International Journal of Behavioral Sciences

International Journal of Behavioral Sciences

Comparing the Effectiveness of Emotionally Focused Therapy and Cognitive-Behavioral Therapy on Sexual Function and Health-Promoting Behaviors in Women with PCOS

Document Type : Original Article

Authors
Mansoureh Amirshahi 1
Ali-Akbar Saremi 1
Reza Nouri 2
Mohammad-Hossein Karbalaei 1
Robabeh Hosseini-Sadat 3
1 Department of Psychology, Torbat-e Jam Branch, Islamic Azad University, Torbat-e Jam, Iran
2 Department of Surgery, School of Medicine, Zabol University of Medical, Sciences, Zabol, Iran
3 Department of Obstetrics and Gynecology, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
10.30491/ijbs.2024.422403.2040
Abstract
Introduction: Polycystic ovary syndrome causes a decrease in sexual function and health-promoting behaviors. The present study compared the effectiveness of emotionally focused therapy and cognitive-behavioral therapy on sexual function and health-promoting behaviors in women with polycystic ovary syndrome.
Method: This semi-experimental study was carried out on women with polycystic ovary syndrome referred to the infertility clinic of Afzalipur Hospital in Kerman, in 2022. For this purpose, 45 patients were selected using convenience sampling and were then randomly placed into two experimental groups and one control group (15 people in each group). The experimental groups were subjected to the interventions of emotionally focused therapy and cognitive-behavioral therapy. The questionnaires on sexual function and promoting lifestyle were used. Data were analyzed using SPSS21 software and variance analysis.
Results: Findings revealed that the cognitive-behavioral therapy of emotionally focused therapy had significant effects on sexual function and health-promoting behaviors (P<0.05). The comparison of two therapies revealed that the effectiveness of cognitive-behavioral therapy on sexual function and health promoting behaviors is more than emotionally focused therapy. Moreover, there was no statistically significant difference between post-test and follow-up scores (P>0.05), which shows the lasting effect of the interventions on sexual function and health promoting behaviors in mothers with polycystic ovary syndrome.
Conclusion: According to the results, the use of cognitive-behavioral therapy can be more effective on sexual function and health-promoting behaviors in women with polycystic ovary syndrome.
 
