اثربخشی آموزش رویکرد یکپارچه فلدمن بر صمیمیت هیجانی و عملکرد جنسی زنانِ میانسال

نوع مقاله : مقاله پژوهشی

نویسندگان

دانشجوی کارشناسی ارشد، گروه مشاوره خانواده، دانشگاه غیرانتفاعی حکمت رضوی، مشهد، ایران.

10.22123/chj.2022.270301.1662

چکیده

مقدمه: بخش مهمی از سلامت و بهزیستی زنان مسائل جنسی است که می‏تواند بر کمیت و کیفیت روابط زناشویی تأثیرگذار باشد. این پژوهش با هدف تعیین اثربخشی آموزش رویکرد یکپارچه بر صمیمیت هیجانی و عملکرد جنسی زنانِ میانسال انجام شد.
مواد و روش‌ها: پژوهش از نوع کارآزمایی آموزشی با طرح پیش­آزمون، پس­آزمون و گروه کنترل بود. جامعه آماری، تمامی زنان مراجعه­کننده به مرکز مشاوره و خدمات روان‏شناختی آرتیمان شهر مشهد در سال 1399 بودند. با روش نمونه‏گیری در دسترس، تعداد 30 نفر انتخاب و در گروه­های آزمایش (15 نفر) و کنترل (15 نفر) قرار گرفتند و پرسشنامه­های صمیمیت هیجانی (Olson و Schaefer، 1981) و عملکرد جنسی (Rosen و همکاران، 2000) را تکمیل کردند. در گروه آزمایش، رویکرد یکپارچه Feldman در 8 جلسه (هفتهای 1 جلسه به مدت 90 دقیقه) اجرا گردید. پس از پایان آموزش از گروه­ها پس‏آزمون گرفته شد. داده­ها با روش‏های آمار توصیفی و آنالیز کوواریانس چندمتغیری تحلیل شد. 
یافته‌ها: نتایج نشان داد که آموزش رویکرد یکپارچه باعث بهبود عملکرد جنسی (58/7=F، 011/0> p و 57/0=Eta) و افزایش صمیمیت هیجانی (42/39=F، 001/0>p و 60/0=Eta) در زنان گروه آزمایش نسبت به گروه کنترل شد.
نتیجه‌گیری: با توجه به نتایج، برنامه‏ ریزی برای استفاده از روش آموزش رویکرد یکپارچه به ‏منظور افزایش صمیمت هیجانی و بهبود عملکرد جنسی زنان میانسال ضروری است.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Teaching Feldman Integrated Approach on Emotional Intimacy and Sexual Function of Middle-Aged Women

نویسندگان [English]

  • M Dashti Rahmatabadi
  • M Sanati
MSc Student, Dept of Family Counseling, Hekmat Razavi Non-Profit University, Mashhad, Iran.
چکیده [English]

Introduction: Sexual issues constitute an important component of women’s health and well-being, affecting the quantity and quality of marital relationships. Therefore, this study was conducted to determine the effectiveness of teaching Feldman integrated approach on emotional intimacy and sexual function of middle-aged women.
Materials and Methods: This study was an educational trial with a pretest-posttest design with a control group. The statistical population included all women admitted to Artiman Counseling and Psychological Services Center in Mashhad in 2020. Using the availability sampling method, 30 people were selected and divided into an experimental group (n=15) and a control group (n=15). All the subjects completed the Emotional Intimacy Questionnaire (Schaefer and Olson, 1981) and the Sexual Function Questionnaire (Rosen et al., 2000). In the experimental group, Feldman integrated approach was performed in 8 sessions (1 session per week, each session lasting 90 minutes). After the training, both groups underwent the post-test. The data were analyzed using descriptive statistics and multivariate analysis of covariance.
Results: The results showed that teaching the integrated approach improved sexual function (F=7.58, p<0.011 & Eta=0.57) and increased emotional intimacy (F=39.42, p<0.001 & Eta=0.60) in women in the experimental group as compared to the control group.
Conclusion: According to the results, it is necessary to plan to use integrated approach training to increase emotional intimacy and improve the sexual function of middle-aged women.

