The Efficacy of Emotion-Focused Couple Therapy on Self-efficacy, Body Image Concerns, and Couple Burnout in Women with Sexual Dysfunction
Journal of Family Relations Studies
مقاله 7 ، دوره 5، شماره 4 - شماره پیاپی 19 ، دی 2025، صفحه 54-63 1.2 M )
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22098/jfrs.2024.15277.1194 نویسندگان
Kowsar Shehnifayz 1 Nazanin Haghighat Bayan 2 Vahid Savabi Niri* 3 Mehri Madani Javnqala 4 Farzin Bagheri Sheykhangafshe 5 1 Master of Industrial and Organizational Psychology, Shahid Beheshti University, Tehran, Iran2 Ph.D. of Clinical Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran3 Master of Clinical Psychology, Department of psychology, Ardabil branch, Islamic Azad University, Ardabil, Iran4 Master of Clinical Psychology, Islamic Azad University, Tabriz Branch, Tabriz, Iran5 Ph.D. Candidate in Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iranچکیده Objective: This study examines the effectiveness of Emotion-Focused Couple Therapy (EFT) in addressing self-efficacy, body image concerns, and couple burnout among women experiencing sexual dysfunction.Methods: The study utilized a semi-experimental pre-test-post-test design with a control group. The target population consisted of women diagnosed with sexual dysfunction in Ardabil City in 2024. Purposive sampling was employed to select 34 participants, divided equally into experimental (n=17) and control (n=17) groups. The experimental group participated in nine 90-minute Emotion-Focused Couple Therapy (EFT) sessions, while the control group received no intervention. Data collection involved administering several measures: the Female Sexual Function Index, General Self-efficacy Scale, Body Image Concern Inventory, and Couple Burnout Scale. Statistical analysis was conducted using multivariate analysis of covariance in SPSS-27.Results: The findings demonstrated significant improvements in several domains among women receiving EFT compared to the control group. Specifically, EFT led to substantial decreases in body image concerns (F=60.62), physical exhaustion (F=71.82), emotional exhaustion (F=44.34), and mental exhaustion (F=54.22), alongside notable increases in self-efficacy (F=59.40) (P<0.001).Conclusion: These results underscore the importance of integrating therapeutic approaches that consider both individual and relational dynamics in the treatment of sexual dysfunction.کلیدواژهها
Body Image Concerns ؛ Couple Burnout ؛ Emotion-Focused Couple Therapy ؛ Self-efficacy ؛ Sexual Dysfunction
مراجع
Aksoy Derya, Y., Gök Uğur, H., & Özşahin, Z. (2020). Effects of demographic and obstetric variables on body image on sexual dysfunction in pregnancy: A cross‐sectional and comparative study. International Journal of Nursing Practice, 26(3), e12829. Doi:10.1111/ijn.12829
Asadpour, E., Sharei, A., & Salmani, A. (2025). Premarital intervention based on attachment and differentiation improves communication and conflict management in Iranian couples. Scientific reports , 15 (1), 29151. Doi:10.1038/s41598-025-15051-3
Bagheri-Sheykhangafshe, F., Tajbakhsh, K., Savabi Niri, V., Bourbour, Z., & Otadi, S. (2023). The Effectiveness of Compassion-Focused Therapy on Pain Catastrophizing, Sexual Function, and Resilience in Women with Multiple Sclerosis (MS). International Journal of Behavioral Sciences , 17(3), 133-140. Doi: 10.30491/ijbs.2023.390694.1932
Banbury, S., Moneta, G. B., Chandler, C., & Hutchison, P. (2022). The relationship between erectile dysfunction, sexual self-efficacy and the dark triad. International Journal of Scientific Research in Science and Technology , 9(6), 484-497. Doi:10.32628/IJSRST229668
Bodenmann, G., Kessler, M., Kuhn, R., Hocker, L., & Randall, A. K. (2020). Cognitive-behavioral and emotion-focused couple therapy: Similarities and differences. Clinical Psychology in Europe , 2 (3). Doi: 10.32872/cpe.v2i3.2741
Çağlar, M., Yeşiltepe Oskay, Ü., Arican, E., & Akyol, E. (2021). Relationship between self-efficacy and sexual function after open heart surgery. European Journal of Cardiovascular Nursing , 20(4), 376-382. Doi: 10.1093/eurjcn/zvaa012
Çetinkaya Altuntaş, S., Çelik, Ö., Özer, Ü., & Çolak, S. (2022). Depression, anxiety, body image scores, and sexual dysfunction in patients with polycystic ovary syndrome according to phenotypes. Gynecological Endocrinology , 38 (10), 849-855. Doi:10.1080/09513590.2022.2118708
