of 329 women in an outpatient gynecological clinic. Journal of Sex & Marital Therapy. 1993 Sep 1;19(3):171-88.
Spector IP, Carey MP. Incidence and prevalence of the sexual dysfunctions: a critical review of the empirical literature. Archives of Sexual Behavior. 1990 Aug 1;19(4):389-408.
Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. Jama. 1999 Feb 10;281(6):537-44.
Kontula O, Haavio-Mannila E. Sexual pleasures: Enhancement of sex life in Finland, 1971-1992. Dartmouth Pub Co; 1995.
Fugl-Meyer KS. Sexual disabilities and sexual problems. In: Lewin B et al (eds) Sex in Sweden. The National Institute of Public Health: Stockholm, 2000, pp 199 – 215.
Smith AMA, Lyons A, Ferris JA, Richters J, Pitts MK, Shelley JM, Simpson JM, Heywood W, Patrick K. Incidence and persistence/recurrence of women's sexual difficulties: Findings from the Australian Longitudinal Study of Health and Relationships. Journal of sex & marital therapy. 2012 Jul 1;38(4):378-93.
Sidi H, Puteh SE, Abdullah N, Midin M. EPIDEMIOLOGY: The Prevalence of Sexual Dysfunction and Potential Risk Factors That May Impair Sexual Function in Malaysian Women. The journal of sexual medicine. 2007 Mar 1;4(2):311-21.
Jaafarpour M, Khani A, Khajavikhan J, Suhrabi Z. Female sexual dysfunction: prevalence and risk factors. Journal of clinical and diagnostic research: JCDR. 2013 Dec;7(12):2877.
Aslan E, Fynes M. Female sexual dysfunction. International Urogynecology Journal. 2008 Feb 1;19(2):293-305.
Kadri N, Alami KM, Tahiri SM. Sexual dysfunction in women: population based epidemiological study. Archives of women's mental health. 2002 Oct 1;5(2):59-63.
Organization of Civil Registration and Vital Statistics System in Iran, April, 2018.
Foroutan S K, jadid milani M. The Prevalence of Sexual Dysfunction among Divorce Requested. Daneshvar Medicine. 2009; 16 (78) :39-44.
Salonia A, Munarriz RM, Naspro R, Nappi RE, Briganti A, Chionna R, Federghini F, Mirone V, Rigatti P, Goldstein I, Montorsi F. Women's sexual dysfunction: a pathophysiological review. BJU international. 2004 May 1;93(8):1156-64.
Heinemann J, Atallah S, Rosenbaum T. The Impact of Culture and Ethnicity on Sexuality and Sexual Function. Current Sexual Health Reports. 2016 Sep 1;8(3):144-50.
Safarinejad MR. Female sexual dysfunction in a population-based study in Iran: prevalence and associated risk factors. International journal of impotence research. 2006 Jul;18(4):382. Goldstat R,
Briganti E, Tran J, Wolfe R, Davis SR. Transdermal testosterone therapy improves well-being, mood, and sexual function in premenopausal women. Menopause. 2003 Sep 1;10(5):390-8.
Lara LA, Ramos FK, Kogure GS, Costa RS, Silva de Sá MF, Ferriani RA, Reis RM. Impact of physical resistance training on the sexual function of women with polycystic ovary syndrome. The journal of sexual medicine. 2015 Jul 1;12(7):1584-90.
Armbruster S, Song J, Lu KH, Basen-Engquist KM. Sexual function and sexual interest in endometrial cancer survivors: Does a physical activity intervention help?. Gynecologic Oncology. 2016 Jun 1;141:24.
Liebergall‐Wischnitzer M, Paltiel O, Hochner Celnikier D, Lavy Y, Manor O, Woloski Wruble AC. Sexual function and quality of life of women with stress urinary incontinence: a randomized controlled trial comparing the Paula method (circular muscle exercises) to pelvic floor muscle training (PFMT) exercises. The journal of sexual medicine. 2012 Jun 1;9(6):1613-23.
Lorenz TA, Meston CM. Acute exercise improves physical sexual arousal in women taking antidepressants. Annals of Behavioral Medicine. 2012 Mar 9;43(3):352-61.
Meston CM, Hull E, Levin RJ, Sipski M. Disorders of orgasm in women. The Journal of Sexual Medicine. 2004 Jul 1;1(1):66-8.
ter Kuile MM, van Lankveld JJ, de Groot E, Melles R, Neffs J, Zandbergen M. Cognitive-behavioral therapy for women with lifelong vaginismus: Process and prognostic factors. Behaviour Research and Therapy. 2007 Feb 1;45(2):359-73.
Kingsberg SA, Althof S, Simon JA, Bradford A, Bitzer J, Carvalho J, Flynn KE, Nappi RE, Reese JB, Rezaee RL, Schover L. Female Sexual Dysfunction—Medical and Psychological Treatments, Committee 14. The journal of sexual medicine. 2017 Dec 1;14(12):1463-91.
