The effect of narrative therapy on sexual self-efficacy and sexual quality of life in women - Payesh (Health Monitor)
Sat, Apr 13, 2024
OPEN ACCESS
Volume 22, Issue 4 (July-August 2023)                   Payesh 2023, 22(4): 443-453 | Back to browse issues page

Ethics code: IR.SBMU.PHARMACY.REC.1400.329
Clinical trials code: IRCT20150128020854N10


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Karbasi F, Riazi H, Firoozi A. The effect of narrative therapy on sexual self-efficacy and sexual quality of life in women. Payesh 2023; 22 (4) :443-453
URL: http://payeshjournal.ir/article-1-2164-en.html
1- School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Clinical psychologist, Tehran, Iran
Abstract:   (1106 Views)
Objective(s): Sexual self-efficacy is one of the most important issues for having a sexual quality of life. The present study was conducted with the aim of assessing the effect of narrative therapy on sexual self-efficacy and sexual quality of life in women.
Methods: This semi-experimental study was conducted on 82 women in reproductive age. Among comprehensive health centers affiliated to Shahid Beheshti University of Medical Sciences in Tehran, Iran, two centers were randomly selected. Then, 82 women were selected according to the inclusion criteria and randomly assigned to intervention and control groups ( n= 41 per each group). In the intervention group, narrative therapy was performed during four 90-minute sessions. The control group did not receive any intervention. Data were collected using the standard sexual self-efficacy questionnaire (SSEQ) and the sexual quality of life questionnaire (SQOL-F), before and one month after the intervention. Data analysis was done using mean and standard deviation, number and percentage, independent and paired t-test, Mann-Whitney and Fisher.
Results: There was no significant difference between the intervention and control group in terms of demographic and clinical characteristics. Before the intervention, sexual self-efficacy was not significantly different in the intervention 11.92(2.06) and the control group 12.63(3.42) (P=0.24); However, after the intervention this difference was significant between the intervention 20.31(5.18) and control group 13.39(2.87) (P=0.001). Before the intervention, the sexual quality of life in the intervention 68.02(8.75) and the control group 68.73(8.47) was not significantly different (P=0.71); but after the intervention, a significant difference was observed between the intervention 75.56(7.89) and the control group 60.29(10.21)(P<0.001). Also, the analysis showed that the sexual self-efficacy and sexual quality of life in the intervention group had a significant difference (P<0.0001) before and after the intervention, while this difference was not significant in the control group.
Conclusion: It seems that applying narrative therapy is an effective approach to improve sexual self-efficacy and the sexual quality of life of women.
Full-Text [PDF 1159 kb]   (688 Downloads)    
type of study: Quazi Experimental | Subject: Health Psychologhy
Received: 2023/06/6 | Accepted: 2023/06/14 | ePublished ahead of print: 2023/06/17 | Published: 2023/07/10

References
1. Caruso S, Palermo G, Caruso G, Rapisarda A. M. C. How does contraceptive use affect women's sexuality? A novel look at sexual acceptability. Journal of Clinical Medicine 2022; 11: 810 [DOI:10.3390/jcm11030810]
2. Bond J. C, Morrison D. M, Hawes, S. E. Sexual self-efficacy and entitlement to pleasure: The association of the Female Sexual Subjectivity Inventory with sexual risk taking and experience of orgasm. Archives of Sexual Behavior 2020; 49: 1029-1038 [DOI:10.1007/s10508-019-01563-3]
