اثربخشی درمان چندوجهی Lazarus بر ناهماهنگی شناختی و رضایت جنسی در زنان دارای سبک دلبستگی دوسوگرا

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استاد، گروه روانشناسی، دانشگاه شهید چمران اهواز، اهواز، ایران.

2 دانشجوی دکتری، گروه روانشناسی، دانشگاه شهید چمران اهواز، اهواز، ایران.

چکیده

مقدمه: یکی از مهم‌ترین عواملی تأثیرگذار بر کیفیت و پایداری رابطه زوجین رضایت جنسی است. این پژوهش با هدف تعیین اثربخشی درمان Lazarus بر ناهماهنگی شناختی و رضایت جنسی در زنان دارای سبک دلبستگی دوسوگرا انجام شد.
مواد و روش‌ها: پژوهش حاضر نیمه­آزمایشی با طرح پیش­آزمون، پس­آزمون و گروه کنترل بود. جامعه آماری شامل زنان متأهل مراجعه‏کننده به مرکز طب زناشویی بیمارستان امام خمینی(ره) شهر تهران در سال 1399 بود. با روش نمونه‏گیری در دسترس، تعداد 30 نفر انتخاب و در گروه­های آزمایش (15 نفر) و کنترل (15 نفر) قرار گرفتند. با پرسشنامه سبک دلبستگی (Hazan و Shaver، 1987) غربالگری نمونه­ها انجام شد. پرسشنامه‏های ناهماهنگی شناختی (Harmon-Jones و همکاران، 2008) و رضایت جنسی (Larson و همکاران، 1998) برای بررسی اثربخشی درمان در پیش‏آزمون و پس‏آزمون به کار گرفته شد. در گروه آزمایش، درمان چندوجهی Lazarus در 8 جلسه (هفته­ای 1 جلسه به ‌مدت 90 دقیقه( اجرا گردید. پس از پایان آموزش از گروه­ها پس‏آزمون گرفته شد. داده­ها با روش‏های آزمون‏های t (مستقل و زوجی) و‏ تحلیل کوواریانس چندمتغیری تحلیل شد.  
یافته‌ها: بین میانگین نمرات ناهماهنگی شناختی، رضایت جنسی و مؤلفه‏های آن‏ها در زنان، از پیش‏آزمون تا پس‏آزمون تفاوت معنی­داری وجود داشت (05/0>p). و درمان چندوجهی Lazarus باعث کاهش ناهماهنگی شناختی و افزایش رضایت جنسی در آزمودنی‏های گروه آزمایش شد (05/0>p). 
نتیجه‌گیری: درمان چندوجهی Lazarus می‏تواند بر سازه‏های روانی از جمله ناهماهنگی شناختی و رضایت جنسی زنان دارای سبک دلبستگی دوسوگرا اثرگذار باشد. جهت بالا بردن اعتبار بیرونی پیشنهاد می‏گردد که تحقیقات بیشتری صورت بگیرد.  

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Lazarus Multimodal Therapy on Cognitive Dissonance and Sexual Satisfaction in Women with Ambivalent Attachment Style

نویسندگان [English]

  • A Naami 1
  • A Rezayatizadeh 2
1 Prof, Dept of Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
2 Ph. D Student, Dept of Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran
چکیده [English]

Introduction: One of the most important factors affecting the quality and stability of a couple's relationship is sexual satisfaction. This study aimed to determine the effectiveness of Lazarus Multimodal Therapy on cognitive dissonance and sexual satisfaction in women with ambivalent attachment style.
Material and Methods: The research was quasi-experimental with a pre-test and post-test design and a control group. The statistical population included all married women admitted to the Marital Medicine Center of Imam Khomeini Hospital in Tehran in 2020. By available sampling, 30 people were selected and divided into experimental (n =15) and control (n =15) groups. Samples were screened using the Attachment Style Questionnaire (Hazan and Shaver, 1987). Cognitive dissonance questionnaire (Harmon-Jones et al., 2008), sexual satisfaction questionnaire (Larson et al., 1998) were used to examine the effectiveness of the therapy in pre-test and post-test. In the experimental group, Multimodal Therapy was performed in 8 sessions (1 session per week lasting 90 minutes). At the end of the training, a post-test was taken from the groups. Data were analyzed using a t-test (independent and paired) and multivariate analysis of covariance.
Results: The results showed that there was a significant difference between the mean scores of cognitive dissonance, sexual satisfaction, and their components in women, in the pre-test and the post-test (p<0.05). Moreover, Lazarus Multimodal Therapy reduced cognitive dissonance and increased sexual satisfaction in the subjects of the experimental group (p<0.05).
Conclusion: Lazarus multimodal therapy can affect psychological constructs such as cognitive dissonance and sexual satisfaction of women with ambivalent attachment style. It is recommended that more research be done to increase external credibility.

