نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه مشاوره، دانشکده علوم انسانی، واحد اراک، دانشگاه آزاد اسلامی، اراک، ایران

2 استادیار، گروه مشاوره، دانشکده علوم انسانی، واحد خمین، دانشگاه آزاد اسلامی، خمین، ایران.

3 دانشیار، گروه روان‌شناسی دانشکده علوم انسانی، واحد اراک، دانشگاه آزاد اسلامی، ایران.

10.22055/psy.2023.43040.2961

چکیده

هدف پژوهش حاضر بررسی اثربخشی مداخله تلفیقی درمان مشترک جنسی والگوی ستیر بر عزت‌نفس و صمیمت زناشویی زوجین دارای نارضایتی جنسی مراجعه کننده به مراکز مشاوره شهر ملایر بود. پژوهش مذکور از لحاظ هدف، کاربردی، و از نظر روش، نیمه آزمایشی با طرح پیش‌آزمون، پس‌آزمون و پیگیری سه ماهه با گروه گواه صورت گرفت. جامعه آماری کلیه زوجین مراجعه کننده به مراکز مشاوره در شهر ملایر در سال 1400 و 1401 بودند که نارضایتی جنسی داشتند. 20 زوج با روش نمونه‌گیری در دسترس انتخاب و به‌طور تصادفی در دو گروه آزمایش و گواه جایگزین شدند. جهت جمع‌آوری داده‌ها از پرسشنامه‌های عزت‌نفس و صمیمیت زناشویی استفاده شد. زوجین گروه آزمایش تحت آموزش 9 جلسه‌ایی مداخله تلفیقی درمان مشترک جنسی و الگوی ستیر قرار گرفتند؛ اما گروه گواه مداخله‌ایی دریافت نکرد. برای تجزیه و تحلیل داده‌ها از آزمون تحلیل کواریانس استفاده شد. نتایج نشان داد که مداخله تلفیقی درمان مشترک جنسی و ستیر بر عزت‌نفس و صمیمیت زناشویی زوجین دارای نارضایتی جنسی مؤثر بود (001/0>p). بر اساس یافته‌های این پژوهش می‌توان نتیجه گرفت، مداخله تلفیقی درمان مشترک جنسی و ستیر بر عزت‌نفس و صمیمیت زناشویی زوجین دارای نارضایتی جنسی تأثیر داشت.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Integrative Intervention of Conjoint Sex Therapy and Satir relational model on Self-esteem and Marital Intimacy of Couples with Sexual Dissatisfaction

نویسندگان [English]

  • Fatemeh Torkashvand 1
  • hossein davudi 2
  • davood taghvaei 3

1  Doctoral student, Counseling Department, Faculty of Human Sciences, Arak Branch, Islamic Azad University, Arak, Iran

2 Department of Counseling, Khomein Branch, Islamic Azad University, Khomein, Iran. Mohammad410@yahoo.com

3  Associate Professor, Department of Psychology, Faculty of Humanities, Arak Branch, Islamic Azad University, Iran

چکیده [English]

Introduction
Sexual dissatisfaction is a reason for marital conflicts and stresses and ignoring it causes irreparable damages to marital and social relations of people. Psychological effects of unsolved sexual problems and its annoying difficulties make negative effects on other parts of couples' life and cause many dysfunctions on different aspects of the family structure.
 
Methods
The aim of this research was to investigate the effectiveness of integrative intervention of conjoint sex therapy and Satir Relational model on self-esteem and marital intimacy of couples with sexual dissatisfaction referred to Malayer counseling centers. The research design was quasi-experimental method with pre-test, post-test by experimental and control groups and a three months follow up. The statistical population consisted of all couples in Malayer who had sexual problems referred to counseling centers in 2021 and 2022, among them 20 couples who were dissatisfied in their sexual relation (getting the score of 25 to 50 from Hudson sexual satisfaction questionnaire) selected by available sampling. Then they assigned randomly in two experimental and control groups (10 couples for each group). The couples of both groups completed questionnaires of sexual self-esteem and marital intimacy. After that, the couples of experimental group (10 couples) were educated by integrating treatment of conjoint sex therapy and Satir relational model during 9 sessions, but control group not received any treatment. When intervention completed, the couples of both groups answered research questionnaires. Then the data were analyzed by Covariance analysis method.
 
