Efficacy of Cognitive Behavioral Therapy on Catastrophic thoughts on Women with primary Vaginismus: A Single-Case trial

Document Type : Original Article

Authors

1 Instructor, Department of Midwifery, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 M.Sc. student in Midwifery Counseling, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 Assisstant Professor, Department of Research, Behavioral Sciences Research Center, Faculty of Medicine, Isfahan University of Medical sciences, Isfahan, Iran

4 Assistant Professor, Department of Counseling, Faculty of Education Sciences and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran.

Abstract

Introduction: Vaginismus is considered as one of the most common GenitoPelvic Pain/Penetration Disorders. The complication of vaginismus is extensive. Therefore, this study was performed with aim to investigate the efficacy of Cognitive Behavioral Therapy on catastrophic thoughts on women with vaginismus.
Methods: In this single-case experimental trial of multiple-baseline type, four women with vaginismus who had referred to Ahvaz psychosexual clinics in 2015 were recruited. Catastrophic thoughts were assessed in participants by multidimensional vaginal penetration disorder questionnaire at baseline and after the intervention. After determining the base lines in dependent variable, the subjects were respectively entered in Cognitive Behavioral Therapy and they were individually treated by 8 sessions per week. In this study, clinical significant is used. To analyzed data and evaluated the effectiveness this methods, used visuals or graphical chart analysis, diagnosis improve and six indicators Ingram.
Results: After the treatment, all participants reported successful intercourse without pain and fear. The findings also showed that catastrophic cognitions significantly improved by Cognitive Behavioral Therapy in women with vaginismus (P < 0.05).
Conclusion: The results of the study showed that Cognitive Behavioral Therapy can be considered as an effective treatment for vaginismus. Therefore, it is recommended to consider this therapy in the interventions for these patients; future studies with larger sample sizes and control groups is also suggested.

