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Current Women`s Health Reviews

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ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

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Research Article

Effectiveness of Relationship Enrichment Program (REP) on Sexual Dysfunction and Satisfaction of Females with Multiple Sclerosis-An Educational Study

Author(s): Negin Sayari, Katayon Vakilian*, Zohre Khalajinia, Seyyed Amir Hejazi and Mostafa Vahedian

Volume 18, Issue 3, 2022

Published on: 07 January, 2022

Article ID: e110821195557 Pages: 7

DOI: 10.2174/1573404817666210811125138

Price: $65

Abstract

Aims: Improving sexual function in women with disability such as multiple sclerosis was aimed.

Background: Sexual dysfunction and the consequent low satisfaction is very common in females with Multiple Sclerosis (MS).

Objectives: This study aimed to investigate the effectiveness of Relationship Enhancement Therapy (REP) on sexual function and satisfaction of females with MS.

Methods: The present study was an educational design with two groups, in which 44 females with MS participated and their spouses (N= 88) participated and randomly divided in two groups of intervention (N= 22 couples) and control (N= 22 couples). They signed written consent forms and were included in the project. The intervention group received the REP in six 90-minute sessions. The groups completed standard questionnaires of sexual dysfunction and sexual satisfaction in three stages of pretest-posttest and 3 months later. The Descriptive and inferential statistics (Twoway repeated measures ANOVA, chi-square, t-test and Mann-Whitney U test) were used to analyze data.

Results: The results of analysis showed that there was a clinically significant difference between the scores of sexual dysfunction in different phases of the assessment between two groups (p <0.05). Also sexual satisfaction was higher in the intervention group vs. in the control (p <0.05).

Conclusion: According to the findings, marital enrichment program was effective in improvement of sexual function and sexual satisfaction of females with multiple sclerosis. It is recommended to healthcare providers to use enrichment alongside medical services to improve patients' sexual life.

Keywords: Marital, sexual function, sexual satisfaction, multiple sclerosis, healthcare providers, neurological disabling.