Chang, S. R., Yang, C. F., & Chen, K. H. (2019). Relationships between body image, sexual dysfunction, and health-related quality of life among middle-aged women: A cross-sectional study. Maturitas , 126 , 45-50. Doi: 10.1016/j.maturitas.2019.04.218
Chen, Y. H., Lou, S. Z., Yang, C. W., Tang, H. M., Lee, C. H., & Jong, G. P. (2022). Effect of marriage on burnout among healthcare workers during the COVID-19 pandemic. International Journal of Environmental Research and Public Health , 19 (23), 15811. Doi: 10.3390/ijerph192315811
Dailey, J., Timulak, L., Goldman, R. S., & Greenberg, L. S. (2024). Capturing the change: a case study investigation of emotional and interactional transformation in emotion-focused therapy for couples. Person-Centered & Experiential Psychotherapies , 23 (1), 1-19. Doi: 10.1080/14779757.2023.2204480
Erdős, C., Kelemen, O., Pócs, D., Horváth, E., Dudás, N., Papp, A., & Paulik, E. (2023). Female sexual dysfunction in association with sexual history, sexual abuse and satisfaction: A cross-sectional study in Hungary. Journal of Clinical Medicine , 12 (3), 1112. Doi: 10.3390/jcm12031112
Faubion, S. S., Fairbanks, F., Kuhle, C. L., Sood, R., Kling, J. M., Vencill, J. A., ... & Kapoor, E. (2020). Association between body mass index and female sexual dysfunction: a cross-sectional study from the data registry on experiences of aging, menopause, and sexuality. The Journal of sexual medicine , 17 (10), 1971-1980. Doi: 10.1016/j.jsxm.2020.07.004
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods, 39(2), 175-191. Doi: 10.3758/BF03193146
Franz, D., Caffery, C., Cheng, Y., Hua, E., Capron, C. G., Allmendinger, A., & Chronister, K. (2023). Emotion-Focused Therapy and Chinese American Clients: An Exploration Using the Cultural Lens Approach. International Journal of Systemic Therapy , 34 (3), 141-164. Doi: 10.1080/2692398X.2023.2183018
Ganz, M. B., Rasmussen, H. F., McDougall, T. V., Corner, G. W., Black, T. T., & De Los Santos, H. F. (2022). Emotionally focused couple therapy within VA healthcare: Reductions in relationship distress, PTSD, and depressive symptoms as a function of attachment-based couple treatment. Couple and Family Psychology: Research and Practice , 11 (1), 15. Doi: 10.1037/cfp0000210
Ghassami M., Shairi, M. R., Asghari Moghadam, M. A., & Rahmati, N. (2014). The study of the psychometric properties of the 6-item version of the female sexual function index (FSFI-6) among Iranian women. Nursing and Midwifery Journal , 12(7), 532-543. http://unmf.umsu.ac.ir/article-1-1619-en.html
Habis, C., & Maalouf, R. G. (2019). Impact of stress and burnout on the sexual desire of trainee doctors at Hôtel-Dieu de France Hospital: A single-institution survey. L'encephale , 45 (5), 371-375. Doi: 10.1016/j.encep.2019.02.004
He, J., Sun, S., Lin, Z., & Fan, X. (2020). Body dissatisfaction and sexual orientations: A quantitative synthesis of 30 years research findings. Clinical psychology review , 81 , 101896. Doi: 10.1016/j.cpr.2020.101896
Holmström, É. (2023). Enhancing the effects of emotion-focused individual and couples therapy by nonviolent communication. Person-Centered & Experiential Psychotherapies , 22 (1), 23-40. Doi: 10.1080/14779757.2022.2100809
Hu, C. J., Chen, Y. J., & Hong, R. M. (2023). Factors related to burnout and its effects on mental and physical symptoms and daytime dysfunction among female flight attendants. Women & Health , 63 (2), 134-142. Doi: 10.1080/03630242.2022.2164112
Hungr, C., Recklitis, C. J., Wright, A. A., & Bober, S. L. (2020). How does a single session group intervention improve sexual function in ovarian cancer survivors? A secondary analysis of effects of self-efficacy, knowledge and emotional distress. Psychology, Health & Medicine , 25(1), 110-120. Doi: 10.1080/13548506.2019.1626452
Isidori, A. M., Pozza, C., Esposito, K., Giugliano, D., Morano, S., Vignozzi, L., ... & Jannini, E. A. (2010). Outcomes assessment: Development and validation of a 6-item version of the Female Sexual Function Index (FSFI) as a diagnostic tool for female sexual dysfunction. The journal of sexual medicine , 7(3), 1139-1146. Doi: 10.1111/j.1743-6109.2009.01635.x