Results
The results supported that integrating intervention by conjoint sex therapy and Satir relational model affected on self-esteem (sig=0/001) and marital intimacy (sig=0/001) of couples in the experimental group, so the difference between sexual satisfaction of couples in two groups were statistically meaningful. It means that the integrating intervention was effective (p<0/001).
 
Discussion
According to the results of this study, integrating intervention of conjoint sex therapy and Satir  relational model affected on self-esteem and marital intimacy of couples with sexual dissatisfaction.
 

کلیدواژه‌ها [English]

  • conjoint sex therapy
  • Satir Relational model
  • self-esteem
  • marital intimacy
Abdollahi, N., Jazini, S., Amanollahi, A., & Aslani, K. (2017). The Relationship Between Sexual Dysfunction and Self-Conscious Emotions. The Journal of Thought & Behavior in Clinical Psychology (JTBCP), 12(43), 37-46.
Abdollahkhani, S., & Besharat, M. A. (2020). The Mediating Role of Fear of Intimacy in the Relationship between Attachment Pathologies and Sexual Disorders. Developmental psychology Iranian psychologists, 16(63), 263-276.
Abdolmanafi, A., Nobre, P., Winter, S., Tilley, P. M., & Jahromi, R. G. (2018). Culture and sexuality: cognitive–emotional determinants of sexual dissatisfaction among Iranian and New Zealand women. The Journal of Sexual Medicine, 15(5), 687-697.
Abhari, M., Nasehi, A., Reisi, F., & Yahyavi, T. (2018). The EFS and ESSM Syllabus of Clinical Sexology: Tehran: Arjmand publication.
Afshari, A., Hashemi, Z., & Rezaei, R. (2019). The Comparison of Self-esteem Level and Social Health of Empowered and Un-empowered Female-headed Households Covered by Welfare Organization. Quarterly Journal of Women and Society, 10(39), 1-16.
Ahmadian, F., & Haghayegh, S. (2020). Relationship Model between Sexual Dissatisfaction and Quality of Life in Married Obese Patients with Mediating Role of Marital Intimacy. Journal of Shahid Sadoughi University of Medical Sciences, 28(1), 2302-2314.
Alizadeh, T., Faraahani, M. N., Shahrarai, M., & Alizadegan, S. (2003). The Relationship Between Self Esteem And Locus Of Control With Infertility Related Stress Of No Related Infertile Men And Women. Journal of Reproduction and Infertility.
Amanolahi, A., Refahi, N., & Rajabi, G. (2017). Predicting Sexual Dysfunction Based on Sexual Self-Esteem and Intimacy with Spouse among Female College Students with and without Sexual Dysfunction Disorder. Iranian Journal of Psychiatric Nursing, 5(5), 18-25.
Askary, M., Mehrabizadh Honarmand, M., DashtBozorgi, Z., Askary, P., & Heidarie, A. (2021). Comparison of the effectiveness of couple therapy based on forgiveness and Hendrix's an illustrative communication on family communication patterns, sexual satisfaction, in women referring to counselling centres. Journal of Psychological Achievements, 27(2), 113-132.
Ayadi, N., Rasouli, M., & Nazari, A. (2017). Investigating of the Mediating Role of Self-Esteem in the Relationship between Sexual Dysfunction and Marital Burnout in Opium Dependent Males. Journal of Health & Care, 19(2), 129-139.
Bagarozzi, D.A. (2001). Enhancing Intimacy in Marriage A Clinician's Guide, Routledge.
Barros, A., Maiolino, F., Von, D., & Brito, D. D. (2021). Erectile Dysfunction: A Systemic look at the Mind-Body connection in Erectile Physiology. Journal of Clinical Research and Reports, 8(2), 172.
Farajkhoda, T., Ashrafi, F., Bokaie, M., & Mahmoodabadi, H. Z. (2021). Online compared to face-to-face sexual intimacy enhancement training program counseling with cognitive-behavioral approach on sexual intimacy in pregnant women. Journal of Sex & Marital Therapy, 47(5), 446-459.