Keywords
Emotionally Focused Therapy
Cognitive-Behavioral Therapy
Sexual Function
Health-Promoting Behaviors
Polycystic Ovary Syndrome
  1. Witchel SF, Oberfield SE, Peña AS. Polycystic ovary syndrome: pathophysiology, presentation, and treatment with emphasis on adolescent girls. Journal of the Endocrine Society. 2019;3(8):1545-73. https://doi.org/10.1210/js.2019-00078
  2. Adjei N, Yung N, Towers G, Caty M, Solomon D, Vash-Margita A. 91. association of pilonidal disease with polycystic ovarian syndrome in adolescent females. Journal of Pediatric and Adolescent Gynecology. 2021;34(2):275-6. https://doi.org/10.1016/j.jpag.2021.02.095
  3. Cooney LG, Milman LW, Hantsoo L, Kornfield S, Sammel MD, Allison KC, et al. Cognitive-behavioral therapy improves weight loss and quality of life in women with polycystic ovary syndrome: a pilot randomized clinical trial. Fertility and sterility. 2018;110(1):161-71. https://doi.org/10.1016/j.fertnstert.2018.03.028
  4. de Mendonca CR, Arruda JT, Noll M, Campoli PMdO, do Amaral WN. Sexual dysfunction in infertile women: A systematic review and meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2017;215:153-63. https://doi.org/10.1016/j.ejogrb.2017.06.013
  5. Deniz A, Kehribar D. Evaluation of sexual functions in infertile women with polycystic ovary syndrome. Nigerian Journal of Clinical Practice. 2020;23(11):1548-54. https://doi.org/10.4103/njcp.njcp_15_20
  6. Pastoor H, Timman R, de Klerk C, Bramer WM, Laan ET, Laven JS. Sexual function in women with polycystic ovary syndrome: a systematic review and meta-analysis. Reproductive biomedicine online. 2018;37(6):750-60. https://doi.org/10.1016/j.rbmo.2018.09.010
  7. Macleod A, McCabe MP. Defining sexuality in later life: A systematic review. Australasian journal on ageing. 2020;39:6-15. https://doi.org/10.1111/ajag.12741
  8. Avasthi A, Grover S, Rao TS. Clinical practice guidelines for management of sexual dysfunction. Indian journal of psychiatry. 2017;59(Suppl 1):S91. https://doi.org/10.4103/0019-5545.196977
  9. Raykov T, Marcoulides GA. Introduction to psychometric theory: Routledge; 2011.
  10. Shaahmadi F, Shojaeizadeh D, Sadeghi R, Arefi Z. Factors influencing health promoting behaviours in women of reproductive age in Iran: based on Pender’s health promotion model. Open access Macedonian journal of medical sciences. 2019;7(14):2360. https://doi.org/10.3889/oamjms.2019.460
  11. Mirghafourvand M, Mohammad-Alizadeh Charandabi S, Aliasghari F. Assessment of health promoting lifestyle status and its socio-demographic predictors in women with polycystic ovarian syndrome. Hayat. 2017;22(4):394-407. URL: http://hayat.tums.ac.ir/article-1-1662-en.html
  12. Thomson RL, Buckley JD, Brinkworth GD. Perceived exercise barriers are reduced and benefits are improved with lifestyle modification in overweight and obese women with polycystic ovary syndrome: a randomised controlled trial. BMC women's health. 2016;16:1-9. https://doi.org/10.1186/s12905-016-0292-8
  13. Shahar B. New developments in emotion-focused therapy for social anxiety disorder. Journal of clinical medicine. 2020;9(9):2918. https://doi.org/10.3390/jcm9092918
  14. Brubacher L, Johnson SM. Clarifying the negative cycle in emotionally focused therapy. Encyclopedia of couple and family therapy. 2019:443-8. https://doi.org/10.1007/978-3-319-49425-8_901
  15. 15. Millward P, Pagett L. Principles of EFT (Emotional Freedom Technique): What it is, how it works, and what it can do for you. Singing Dragon; 2014.
  16. Lau GM, Elghobashy M, Thanki M, Ibegbulam S, Latthe P, Gillett CD, O’Reilly MW, Arlt W, Lindenmeyer A, Kempegowda P, PCOS SEva Working Group. A systematic review of lived experiences of people with polycystic ovary syndrome highlights the need for holistic care and co-creation of educational resources. Frontiers in Endocrinology. 2022;13:1064937. https://doi.org/10.3389/fendo.2022.1064937
  17. de Jonge M, Bockting CL, Kikkert MJ, van Dijk MK, van Schaik DJ, Peen J, et al. Preventive cognitive therapy versus care as usual in cognitive behavioral therapy responders: A randomized controlled trial. Journal of Consulting and Clinical Psychology. 2019;87(6):521. https://doi.org/ 10.1186/s12888-015-0508-8
  18. Correa JB, Sperry SL, Darkes J. A case report demonstrating the efficacy of a comprehensive cognitive-behavioral therapy approach for treating anxiety, depression, and problematic eating in polycystic ovarian syndrome. Archives of women's mental health. 2015;18:649-54. https://doi.org/10.1007/s00737-015-0506-3
  19. Meston CM, Hull E, Levin RJ, Sipski M. Disorders of orgasm in women. The journal of sexual medicine. 2004;1(1):66-8. https://doi.org/10.1111/j.1743-6109.2004.10110.x

18.Elizabeth M, Leslie NS, Critch EA. Managing polycystic ovary syndrome: a cognitive behavioral strategy. Nursing for women's health. 2009;13(4):292-300. https://doi.org/10.1111/j.1751-486X.2009.01439.x