3. Hajinia A, Khalatbari J. The effectiveness of sex therapy on sexual self-efficacy and marital satisfaction of diabetic women. International Journal of Psychology and Educational Studies 2017; 2: 33-42
4. Potki R, Ziaei T, Faramarzi M, Moosazadeh M, Shahhosseini Z. Bio-psycho-social factors affecting sexual self-concept: A systematic review. Electron Physician 2017; 9:5172-5178 [DOI:10.19082/5172]
5. Torregosa M, Patricio O. The Mediating Role of Sexual Self-Efficacy on Protected Sex. Journal of Primary Care & Community Health 2022; 13: 21501319221129934. [DOI:10.1177/21501319221129934]
6. Closson K, Dietrich JJ, Lachowsky NJ, Nkala B, Palmer A, Cui Z, et al. Sexual self-efficacy and gender: A review of condom use and sexual negotiation among young men and women in Sub-Saharan Africa. The Journal of Sex Research 2018; 55: 522-39 [DOI:10.1080/00224499.2017.1421607]
7. Seal A, Minichiello V, Omodei M. Young women's sexual risk taking behaviour: Re-visiting the influences of sexual self-efficacy and sexual self-esteem. International Journal Of STD & AIDS 1997; 8:159-65 [DOI:10.1258/0956462971919822]
8. Assarzadeh R, Khalesi ZB, Jafarzadeh-Kenarsari F. Sexual self-efficacy and associated factors: a review. Shiraz E-Medical Journal 2019; 20 [Persian] [DOI:10.5812/semj.87537]
9. Bokaie M, Khalesi ZB, Yasini-Ardekani SM. Diagnosis and treatment of unconsummated marriage in an Iranian couple. African Health Sciences 2017; 17:632-636 [Persian] [DOI:10.4314/ahs.v17i3.5]
10. Krageloh CU, Henning MA, Hawken SJ, Zhao Y, Shepherd D, Billington R. Validation of the WHOQOL-BREF quality of life questionnaire for use with medical students. Educ Health (Abingdon) 2011; 24: 545-560 [DOI:10.4103/1357-6283.101436]
11. Heidari M, Ghodusi M, Rafiei H. Sexual Self-concept and Its Relationship to Depression, Stress and Anxiety in Postmenopausal Women. Journal of Menopausal Medicine 2017; 23:42-8 [Persian] [DOI:10.6118/jmm.2017.23.1.42]
12. Nezal AJ, Fatemi Samii Rad, Mehri Kalhor, kobra hasanpour, Mahmood Alipour, Ali Montazeri. Sexual quality of life in pregnant women: A cross sectional study. Payesh 2018; 17: 421-429 [Persian]
13. Salehi F, Safarzadeh S. Designing a model of marital procrastination based on the quality of sexual life and marital conflict with the mediation of psychological well-being of women applicants for divorce. Rooyesh-e-Ravanshenasi Journal(RRJ) 2023; 11139-150 [Persian]
14. Shahraki Z, Tanha FD, Ghajarzadeh M. Depression, sexual dysfunction and sexual quality of life in women with infertility. BMC women's Health 2018; 18:1-4 [Persian] [DOI:10.1186/s12905-018-0584-2]
15. Nezamnia M, Iravani M, Bargard M. S, Latify M. Effectiveness of cognitive-behavioral therapy on sexual function and sexual self-efficacy in pregnant women: An RCT. International Journal of Reproductive BioMedicine 2020; 18: 625. [Persian] [DOI:10.18502/ijrm.v13i8.7504]
16. Alimohammadi L, Zarei F, Mirghafourvand M. The effect of counseling based on Bandura's self-efficacy theory on sexual self-efficacy and quality of sexual life. Women & health 2020; 60: 473-486 [Persian] [DOI:10.1080/03630242.2019.1662871]
17. Craig S. L, Yang W, Austin A. Promoting the sexual self-efficacy of sexual and gender minority youth through a group intervention. Groupwork 2020; 29: 35-57 [DOI:10.1921/gpwk.v29i2.1213]
18. Shekar A, Gross A, Luebbers E, Honsky J. Effects of an interprofessional student-led sexual education program on self-efficacy and attitudes about sexual violence in youths in juvenile detention. Journal of Pediatric and Adolescent Gynecology 2020; 33: 302-306 [DOI:10.1016/j.jpag.2019.12.005]
