The effect of group schema therapy based on acceptance and commitment on sexual self-esteem and marital burnout in women undergoing dialysis

Document Type : Research Paper

Authors

1 Ph.D. student, Department of Educational Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran.

2 Associate professor of clinical psychology, Department of Educational Sciences, Faculty of Literature and Human Sciences, Hakim Sabzevari University, Sabzevar, Iran,

3 Assistant professor, Department of Educational Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran.

Abstract

Introduction: The present study aimed to investigate the effect of group schema therapy based on acceptance and commitment on sexual self-esteem and marital burnout of women undergoing dialysis.
Materials and Methods: The statistical population consisted of all married women referred to Khorasan Razavi Dialysis Patients Support Association in 2021-2022. The statistical sample comprised 30 married women undergoing dialysis in Mashhad-Iran, who were selected through convenience sampling method and randomly assigned into two experimental (n= 15) and control (n= 15) groups. Research instrument included the Sexual Self-Esteem ‎Index for Woman-Short Form (SSEI-W-SF) and Couple Burnout Measure (CBM). The experimental group participated in group schema therapy based on acceptance and commitment for 10 two-hour sessions, while the control group did not receive any intervention. Factorial repeated measures analysis of variance was used for data analysis.
Results: The results demonstrated a significant difference between the two experimental and control groups in sexual self-esteem and marital burnout in the post-test and follow-up (P< 0.05).
Conclusion: It seems that group schema therapy based on acceptance and commitment is effective in sexual self-esteem and marital burnout of dialysis women.