Ghanbari, K., Mehrinejad, A., Sotedehasl, N., & Ghorbani, R. (2022). The Development and Validation of Sexual wellbeing patterns of Iranian men. Applied Family Therapy, 2(4), 235-267.
Hajar, F., Reyhane, R. F., & Vafa, M. (2018). Predicting Married Men’ s Caregiving Dimensions Based on Emotional Intelligence Components with Mediator Role of Self-Esteem. Contemporary Psychology, 13(2), 109.
Hamedi, B., Shafiabadi, A., Nawabinejad, S., & Delavar, A. (2014). Investigating the effectiveness of the therapeutic approach of cooperative language systems on increasing the marital intimacy of student couples. Counseling Culture and Psychotherapy, 5(18), 137-158.
Hannier, S., Baltus, A., & Sutter, P. D. (2018). The role of physical satisfaction in women's sexual self-esteem. Sexologies, 27(4), e85-e95.
Hashemi, S., Arefi, M., Kakabraei, K., & Chehri, A. (2022). Mediating role of emotion regulation, conflict management and sexual intimacy in the relationship between marital adjustment and personality traits. Journal of Psychological Achievements, 29(2), 231-250.
Heydari, K., & Hanparrovan, N. (2019). Comparison theEffectiveness of imago therapy and satier couple therapy on life stability in conflicting couples. Journal of Psychological Methods and Models, 10(37), 191-206.
Hinkle, M. (2020). Weight Status as a Moderator of Low Self-Esteem and Poor Sexual Functioning. East Tennessee State University.
Iasenza, S. (2020). Transforming sexual narratives: A relational approach to sex therapy: Routledge.
Irani, Z. B., pirhayati, Z., & pirgholi, F. (2017). The Self-Esteem, Perceived Stress, Alexithymia and Cognitive Avoidance on The Sexual Function of The Fertilized And Unfertilized Women. Nursing and Midwifery Journal, 15(2), 95-106.
Jafari, A. (2017). Developing a psycho-educational package based on Satir,s model for conflicting couples and it,s effectiveness on reducing inefficient coping strategy and divorce probability. Counseling Culture and Psycotherapy, 8(30), 107-130.
Kalantari, M., Baqeri, F., & Sadeqi, M. S. (2018). Effectiveness of educational program for enhancement of intimacy based on Iranian Native Culture on marital satisfaction of couples. Journal of Applied Psychology, 12(1), 7-24.
Karimian, Z., Atoof, F., Maasoumi, R., Besharat, M. A., & KhoeI, E. S. M. (2017). The bases of the formation of sexual behavior in women of reproductive age in Kashan City: A survey. Journal of School of Public Health and Institute of Public Health Research, 15(2), 159-170.
Kazemian, M., Kazemi, M., & Ghezelbash, S. (2019). The effectiveness of encouragement skills training on eight intimacy needs of women referring to consultant centers in Isfahan. Rooyesh Ravanshenasi Journal(RRJ), 8(2), 175-182.
Khamse, A., & Hoseyniyan, S. (2008). Gender Differences between Intimacy Dimensions of Married College Students. Quarterly  Journal of Women's Studies Sociological and Psychological, 1(6), 3. 5-52
Khojastmehr, R., Bahmaei, A., Sodani, M., & Abbaspour, Z. (2020). The explanation of divorce formation process: A qualitative research. Psychological Achievements, 27(1), 46-23.
Kim, H. E., & Yeo, J. H. (2017). Impact of sexual attitude and marital intimacy on sexual satisfaction in pregnant couples: An application of the actor-partner interdependence model. Korean Journal of Women Health Nursing, 23(3), 201-209.
Lankveld, J. V., Jacobs, N., Thewissen, V., Dewitte, M., & Verboon, P. (2018). The associations of intimacy and sexuality in daily life: Temporal dynamics and gender effects within romantic relationships. Journal of Social and Personal Relationships, 35(4), 557-576.