Jenks, A., Adams, G., Young, B., & Seedall, R. (2024). Addressing power in couples therapy: Integrating socio‐emotional relationship therapy and emotionally focused therapy. Family Process , 63 (1), 48-63. Doi: 10.1111/famp.12961
Johnson, S. M. (2007). The contribution of emotionally focused couples therapy. Journal of Contemporary Psychotherapy , 37, 47-52. Doi: 10.1007/s10879-006-9034-9
Karaaslan, Ö., & Hacimusalar, Y. (2018). Evaluation of body image, sexual dysfunctions and quality of life in female patients with generalized anxiety disorder. Archives of Clinical Psychiatry (São Paulo) , 45 , 150-153. Doi: 101-60832018000600150
KARABURÇ, G. C., & Erhan, T. U. N. Ç. (2020). Problematic İnternet use, marital adjustment, couple burnout and basic psychological need satisfaction levels of married individuals. International Journal of Social and Humanities Sciences Research (JSHSR) , 7 (55), 1695-1721. Doi: 10.26450/jshsr.1925
Khayer, E., Zarei, R., Damghanian, M., Bőthe, B., & Farnam, F. (2024). Compulsive sexual behaviour in Iranian married women: Prevalence, sociodemographic, sexual, and psychological predictors across-country. Journal of Behavioral Addictions , 29;13(2):495. Doi: 10.1556/2006.2024.00009
Koçyiğit, M., & Uzun, M. (2024). Couple Burnout and Marital Satisfaction: Serial Mediation by Mindfulness and Emotion Regulation. The American Journal of Family Therapy , 1-19. Doi: 10.1080/01926187.2024.2322461
Kula, O., Machluf, R., Shahar, B., Greenberg, L. S., & Bar-Kalifa, E. (2023). The effect of therapists’ enactment interventions in promoting vulnerability sharing in emotion focused couple therapy. Psychotherapy Research , 1-12. Doi: 10.61838/kman.pwj.4.4.5
Lew-Starowicz, Z., & Czajkowska, K. (2022). Prevalence of sexual dysfunctions and associated risk factors in Poland. Archives of Medical Science: AMS , 18 (4), 1031. Doi: 10.5114/aoms.2019.86794
Lin, J. S., Dubin, J. M., Aguiar, J., Greenberg, D. R., Bennett, N. E., Brannigan, R. E., & Halpern, J. A. (2024). Prevalence of sexual dysfunction and pursuit of sexual medicine evaluation among male physicians—a survey. International Journal of Impotence Research , 1-4. Doi: 10.1038/s41443-024-00827-4
Littleton, H. L., Axsom, D., & Pury, C. L. (2005). Development of the body image concern inventory. Behavior Research and Therapy , 43(2), 229-241. Doi: 10.1016/j.brat.2003.12.006
Lu, M. J., Li, J. B., Wu, C. Y., Huong, P. T. T., Hsu, P. C., & Chang, C. R. (2024). Effectiveness of a sexual health care training to enhance psychiatric nurses’ knowledge, attitude, and self-efficacy: a quasi-experimental study in southern Taiwan. Journal of the American Psychiatric Nurses Association , 30(1), 17-29. Doi: 10.1177/10783903211045733
Madbouly, K., Al-Anazi, M., Al-Anazi, H., Aljarbou, A., Almannie, R., Habous, M., & Binsaleh, S. (2021). Prevalence and predictive factors of female sexual dysfunction in a sample of Saudi women. Sexual Medicine , 9 (1), 100277-100277. Doi: 10.1016/j.esxm.2020.10.005
Maseroli, E., Rastrelli, G., Di Stasi, V., Cipriani, S., Scavello, I., Todisco, T., ... & Vignozzi, L. (2021). Physical activity and female sexual dysfunction: a lot helps, but not too much. The journal of sexual medicine , 18 (7), 1217-1229. Doi: 10.1016/j.jsxm.2021.04.004
Mikaeili, N., Salmani, A. & Sharei, A. (2025). The Effectiveness of Emotion-Focused Therapy on Parenting Self-Efficacy and Distress Tolerance in Mothers with Insecure Attachment Styles. Journal of Family Relations Studies , 5(3), 1-11. Doi:10.22098/jfrs.2025.17963.1255
Nejatian, M., Alami, A., Momeniyan, V., Delshad Noghabi, A., & Jafari, A. (2021). Investigating the status of marital burnout and related factors in married women referred to health centers. BMC women's health , 21, 1-9. Doi: 10.1186/s12905-021-01172-0
Ogallar-Blanco, A. I., Lara-Moreno, R., García-Pérez, R., Liñán-González, A., & Godoy-Izquierdo, D. (2024). Cracking the code to female sexual satisfaction: the serial mediation of sexual behavior and the perceived importance of healthy sexuality from sexual self-efficacy. Frontiers in Psychology , 15, 1305399. Doi: 10.3389/fpsyg.2024.1305399
