پديد آورندگان :
زماني، نرجس دانشگاه آزاد اسلامي، بندرعباس، ايران - گروه روان شناسي , زارعي، اقبال دانشگاه هرمزگان، بندرعباس، ايران - گروه روان شناسي , حاجي عليزاده، كبري دانشگاه آزاد اسلامي، بندرعباس، ايران - گروه روان شناسي , نعامي، عبدالزهرا دانشگاه شهيد چمران اهواز، ايران - گروه روان شناسي
كليدواژه :
درمان شناختي - رفتاري , تاب آوري , معنويت اسلامي , انعطاف پذيري شناختي , عملكرد جنسي , زنان باردار
چكيده فارسي :
زمينه و هدف: زايمان به عنوان واقعه‌اي تروماتيك مي‌تواند مادر را در خطر ايجاد اختلالات پس از زايمان قرار دهد. اين امر لزوم درمان‌هاي روان‌شناختي را ايجاب مي‌كند. هدف پژوهش حاضر بررسي اثربخشي برنامهٔ تلفيقي درمان شناختي-رفتاري و تاب‌آوري براساس آموزه‌هاي معنويت اسلامي مبتني‌بر انعطاف‌پذيري شناختي، بر عملكرد جنسي زنان باردار بود.
روش‌بررسي: اين مطالعه از نوع نيمه‌آزمايشي با طرح پيش‌آزمون-پس‌آزمون و پيگيري با گروه گواه بود. جامعهٔ آماري پژوهش تمامي زنان بارداري بودند كه در فاصلهٔ مهر تا آذر 1396 به مراكز بهداشت شهر بندرعباس مراجعه كردند. تعداد چهل نفر به‌صورت دردسترس انتخاب شده و به‌طور تصادفي در دو گروه آزمايش (بيست نفر) و گواه (بيست نفر) قرار گرفتند. شاخص عملكرد جنسي روزن و همكاران (2000) و مقياس انعطاف‌پذيري شناختي دنيس و وندورال (2010) در سه مرحلهٔ قبل و بعد و دو ماه پس از پايان جلسات مداخله در دو گروه گردآوري شد. داده‌ها به‌كمك آماره‌هاي توصيفي و آزمون تحليل واريانس با اندازه‌گيري مكرر در سطح معناداري 0٫05 و با استفاده از نرم‌افزار SPSS نسخهٔ 21 تحليل شدند.
يافته‌ها: نتايج نشان داد كه برنامهٔ تلفيقي درمان شناختي-رفتاري و تاب‌آوري براساس آموزه‌هاي معنويت اسلامي مبتني‌بر انعطاف‌پذيري شناختي بر ابعاد عملكرد جنسي (0٫001>p) معنادار بوده و اين تفاوت بين دو گروه نيز معنادار است (0٫001>p).
نتيجه‌گيري: يافته‌ها مؤيد آن است كه اجراي برنامهٔ آموزشي مبتني‌بر آموزه‌هاي اسلامي منطبق با فرهنگ اسلامي بر كاهش ميزان علائم تروماتيك بعد از زايمان اثر دارد.
چكيده لاتين :
Background & Objectives: Delivery, as a traumatic event, could put the mother at risk for postpartum disorders, which necessitates psychological interventions. The present study aimed to investigate the effects of a combined cognitive–behavioral therapy and counseling program based on Islamic spiritual teachings and cognitive flexibility on the sexual function of pregnant women.
Methods: This was a quasi–experimental study with a pretest–posttest and a control group design. The statistical population of the study
consisted of all pregnant women who referred to Bandar Abbas Health Centers between October and December 2018. Forty patients were
selected and randomly divided into two groups of test and control (n=20/group). Rosen et al.'s Sexual Dysfunction Index (2000) and Denis and
Vendular's Cognitive Flexibility Scale (2010) were completed by the study groups before, after, and two months after providing the intervention
sessions. By working closely with Bandar Abbas Health Centers’ staff, we reviewed the records of individuals who met the study inclusion
criteria (i.e., 2–8 weeks gestation, having informed consent to participate in the study, not using psychiatric medications, no specific psychiatric
illness). Accordingly, 90 patients were selected and screened for cognitive flexibility; 40 subjects with scores lower than the average were
selected as the study sample and were randomly placed in the two experimental and control groups. They were invited to participate in a briefing
session (recruiting partners, acquaintance with pregnancy, & problems during this period, research intervention methods, therapeutic
expectations, & discussing confidentiality issues, etc.). At the end of the session, the quality of life questionnaire, fear of pain, and postpartum
depression scales were completed by the explored pregnant women. The training intervention was conducted in 12 sessions and twice a week
for 90 to 110 minutes at an educational institution in Bandar Abbas, Iran. Furthermore, the sexual function questionnaire was completed by both
groups after the intervention, and two months later (follow–up). The obtained data were analyzed using descriptive statistics and repeated–
measures Analysis of Variance (ANOVA) at the significance level of 0.05 in SPSS.
Results: The present study findings revealed the significant effects of the integrated cognitive–behavioral therapy and resilience and Islamic
spiritual teachings–based cognitive flexibility on sexual function in the studied pregnant women (p<0.001). In the three study phases, the two
study groups were measured on the variables of sexual function (p<0.001) and psychological stimulation (p=0.008), vaginal moisture (p=0.028),
and sexual pain (p=0.007). There were significant differences in the above–mentioned dimensions. In other words, the provided program was
effective on the sexual function of pregnant women and the dimensions of psychological stimulation, vaginal moisture, and sexual pain in them.
Conclusion: The present study findings supported that the implementation of combined cognitive–behavioral therapy and counseling program based on Islamic spiritual teachings could positively impact the sexual function of pregnant women.
