Evaluation of the Effect of Intervention Based on Sexual Concerns (Couple Counseling Based on BETTER Model) on the Sexual Satisfaction of Women with Type 1 Diabetes

Document Type : Original article

Authors

1 Assistant Professor, Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran.

2 Associate Professor , Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

3 Professor of Health Education and Health Promotion Department, School of Health; Social Development & Health Promotion Research Center, Gonabad University of Medical Science, Gonabad, Iran.

4 Assistant Professor, Department of Public Administration, Islamic Azad University of Isfahan (Khorasgan), Isfahan, Iran

Abstract

Introduction: Diabetes exerts a negative effect on sexual satisfaction in different ways. This disease commonly affects women within the age range of 20-40 years who are at the peak of their sexual activity. Therefore, the present study aimed to determine the effectiveness of an intervention based on sexual concerns (couple counseling based on BETTER (bring up, explain, tell, timing, educate, and record) model) in the sexual satisfaction of women with type 1 diabetes.
Materials and Methods: The present study was conducted based on a quasi-experimental pretest-posttest design with a 3-month follow-up < /em> period. The study population consisted of all married women with type 1 diabetes with a medical record in the Diabetes Association in Hamadan.  Out of this population, 40 cases were selected by purposive sampling randomly and assigned to two groups of experimental and control. Couple counseling intervention based on the BETTER model was performed during four sessions, while the control group did not receive any training. Thereafter, the results were analyzed using the repeated measures AVOVA test.
Results: As evidenced by the obtained results, couple counseling based on the BETTER model was effective in sexual satisfaction and this effect persists 3 months beyond the intervention.
Conclusion: The results of the present study showed that the health and sexual satisfaction of women with physical illnesses are usually neglected. Furthermore, sexual satisfaction was reportedly effective on life satisfaction and health promotion

Keywords

References

  1. Cieza A, Oberhauser C, Bickenbach J, Jones RN, Üstün TB, Kostanjsek N, et al. Health is not just the absence of disease. Int J Epidemiol. 2016; 45(2):586-7.
  2. Alizadeh T, Keshavarz Z, Mirghafourvand M, Zayeri F. Investigation of health promoting lifestyle and social support and their correlation among Iranian women with multiple sclerosis. Int J Womens Health Reprod Sci. 2018; 6(2):167-73.
  3. Sexual and reproductive health. United Nations Population Fund. Available at: URL: https://www.
    unfpa.org/sexual-reproductive-health    ; 2016.
  4. World Health Organization. Sexual and reproductive health beyond 2014: equality, quality of care and accountability. Geneva: World Health Organization; 2014.
  5. International conference of population and development. United Nations Population Fund. Available at: URL: https://www.unfpa.org/icpd; 2014.
  6. World Health Organization. Developing sexual health programmers: a framework for action. Geneva: World Health Organization; 2010.
  7. Dwosh E, Guimond C, Sadovnick AD. Reproductive counseling for MS: a rationale. Int MS J. 2003; 10(2):52-9.
  8. Nielsen NM, Jørgensen KT, Stenager E, Jensen A, Pedersen BV, Hjalgrim H, et al. Reproductive history and risk of multiple sclerosis. Epidemiology. 2011; 22(4):546-52.
  9. Ashtari F, Rezvani R, Afshar A. Sexual dysfunction in women with multiple sclerosis: dimensions and contributory factors. J Res Med Sci. 2014; 19(3):228-33.
  10. American Association of Reproductive Health. Women with multiple sclerosis: improving quality of life and reproductive health outcomes. Washington, D.C: American Association of Reproductive Health; 2012.
  11. Abolhassani S, Yazdannik A, Taleghani F, Zamani A. Expectations of multiple sclerosis patients and their families: a qualitative study in Iran. Iran Red Crescent Med J. 2015; 17(2):e18293.
  12. Bruce JM, Arnett P. Clinical correlates of generalized worry in multiple sclerosis. J Clin Exp Neuropsychol. 2009; 31(6):698-705.
  13. Ahumuza SE, Matovu JK, Ddamulira JB, Muhanguzi FK. Challenges in accessing sexual and reproductive health services by people with physical disabilities in Kampala, Uganda. Reprod Health. 2014; 11:59.
  14. Thornton EW, Tedman S, Rigby S, Bashforth H, Young C. Worries and concerns of patients with multiple sclerosis: development of an assessment scale. Mult Scler. 2006; 12(2):196-203.
  15. Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. Payesh. 2008; 7(3):269-87.
  16. Miller DH, Fazekas F, Montalban X, Reingold SC, Trojano M. Pregnancy, sex and hormonal factors in multiple sclerosis. Multiple Sclerosis J. 2014; 20(5):527-36.
  17. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2):105-12.
  18. Lee K, Devine A, Marco MJ, Zayas J, Gill-Atkinson L, Vaughan C. Sexual and reproductive health services for women with disability: a qualitative study with service providers in the Philippines. BMC Womens Health. 2015; 15:87.
  19. Nathan DM, Cleary PA, Backlund JY, Genuth SM, Lachin JM, Orchard TJ, et al. Intensive diabetes treatment and cardiovascular disease in patients with type 1 diabetes. N Engl J Med. 2015; 353(25):2643-53.
  20. Finlayson M. Concerns about the future among older adults with multiple sclerosis. Am J Occup Ther. 2004; 58(1):54-63.
  21. Rumrill Jr PD, Roessler RT, Koch LC. Surveying the employment concerns of people with multiple sclerosis. J Vocat Rehabil. 2000; 12(2):75-82.
  22. Forbes A, While A, Taylor M. What people with multiple sclerosis perceive to be important to meeting their needs? J Adv Nurs. 2007; 58(1):11-22.
  23. Najafidoulatabad S, Mohebbi Z. Yoga effects on physical activity and sexual satisfaction among Iranian women with multiple sclerosis: a randomized controlled trial. Afr J Tradit Complement Altern Med. 2014; 11(5):78-82.
Navid No
Volume 23, Issue 75
December 2020
Pages 1-12

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