Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1402
7
1
gregorian
2023
10
1
22
6
online
1
fulltext
fa
مقایسه اثربخشی رویکرد هیجانمدار با واقعیتدرمانی بر افزایش سازگاری، صمیمیت زناشویی و عملکرد جنسی زنان نابارور: یک مطالعه نیمهتجربی
Comparing the Effectiveness of Attractive Orientation with Reality Therapy on Increasing Compatibility, Marital Intimacy, and Sexual Performance of Infertile Women: A Qusai-Experimental Study
روانپزشكي
Psychiatry
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><a name="_Hlk113374001"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></span></b></a><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">ناباروری بحران سخت زندگی است که از نظر روان­شناختی تهدید کننده و از لحاظ هیجانی فشارآور است و سازگاری، صمیمیت و عملکرد جنسی زوجین در معرض آسیب قرار میگیرد. بنابراین، هدف پژوهش حاضر مقایسه اثربخشی درمان هیجانمدار با واقعیتدرمانی بر افزایش سازگاری، صمیمیت زناشویی و عملکرد جنسی زنان نابارور بود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> پژوهش حاضر از نوع نیمه­آزمایشی با سه گروه (دو گروه آزمایش و یک گروه کنترل) در قالب طرح پیشآزمون-پسآزمون بود. تعداد 45 نفر از زنان نابارور استان اصفهان در سال 1401 به روش نمونهگیری در دسترس انتخاب و به­صورت تصادفی در گروه­های 15 نفره درمان هیجانمدار، واقعیت درمانی و کنترل قرار گرفتند. گروههای آزمایش به­ترتیب در 8 جلسه 90 دقیقهای هفتهای یک­بار درمان هیجانمدار و 8 جلسه 60 دقیقهای هفتهای یک­بار واقعیت درمانی دریافت کردند. گروه کنترل مداخله­ای دریافت نکرد. جهت گردآوری داده­ها از پرسشنامههای سازگاری زناشویی </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:122%">Spanier</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> و عملکرد جنسی </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:122%">Rosenhan</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> و صمیمیت </span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:122%">Walker</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> استفاده شد. دادهها با استفاده از آنالیز کوواریانس چندمتغیره تجزیه­ و ­تحلیل شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> نتایج نشان داد که در مقایسه با گروه کنترل، هر دو روش درمانی تأثیر معنیداری بر سازگاری زناشویی، صمیمیت و عملکرد جنسی زنان نابارور داشته است (001/0></span></span></span><i><span dir="LTR" style="font-size:9.0pt"><span style="line-height:122%">P</span></span></i><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">). هم­چنین، درمان هیجانمدار نسبت به واقعیتدرمانی تأثیر بیشتری بر متغیرهای پژوهش داشته است (001/0></span></span></span><i><span dir="LTR" style="font-size:9.0pt"><span style="line-height:122%">P</span></span></i><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> نتایج نشان داد علاوه بر درمان هیجان­ مدار، واقعیت ­درمانی نیز بر افزایش سازگاری، صمیمیت زناشویی و عملکرد جنسی زنان نابارور اثر داشته است. بنابراین، متخصصان سلامت میتوانند از دو روش مذکور برای بهبود ویژگیهای مرتبط با سلامت استفاده نمایند. </span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="AR-SA" style="font-size:11.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b> <span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">درمان هیجانمدار، واقعیتدرمانی، صمیمیت، عملکرد جنسی، سازگاری زناشویی</span></span></span>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives:</span></span></b></a> <span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Infertility is a difficult crisis in life, which is psychologically threatening and emotionally stressful, and couples' compatibility, intimacy, and sexual performance are exposed to damage. Therefore, the aim of the present study was to compare the effectiveness of emotion-oriented therapy with reality therapy on increasing compatibility, marital intimacy, and sexual performance of infertile women.</span></span><b><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Materials and Methods:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> The present study was a qusai-experimental group-based study (two experimental groups and one per-control group) in the form of a pretest-posttest design. A number of 45 infertile women in Isfahan Province in 2022 were selected by convenience sampling method and randomly placed in 15 groups of emotionally oriented therapy, reality therapy, and control. The experimental groups received emotional therapy in 8 sessions of 90 minutes once a week and reality therapy in 8 sessions of 60 minutes once a week, respectively. The control group did not receive any intervention. In order to collect data, the questionnaires of the Spanier's Marital Compatibility, Rozenhan’s Sexual Performance, and Walker's Intimacy were used. Data were analyzed using multivariate analysis of covariance (MANCOVA).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Results:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> The results showed that in comparison with the control group, each treatment method had a significant effect on compatibility, intimacy, and sexual performance of infertile women (p<0.001). Also, emotional therapy had a greater effect on the research variables than reality therapy (p<0.001).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Conclusion:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> The results showed that in addition to emotion-oriented therapy, reality therapy also had an effect on increasing the compatibility, intimacy, and sexual performance of infertile women. Therefore, health professionals can use the two mentioned methods along with other effective methods to improve health-related characteristics.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Key words: </span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Emotional therapy, Reality therapy, Intimacy, Sexual function, Marital<b> </b>compatibility</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Funding:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> This study did not have any funds</span></span><b><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:150%">.</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Conflict of interest:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Ethical approval: </span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">The Ethics Committee of Islamic </span></span><span style="font-size:9.0pt"><span style="line-height:150%">Azad University of Isfahan, Khorasgan Branch,</span></span> <span style="font-size:9.0pt"><span style="line-height:150%">approved the study </span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">(</span></span><span style="font-size:9.0pt"><span style="line-height:150%">IR.IAU.KHUISF.1401.264</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">).</span></span><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><i><span lang="EN" style="font-size:2.0pt"><span style="line-height:150%"></span></span></i></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="line-height:150%">How to cite this article:</span></b><span style="font-size:9.0pt"><span style="line-height:150%"> Habibollahi Najaf Abadi Fariba, Zare Neyestanak Mohammad</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">. Comparing the Effectiveness of Attractive Orientation with Reality Therapy on Increasing Compatibility, Marital Intimacy, and Sexual Performance of Infertile Women: A Qusai-Experimental Study. </span></span><i><span style="font-size:9.0pt"><span style="line-height:150%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:150%"> <i>Univ Med Sci</i> 2023; 22 (6): 597-616. [Farsi]</span></span> <b><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
درمان هیجانمدار, واقعیتدرمانی, صمیمیت, عملکرد جنسی, سازگاری زناشویی
Emotional therapy, Reality therapy, Intimacy, Sexual function, Marital compatibility
597
616
http://journal.rums.ac.ir/browse.php?a_code=A-10-6209-1&slc_lang=fa&sid=1
Fariba
Habibollahi Najafabadi
فریبا
حبیب اللهی نجف آبادی
habibolahi.fariba@gmail.com
6900319475328460055177
6900319475328460055177
No
Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran
گروه روان شناسی، واحد نایین، دانشگاه آزاد اسلامی، نایین، ایران
Mohammad
ZareNeyeatanank
محمد
زارع نیستانک
Zarehneyestanak@yahoo.com
6900319475328460055178
6900319475328460055178
Yes
Department of Psychology, Naein Branch, Islamic Azad University, Naein, Iran
گروه روان شناسی، واحد نایین، دانشگاه آزاد اسلامی، نایین، ایران