Community Health Journal

Community Health Journal

The Effectiveness of Schema Therapy on Married Women with Hypo-active Sexual Desire Disorder in Sirjan City

Document Type : Original Article

Authors
A afzaligrouh 1
M nosrat abadi 2
M ghasemzadeh 3
A choobdarry 4
1 MSc, Dept of General Psychology, Islamic Azad University, Zarand Branch, Kerman, Iran.
2 MSc, Dept of General Psychology, Shahid Bahonar University, Kerman, Iran.
3 MSc Student, Dept of General Psychology, Allameh Tabataba'i University, Tehran, Iran.
4 Ph.D Student, Dept of Psychology and Education of Exceptional Children, Allameh Tabataba'i University, Tehran, Iran
10.22123/chj.2018.93693.1024
Abstract
Introduction: Sexual desire is a complex issue influenced by a variety of factors particularly psychological factor. Therefore, the aim of this research was to investigate the effectiveness of schema therapy on married women with hypo-active sexual desire living in Sirjan City.
Materials and Methods:In this semi-experimental study, among married women with hypo- active sexual desire disorder referred to counseling centers of Sirjan City, 30 women were purposefully selected and were then divided into two groups of  15, experimental and control group. Experimental group received 10 weekly sessions of schema therapy. The data were collected by the Holbert Sexuality Index (1992) and analyzed by covariance test.
Results: The findings of the present study indicated that the average score of hypo-active sexual desire in the experimental group was significantly decreased compared to control group (59.00 ± 17.62 vs 47.98 ± 14.05, p<0.05).
Conclusion: According to the findings of this study, schema therapy may be an effective method for treatment of female hypo-active sexual desire disorder.
Keywords
Hypo-active sexual disorder
Schema therapy
Married women
  1. Meixel A, Yanchar E, Fugh-Berman A. Hypoactive sexual desire disorder: inventing a disease to sell low libido. JME 2015;41(10):859-62.
  2. Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstetrics & Gynecology 2008;112(5):970-8.
  3. Rymer J, Wylie K, Barnes T, Mander A, Buckler H, Dean J. Hypoactive sexual desire Disorder. The Obstetrician & Gynaecologist 2010;12(4):237-43.
  4. Clayton AH. The pathophysiology of hypoactive sexual desire disorder in women. IJGO 2010;110(1):7-11.
  5. Naumann G, Skala C, Albrich S, Kolbl H. Definition of hypoactive sexual desire disorder. CJG 2010; 70(5):701–6.
  6. Dove NL, Wiederman MW. Cognitive distraction and women's sexual functioning. JSMT 2000;26(1):67-78.
  7. Boston P. Systemic family therapy and the influence of post-modernism. APT 2000;6(6):450-7.
  8. Pyke RE, Clayton AH. Psychological treatment trials for hypoactive sexual desire disorder: a sexual medicine critique and perspective.JSM 2015;12(12):2451-8.
  9. Brotto LA, Basson R. Group mindfulness-based therapy significantly improves sexual desire in women. BRT 2014;57:43-54.
  10. Masters Q, Johnson VE. Human Sexual Inadequacy. 2nd ed. Boston: Little Brown Press; 1970: 218.
  11. Palace EM. Modification of dysfunctional patterns of sexual response through autonomic arousal and false physiological feedback. JCCP 1995;63(4):604-15.
  12. Nobre PJ, Pinto-Gouveia J. Differences in automatic thoughts presented during sexual activity between sexually functional and dysfunctional men and women. CTR 2008;32(1):37-49.
  13. Géonet M, De Sutter P, Zech E. Cognitive factors in women hypoactive sexual desire disorder. Sexologies 2013;22(1):e9-e15.
  14. Goldstein I, Lines C, Pyke R, Scheld JS. National differences in patient–clinician communication regarding hypoactive sexual desire disorder. JSM 2009;6(5):1349-57.
