تأثیر هیپنوتراپی بر خودپندارۀ جنسی زنان دارای اختلال دیسپارونی
محورهای موضوعی : تربیتی
مهدی دهستانی
1
(
دانشیار، عضو هیات علمی دانشگاه پیام نور تهران جنوب، تهران، ایران
)
سیده عاطفه مهدوی
2
(
مدرس دانشگاه پیام نور واحد تهران جنوب، تهران، ایران
)
مریم کریمی
3
(
کارشناسی ارشد روانشناسی، دانشگاه پیام نور واحد تهران جنوب، تهران، ایران
)
امین مرادنژاد
4
(
عضو هیات علمی دانشگاه پیام نور تهران، تهران، ایران
)
کلید واژه: خودپندارۀ جنسی, زنان دارای اختلال دیسپارونی, هیپنوتراپی,
چکیده مقاله :
هدف از انجام این مطالعه بررسی تأثیر هیپنوتراپی بر خودپندارۀ جنسی زنان دارای اختلال دیسپارونی بوده است. روش پژوهش در این تحقیق، نیمه‌آزمایشی با استفاده از گروه کنترل و آزمایش بود. نمونۀ آماری این پژوهش 20 نفر از زنانی بودند که به کلینیک‌های مامایی و زنان شهر تهران مراجعه کرده بودند و توسط پزشک متخصص زنان و روانپزشک، مبتنی بر ملاک‌های DSM-5 اختلال دیسپارونی در آنان تشخیص داده شده بود. این افراد با استفاده از روش نمونه‌گیری تصادفی دردسترس انتخاب و به دو گروه آزمایش و کنترل (در هر گروه 10 نفر) تقسیم شدند؛ گروه آزمایش در هشت جلسۀ درمانی تحت مداخلۀ هیپنوتراپی قرار گرفتند و طی این جلسات، مداخله‌ای برای افراد در گروه کنترل انجام نگرفت. ابزار مورد استفاده در پژوهش حاضر، پرسشنامۀ خودپندارۀ جنسی (اسنل، 1990) بود. در داده‌های به دست آمده از نمرات پرسشنامه در مقایسه با گروه کنترل که توسط آزمون تحلیل کوواریانس مورد بررسی قرار گرفتند، تفاوت معنا‌داری را می‌توان تأیید کرد که نشانگر تأثیر هیپنوتراپی بر خودپندارۀ جنسی و در نهایت عملکرد جنسی زنان دارای اختلال دیسپارونی بوده است. مؤثر واقع شدن هیپنوترابی بر توانمندی خودپندارۀ جنسی و در نهایت عملکرد جنسی بانوان در این پژوهش با توجه به یافته‌ها به تأیید رسید.
This study aimed at investigating the effect of hypnotherapy on sexual self-concept of women with dyspareunia. The research’s method was semi-experimental. The sample was 20 women who went to midwifery and women's clinics and had the criteria for dyspareunia, which was diagnosed by a doctor and psychiatric using DSM-5’s checklist of dyspareunia. These people were selected using random sampling. The measurement tool in this study was Sexual Self-concept Questionnaire (Snell, 1990). The women who had dyspareunia and had weak self-concept scores could participate in this study. Then, the subjects were divided into two experimental and control groups with 10 patients. The experimental group received treatment in eight sessions while the control group received no treatment. Finally, Snell's sexual self-concept questionnaire was re-applied to both groups for data comparison. There was a significant difference in the data obtained from the scores of the questionnaire in comparison with the control group using Covariance analysis which indicated the effect of hypnotherapy on sexual self-concept and ultimately sexual function of women with dyspareunia (P >0.05). The effectiveness of hypnotherapy on the ability of sexual self-concept and ultimately the sexual function of women in this study was confirmed with regard to the findings.
Aliakbari M, Heydarinasab L, Ghobadi S. (2013). Surveying the Relation between Sexual Performance and Marital Compatibility in Married Women. Clinical Psychology and Personality, 11(1), 87-98. [Persian]
Aliakbari M. (2011). Surveying the Relation between Sexual Performance and Marital Compatibility. Journal of behavioral sciences;4(3),199-206. [Persian]
Alladin A. (2013). Healing the wounded self: Combining hypnotherapy with ego state therapy. American Journal of Clinical Hypnosis. 56(1):3-22. doi: 10.1080/00029157.2013.796282.
Alladin A. (2014). The wounded self: New approach to understanding and treating anxiety disorders. American Journal of Clinical Hypnosis. 56(4):368-88. doi: 10.1080/00029157.2014.880045.
Alladin A, Amundson J. (2016). Cognitive hypnotherapy as a trans diagnostic protocol for emotional disorders. International Journal of Clinical and Experimental Hypnosis. 64(2):147-66. doi: 10.1080/00207144.2016.1131585.