Adam F, Géonet M, Day J, De Sutter P. Mindfulness skills are associated with female orgasm?. Sexual and Relationship Therapy. 2015 Apr 3;30(2):256-67.
Stephenson KR. Mindfulness-based therapies for sexual dysfunction: A review of potential theory-based mechanisms of change. Mindfulness. 2017 Jun 1;8(3):527-43.
Nazarpour S, Simbar M, Ramezani Tehrani F, Alavi Majd H. Exercise and sexual dysfunction among postmenopausal women in Iran. Journal of School of Public Health and Institute of Public Health Research. 2015 Jun 15;13(1):17-32.
Sanal E, Ardic F, Kirac S. Effects of aerobic or combined aerobic resistance exercise on body composition in overweight and obese adults: gender differences. A randomized intervention study. Eur J Phys Rehabil Med. 2013 Feb 1;49(1):1-1.
Wells C, Kolt GS, Bialocerkowski A. Defining Pilates exercise: a systematic review. Complementary therapies in medicine. 2012 Aug 1;20(4):253-62.
Latey P. The Pilates method: history and philosophy. Journal of bodywork and movement therapies. 2001 Oct 1;5(4):275-82.
Penelope L. Updating the principles of the Pilates method—Part 2. Journal of Bodywork and Movement Therapies. 2002 Apr 1;6(2):94-101.
Martinez CS, Ferreira FV, Castro AA, Gomide LB. Women with greater pelvic floor muscle strength have better sexual function. Acta obstetricia et gynecologica Scandinavica. 2014 May 1;93(5):497-502.
Meston CM. Validation of the Female Sexual Function Index (FSFI) in women with female orgasmic disorder and in women with hypoactive sexual desire disorder. Journal of Sex &Marital Therapy. 2003 Jan 1;29(1):39-46.
Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. Journal of sex & marital therapy. 2005 Jan 1;31(1):1-20.
Kocsis A, Newbury-Helps J. Mindfulness in Sex Therapy and Intimate Relationships (MSIR): Clinical Protocol and Theory Development. Mindfulness. 2016 Jun 1;7(3):690-9.
Brotto LA, Goldmeier D. Mindfulness interventions for treating sexual dysfunctions: the gentle science of finding focus in a multitask world. The journal of sexual medicine. 2015 Aug 1;12(8):1687-9.
Brotto LA, Basson R. Group mindfulness-based therapy significantly improves sexual desire in women. Behaviour Research and Therapy. 2014 Jun 1;57:43-54.
Jain S, Shapiro SL, Swanick S, Roesch SC, Mills PJ, Bell I, Schwartz GE. A randomized controlled trial of mindfulness meditation versus relaxation training: effects on distress, positive states of mind, rumination, and distraction. Annals of behavioral medicine. 2007 Feb 1;33(1):11-21.
Kukkonen TM, Binik YM, Amsel R, Carrier S. An evaluation of the validity of thermography as a physiological measure of sexual arousal in a non-university adult sample. Archives of sexual behavior. 2010 Aug 1;39(4):861-73.
Grossman P, Niemann L, Schmidt S, Walach H. Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of psychosomatic research. 2004 Jul 1;57(1):35-43.
Critchley HD, Wiens S, Rotshtein P, Öhman A, Dolan RJ. Neural systems supporting interoceptive awareness. Nature neuroscience. 2004 Feb;7(2):189.
Penhollow T. M., & Young M. Predictors of sexual satisfaction: The role of body image and fitness. journal of human sexuality,2008,11(15),1-14.
Karatas OF, Baltaci G, Ilerisoy Z, Bayrak O, Cimentepe E, Irmak R, Unal D. The evaluation of clitoral blood flow and sexual function in elite female athletes. The journal of sexual medicine. 2010 Mar 1;7(3):1185-9.
Lavallee D, Kremer J, Moran A, Williams M. Sport psychology: Contemporary themes. Palgrave Macmillan; 2012 Jan 23.
Davis SR, Tran J. Testosterone influences libido and well being in women. Trends in Endocrinology & Metabolism. 2001 Jan 1;12(1):33-7.
Alen M, Pakarinen A, Häkkinen K, Komi PV. Responses of serum androgenic-anabolic and catabolic hormones to prolonged strength training. International Journal of Sports Medicine. 1988 Jun;9(03):229-
Kraemer WJ, Ratamess NA, Komi PV. Endocrine responses and adaptations to strength and power training. Strength and power in sport. 2003:361-86.
Rannevik G, Jeppsson S, Johnell O, Bjerre B, Laurell-Borulf Y, Svanberg L. A longitudinal study of the perimenopausal transition: altered profiles of steroid and pituitary hormones, SHBG and bone mineral density. Maturitas. 1995 Feb 1;21(2):103-13.
Turna B, Apaydin E, Semerci B, Altay B, Cikili N, Nazli O. Women with low libido: correlation of decreased androgen levels with female sexual function index. International journal of impotence research. 2005 Mar;17(2):148.