Papaefstathiou, E., Apostolopoulou, A., Papaefstathiou, E., Moysidis, K., Hatzimouratidis, K., & Sarafis, P. (2020). The impact of burnout and occupational stress on sexual function in both male and female individuals: a cross-sectional study. International journal of impotence research , 32 (5), 510-519. Doi: 10.1038/s41443-019-0170-7
Parker, R., & Smith, G. (2021). Sex differences in provider documentation as a source of burnout: A single-institution cross-sectional study. Journal of the American Academy of Dermatology , 85 (5), 1317-1318. Doi: 10.1016/j.jaad.2020.10.020
Pavanello Decaro, S., Di Sarno, M., Anzani, A., Di Pierro, R., & Prunas, A. (2021). Narcissistic personality traits and sexual dysfunction in women: The role of body image self-consciousness. The journal of sexual medicine , 18 (11), 1891-1898. Doi: 10.1016/j.jsxm.2021.08.007
Pines, A. (2013). Couple burnout: Causes and cures. Routledge . Doi: 10.4324/9781315022291
Qashqai, M., Emadian, S. O., & Ghanadzadegan, H. (2023). Effectiveness of Schema-based Parenting Training on Mothers' Parental Self-Efficacy, Self-Concept and Parental Acceptance of Children with Internalized disorders. Journal of Family Relations Studies, 3(11), 31-40. Doi: 10.22098/jfrs.2023.11864.1088
Rezazadeh, S., Tavasolinia, S., & Azimi, D. (2024). Effectiveness of the Combined Emotion-Focused and Solution- focused Therapy on the Anger and Marital Adjustment of the Women with Marital Conflicts. Journal of Family Relations Studies , 4(13), 48-57. Doi: 10.22098/jhrs.2022.9653.1023
Rodrigues Eberhardt, P., La Rosa, V. L., Marques Cerentini, T., Caruso, S., Ragusa, R., De Franciscis, P., ... & Viana da Rosa, P. (2022). Sexual dysfunctions in female university students and the correlation with body image: a cross-sectional study. Journal of Psychosomatic Obstetrics & Gynecology , 43 (2), 85-90. Doi: 10.1080/0167482X.2020.1806818
Ryu, S. J., Kwon, M., & Kim, S. A. (2022). Effects of depression, self-efficacy, and sexual function on quality of life in middle-aged Korean men. Journal of Men's Health , 18(5), 108. Doi: 10.31083/j.jomh1805108
Saadedine, M., Faubion, S. S., Grach, S. L., Nordhues, H. C., & Kapoor, E. (2024). Association between obesity and female sexual dysfunction: a review. Sexual Medicine Reviews , 12(2), 154-163. Doi: 10.1093/sxmrev/qead047
Şenol, A., Gürbüz, F., & Dost, M. T. (2023). Emotion-Focused Couple Therapy: A Review of Theory and Practice. Psikiyatride Güncel Yaklaşımlar , 15 (1), 146-160. Doi: 10.18863/pgy.1090793
Sharif Nia, H., Kohestani, D., Froelicher, E. S., Ibrahim, F. M., Ibrahim, M. M., Bayat Shahparast, F., & Goudarzian, A. H. (2022). The relationship between self-care behavior and concerns about body image in patients undergoing hemodialysis in Iran. Frontiers in public health , 10, 825415. Doi: 10.3389/fpubh.2022.825415
Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The self-efficacy scale: Construction and validation. Psychological reports , 51(2), 663-671. Doi: 10.2466/pr0.1982.51.2.663
Shoaa Kazemi, M., Alikhani shateri, F., & Mohammadi, F. (2022). Marital boredom and sexual dysfunction in women with breast cancer. Journal of Family Relations Studies , 2(7), 29-36. Doi: 10.22098/jhrs.2022.11622.1071
Van Diest, S. L., den Oudsten, B. L., Aaronson, N. K., Beaulen, A., Verboon, P., Aarnoudse, B., & van Lankveld, J. J. (2023). Emotionally focused couple therapy in cancer survivor couples with marital and sexual problems: a replicated single-case experimental design. Frontiers in Psychology , 14, 1123821. Doi: 10.3389/fpsyg.2023.1123821
Wang, W., Wang, S., Chen, S., & Li, Y. (2022). Parental burnout and job burnout in working couples: An actor–partner interdependence model. Journal of Family Psychology , 36 (5), 704. Doi: 10.1037/fam0000953
Wiesel, I., Shahar, B., Goldman, R. N., & Bar‐Kalifa, E. (2021). Accuracy and bias in vulnerability perceptions of partners undergoing emotion‐focused therapy for couples. Family Process , 60 (2), 377-392. Doi: 10.1111/famp.12587
Zheng, J., Islam, R. M., Bell, R. J., Skiba, M. A., & Davis, S. R. (2020). Prevalence of low sexual desire with associated distress across the adult life span: an Australian cross-sectional study. The journal of sexual medicine , 17 (10), 1885-1895. Doi: 10.1016/j.jsxm.2020.07.007
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