fa اثربخشی درمان ترکیبی شناختی - رفتاری و تعدیل سوگیری شناختی منفی بر رضایت جنسی و صمیمیت جنسی مردان مبتلا به اختلال نعوظ روانشناسی در پرستاری توانبخشی Psychology in Rehabilitation Nursing پژوهشي Research <span style="font-family:nasimYW;"><span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri=""><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">مقدمه:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">رضایت جنسی و صمیمیت جنسی پایین از جمله پیامدهای کارکردی اختلال نعوظ به شمار می</span></span><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">روند؛ که لزوم اجرای مدخلات روانشناختی را ضرروی می</span></span><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">سازند. هدف از انجام این پژوهش تعیین اثربخشی درمان ترکیبی شناختی </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">-</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin=""> رفتاری و تعدیل سوگیری شناختی منفی بر رضایت جنسی و صمیمیت جنسی مردان مبتلا به اختلال نعوظ</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">بود. </span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri=""><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">روش کار:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> روش این پژوهش نیمه آزمایشی (پیش‌آزمون- پس‌آزمون با گروه گواه) بود. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">جامعه آماری این پژوهش </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">کلیه مردان مبتلا به اختلال نعوظ شهر اصفهان در سال 1398 </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">بود که از این میان تعداد</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">30 نفر که براساس ملاک</span></span><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">های ورود تشخیص اختلال نعوظ را دریافت کردند، </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">با استفاده از روش نمونه</span></span><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">گیری دردسترس انتخاب و به صورت تصادفی ساده در یک گروه آزمایش و یک گروه گواه (15 نفر در هر گروه) جایگزین شدند. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">هر دو گروه</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">پرسشنامه</span></span><span dir="LTR" lang="FA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">های شاخص بین</span></span><span dir="LTR" lang="FA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">المللی عملکرد نعوظی (1997)، رضایت جنسی لارسون (1988) و صمیمیت جنسی بطلانی و همکاران (1389) را</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> به‌عنوان پیش‌آزمون و پس</span></span><span dir="LTR" lang="FA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">آزمون</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> تکمیل کردند. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">مداخله شامل هشت جلسه 60 الی 90 دقیقه</span></span><span dir="LTR" lang="FA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">ای (هفته‌ای دو جلسه به مدت چهار هفته) </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">درمان شناختی </span></span><span lang="AR-SA" style="font-size:12.0pt"><span new="" roman="" times="">&ndash;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin=""> رفتاری و </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">چهار جلسه 60 الی 90 دقیقه</span></span><span dir="LTR" lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">ای (هفته‌ای 1 جلسه </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">به </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">مدت </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">چهار هفته</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">) درمان</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin=""> تعدیل سوگیری شناختی منفی </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">در گروه آزمایش</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">بود، گروه گواه هیچ</span></span><span dir="LTR" lang="FA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">گونه مداخله</span></span><span dir="LTR" lang="FA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">ای دریافت نکرد. </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">داده‌ها با استفاده از آزمون تحلیل کواریانس تک متغیری در نرم افزار</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" times="">SPSS.23 </span></span>&nbsp;<span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">مورد تجزیه و تحلیل قرار گرفت.</span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri=""><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">یافته</span></span></b><b><span dir="LTR" lang="FA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span></b><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">ها:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> براساس یافته</span></span><span dir="LTR" lang="FA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">ها</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">مشخص شد که درمان ترکیبی شناختی </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">-</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> رفتاری و تعدیل سوگیری شناختی منفی بر افزایش </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">رضایت جنسی و صمیمیت جنسی مردان مبتلا به اختلال نعوظ</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> موثر بود</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> (0/001=</span></span><span dir="LTR" style="font-size:12.0pt"><span new="" roman="" times="">p</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">).