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CC BY 4.0 · Rev Bras Ginecol Obstet 2021; 43(07): 513-521
DOI: 10.1055/s-0041-1733914
Original Article | Artigo Original
Pediatric and Adolescent Gynecology/Sexuality

Effectiveness of Counseling Based on Functional Analytic Psychotherapy with Enhanced Cognitive Therapy on the Sexual Quality of Life of Married Adolescent Women

Eficácia do aconselhamento baseado em psicoterapia analítica funcional – Com abordagem de terapia cognitiva aprimorada (FECT) na qualidade de vida sexual de mulheres adolescentes casadas
Maryam Gholami 
1   Department of Midwifery, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
,
Atefeh Ahmadi 
2   Department of Midwifery, Nursing Research Center, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
,
Mozhgan Taebi 
3   Department of Anesthesiology, Faculty of Allied Medical Sciences, Kerman University of Medical Sciences, Kerman, Iran
,
Yunes Jahani 
4   Department of Biostatistics and Epidemiology, Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
,
Katayoun Alidousti 
1   Department of Midwifery, Razi School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
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Abstract

Objective Early marriage has many deleterious effects on the health of girls, such as sexual dissatisfaction, an inevitable result of the lack of sufficient knowledge about sexual issues at the time of the marriage. The goal of the present study was to determine the effectiveness of counseling based on functional analytic psychotherapy with enhanced cognitive therapy (FECT) on the sexual quality of life of married adolescent women.

Methods This clinical trial was conducted between July and October 2019 on 150 married adolescent women who met the inclusion criteria. In the intervention group, FECT was conducted in sixteen 90-minute sessions twice a week. The Sexual Quality of Life-Female (SQOL-F) questionnaire was used. When the study ended, the control group was given the choice of receiving the same intervention as the intervention group.

Results The paired t-test showed a significant difference between the mean score of sexual quality of life before (52.33 ± 23.09) and after (88.08 ± 10.51) counseling in the intervention group (p < 0.0001). According to the analysis of covariance, there was a significant difference between the score on sexual quality after counseling between the intervention (88.08 ± 10.51) and control (60.32 ± 23.73) groups (p < 0.0001). There was also a significant difference between the mean score on the four dimensions of sexual quality of life in the intervention group (p < 0.0001).

Conclusion The results showed that counseling based on FECT improved the sexual quality of life in all dimensions in married adolescent women.

Resumo

Objetivo O casamento precoce tem muitos efeitos deletérios sobre a saúde das meninas, como a insatisfação sexual, resultado inevitável da falta de conhecimento suficiente sobre questões sexuais no momento do casamento. O objetivo do presente estudo foi determinar a eficácia do aconselhamento baseado em psicoterapia analítica funcional com terapia cognitiva aprimorada (FECT) na qualidade de vida sexual de mulheres adolescentes casadas.

Métodos Este ensaio clínico foi realizado entre julho e outubro de 2019 em 150 mulheres adolescentes casadas que preencheram os critérios de inclusão. No grupo de intervenção, FECT foi realizado em dezesseis sessões de 90 minutos duas vezes por semana. Foi utilizado o questionário Sexual Quality of Life-Female (SQOL-F). Quando o estudo terminou o grupo de controle teve a opção de receber a mesma intervenção do grupo de intervenção.

Resultados O teste t pareado mostrou diferença significativa entre o escore médio da qualidade de vida sexual antes (52,33 ± 23,09) e após (88,08 ± 10,51) o aconselhamento no grupo intervenção (p < 0,0001). De acordo com a análise de covariância houve diferença significativa entre o escore de qualidade sexual após aconselhamento entre os grupos intervenção (88,08 ± 10,51) e controle (60,32 ± 23,73) (p < 0,0001). Também houve diferença significativa entre a pontuação média nas quatro dimensões da qualidade de vida sexual no grupo de intervenção (p <0,0001).

Conclusão Os resultados mostraram que o aconselhamento baseado no FECT melhorou a qualidade de vida sexual em todas as dimensões em mulheres adolescentes casadas.

Keywords

functional analytical psychotherapy (FAP) - cognitive behavioral therapy (CBT) - sexual quality of life - married women - adolescents

Palavras-chave

psicoterapia analítica funcional (FAP) - terapia cognitivo-comportamental (TCC) - qualidade de vida sexual - mulheres casadas - adolescentes

Contributions

MG and KA designed the study and drafted the manuscript. AA prepared the counselling package. MT had full access to all of the data and was in charge of the integrity of the data. YJ was responsible for the accuracy of the data analysis. All authors read and approved the final manuscript.




Publication History

Received: 08 July 2020

Accepted: 22 April 2021

Article published online:
30 August 2021

© 2021. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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