A
Fatemeh Bayanfar; Seyed Saeid Soleiman poor
Abstract
Objective: Sexual dysfunctions are a heterogeneous group of disorders that are usually characterized by a clinically significant disturbance in a person's ability to respond sexually or experience sexual pleasure. A person may have several sexual dysfunctions at the same time. Erectile dysfunctions and ...
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Objective: Sexual dysfunctions are a heterogeneous group of disorders that are usually characterized by a clinically significant disturbance in a person's ability to respond sexually or experience sexual pleasure. A person may have several sexual dysfunctions at the same time. Erectile dysfunctions and hypoactive sexual desire disorder are discussed in this research. This study aimed to investigate the effectiveness of sexual cognitive behavioral therapy (SCBT) on sexual self-concept, sexual self-disclosure, erectile dysfunction, and hypoactive sexual desire disorder in patients with sexual dysfunction. Method: The present quasi-experimental study was designed with a pretest- posttest, a control group, and a one-month follow-up period. The statistical population of the study included male patients with an erectile disorder or hypoactive sexual desire disorder referring to specialized urology clinics located in district one of Tehran. Among the patients, 26 males with sexual dysfunctions were selected through the purposive sampling method and randomly accommodated into experimental and control groups (each containing 13 patients). The experimental group received ten 90-minute sessions of SCBT during 2.5 months, and the control group was placed on the waiting list. In this study, the applied questionnaires included the International Index of Erectile Function (IIEF) (Rosen et al., 1997), the Multidimensional Sexual Self-Concept Questionnaire (MSSCQ) (Snell, 1995), and the Sexual Self-Disclosure Scale (SSDS) (Snell, Belk & Clark, 1987). The data from the study were analyzed through the multivariate analysis of covariance and Bonferroni's post hoc test. Results: The results showed that SCBT in the post-test stage significantly increased positive
sexual self-concept (P ≤ 0.001), sexual self-disclosure (P ≤ 0.001), and sexual desire (P ≤ 0.001), with a significant reduction in erectile dysfunction (P ≤ 0.001), in patients with sexual dysfunctions. Conclusion: According to the findings of the present study, it can be concluded that SCBT can be used as an efficient intervention to improve sexual self-concept, sexual self-disclosure, erectile dysfunction, and hypoactive sexual desire disorder in male patients with sexual dysfunction. Sexual health is necessary and important for the physical and psychological health of people and the prevention of sexual diseases. Therefore, this treatment protocol, especially the parts of the anatomy of female and male sexual organs, normal and abnormal sexual desires, and familiarity with the sensitive points of the female body and men should be taught people to improve couples’ sexual health and the ability to enjoy sexual relations. Urologists should prescribe the use of this treatment protocol for these patients in addition to drug treatment.