  1. Tang R, Yang J, Yu Y, Fang Y. The effects of cognitive behavioral therapy in women with polycystic ovary syndrome: A meta-analysis. Frontiers in Psychology. 2022;13:796594. https://doi.org/10.3389/fpsyg.2022.796594
  2. Chatwin H, Stapleton P, Porter B, Devine S, Sheldon T. The effectiveness of cognitive behavioral therapy and emotional freedom techniques in reducing depression and anxiety among adults: a pilot study. Integrative Medicine: A Clinician's Journal. 2016;15(2):27.
  3. Timulak L, Keogh D, Chigwedere C, Wilson C, Ward F, Hevey D, Griffin P, Jacobs L, Hughes S, Vaughan C, Beckham K. A comparison of emotion-focused therapy and cognitive-behavioral therapy in the treatment of generalized anxiety disorder: Results of a feasibility randomized controlled trial. Psychotherapy. 2022;59(1):84. https://doi.org/10.1037/pst0000427
  4. Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49(6):822-30. https://doi.org/10.1016/S0090-4295(97)00238-0
  5. Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. Payesh (Health Monitor). 2008;7(3):269-278. URL: http://payeshjournal.ir/article-1-658-en.html
  6. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nursing research. 1987;36(2):76-81.
  7. Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. Reliability and validity of Persian version of the health-promoting lifestyle profile. Journal of Mazandaran University of Medical Sciences. 2011;20(1):102-13. URL: http://jmums.mazums.ac.ir/article-1-955-en.html
  8. Johnson SM. The practice of emotionally focused couple therapy: Creating connection. Routledge; 2012.
  9. Leahy RL. Cognitive therapy techniques: A practitioner's guide: Guilford Publications; 2017.
  10. Tian X, Ruan X, Du J, Wang J, Yin D, Cheng J, et al. Sexual function in chinese women with polycystic ovary syndrome and correlation with clinical and biochemical characteristics. Reproductive Sciences. 2021;28(11):3181-92. https://doi.org/10.1007/s43032-021-00612-4
  11. Varkovitzky RL, Gilbert SE, Chard KM. Cognitive processing therapy and trauma-related sleep disturbance. Sleep and combat-related post traumatic stress disorder. 2018:293-301. https://doi.org/10.1007/978-1-4939-7148-0_25
  12. Kheiri M, Vakilian K. Misconceptions about sexual intercourse during pregnancy: cognitive-behavioral counseling in prenatal care. Family Medicine & Primary Care Review. 2019(2):112-6. https://doi.org/10.5114/fmpcr.2019.84545
  13. Jiskoot G, Timman R, Beerthuizen A, Dietz de Loos A, Busschbach J, Laven J. Weight reduction through a cognitive behavioral therapy lifestyle intervention in PCOS: the primary outcome of a randomized controlled trial. Obesity. 2020;28(11):2134-41. https://doi.org/10.1002/oby.22980
  14. Trompetter HR, Bohlmeijer ET, Fox J-P, Schreurs KM. Psychological flexibility and catastrophizing as associated change mechanisms during online Acceptance & Commitment Therapy for chronic pain. Behaviour research and therapy. 2015;74:50-9. https://doi.org/10.1016/j.brat.2015.09.001
  15. Leddy MA, Anderson BL, Schulkin J. Cognitive-behavioral therapy and decision science. New Ideas in Psychology. 2013;31(3):173-83. https://doi.org/10.1016/j.newideapsych.2013.01.001
  16. Glisenti K, Strodl E, King R, Greenberg L. The feasibility of emotion-focused therapy for binge-eating disorder: a pilot randomised wait-list control trial. Journal of Eating Disorders. 2021;9:1-15. https://doi.org/10.1186/s40337-020-00358-5
  17. Raghibi M, Sanatnama M. The effectiveness of emotionally focused couple therapy in reducing couples’ marital burnout and women’s body image. Community Health Journal. 2019;13(1):21-32. https://doi.org/ 10.22123/chj.2019.141088.1166
  18. Lueken U, Straube B, Konrad C, Wittchen H-U, Ströhle A, Wittmann A, et al. Neural substrates of treatment response to cognitive-behavioral therapy in panic disorder with agoraphobia. American Journal of Psychiatry. 2013;170(11):1345-55. https://doi.org/10.1176/appi.ajp.2013.12111484
  19. Heidary M, Akbarzadeh M. Methods of reducing anxiety and their relationship with the age of patients with polycystic ovary syndrome. Women’s Health Bulletin. 2020;7(4):33-8. https://doi.org/10.30476/whb.2020.87433.1072
  20. Humphreys L, Costarelli V. Implementation of dietary and general lifestyle advice among women with polycystic ovarian syndrome. The journal of the Royal Society for the Promotion of Health. 2008;128(4):190-5. https://doi.org/10.1177/1466424008092230
  21. Krueger PM, Chang VW. Being poor and coping with stress: health behaviors and the risk of death. American journal of public health. 2008;98(5):889-96. https://doi.org/10.2105/AJPH.2007.114454
  22. Timulak L, Keogh D, Chigwedere C, Wilson C, Ward F, Hevey D, et al. A comparison of emotion-focused therapy and cognitive-behavioural therapy in the treatment of generalised anxiety disorder: study protocol for a randomised controlled trial. Trials. 2018;19:1-11. https://doi.org/10.1186/s13063-018-2892-0
  23. Panidis D, Tziomalos K, Papadakis E, Vosnakis C, Chatzis P, Katsikis I. Lifestyle intervention and anti-obesity therapies in the polycystic ovary syndrome: impact on metabolism and fertility. Endocrine. 2013;44:583-90. https://doi.org/10.1007/s12020-013-9971-5
  24. Zimmet P, Alberti KGM, Kaufman F, Tajima N, Silink M, Arslanian S, et al. The metabolic syndrome in children and adolescents–an IDF consensus report. Pediatric diabetes. 2007;8(5):299-306. https://doi.org/10.1111/j.1399-5448.2007.00271.x
  25. Shameli L, Mehrabizadeh Honarmand M, Naa'mi A, Davodi I. The Effectiveness of Emotion-Focused Therapy on Emotion Regulation Styles and Severity of Obsessive-Compulsive Symptoms in Women with Obsessive-Compulsive Disorder. Iranian Journal of Psychiatry and Clinical Psychology. 2019; 24(4):356-69. https://doi.org/10.32598/ijpcp.24.4.456
  26. Leahy RL, Arnold KD. Cognitive Therapy: Basic Principles and Applications. Springer; 2000. https://doi.org/10.1891/0889-8391.14.1.106

 

 

International Journal of Behavioral Sciences
Volume 18, Issue 1
Spring 2024
Pages 29-36