Randomized Controlled Trial Protocol for Evaluating the Effect of Group Education on Postmenopausal Sexual Dysfunction

다국어 초록 (Multilingual Abstract)

Objectives: This study primarily aimed to determine the effect of group education on sexual dysfunction in postmenopausal women referred to health centers in Hamadan, Iran.
Methods: This randomized controlled clinical trial conducted on 90 postmenopausal women from October 2018 to March 2019.
Postmenopausal women who met the inclusion criteria and received approval of a psychiatrist were randomly divided into intervention and control groups (n = 45 in each group). They completed the demographic questionnaire and the Female Sexual Function Index questionnaire. Thereafter, four sessions of group training were conducted for women in the intervention group; these women were followed up for 1 month after the last training session. Data were analyzed using the SPSS ver. 16 software, and descriptive statistics and ANCOVA/ANOVA test were used for data analysis.
Results: We found that the two groups were homogenous in most of the demographic variables and the data were normal. The total mean score of sexual function and standard deviation after the intervention was 23.70 ± 3.67 in the intervention group and 19.94 ± 3.64 in the control group, indicating that these scores were significantly higher in the intervention group than in the control group (P < 0.001).
Conclusions: Based on the results, group training is recommended to reduce sexual dysfunction in postmenopausal women at health centers.

참고문헌 (Reference)

1 Ghorbani M, "The relationship between life style with vasomotor symptoms in postmenopausal women referred to women's training health centers in Mashhad in 2011" 15 : 23-30, 2013

2 Smith WJ, "The impact of a group psychoeducational appointment on women with sexual dysfunction" 198 : 697-, 2008

3 Mohammadi K, "The female sexual function index(FSFI) : validation of the Iranian version" 7 : 269-278, 2008

4 Alimohammadi L, "The effectiveness of group counseling based on Bandura's self-efficacy theory on sexual function and sexual satisfaction in Iranian newlywed women : a randomized controlled trial" 42 : 62-69, 2018

5 Behboodi Moghadam Z, "The effect of sexual health education program on women sexual function in Iran" 15 : 124-128, 2015

6 Sabeti F, "The effect of educational intervention on sexual function of women referred to Health center of southern Tehran" 5 : 280-289, 2018

7 Babakhani N, "The effect of cognitive-behavioral consultation on sexual function among women : a randomized clinical trial" 7 : 83-88, 2018

8 Nejat S, "The World Health Organization quality of Life(WHOQOL-BREF)questionnaire : translation and validation study of the Iranian version" 4 : 1-12, 2006

9 Rosen R, "The Female Sexual Function Index(FSFI) : a multidimensional self-report instrument for the assessment of female sexual function" 26 : 191-208, 2000

10 Yazdanpanahi Z, "Stress, anxiety, depression, and sexual dysfunction among postmenopausal women in Shiraz, Iran, 2015" 25 : 82-87, 2018

11 Mirghafourvand M, "Socio demographic predictors of marital satisfaction in women of reproductive age, Tabriz, Iran, 2013" 16 : 1-12, 2013

12 Addis IB, "Sexual activity and function in middle-aged and older women" 107 : 755-764, 2006

13 Aliakbari DM, "Relationship between women sexual function and marital adjustment" 4 : 199-206, 2010

14 Monshipour SM, "Related factors to menopausal women’s quality of life in Rasht" 25 : 80-88, 2016

15 Hoyer J, "Reduction of sexual dysfunction : by-product of cognitive-behavioural therapy for psychological disorders" 24 : 64-73, 2009

16 Wubbolding RE, "Reality therapy : a global perspective" 26 : 219-228, 2004

17 Lee JT, "Randomized controlled evaluation of a theorybased postpartum sexual health education programme" 60 : 389-401, 2007

18 Fayers PM, "Quality of life the assessment, analysis and interpretation of patient-reported outcomes" John Wiley & Sons 2013

19 Pryse Y, "Psychometric analysis of two new scales : the evidence-based practice nursing leadership and work environment scales" 11 : 240-247, 2014

20 Ranjbaran M, "Prevalence of female sexual dysfunction in Iran : systematic review and meta-analysis" 22 : 1117-1125, 2016

21 Ramezani Tehrani F, "Prevalence of female sexual dysfunction and its correlated factors : a population based study" 11 : 869-875, 2012

22 Elavsky S, "Personality, menopausal symptoms, and physical activity outcomes in middle-aged women" 46 : 123-128, 2009

23 Kheiri M, "Misconceptions about sexual intercourse during pregnancy : cognitive-behavioral counseling in prenatal care" 21 : 112-116, 2019

24 Tanira S, "Knowledge, attitude and experience Of menopause-an urban based study in Bangladesh" 18 : 33-36, 2009

25 Ali SR, "Islam 101 : understanding the religion and therapy implications" 35 : 635-642, 2004

26 Pawlak IE, "Impact of climacteric and depressive symptoms on the quality of life of postmenopausal women" 18 : 325-331, 2016

27 Simon JA, "Identifying and treating sexual dysfunction in postmenopausal women : the role of estrogen" 20 : 1453-1465, 2011

28 Inuy AA, "Evaluation of sexual function of postmenopausal Brazilian women" 6 : 140-143, 2018

29 Nameni F, "Evaluating the effect of religious-based sex education on sexual function of married women" 4 : 53-62, 2014

30 Azadi T, "Estimation of mean age of menopause in Iran : a systematic review and metaanalysis" 26 : 85-93, 2018

31 Yoshany N, "Effects of training the menopausal health on knowledge and performance of husbands with women during transitional period to menopause" 9 : 27-35, 2018

32 Ayaz S, "Effectiveness of the PLISSIT model for solving the sexual problems of patients with stoma" 18 : 89-98, 2009

33 Vural BK, "Effectiveness of premarital sexual counselling program on sexual satisfaction of recently married couples" 6 : 222-232, 2009

34 Mirmohammad Aliei M, "Effectiveness of a sex education program on sexual function in postmenopausal women with sexual dysfunction : a randomized trial" 15 : 181-192, 2016

35 Zeinalzadeh S, "Effect of sildenafil citrate on women affected by sexual dysfunction referred to health clinics" 19 : 167-172, 2017

36 Masoumi SZ, "Effect of sexual counseling on marital satisfaction of pregnant women referring to health centers in Malayer(Iran) : an educational randomized experimental study" 9 : 3598-3604, 2017

37 Masoumi SZ, "Effect of citalopram in combination with omega-3 on depression in post-menopausal women : a triple blind randomized controlled trial" 10 : QC01-QC05, 2016

38 Abedi P, "Education for sexual satisfaction promotion in postmenopausal women : individual or group education" 20 : 16-23, 2017

39 Shayan A, "Comparing the effects of Agnugol and Metformin on oligomenorrhea in patients with polycystic ovary syndrome : a randomized clinical trial" 2016

40 Thomas HN, "A biopsychosocial approach to women's sexual function and dysfunction at midlife : a narrative review" 87 : 49-60, 2016