Keywords

References

  1. Jahanfar SH, Molaeinezhad M. A course on sexual disorders. Tehran: Community, Bizheh; 2013.
  2. Amini M, Ozgoli G, Azar M, Majd HA. The time of consummation of marriage and related factors in women visited at health care centers and hospitals of Shahid Beheshti University of Medical Science in Tehran 2009. Pajoohandeh J 2011; 16(2):73-8. (Persian).
  3. Molaeinezhad M, Merghati Khoei E, Latifinejad Roudsari R, Salehi M, Yousefy A. Sexual scripts theory and the constructs of unconsummated marriage. J Res Behave Sci 2013; 11(4):289-305. (Persian).
  4. Hodo DW. Kaplan and Sadock’s comprehensive textbook of psychiatry. Am J Psych 2006; 163(8):1458.
  5. Bogart LM, Suttorp MJ, Elliott MN, Clemens JQ, Berry SH. Prevalence and correlates of sexual dysfunction among women with bladder pain syndrome/interstitial cystitis. Urology 2011; 77(3):576-80.
  6. Molaeinezhad M, Roudsari RL, Yousefy A, Salehi M, Khoei EM. Development and validation of the multidimensional vaginal penetration disorder questionnaire (MVPDQ) for assessment of lifelong vaginismus in a sample of Iranian women. J Res Med Sci 2014; 19(4):336-48.
  7. Esmaeli MA, Azar M, Iranpour C. The prevalence of anxiety symptoms in patients with vaginismus referred to a private psychiatric clinic in Tehran (2001-2002). J Reprod Infertil 2003; 4(2):156-63. (Persian).
  8. Dehkordi MA, Mohammadi A, Alipor A, Mohtashami T. The effect of cognitive-behavioral therapy on increasing marital adjustment domains in patients with vaginismus. Biann J Appl 2012; 2(1):49-62. (Persian).
  9. Frasson E, Graziottin A, Priori A, Dall’Ora E, Didonè G, Garbin E, et al. Central nervous system abnormalities in vaginismus. Clin Neurophysiol 2009; 120(1):117-22.
  10. ter Kuile MM, van Lankveld JJ, de Groot E, Melles R, Neffs J, Zandbergen M. Cognitive-behavioral therapy for women with lifelong vaginismus: process and prognostic factors. Behav Res Ther 2007; 45(2):359-73.
  11. Jeng CJ. The pathophysiology and etiology of vaginismus. Taiwanese J Obstet Gynecol 2004; 43(1):10-5.
  12. Clayton AH. The pathophysiology of hypoactive sexual desire disorder in women. Int J Gynecol Obstet 2010; 110(1):7-11.
  13. Dewitte M, Van Lankveld J, Crombez G. Understanding sexual pain: a cognitive‐motivational account. Pain 2011; 152(2):251-3.
  14. Bergeron S, Rosen NO, Morin M. Genital pain in women: Beyond interference with intercourse. Pain 2011; 152(6):1223-5.
  15. Shafik A, El-Sibai O. Study of the pelvic floor muscles in vaginismus: a concept of pathogenesis. Eur J Obstet Gynecol Reprod Biol 2002; 105(1):67-70.
  16. Rahimi EL, Shafiabadi A, Yunesi F. The effect of sexual cognitive-behavioral therapy on females' sexual knowledge, sexual attitude, and sexual self-confidence. A case study in Shiraz, Iran. Armaghane Danesh 2009; 14(3):103-11. (Persian).
  17. Mehrabi F, Dadfar M, Ghime N. The effectiveness of cognitive-behavioral techniques in the treatment of erectile dysfunction/performance anxiety type. Iran J Psych Clin Psychol 2006; 12(1):9-15. (Persian).
  18. Lofrisco BM. Female sexual pain disorders and cognitive behavioral therapy. J Sex Res 2011; 48(6):573-9.
  19. Kabakçi E, Batur S. Who benefits from cognitive behavioral therapy for vaginismus? J Sex Marital Ther 2003; 29(4):277-88.
  20. Muammar T, McWalter P, Alkhenizan A, Shoukri M, Gabr A, Muammarb AA. Management of vaginal penetration phobia in Arab women: a retrospective study. Ann Saudi Med 2015; 35(2):120-6.
  21. Meston CM, Hull E, Levin RJ, Sipski M. Disorders of orgasm in women. J Sex Med 2004; 1(1):66-8.
  22. McCreary S, Alderson K. The perceived effects of practicing meditation on women’s sexual and relational lives. Sexu Relationship Ther 2013; 28(1-2):105-19.
  23. Salehzadeh M, Kajbaf MB, Moulavi H, Zolfaghari M. Effectiveness of cognitive–behavior therapy on sexual dysfunction in women. Psychol Stud 2011; 7(1):11-31. (Persian).
  24. Hamid N, Dehghanizadeh Z, Asghar Firuzi A. Effects of cognitive-behavioral therapy on sexual function in women with vaginismus disorder. Iran J Obstet Gynecol Infertil 2012; 15(20):1-11. (Persian).
  25. Hamidi S, Share H, Hojjat SK. Comparison of early maladaptive schemas and attachment styles in women with vaginismus and normal women. Iran J Obstet Gynecol Infertil 2015; 18(155-156):9-18. (Persian).
  26. Masumian S, Shairi MR, Hashemi M. The Effect of mindfulness-based stress reduction on quality of life of the patients with chronic low back pain. Anesthesiol Pain 2013; 4(1):25-37. (Persian).
  27. Barrientos JE, Páez D. Psychosocial variables of sexual satisfaction in Chile. J Sex Marital Ther 2006; 32(5):351-68.
  28. Bakhshayesh AR, Mortazavi M. The relationship between sexual satisfaction, general health and marital satisfaction in couples. J Appl Psychol 2010; 3(4):73-85. (Persian).
  29. Bakouei F, Omidvar SH, Nasiri F. Prevalence of female sexual dysfunction in married women and its related factors (Babol 2006). J Babol Univ Med Sci 2007; 9(4):59-64. (Persian).
  30. Bitzer J, Alder J. Female sexual dysfunction. Ther Umsch 2010; 67(3):105-16.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 19, Issue 39
February 2017
Pages 25-34

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