  15. Ziaei T, Farahmand Rad H, Rezaei Aval M, Roshandel G. The Relationship between Sexual Self-concept and Sexual Function in Women of Reproductive Age Referred to Health Centers in Gorgan, North East of Iran. JMRH 2017;5(3):969-77.
  16. Sigre-Leirós V, Carvalho J, Nobre P. Preliminary findings on men's sexual self-schema and sexual offending: differences between subtypes of offenders. JSR 2016;53(2):204-13.
  17. Cyranowski JM, Andersen BL. Evidence of self-schematic cognitive processing in women with differing sexual self-views. JSCP 2000;19(4):519-43.
  18. Althof SE, Needle RB. Psychological and interpersonal dimensions of sexual function and dysfunction in women: An update. AJU 2013;11(3):299-304.
  19. Young, J, Kloskov, J, Vyshar M. Schema therapy: practical guide for clinicians. 1nd ed. Tehran: Arjomand Press; 2009: 150. [Persian]
  20. Parrott TH, Brown D. Psychotherapy and counseling for children and adolescents. sow practical health centers and schools. 2nd ed. Tehran: Arjomand; 2004: 210-4. [Persian]
  21. Hawke LD, Provencher MD. Schema theory and schema therapy in mood and anxiety disorders: A review. JCP 2011;25(4):257-76.
  22. Peled O, Bar-Kalifa E, Rafaeli E. Stability or instability in avoidant personality disorder: Mode fluctuations within schema therapy sessions. JBTEP 2017;57:126-34.
  23. Taylor CD, Bee P, Haddock G. Does schema therapy change schemas and symptoms? A systematic review across mental health disorders. Psychology and Psychotherapy 2017;90(3):456-79.
  24. Malogiannis IA, Arntz A, Spyropoulou A, Tsartsara E, Aggeli A, Karveli S, et al. Schema therapy for patients with chronic depression: a single case series study. JBTEP 2014;45(3):319-29.
  25. Peixoto MM, Nobre P. The Activation of Incompetence Schemas in Response to Negative Sexual Events in Heterosexual and Lesbian Women: The Moderator Role of Personality Traits and Dysfunctional Sexual Beliefs. JSR 2017;54(9):1188-96.
  26. Peixoto MM, Nobre P. Cognitive schemas activated in sexual context: a comparative study with homosexual and heterosexual men and women, with and without sexual problems. CTR 2015;39(3):390-402.
  27. Trudel G, Marchand A, Ravart M, Aubin S, Turgeon L, Fortier P. The effect of a cognitive-behavioral group treatment program on hypoactive sexual desire in women. SRTT 2001;16(2):145-64.
  28. Sungur MZ, Gündüz A. A comparison of DSM‐IV‐TR and DSM‐5 definitions for sexual dysfunctions: Critiques and challenges. JSM 2014;11(2):364-73.
  29. Pereira VM, Arias-Carrión O, Machado S, Nardi AE, Silva AC. Sex therapy for female sexual dysfunction. IAM 2013;6(1):37.
  30. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5nd ed.  New York: American Psychiatric; 2013: 440-3.
  31. Shafei P. (dissertation). Relationship between sexual desire, Assertiveness and Identity in married female student living in dormitory in Tehran. Tehran: Teacher Training University; 2006: 110-1.
  32. Bai F. (dissertation). The Effectiveness of Feminist Group Therapy on sexual desire and sexual Assertiveness in married women. Tehran: Teacher Training University; 2009: 120-5.
  33. Sanai Zaker B, Alaghband S, FalahatiSh, Hooman A. Family and Marriage Scales. 2nd ed.Tehran: Besat Press; 2009: 108-15.[Persian]
  34. Taşkale N, Soygüt G. Risk Factors for Women’s Intimate Partner Violence Victimization: An Examination from the Perspective of the Schema Therapy Model. JFV 2017;32(1):3-12.
  35. Criniti S, Andelloux M, Woodland M, Montgomery O, Hartmann SU. The state of sexual health education in US medicine. AJSE 2014;9(1):65-80.