کلیدواژه‌ها [English]

  • Feldman's integrated approach
  • Emotional intimacy
  • sexual function
  • middle-aged women
  1. Joulazadeh Esmaeili A, Karimi J, Goodarzi K, Asgari M. Comparison of the effectiveness of acceptance and commitment-based couple therapy and emotionally focused couple therapy on unadjusted couples' attachment styles. FCPJ 2020;9(2):1-[Persian]
  2. Khodadust S, Ebrahimi Moghadam H. Effectiveness of Olson circumplex model training on attachment styles and marital conflicts in couples exposed emotional divorce. FCPJ 2020;9(2):53-[Persian]
  3. Serin EK, Duman M, Yilmaz S. Sexual life quality and marital adjustment in women with and without diabetes. Sexuality and Disability 2020; 38(4):625-
  4. Dunkley CR, Gorzalka BB, Brotto LA. Associations between sexual function and disordered eating among undergraduate women: an emphasis on sexual pain and distress. JSMT 2020; 46(1):18-
  5. Taghizadeh Z, Zenouzi A, Asghari M. A review of women's sexual dysfunction during postpartum. JSSU 2017;25(12):940-[Persian]
  6. Kwon Y, Park HJ. Effect of sexual function and sexual distress on quality of life in middle aged women with osteoarthritis. JKAIS 2020; 21(11):209-
  7. Corben LA, Hermans MM, Marks A, Crowe LM, Delatycki MB. Sexual function, intimate relationships and friedreich ataxia. Journal of Neurology 2020; 12(2):1088-
  8. Fischer N, Træen B. PS-1-1 Sexual satisfaction in older couples from four european countries: exploring the effects of actual and perceived discrepancy in sexual interest, physical affection, and emotional intimacy. JSM 2020; 17(6):116-
  9. Fernández-Reino M, González-Ferrer A. Intergenerational relationships among latino immigrant families in Spain: conflict and emotional intimacy. JEMS 2019; 45(10):1746-
  10. Stulhofer A, Jurin T, Graham C, Janssen E, Træen B. Emotional intimacy and sexual well-being in aging European couples: a cross-cultural mediation analysis. EJA 2020; 17(1):43-
  11. Restoux LJ, Dasariraju SR, Ackerman IN, Van Doornum S, Romero L, Briggs AM. Systematic review of the impact of inflammatory arthritis on intimate relationships and sexual function. Arthritis Care & Research 2020; 72(1):41-
  12. Rogers AA, Ha T, Byon J, Thomas C. Masculine gender-role adherence indicates conflict resolution patterns in heterosexual adolescent couples: a dyadic, observational study. Journal of Adolescence 2020; 1(79):112-
  13. Ballard T, Palada H, Griffin M, Neal A. An integrated approach to testing dynamic, multilevel theory: using computational models to connect theory, model, and data. ORM 2019; 24(2):251-
  14. Li Z, Sturge-Apple ML, Liu S, Davies PT. Integrating a multilevel approach to examine family conflict and parent-adolescent physiological synchrony. JFP 2020; 34(7):773-83.
  15. Cheraey L, Goudarzi M, Akbari M. Comparison of effect of imago relationship therapy and feldmans integrated approach on marital commitment in conflicting couples. Avicenna Journal of Neuro Psycho Physiology 2020;7(1):1-[Persian]
  16. Eydelkhani S, Heydari H, Davoodi H, Zare BahramAbadi M. Comparison of feldman multivariate approach and intimate skills (PAIRS) on the quality of marital life in women have marital distress. JPS 2019;17(72):937-[Persian]
  17. Delavar A. Theoretical and practical foundations of research in the humanities and social sciences.1nd ed. Tehran: Roshd Publications, 2020.[Persian]
  18. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. BRM 2009; 41(4):1149-
  19. Feldman LB. Integrating indivual and family therapy in the treatment of symptomatic children and adolescents. Psychotherapy 1988; 42(2):272-
  20. Schaefer MT, Olson DH. Assessing intimacy: The PAIR inventory. JMFT 1981; 7(1):47-
  21. Alavi SZ, Amanelahi A, Attari Y, Koraei A. The effectiveness of emotionally focused couple therapy on emotional and sexual intimacy of incompatible couples. FCPJ 2019;8(2):25-[Persian]
  22. Rosen C, Brown J, Heiman S, Leiblum C, Meston R, Shabsigh D, et al. The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. JSMT 2000; 26(2):191-
  23. Shamkoeyan L, Lotfi Kashani F, Seyrafi M, Ahadi A, Kavosi H. The effectiveness of integrative group therapy on the sexual function of women with systemic scleroderma. HMS 2018;24(3):182-[Persian]
  24. Ellis BJ, Shakiba N, Adkins DE, Lester BM. Early external-environmental and internal-health predictors of risky sexual and aggressive behavior in adolescence: an integrative approach. Developmental psychobiology 2020; 13(1):32-