Graphical Abstract

[1]
Browne P, Chandraratna D, Angood C, et al. Atlas of Multiple Sclerosis 2013: A growing global problem with widespread inequity. Neurology 2014; 83(11): 1022-4.
[http://dx.doi.org/10.1212/WNL.0000000000000768] [PMID: 25200713]
[2]
Wallin MT, Culpepper WJ, Campbell JD, et al. The prevalence of MS in the United States: A population-based estimate using health claims data. Neurology 2019; 92(10): e1029-40.
[http://dx.doi.org/10.1212/WNL.0000000000007035] [PMID: 30770430]
[3]
Azami M, YektaKooshali MH, Shohani M, Khorshidi A, Mahmudi L. Epidemiology of multiple sclerosis in Iran: A systematic review and meta-analysis. PLoS One 2019; 14(4): e0214738.
[http://dx.doi.org/10.1371/journal.pone.0214738]
[4]
Eskandarieh S, Heydarpour P, Elhami S-R, Sahraian MA. Prevalence and incidence of multiple sclerosis in Tehran, Iran. Iran J Public Health 2017; 46(5): 699-704.
[PMID: 28560202]
[5]
Guo Z-N, He S-Y, Zhang H-L, Wu J, Yang Y. Multiple sclerosis and sexual dysfunction. Asian J Androl 2012; 14(4): 530-5.
[http://dx.doi.org/10.1038/aja.2011.110] [PMID: 22447199]
[6]
Calabrò RS, Russo M. Sexual dysfunction and depression in individuals with multiple sclerosis: is there a link? Innov Clin Neurosci 2015; 12(5-6): 11-2.
[PMID: 26155372]
[7]
Boeschoten RE, Braamse AMJ, Beekman ATF, et al. Prevalence of depression and anxiety in Multiple Sclerosis: A systematic review and meta-analysis. J Neurol Sci 2017; 372: 331-41.
[http://dx.doi.org/10.1016/j.jns.2016.11.067] [PMID: 28017241]
[8]
Gava G, Visconti M, Salvi F, Bartolomei I, Seracchioli R, Meriggiola MC. Prevalence and psychopathological determinants of sexual dysfunction and related distress in women with and without multiple sclerosis. J Sex Med 2019; 16(6): 833-42.
[http://dx.doi.org/10.1016/j.jsxm.2019.03.011] [PMID: 31010780]
[9]
Marck CH, Jelinek PL, Weiland TJ, et al. Sexual function in multiple sclerosis and associations with demographic, disease and lifestyle characteristics: An international cross-sectional study. BMC Neurol 2016; 16(1): 210.
[http://dx.doi.org/10.1186/s12883-016-0735-8] [PMID: 27814701]
[10]
Vakilian K, Kheiri M, Majidi A. Effect of cognitive-behavioral sexual counseling on female sexual function during pregnancy: an interventional study. IJWHR 2018; 6(3): 369-73.
[http://dx.doi.org/10.15296/ijwhr.2018.60]
[11]
Yazdanpanahi Z, Nikkholgh M, Akbarzadeh M, Pourahmad S. Stress, anxiety, depression, and sexual dysfunction among postmenopausal women in Shiraz, Iran, 2015. J Family Community Med 2018; 25(2): 82-7.
[http://dx.doi.org/10.4103/jfcm.JFCM_117_17] [PMID: 29922107]
[12]
Assari S, Moghani Lankarani M, Ahmadi K, Kazemi Saleh D. Association between sexual function and marital relationship in patients with ischemic heart disease. J Tehran Heart Cent 2014; 9(3): 124-31.
[PMID: 25870630]
[13]
Flynn KE, Lin L, Bruner DW, et al. Sexual satisfaction and the importance of sexual health to quality of life throughout the life course of US adults. J Sex Med 2016; 13(11): 1642-50.
[http://dx.doi.org/10.1016/j.jsxm.2016.08.011] [PMID: 27671968]
[14]
Ansari N, Vakilian K, Mehrabi Rezveh F. Sexual health during menopause–counselling with an approach to emotional regulation on sexual satisfaction. Fam Med Prim Care Rev 2020; 21: 318-23.
[http://dx.doi.org/10.5114/fmpcr.2019.90159]
[15]
Sahebozzamani M, Rashvand F. The study of training demands of MS patients, members of Iran’s MS Society in 2007. Med Sci J 2008; 18: 195-9.
[16]
Merghatikhoyie Effatosadat.skill training in sexual and marital life. Mehrsa, Tehran 2019.
[17]
Javadivala Z, Allahverdipour H, Kouzekanani K, Merghati-Khoei E, Asghari Jafarabadi M, Mirghafourvand M. A randomized trial of a relationship-enhancement approach in improving marital intimacy in middle-aged Iranian couples. J Sex Marital Ther 2019; 45(3): 190-200.
[http://dx.doi.org/10.1080/0092623X.2018.1501447] [PMID: 30595113]
[18]
Wagner A, Mosmann CP, Scheeren P, Levandowski DC. Conflict, Conflict Resolution and Marital Quality. Soc Psychol 2019; 29: e2919.
[http://dx.doi.org/10.1590/1982-4327e2919]
[19]