Azar M, Iranpoor C, Noohi S. (2002). Sexual dysfunction in mental health of women. Journal of psychiatric and clinical psychology of Iran;9(2):22-29. [Persian]
Barbara G, Facchin F, Meschia M, Berlanda N, Frattaruolo MP, Vercellini P. (2016). When love
hurts. A systematic review on the effects of endometriosis surgical and pharmacological treatments on female sexual functioning. Acta Obstet Gynecol Scand. 96(6): 668-87.
Farah Bidjari A, Peivastegar M, Zareif Jalali Z. (2013). A comparison of dimensions of self-concept and adjustment in adaptive and maladaptive narcissistic persons. Journal of Psychological Studies;9(4):99-128. [Persian]
Ghavam M, Tasbihsazan R. (2008). Prevalence and diversity of sexual disorders among male and female patients in a family health care clinic. Stud Med Sci.;18(4):634-639. [Persian]
Golden WL. (2012). Cognitive hypnotherapy for anxiety disorders. American Journal of Clinical Hypnosis. 54(4):263-74. doi: 10.1080/00029157.2011.650333.
Goldstein SW, Winter AG, Goldstein I. (2018). Improvements to the Vulva, Vestibule, Urethral Meatus, and Vagina in Women Treated with Ospemifene for Moderate to Severe Dyspareunia: A Prospective Vulvoscopic Pilot Study. Sex Med. 6:154-161.
Hamond L. (1998). Handbook of hypnotic suggestions and metaphors.
Hosseinzadegan F, Radfar M, Shafiee Kandjane A, Sheikhi N. (2015). The effect of self-hypnosis on severity and quality of pain in women with multiple sclerosis. Nurs Midwifery J.;13(4):292-301. [Persian]
Jaafarpour M, Maroufi M, Molaeinezhad M. (2016). Relationship between Sexual self-concept and Sexual Performance in Married Women Referring to Mobarakeh Health Centers, Iran. J Res Dev Nurs Midw;12(3):40-47. [Persian]
Jensen MP. (2013). Hypnosis for chronic pain management. New York: Oxford University Press.
Johnston SL. (2013). Women’s Experience of vaginismus and its treatment an Interpretative Phenomenological Analysis- school of pyschologi clinical section. Thesis to get M.A. Degree. University of Leicester.
Kaplan & Sadock. (2015). Synopsis of psychiatry, 3rd edition, Arjmand: Tehran.
Fuchs F. (1980). Therapy of vaginismus by hypnotic desensitization, American Journal of obstetrics and Genecology. Volume 137, Issue 1, Pages 1-7.
Lotfifar B, Karami A, Sharifi Daramadi P, Fathi M. (2013). Effectiveness of hypnotherapy on anxiety level. Research in Medicine;37(3):164-170. [Persian]
Mahdizadegan I, Barekat E, Golparvar M. (2017). A Comparison between Males/Females and Divorcing ones on Sexual Functioning in Isfahan. Knowledge & Research in Applied Psychology, 17(1), 16-24. [Persian]
Maleki Delarestani H. (2016). Comparison between effect of behavioral-cognitive hypnotherapy and sexual behavioral-cognitive therapy on anxiety and sexual function of people with vaginismus. M.A. thesis. Islamic Azad University. [Persian]
Mary L. (2011). Treatment of vaginismus by psycholotrapy with Adjunctive Hypnosis. American journal of clinical Hypnosis, Volume 10, issue 4. 272-277.
Mehdipoor A, Heydarian S. (2017). Effect of hypnotherapy on marital adaptation and reduction of marital boredom in Behshahr. M.A. thesis. Islamic Azad University. [Persian]
Moghtader L, Hasanzade R, Mirzaeian B, Dusti Y. (2014). Effectiveness of Group Cognitive Behavioral Therapy and Group Cognitive Hypnotism on Anxiety and Depression in Women with Premenstrual Syndrome. Journal of holistic nursing and midwifery;25(81):96-105. [Persian]
Poorchin R. (2014). Effect of hypnotherapy on treating vaginismus. M.A. Thesis. Islamic Azad Unversity. [Persian]
Rajaee F, Eshghi R. (2018). The effect of behavioral-cognitive hypnotherapy on improving anxiety and sexual performance of vaginismus patients. Journal of Clinical Psychology, 9(4), 55-69. [Persian]
Ramezani M, Ghaem Maghami A, Talakar M, Saadat H, Zamani E, Shams J, Hadi S. (2013). Validity and Reliability Assessment of Multi-Dimensional Sexual Self-Concept Questionnaire for Iranian Population. Iranian Journal of Military Medicine;14(4):302-309. [Persian]
Snell WE. (1990). The sexuality scale: An instrument to measure sexual self-esteem, sexual depression, and sexual preoccupation. J Sex Res; 26(2):256-63.
Yapko MD. (2012). Trancework: An introduction to the practice of clinical hypnosis. Abingdon: Routledge.
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