Keywords

References

  1. Davison SN. Clinical pharmacology considerations in pain management in patients with advanced kidney failure. Clin J Am Soc Nephrol 2019; 14(6): 917-31.
  2. Dąbrowska-Bender M, Dykowska G, Żuk W, Milewska M, Staniszewska A. The impact on quality of life of dialysis patients with renal insufficiency. Patient Prefer Adherence 2018; 12: 577.
  3. Broers NJ, Martens RJ, Canaud B, Cornelis T, Dejagere T, Diederen NM, et al. Health-related quality of life in end-stage renal disease patients: the effects of starting dialysis in the first year after the transition period. Int Urol Nephrol 2018; 50(6): 1131-42.
  4. Küçük O, Kaynar K, Arslan F, Ulusoy Ş, Gül H, Çelik A, et al. Comparison of mental health, quality of sleep and life among patients with different stages of chronic kidney disease and undergoing different renal replacement therapies. Hippokratia 2020; 24(2): 51.
  5. Brito DCSd, Machado EL, Reis IA, Carmo LPdFd, Cherchiglia ML. Depression and anxiety among patients undergoing dialysis and kidney transplantation: a cross-sectional study. Sao Paulo Med J 2019; 137: 137-47.
  6. van Sandwijk MS, Al Arashi D, van de Hare FM, van der Torren JR, Kersten M-J, Bijlsma JA, et al. Fatigue, anxiety, depression and quality of life in kidney transplant recipients, haemodialysis patients, patients with a haematological malignancy and healthy controls. Nephrol Dial Transplant 2019; 34(5): 833-8.
  7. Molsted S, Wendelboe S, Flege MM, Eidemak I. The impact of marital and socioeconomic status on quality of life and physical activity in patients with chronic kidney disease. Int Urol Nephrol 2021; 53(12): 2577-82.
  8. Ali S, Dave NN. Sexual dysfunction in women with kidney disease. Adv Chronic Kidney Dis 2020; 27(6): 506-15.
  9. Yagil Y, Geller S, Levy S, Sidi Y, Aharoni S. Body-image, quality of life and psychological distress: A comparison between kidney transplant patients and a matching healthy sample. Psychol Health Med 2018; 23(4): 424-33.
  10. Keskin G, Babacan Gümüş A, Taşdemir Yiğitoğlu G. Sexual dysfunctions and related variables with sexual function in patients who undergo dialysis for chronic renal failure. J Clin Nurs 2019; 28(1-2): 257-69.
  11. Vahed N, Karami R. Comparison of marital satisfaction in hemodialysis and peritoneal dialysis patients. Quarterly of clinical psychology studies Allameh Tabataba’i University 2020; 10: 27-109.
  12. Torshizi M SG, Saeedi Bazkhane E, Dastjerdi R. [Evaluation of sexual quality of life and its relationship with marital satisfaction and emotional divorce in hemodialysis patients in Birjand, 2017]. Journal of Jiroft University of Medical Sciences 2019; 5(2): 35-45. (Persian)
  13. Hannier S, Baltus A, De Sutter P. The role of physical satisfaction in women's sexual self-esteem. Sexologies 2018; 27(4): e85-e95.
  14. Amanelahi A, Refahi N, Rajabi G. [Predicting sexual dysfunction based on sexual self-esteem and intimacy with spouse among female college students with and without sexual dysfunction disorder]. Iranian journal of psychiatric nursing 2017; 5(5): 18-25. (Persian)
  15. Ayadi N, Rasouli M, Nazari A. [Investigating of the mediating role of self-esteem in the relationship between sexual dysfunction and marital burnout in opium dependent males]. Journal of health and care 2017; 19(2): 129-39. (Persian)
  16. Matoff M. Circumstances to integrate acceptance and commitment therapy with short-term psychodynamic psychotherapies. Cogent Psychol 2018; 5(1): 1453595.
  17. Grecucci A, Messina I, Dadomo H. Decoupling internalized dysfunctional attachments: a combined ACT and schema therapy approach. Front Psychol 2018; 9: 2332.
  18. McKay M, Lev A, Skeen M. Acceptance and commitment therapy for interpersonal problems: Using mindfulness, acceptance, and schema awareness to change interpersonal behaviors. Oakland, California: New Harbinger; 2012.
  19. Lev A, McKay M. Acceptance and commitment therapy for couples: A clinician's guide to using mindfulness, values, and schema awareness to rebuild relationships. Oakland, California: New Harbinger; 2017.
  20. Van Vreeswijk M, Broersen J, Schurink G. Mindfulness and schema therapy: A practical guide. New York: John Wiley and Sons; 2014.
  21. Farrell JM, Shaw IA. Experiencing schema therapy from the inside out: A self-practice/self-reflection workbook for therapists. New York: Guilford; 2017.
  22. Cousineau P, Ngô T-L. [Schema therapy-ACT-mindfulness]. Sante Ment Que 2013; 38(2): 195-213. (French)
  23. Quinlan E, Deane FP, Crowe T. Pilot of an acceptance and commitment therapy and schema group intervention for mental health carer's interpersonal problems. J Contextual Behav Sci 2018; 9: 53-62.
  24. Aalami M, Taimory S, Ahi G. [The effectiveness of an integrated approach of schema therapy based acceptance and commitment therapy on marital conflicts and divorce tendency in divorce applicant couples]. Journal of research in behavioural sciences 2020; 18(1): 132-41. (Persian)
  25. Cohen J. The t test for means. Statistical power analysis for the behavioural sciences. Hillsdale, New Jercy: Earlbaum; 1988: 567.
  26. Doyle Zeanah P, Schwarz JC. Reliability and validity of the sexual self-esteem inventory for women. Assessment 1996; 3(1): 1-15.
  27. Farokhi S, Shareh H. [Psychometric properties of the Persian version of the sexual self-esteem index for woman-short form]. Iranian Journal of psychiatry and clinical psychology 2014; 20(3): 252-63. (Persian)
  28. Pines A. Malach couple burnout: Causes and cures. New York: Routledge; 1996.
  29. Naderi F, Azadmanesh P. [Comparison of couple burnout, family functioning and intimacy among men and women]. Journal of social psychology (New findings in psychology) 2012; 7: 97-112 (Persian)
  30. Manshaie G, Zarei M, Jafari VH. [Effectiveness of acceptance and commitment therapy on the reduction of early maladaptive schemas in patients undergoing hemodialysis]. Journal of research in behavioral sciences 2016; 14(2): 204-9. (Persian)
  31. Azimifar S, Fatehizadeh M, Bahrami F, Ahmadi A, Abedi A. [Comparing the effects of cognitive-behavioral couple therapy and acceptance and commitment therapy on marital happiness of dissatisfied couples]. Shenakht journal of psychology and psychiatry 2016; 3(2): 56-81. (Persian)
  32. Elhaei H, Kazemianmoghadam K, Haroon Rashidi H. [The effect of schema therapy on sexual function and relationship attributions among women damaged by marital infidelity]. Journal of psychological studies 2020; 16(2): 125-40. (Persian)
  33. Javaheri MH, Shoghi B, Babakhanlou A. [The effectiveness of acceptance and commitment therapy on sexual self-esteem and marital commitment in couples with turbulent relationships]. Journal of new ideas in psychology 2018; 2(6): 1-10. (Persian)
  34. Asadpour E, Veisi S. [The effectiveness of acceptance and commitment therapy on marital satisfaction, sexual self-esteem and burnout martial among women with type 2 diabetes]. Journal of Arak University of Medical Sciences 2019; 21(7): 8-17. (Persian)
  35. Ghorban Shiroudi S. [The effectiveness of combined couple therapy based on acceptance and commitment therapy (ACT) and schema therapy on cognitive flexibility and cognitive emotion-regulation in couples seeking divorce]. Journal of counseling research 2022; 21: 230-55. (Persian)
  36. Greenberg MJ. A hybrid ACT and schema therapy protocol for the treatment of depression. Berkeley, California: The Wright Institute; 2017.
Journal of Fundamentals of Mental Health
Volume 25, Issue 2
March and April 2023
Pages 123-131

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