Fahami F, Pahlavanzadeh S, Asadi M. Efficacy of communication skills training workshop on sexual function in infertile women. Iran J Nurs Midwifery Res 2015; 20(2): 179-83.
[PMID: 25878692]
[20]
Kingsberg SA, Schaffir J, Faught BM, et al. Female Sexual Health: Barriers to Optimal Outcomes and a Roadmap for Improved Patient-Clinician Communications. J Womens Health (Larchmt) 2019; 28(4): 432-43.
[http://dx.doi.org/10.1089/jwh.2018.7352] [PMID: 30714849]
[21]
Soleimani AA, Najafi M, Ahmadi K, Javidi N, Hoseini Kamkar E, Mahboubi M. The effectiveness of emotionally focused couples therapy on sexual satisfaction and marital adjustment of infertile couples with marital conflicts. Int J Fertil Steril 2015; 9(3): 393-402.
[PMID: 26644864]
[22]
Zamani M, Roudsari RL, Moradi M, Esmaily H. The effect of sexual health counseling on women's sexual satisfaction in postpartum period: A randomized clinical trial. Int J Repro BioMed 2019; 17(1): 41-50.
[http://dx.doi.org/10.18502/ijrm.v17i1.3819]
[23]
Avasthi A, Grover S, Sathyanarayana Rao TS. Clinical practice guidelines for management of sexual dysfunction. Indian J Psychiatry 2017; 59(Suppl. 1): S91-S115.
[http://dx.doi.org/10.4103/0019-5545.196977] [PMID: 28216788]
[24]
Sanders AS, Foley FW, LaRocca NG, Zemon V. The multiple sclerosis intimacy and sexuality questionnaire-19 (MSISQ-19). Sex Disabil 2000; 18: 3-26.
[http://dx.doi.org/10.1023/A:1005421627154]
[25]
Mohammadi K, Rahnama P, Montazeri A, Foley FW. The multiple sclerosis intimacy and sexuality questionnaire-19: reliability, validity, and factor structure of the Persian version. J Sex Med 2014; 11(9): 2225-31.
[http://dx.doi.org/10.1111/jsm.12531] [PMID: 24739056]
[26]
Sasanpour M, Azizi A. The Psychometric Properties of the Farsi Version of the Hooper Sexual Problems Questionnaire. J Holist Nurs Midwifery 2019; 29: 97-105.
[http://dx.doi.org/10.32598/JHNM.29.2.97]
[27]
Hamed G, Etemadi O, Ahmadi H. The Effectiveness of Enrichment of Marital Relationships Based on Communication Model on Couples Intimacy. Third National Conference on Counseling, Khomeini Shahr, Islamic Azad University, Khomeini Branch
[28]
Masoumi SZ, Kazemi F, Nejati B, Parsa P, Karami M. Effect of Sexual Counseling on Marital Satisfaction of Pregnant Women Referring to Health Centers in Malayer (Iran): An educational randomized experimental study. Electron Physician 2017; 9(1): 3598-604.
[http://dx.doi.org/10.19082/3598] [PMID: 28243412]
[29]
Aghausofi A, Tarkhan M, karimi R. Effect of Enrichment Education of Communication on Conjugal Satisfaction of Addicted Couples. Clin Psychol Personality 2018; 16: 49-56.
[30]
zarei j, pour hosein r, tarafdari a, habibi askar abd m, Babakhani M. Development and evaluation of a bio-psychological model of sexual health in menopausal women: mediator role of cultural factors. J ResPsychol Health 2016; 10: 1-11.
[31]
Nathan EP, Joanning HH. Enhancing marital sexuality: an evaluation of a program for the sexual enrichment of normal couples. J Sex Marital Ther 1985; 11(3): 157-64.
[http://dx.doi.org/10.1080/00926238508405441] [PMID: 4068043]
[32]
Byrne M, Doherty S, Fridlund BG, et al. Sexual counselling for sexual problems in patients with cardiovascular disease. Cochrane Database Syst Rev 2016; 2: CD010988.
[http://dx.doi.org/10.1002/14651858.CD010988.pub2] [PMID: 26905928]
[33]
Kuhasar A, Metanat E, Khori S. The Effect of Olson Method on Marital Satisfaction and Couple Loneliness. 4th Conference on Research in Education, Psychology and Social Sciences.
[34]
Gruskin S, Yadav V, Castellanos-Usigli A, Khizanishvili G, Kismödi E. Sexual health, sexual rights and sexual pleasure: meaningfully engaging the perfect triangle. Sex Repro Health Matters 2019; 27: 1593787.
[http://dx.doi.org/10.1080/26410397.2019.1593787]
[35]
Masoumi SZ, Khani S, Kazemi F, Kalhori F, Ebrahimi R, Roshanaei G. Effect of marital relationship enrichment program on marital satisfaction, marital intimacy, and sexual satisfaction of infertile couples. Int J Fertil Steril 2017; 11(3): 197-204.
[PMID: 28868842]

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