19. Ismaeilzadeh N, Akbari B. Effectiveness of mindfulness-based cognitive therapy in sexual self-efficacy and marital satisfaction among couples with marital conflicts. Avicenna Journal of Neuro Psycho Physiology 2020; 7: 29-36 [Persian] [DOI:10.32592/ajnpp.2020.7.1.104]
20. Jamalianfar F, Riazi H, Firoozi A, Nasiri M, Montazeri A. The Effectiveness of 'Good-Enough Sex Model'on Sexual Satisfaction and Sexual Intimacy in Women with Multiple Sclerosis: A Randomized Trail. Sexuality and Disability 2020; 39: 507-519 [Persian] [DOI:10.1007/s11195-021-09691-2]
21. Baird F. A narrative context for conversations with adult survivors of childhood sexual abuse. Progress-Family Systems Research and Therapy 1996; 5:51-71
22. Anderson H. Postmodern social construction therapies. InHandbook of family therapy. 1st Edition. Routledge, 2004 [DOI:10.4324/9780203490419-9]
23. Bruner JS. Making stories: Law, literature, life. 1st Edition. Harvard University Press, 2003
24. Angus L, Levitt H, Hardtke K. The narrative processes coding system: Research applications and implications for psychotherapy practice. Journal of Clinical Psychology 1999; 55:1255-70 https://doi.org/10.1002/(SICI)1097-4679(199910)55:10<1255::AID-JCLP7>3.0.CO;2-F [DOI:10.1002/(SICI)1097-4679(199910)55:103.0.CO;2-F]
25. Robjant K, Fazel M. The emerging evidence for narrative exposure therapy: A review. Clinical Psychology Review 2010; 30:1030-1039 [DOI:10.1016/j.cpr.2010.07.004]
26. Karris MA, Arger MA, Religious couples re-storying after infidelity: Using narrative therapy interventions with a focus on attachment. Counseling and Family Therapy Scholarship Review 2019; 2: 1-16 [DOI:10.53309/JCDM6423]
27. Fallah K, Ghodsi M. The effectiveness of narrative therapy on sexual function and couple burnout. Revista Portuguesa de Investigação Comportamental e Social: RPICS 2022; 8: 1-20 [Persian] [DOI:10.31211/rpics.2022.8.1.219]
28. Muruthi B, McCoy M, Chou, J, Farnham A. Sexual scripts and narrative therapy with older couples. The American Journal of Family Therapy 2018; 46: 81-95 [DOI:10.1080/01926187.2018.1428129]
29. Karris, M. A, Arger M. A. Religious couples re-storying after infidelity: Using narrative therapy interventions with a focus on attachment. Counseling and Family Therapy Scholarship Review 2019; 2: 1-16 [DOI:10.53309/JCDM6423]
30. Kelsey J.L, Whittemore A.S, Evans A.S, Thompson W.D. Methods of sampling and estimation of sample size. In: Kelsey JL, Whittemore AS, Evans, AS and Thompson W.D Eds. Methods in Observational Epidemiology. 2th Edition, Oxford University Press: New York, 1996
31. Vaziri S, Lotfi Kashani F. Study of factor structure, reliability and validity of the sexual selfefficacy questionnaire. Thoughts and Behavior in Clinical Psychology 2013; 8:47-56 [Persian]
32. Symonds T, Boolell M, Quirk F. Development of a questionnaire on sexual quality of life in women. Journal of sex & Marital Therapy 2005; 31: 385-97 [DOI:10.1080/00926230591006502]
33. Taghiyar Z, Pahlavanzade F. The Effectiveness of Narrative Therapy on Marital commitment and Sexual satisfaction. Knowledge & Research in Applied Psychology 2019; 20: 110-20 [Persian]
34. Polkinghorne D. E. Narrative Therapy and Postmodernism. In L. E. Angus & J. McLeod (Eds.), the handbook of narrative and psychotherapy: Practice, theory, and research. 1 st Edition, Sage Publications: New York, 2004