Leavitt, C. E., Lefkowitz, E. S., & Waterman, E. A. (2019). The role of sexual mindfulness in sexual wellbeing, Relational wellbeing, and self-esteem. Journal of Sex & Marital Therapy, 45(6), 509-497.
Mcnulty, J. K., Wenner, C. A., & Fisher, T. D. (2016). Longitudinal associations among relationship satisfaction, sexual satisfaction, and frequency of sex in early marriage. Archives of Sexual Behavior, 45, 85-97.
Mehri, S. M., & Jafar, M. (2019). Alexithymia, Loneliness and Fear of Intimacy: Predictors of Attitudes Toward Infidelity in Men. Contemporary Psychology. Alexithymia, Loneliness and Fear of Intimacy: Predictors of Attitudes Toward Infidelity in Men. Contemporary Psychology.
Mesbah, I. (2019). A Study on the Relationship between components of love and marital satisfaction among married students of Male & Female. Rooyesh Ravanshenasi Journal(RRJ), 8(1), 21-30.
Miller, E., Mccauley, H. L., Decker, M. R., Levenson, R., Zelazny, S., Jones, K. A., Silverman, J. G. (2017). Implementation of a family planning clinic–based partner violence and reproductive coercion intervention: Provider and patient perspectives. Perspectives on Sexual and Reproductive Health, 49(2), 85-93.
Moghaddam, F. S., TorkZahrani, S., Moslemi, A., Azin, S. A., Ozgoli, G., & Rad, N. J. (2020). Effectiveness of Sexual Skills Training Program on Promoting Sexual Intimacy and Satisfaction in Women in Tehran (Iran): A randomized clinical Trial Study. Urology Journal, 17(3), 281-288.
Mohammadi, F., lavasani, M. G., & Ejei, J. (2020). Effectiveness of the Cognitive-Behavioral Educational Program Based on Body Image on Sexual Satisfaction and Function of Married Woman Students. Clinical Psychology Studies, 10(38), 35-55.
Mohammadsadegh, A., Kosheh, S. M. K., & Naeimi, E. (2018). The experience of sexual problems in women seeking divorce andwomen satisfied with their marriage: A qualitative study. Journal of Qualitative Research in Health Sciences, 7(1), 47.
Montesi, J. L., Conner, B. T., Gordon, E. A., Fauber, R. L., Kim, K. H., & Heimberg, R. G. (2013). On the relationship among social anxiety, intimacy, sexual communication, and sexual satisfaction in young couples. Archives of Sexual Behavior, 42, 81-91.
Moradi, Z., & Madani, Y. (2020). Predicting Sexual Satisfaction and Marital Commitment based on Religiosity and Marital Intimacy of Married University Students of University of Tehran. Journal of Applied Psychological Research, 11(3), 223-241.
Namvaran Geram, K., Moradi, A., Valiollah, F., & Zahrakar, K. (2018). The Identification of The Dimensions of Iranian Couples' Marital Intimacy. The Women and Family Cultural Education, 42(14), 61-78.
Nazari, S., & Abolmaali, K. (2015a). The Review of Relationship Between Perfectionism (Positive And Negative) and Self-Esteem In Predicting Sexual Satisfaction Among Married Women. Iran Journal of Nursing 28(95), 11-21.
Nik, S. S. H., & Eslamzade, A. (2019). The effectiveness of cognitive-behavioral therapy in reducing post-traumatic symptoms, quality of life, self-esteem and marital satisfaction in women with marital infidelity. Women's Studies, 10(27), 53-71.
Omidvar, Z., Bayazi, M. H., & Faridhosseini, F. (2021). Comparing the effectiveness of mindfulness-based cognitive therapy training and cognitive-behavioral therapy on sexual satisfaction of women with vaginismus disorder. Journal of Fundamentals of Mental Health, 23(4).
Pasha, H., Basirat, Z., Esmailzadeh, S., Faramarzi, M., & Adibrad, H. (2017). Marital intimacy and predictive factors among infertile women in northern Iran. Journal of Clinical and Diagnostic Research: JCDR, 11(5), QC13.