</span></span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"Franklin Gothic Book",sans-serif"></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri=""><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">نتیجه</span></span></b><b><span dir="LTR" lang="FA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span></b><b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">گیری:</span></span></b><span lang="FA" style="font-size:12.0pt"><span b="" nazanin=""> با توجه به اینکه درمان ترکیبی</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">ترکیبی شناختی - رفتاری و تعدیل سوگیری شناختی بر بهبود رضایت جنسی و صمیمیت جنسی مردان مبتلا به اختلال نعوظ موثر است؛ به نظر می</span></span><span dir="LTR" lang="FA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">رسد که می</span></span><span dir="LTR" lang="FA" style="font-size:12.0pt"><span b="" nazanin="">&zwj;</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">توان از این روش </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">به عنوان یک روش مداخله‌ای مؤثر در بهبود </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">رضایت جنسی و صمیمیت جنسی </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="">مردان مبتلا به اختلال نعوظ</span></span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="">استفاده کرد. </span></span><span dir="LTR" style="font-size:12.0pt"></span></span></span></span></span></span></span><br> <br> <span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Introduction:</span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> Low sexual satisfaction and sexual intimacy are among the functional consequences of erectile dysfunction that necessitate psychological interventions. The aim of this study was to determine the effectiveness of cognitive-behavioral therapy combined and moderating negative cognitive bias on sexual satisfaction and sexual intimacy in men with erectile dysfunction. The method of this research was quasi-experimental (pre-test-post-test with control group). </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Methods:</span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">The statistical population of this study included all men with erectile dysfunction in Isfahan in 2020</span></span> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">that among them, 30 people received a diagnosis of erectile dysfunction based on the entry criteria were selected as a statistical sample using available sampling and thay were randomly assigned to one experimental groups and one control group (15 people in each group) all two groups completed the International Index of Erectile Function (1997),</span></span> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Larson Sexual Satisfaction (1988), Botlani & et al Sexual Intimacy (2010) as a pre-test and post-test.</span></span> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">The intervention includes eight sessions of 60 to 90 minutes (two sessions per week for four weeks) cognitive-behavioral therapy and four sessions of 60 to 90 minutes (1 session per week for four weeks) moderating negative cognitive bias</span></span> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">in the experimental group, the control group did not receive any intervention. Data were analyzed using univariate analysis of covariance</span></span> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">in SPSS.23. </span></span>&nbsp;<span style="font-size:10.0pt"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Based on the findings, it was found that cognitive-behavioral therapy combined and moderating negative cognitive bias was effective on</span></span> <span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">the increase sexual satisfaction and sexual intimacy in men with erectile dysfunction (p = 0.001). </span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span style="tab-stops:45.8pt 91.6pt 137.4pt 183.2pt 229.0pt 274.8pt 320.6pt 366.4pt 412.2pt 458.0pt 503.8pt 549.6pt 595.4pt 641.2pt 687.0pt 732.8pt"><span calibri="" style="font-family:"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""> Considering that combined cognitive-behavioral treatment and cognitive bias adjustment is effective in improving sexual satisfaction and sexual intimacy of men with erectile dysfunction; it seems that this method can be used as an effective intervention method in improving sexual satisfaction and sexual intimacy of men with erectile dysfunction.</span></span><span dir="RTL" lang="FA" style="font-size:10.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span><br> <br> <br> <span style="line-height:normal"><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">&nbsp;</span></span></span> درمان شناختی - رفتاری, تعدیل سوگیری شناختی منفی, رضایت جنسی, صمیمیت جنسی, اختلال نعوظ Cognitive-behavioral therapy , Moderating negative cognitive bias, Sexual Satisfaction, Sexual Intimacy, Erectile dysfunction 99 109 http://ijrn.ir/browse.php?a_code=A-10-576-1&slc_lang=fa&sid=1 neda Ghahramannejad ندا قهرمان نژاد n.ghahraman.92@gmail.com 100319475328460011277 100319475328460011277 No PhD student, Dept of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran دانشجوی دکتری، گروه روانشناسی، واحد خوراسگان، دانشگاه آزاد اسلامی، اصفهان، ایران. Seyed Hamid Atashpour سیدحمید آتش پور n.ghahraman.92@gmail.com 100319475328460011278 100319475328460011278 Yes Prof, Dept of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran. استاد، گروه روانشناسی، واحد اصفهان، (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران. Flora Khayatan فلور خیاطان n.ghahraman.92@gmail.com 100319475328460011279 100319475328460011279 No Prof, Dept of Psychology, Khorasgan Branch, Islamic Azad University, Isfahan, Iran. استاد، گروه روانشناسی، واحد خوراسگان، دانشگاه آزاد اسلامی، اصفهان، ایران