کلیدواژه‌ها [English]

  • Multimodal therapy
  • Cognitive dissonance
  • Sexual satisfaction
  • Ambivalent attachment style
  1. Bloome D, Ang Marriage and union formation in the United States: recent trends across racial groups and economic backgrounds. Demography 2020; 57(5):1753-86.
  2. Elyasi F, Islami Parkoohi P, Naseri M, Samadaee Gelekolaee K, Hamedi M, Peyvandi S, et al. Relationship between coping/attachment styles and infertility-specific distress in Iranian infertile individuals: a cross-sectional study. IJRM 2021; 19(4):347-
  3. Busby DM, Hanna-Walker V, Leavitt CE. A Kiss is not just a kiss: kissing frequency, sexual quality, attachment, and sexual and relationship satisfaction. SRT 2020; 30(2):1-
  4. Yazdani A, Mousavi M, Alipour F, Rafiey Reconfiguration of relationships during the process of remarriage after divorce. A qualitative study in Iran. JML 2021; 14(2):198-204.
  5. Pirak A, Negarandeh R, Khakbazan Z. Post-divorce regret among Iranian women: a qualitative study. IJCBNM 2019; 7(1):75-
  6. Tajdine S, Besharat MA. Predicting marital conflict on the basis of positive and negative affects and attachment Styles. Rooyesh-e-Ravanshenasi 2019; 8(4):21- [Persian]
  7. Sivandian M, Besharat MA. Research paper: the association between attachment styles and marital adjustment: the moderating role of defense mechanisms. JRH 2019; 9(7):544- [Persian]
  8. Santos LR, Cerqueira-Santos E. Infidelity, sexual and marital satisfaction and social skills among couples who have been betrayed. Pensando familias 2020; 24(1):67- [Português]
  9. Wright H, Jenks RA, Lee DM. Sexual expression and cognitive function: gender-divergent associations in older adults. Archives of Sexual Behavior 2020; 49(3):941-
  10. Bran A, Vaidis DC. On the Characteristics of the cognitive dissonance state: exploration within the pleasure arousal dominance model. Psychologica Belgica 2020; 60(1):86-
  11. Lorkiewicz SA, Ventura AS, Heeren TC, Winter MR, Walley AY, Sullivan M, et al. Lifetime marijuana and alcohol use, and cognitive dysfunction in people with human immunodeficiency virus infection. Substance abuse 2018; 39(1):116-
  12. Riazi Z, Vakili S, Hemmati M. The effectiveness of mindfulness training on adaptive behaviors and cognitive dissonance in adolescent girls with oppositional defiant disorder. MOHME 2020; 4(1):41- [Persian]
  13. Isanejad O, Baghery A. Phenomenology of strategies of justifying infidelity: mechanisms to cope with cognitive dissonance of marital infidelity. FCPJ 2017; 6(2):189- [Persian]
  14. Vaishnav M, Saha G, Mukherji A, Vaishnav P. Principles of marital therapies and behavior therapy of sexual dysfunction. Indian Journal of Psychiatry 2020; 62(2):213-
  15. Désfalvi J, Lakatos C, Csuka SI, Sallay V, Filep O, Dank M, et al. Attachment style, relationship and sexual satisfaction: comparing breast cancer patients and healthy women. Orvosi hetilap 2020; 161(13):510- [Hungary]
  16. Fleishman JM, Crane B, Koch PB. Correlates and predictors of sexual satisfaction for older adults in same-sex relationships. Journal of homosexuality 2020; 67(14):1974-
  17. Blais RK. Lower sexual satisfaction and function mediate the association of assault military sexual trauma and relationship satisfaction in partnered female service members/veterans. Family process 2020; 59(2):586-
  18. Iranizadeh J, Zarei Mahmoodabadi H, Vaziri S, Afshani SA. The effectiveness of the native training model designed based on Lazarus theory and behavioral planning theory in the consolidation of family functioning: a case study. JCHR 2020; 9(2):119- [Persian]