Ramezani, N., Dolatian, M., Shams, J., & Alavi, H. (2015). The relationship between self-esteem and sexual dysfunction and satisfaction in women, J Arak Uni Med Sci, 14(6), 57-65.
Reihani, A. F., & Khayatan, F. (2018). The Effectiveness of Sex Education on Women Sexual Schemas, Women Sexual Self-Esteem And Sexual Satisfaction in Women Who Refer to Counseling’s Centers of Esfahan. Nursing and Midwifery Journal.
Rodrigues, D., & Lopes, D. (2017). Sociosexuality, commitment, and sexual desire for an attractive person. Archives of Sexual Behavior, 46, 775-788.
Sahami, S., & Askari, N. (2021). Qualitive Analysis Intimacy in Women on The Verge of Divorce. Women and Society, 12(47), 190-177.
Salehi, H. M., Moradi, O., Arefi, M., & Ahmadi, Y. Y. (2019). The Relationship between Sex Schemas and Sexual Satisfaction of Couples: The Mediating Role of Communication Patterns. Journal of Health & Care, 21(3), 242-251.
Sanaghozadeh, M. (2021). The enrichment model of marital intimacy in the Islamic perspective, a qualitative research. Islamic Research Paper on Women and Family, 9(2), 9-34.
Satir, V. (2019). Humanization (B. Birshak, Trans.). Tehran: Roshd.
Scheinkman, M. (2019). Intimacies: An integrative multicultural framework for couple therapy. Family process, 58(3), 550-568.
Scheinkman, M., Iasenza, S., Ludwig, K., Cronin, T., Lemor, T., & Papp, P. (2022). Sexual intimacy and aging: An integrative framework to promote intimacy resilience in couple therapy. Family Process, 61(2), 456-475.
Schoenfeld, E. A., Loving, T. J., Pope, M. T., Huston, T. L., & Štulhofer, A. (2017). Does sex really matter? Examining the connections between spouses’ nonsexual behaviors, sexual frequency, sexual satisfaction, and marital satisfaction. Archives of Sexual Behavior, 46, 489-501.
Scott, K. M., & Hastings, J. A. (2021). Sexual Dysfunction and disability. In Braddom's Physical Medicine and Rehabilitation (431-446. e436): Elsevier.
Seyedi, S. Z., & Nazari, M. S. (2019). prediction of sexual satisfaction of Married Women Based on Marital Adjustment, Communication Patterns and Emotional Regulation. Rooyesh-e- Ravanshenasi Journa l(RRJ), 8(9), 179-188.
Shahroei, S., Moghadam, K. K., Khalfi, A., & Honarmand, M. M. (2021). Mediating role of marital intimacy in relation to relation attributions, sexual self-efficacy and marital commitment with marital adjustment. Biannual Journal of Applied Counseling (JAC), 10(2), 123-143.
Shawani, E., Zahrakar, K., Jobneh, R. G., & Dargahi, S. (2015). The role of sexual satisfaction, spiritual health, psychological distress and self-esteem in the marital commitment of women with veteran husbands. Iranian Journal of War and Public Health, 27(7), 100-105.
Shenbakam, N., & Sathyamurthi, K. (2019). Happily ever after: Factors influencing emotional intimacy of elderly couple. Elderly Wellbeing and Intergenerational Bonding; Sathuamurthi, K., Ed.; Today Publication: Chennai, India, 38-44.
Stanley, A., & Rachel, N. (2013). Psychological and interpersonal dimensions of sexual function and dysfunction in women: An update. Arab Journal of Urology, 11(3), 299-304.
Tabatabaee, S., Besharat, M., & Lavasani, M. G. (2021). redicting sexual problems based on fear of intimacy and procrastination. Rooyesh Ravanshenasi Journal (RRJ), 10(2), 57-68.
Velurajah, R., Brunckhorst, O., Waqar, M., IsabelMcMullen, & Ahmed, K. (2022). Erectile dysfunction in patients with anxiety disorders: a systematic review. International Journal of Impotence Research, 34(2), 177-186.