35. Kafaei Atrian M, Mohebbi Dehnavi Z, Kamali Z. The relationship between sexual self-efficacy and sexual function in married women. Journal of Midwifery and Reproductive Health 2019; 7: 1703-1711 [Persian]
36. Karris, M. A, Arger M. A. Religious couples re-storying after infidelity: Using narrative therapy interventions with a focus on attachment. Counseling and Family Therapy Scholarship Review 2019; 2: 5 [DOI:10.53309/JCDM6423]
37. Mehrabi M, Lotfi R, Merghati Khoei E, Rahimzadeh Kivi M. Effectiveness of a PLISSIT Based Sexual Counseling on Sexual Function and Sexual Quality of Life among Women with Type 2 Diabetes Mellitus: Protocol of A Randomized Clinical Trial. Aswan University Medical Journal 2018; 7: 23-30 [Persian] [DOI:10.29252/aums.7.7:supplement.3-supple.23]
38. Nurgitz R, Pacheco R. A, Senn C. Y, Hobden, K. L. The impact of sexual education and socialization on sexual satisfaction, attitudes, and self-efficacy. The Canadian Journal of Human Sexuality 2021; 30: 265-277 [DOI:10.3138/cjhs.2021-0028]
39. Mohammadi A, Sohrabi R, Aghdam GA intimacy. Procedia-Social and Behavioral Sciences 2013; 84: 1770-1782 [Persian] [DOI:10.1016/j.sbspro.2013.07.029]
40. Van Dijk M, De Wit J. B, Guadamuz T. E, Martinez J. E, Jonas K. J. Quality of sex life and perceived sexual pleasure of PrEP users in the Netherlands. The Journal of Sex Research 2022; 59: 303-308 [DOI:10.1080/00224499.2021.1931653]
41. Enjezab B, Rejaezadeh M, Bokaie M. Salimi H. The effectiveness of acceptance and commitment therapy (ACT) on sexual self-efficacy and sexual quality of life in reproductive-age women: A randomized controlled trial. Journal of Sex & Marital Therapy 2021; 47: 764-772 [Persian] [DOI:10.1080/0092623X.2021.1944938]
42. Driscoll J. J, Hughes A. A. Sexuality of aging adults: A case study using narrative therapy. Contemporary Family Therapy 2022; 44: 373-380 [DOI:10.1007/s10591-021-09589-3]
43. Williams-Reade J, Freitas C, Lawson L. Narrative-informed medical family therapy: Using narrative therapy practices in brief medical encounters. Families, Systems, & Health 2014; 32:416 [DOI:10.1037/fsh0000082]
44. Chow K. M, Chan J. C, Choi K. K, Chan C. W. A review of psychoeducational interventions to improve sexual functioning, quality of life, and psychological outcomes in gynecological cancer patients. Cancer Nursing Journal 2016; 39: 20-31 [DOI:10.1097/NCC.0000000000000234]
45. Banker J.E, Kaestle C.E, Allen K.R. Dating is Hard Work: A Narrative Approach to Understanding Sexual and Romantic Relationships in young adulthood. Journal of Contemporary Family Therapy 2010; 32: 173-19 [DOI:10.1007/s10591-009-9111-9]
46. Frost D.M. The narrative construction of intimacy and affect in relationship stories: Implications for relationship quality, stability, and mental health. Journal of Social and Personal Relationships 2012; 30: 247-269 [DOI:10.1177/0265407512454463]
47. Kim H, Prouty AM, Roberson PN. Narrative therapy with intercultural couples: A case study. Journal of Family Psychotherapy 2012; 23:273-86 [DOI:10.1080/08975353.2012.735591]
48. Ghavami M, Fatehizadeh M, Faramarzi S, Nouri Emamzadehei A. The effectiveness of the narrative therapy on the social anxiety and the self-esteem among the girl students. Journal of School Psychology 2014; 3:61-73 [Persian]
49. Bérmudez JM, Bérmudez S. Altar-making with Latino families: A narrative therapy perspective. InSpirituality and family therapy. 1st Editionو Routledge: Uk, 2014

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and Permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 All Rights Reserved | Payesh (Health Monitor)

Designed & Developed by : Yektaweb