اثربخشی درمان ترکیبی شناختی - رفتاری و تعدیل سوگیری شناختی منفی بر عزت‌نفس جنسی و عملکرد جنسی مردان مبتلا به اختلال نعوظ شهر اصفهان در سال 1398

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، واحد اصفهان( خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران.

2 استاد، گروه روانشناسی، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران.

3 استاد، گروه روانشناسی، واحد اصفهان(خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران.

چکیده

مقدمه: افت عزت‌نفس جنسی و عملکرد جنسی پایین از جمله پیامدهای کارکردی اختلال نعوظ به شمار می‌روند که اجرای مداخلات روان‌شناختی را ضروری می‌سازند. هدف از انجام این پژوهش تعیین اثربخشی درمان ترکیبی شناختی - رفتاری و تعدیل سوگیری شناختی منفی بر عزت‌نفس جنسی و عملکرد جنسی مردان مبتلا به اختلال نعوظ بود. 
مواد و روش ها: جامعه آماری این پژوهش نیمه­آزمایشی کلیه مردان مبتلا به اختلال نعوظ شهر اصفهان در سال 1398 بودند. تعداد 30 نفر که بر اساس نمرات بین 20-16 در پرسش­نامه بین‌المللی عملکرد نعوظی تشخیص اختلال نعوظ را دریافت کردند، با استفاده از نمونه‌گیری در دسترس انتخاب و به صورت تصادفی ساده در گروه‌های آزمایش و کنترل جایگزین شدند. گروه‌ها پرسشنامه‍های شاخص بین‌المللی عملکرد نعوظی (1997) و عزت‌نفس جنسی (Zeanah و Schwarz، 1996) را تکمیل کردند. پس از اتمام ترکیبی از 8 جلسه 60 الی 90 دقیقه‌ای (هفته‌ای دو جلسه) درمان شناختی - رفتاری و 4 جلسه 60 الی 90 دقیقه‌ای (هفته‌ای 1 جلسه) درمان تعدیل سوگیری شناختی منفی در گروه آزمایش، ابزارها مجدداً توسط گروه‌ها تکمیل شد. داده‌ها با استفاده از تحلیل کواریانس چندمتغیره تجزیه و تحلیل شدند.
یافته ها: درمان ترکیبی شناختی - رفتاری و تعدیل سوگیری شناختی منفی بر افزایش عزت‌نفس جنسی (001/0=p، 09/0=Eta) و عملکرد جنسی (001/0=p، 04/0=Eta) مردان مبتلا به اختلال نعوظ تأثیر مثبت داشت.
نتیجه‌گیری: استفاده از درمان ترکیبی شناختی – رفتاری و تعدیل سوگیری شناختی منفی به عنوان یک روش مداخله‌ای غیردارویی برای بهبود عزت‌نفس جنسی و عملکرد جنسی مبتلایان به اختلال نعوظ توصیه می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

The Effectiveness of Combined Cognitive-Behavioral Therapy and Moderating Negative Cognitive Bias on Sexual Self-Esteem and Sexual Function in Men with Erectile Dysfunction in Isfahan in 2019

نویسندگان [English]

  • N Ghahremannezhad 1
  • SH Atashpour 2
  • F Khayatan 3
1 PhD student, Dept of Psychology, Isfahan Branch(Khorasgan), Islamic Azad University, , Iran.
2 Prof, Dept of Psychology, IsfahanBranch, ( Khorasgan)Islamic Azad University, , Iran.
3 Prof, Dept of Psychology, IsfahanBranch(Khorasgan), Islamic Azad University, , Iran.
چکیده [English]

Introduction: Sexual self-esteem and low sexual function are among the functional consequences of erectile dysfunction; which necessitate the implementation of psychological interventions. Accordingly, the aim of this study was to determine the effectiveness of combined cognitive-behavioral therapy and moderating negative cognitive bias on sexual self-esteem and sexual function in men with erectile dysfunction.
Materials and Methods: The statistical population of this quasi-experimental study included all men with erectile dysfunction in Isfahan in 2019. 30 men who received a diagnosis of erectile dysfunction based on receiving scores between 20-16 in the International Index of Erectile Function were selected as the statistical sample using available sampling and they were randomly assigned to experimental and control groups. The groups completed the International Index of Erectile Function (1997) and Sexual Self-Esteem (Zeanah and Schwarz, 1996) and after completing a combination of 8 sessions of 60 to 90 minutes (two sessions per week for 4 weeks) cognitive-behavioral therapy and 4 sessions of 60 to 90 minutes (1 session per week for 4 weeks) moderating negative cognitive bias in the experimental group, tools were completed in the groups. Data were analyzed using univariate analysis of covariance.
Result: Cognitive-behavioral therapy and modulation of negative cognitive bias had a positive effect on increasing sexual self-esteem (p= 0.001, Eta=0.09) and sexual function (p= 0.001, Eta=0.04) in men with erectile dysfunction.
Conclusion: The use of combined cognitive-behavioral therapy and moderating negative cognitive bias is recommended as a non-pharmacological intervention method to improve sexual self-esteem and sexual function in patients with erectile dysfunction.

کلیدواژه‌ها [English]

  • ognitive-Behavioral Therapy
  • Moderating Negative Cognitive Bias
  • Sexual Self-Esteem
  • Sexual Function
  • Erectile Dysfunction

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