  19. Corey G. Theory and practice of counseling and psychotherapy. 9nd ed. (Translation). Seyed Mohammadi. Tehran: Arsbaran Publication, 2020:433- [Persian]
  20. Delavar A. Theoretical and practical foundations of research in the humanities and social sciences.1nd ed. Tehran: Roshd Publications, 2020.[Persian]
  21. Borm GF, Fransen J, Lemmens WA. A simple sample size formula for analysis of covariance in randomized clinical trials. JCE 2007; 60(12):1234-
  22. Lazarus AA. The practice of multimodal therapy: Systematic, comprehensive, and effective psychotherapy. Johns Hopkins University Press 1989:25-
  23. Harmon-Jones E, Harmon-Jones C, Fearn M, Sigelman JD, Johnson P. Left frontal cortical activation and spreading of alternatives: tests of the action-based model of dissonance. JPSP2008; 94(1):1-
  24. Zare H, Saffarinia M, Rezae P. The comparison of meta-cognitive learning strategies, perfectionism, and cognitive arousal of the high ranks and other candidates of national university entrance examination. Knowledge & Research in Applied psychology 2013; 1(51):53- [Persian]
  25. Larson JH, Anderson SM, Holman TB, Niemann BK. A longitudinal study of the effects of premarital communication, relationship stability, and self-esteem on sexual satisfaction in the first year of marriage. Journal of Sex & Marital Therapy 1998; 24(3):193-
  26. Mam Salehi H, Moradi O. Designing a sexual satisfaction predictive model based on sexual schemes and self-differentiation in couples. IJPN 2020; 8(1):49- [Persian]
  27. Hazan C, Shaver P. Romantic love conceptualized as an attachment process. JPSP 1987; 52(3):503-
  28. Aqaei A, Mousavi S M. The relationship between attachment styles with self-differentiation, cognitive flexibility and marital intimacy in students. Journal of Rooyeshe Ravanshenasi 2020;9(2):109-[Persian]
  29. Adam F, De Sutter P, Day J, Grimm E. A randomized study comparing video-based mindfulness-based cognitive therapy with video-based traditional cognitive behavioral therapy in a sample of women struggling to achieve orgasm. The Journal of Sexual Medicine 2020; 17(2):312-
  30. Kane L, Dawson SJ, Shaughnessy K, Reissing ED, Ouimet AJ, Ashbaugh AR. A review of experimental research on anxiety and sexual arousal: implications for the treatment of sexual dysfunction using cognitive behavioral therapy. Journal of Experimental Psychopathology 2019; 10(2):1-
  31. Hasani F, Rezazadeh M, Ghanbaripanah A, Khoshkabar A. The effectiveness of compassion-focused therapy on sexual satisfaction, emotional regulation, and resilience in nurses with burnt marriage syndrome. IJRN 2021; 7(3):52-64. [Persian]
  32. Vatani S, Khoram M, Abbaspour E. The efficacy of the excitement approach in regulating excitement, sexual satisfaction and adaptation of couples with low space child. SOREN 2021; 1(1):50-56. [Persian]
  33. Yousefi M, Farhoodian A, Safi MH. The effectiveness of acceptance and commitment therapy on the increase of sexual satisfaction in recovered patients from methamphetamine use disorder. Scientific Quarterly of Research on Addiction 2021; 14(58):311-328. [Persian]
  34. Wolters LH, Prins PJ, Garst GJ, Hogendoorn SM, Boer F, Vervoort L, et al. Mediating mechanisms in cognitive behavioral therapy for childhood OCD: the role of dysfunctional beliefs. CPHD 2019; 50(2):173-
  35. Hur JW, Kim B, Park D, Choi SW. A scenario-based cognitive behavioral therapy mobile app to reduce dysfunctional beliefs in individuals with depression: a randomized controlled trial. Telemedicine Journal and E Health 2018; 24(9):710-