Volume 10, Issue 3 (4-2025)
SJNMP 2025, 10(3): 308-323 |
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Talafi Noghani F, GhanbariNikoo A, miranisargazi N, GhafooriNejad M, Khodabakhsh M. Comparing the effectiveness of emotion-focused approach and compassion-based therapy on cognitive emotion regulation and sexual functioning of women who experienced childhood sexual abuse:a quasi-experimental study. SJNMP 2025; 10 (3) :308-323
URL: http://sjnmp.muk.ac.ir/article-1-660-en.html
URL: http://sjnmp.muk.ac.ir/article-1-660-en.html
Fatemeh Talafi Noghani1 
, Atefeh GhanbariNikoo1 , Narges Miranisargazi2 , Maryam GhafooriNejad1 , MohammadReza Khodabakhsh *3
, Atefeh GhanbariNikoo1 , Narges Miranisargazi2 , Maryam GhafooriNejad1 , MohammadReza Khodabakhsh *3
1- Islamic Azad University
2- shiraz university
3- Islamic Azad University ,khodabakhsh@ut.ac.ir
2- shiraz university
3- Islamic Azad University ,
Abstract: (103 Views)
Background & Aim: The problems in the field of emotions of sexually abused women and the problems of sexual performance that most of these women face in life, highlight the need for research and increased attention to this field. The aim of this study was to compare the effectiveness of emotion-focused approach and compassion-based therapy on cognitive regulation of emotion and sexual performance in women with experience of child sexual abuse.
Materials & Methods: In this quasi-experimental study, the statistical population included all women with experience of child sexual abuse who referred to counseling and psychotherapy centers in Tehran in 2024. Among them, 60 women were selected through purposive sampling and randomly assigned to two intervention groups and a control group (20 people in each group). The cognitive emotion regulation questionnaire of Granievski and Kraij, 2006 and the index of women's sexual performance of Rosen et al. (1997) were used to collect data. Intervention sessions for both experimental groups were implemented in the form of 8 sessions, 2 sessions per week and each session lasted 90 minutes, and the control group was placed on the waiting list. Analysis of covariance and variance and t-test were used to analyze the research data.
Result: The results indicated that there was a significant difference between the emotion-focused therapy group and the compassion-based therapy group and the control group in the post-test of the cognitive emotion regulation variable (P=0.000, F=55.9), sexual performance (P=0.000, F=8.67). Also, the effect size for the cognitive emotion regulation variable and sexual performance in the experimental group and the control group was 83.8% and 44.5%, respectively.
Conclusion: The results of the present study showed that compassion-based therapy and emotion-focused therapy are appropriate approaches to improve sexual function and emotional regulation in women with experience of child sexual abuse and can be a suitable guideline for use in counseling and psychotherapy centers.
Materials & Methods: In this quasi-experimental study, the statistical population included all women with experience of child sexual abuse who referred to counseling and psychotherapy centers in Tehran in 2024. Among them, 60 women were selected through purposive sampling and randomly assigned to two intervention groups and a control group (20 people in each group). The cognitive emotion regulation questionnaire of Granievski and Kraij, 2006 and the index of women's sexual performance of Rosen et al. (1997) were used to collect data. Intervention sessions for both experimental groups were implemented in the form of 8 sessions, 2 sessions per week and each session lasted 90 minutes, and the control group was placed on the waiting list. Analysis of covariance and variance and t-test were used to analyze the research data.
Result: The results indicated that there was a significant difference between the emotion-focused therapy group and the compassion-based therapy group and the control group in the post-test of the cognitive emotion regulation variable (P=0.000, F=55.9), sexual performance (P=0.000, F=8.67). Also, the effect size for the cognitive emotion regulation variable and sexual performance in the experimental group and the control group was 83.8% and 44.5%, respectively.
Conclusion: The results of the present study showed that compassion-based therapy and emotion-focused therapy are appropriate approaches to improve sexual function and emotional regulation in women with experience of child sexual abuse and can be a suitable guideline for use in counseling and psychotherapy centers.
Keywords: Emotion-focused approach, compassion-based therapy, cognitive emotion regulation, sexual dysfunction, child sexual abuse
Type of Study: Research |
Subject:
General
Received: 2025/04/23 | Revised: 2025/07/1 | Accepted: 2025/06/10 | Published: 2025/04/9 | ePublished: 2025/04/9
Received: 2025/04/23 | Revised: 2025/07/1 | Accepted: 2025/06/10 | Published: 2025/04/9 | ePublished: 2025/04/9
References
1. 1. Soumali H, Amiri H, Kakaberaei K, & Arefi M. Predictions of sexual satisfaction and marital adjustment family cohesion and secure attachment style in couples. Biannual Journal of Applied Counseling. 2021;11(1):59-78.
2. 2. Pulverman CS, Kilimnik CD, Meston CM. The impact of childhood sexual abuse on women’s sexual health: A comprehensive review. Sexual medicine reviews. 2018;6(2):188-200.
3. 3. Bornefeld-Ettmann P, Steil R, Lieberz KA, Bohus M, Rausch S, Herzog J, Priebe K, Fydrich T, Müller-Engelmann M. Sexual functioning after childhood abuse: The influence of post-traumatic stress disorder and trauma exposure. The journal of sexual medicine. 2018;15(4):529-38.
4. 4. Wang SJ, Chang JJ, Cao LL, Li YH, Yuan MY, Wang GF, Su PY. The relationship between child sexual abuse and sexual dysfunction in adults: a meta-analysis. Trauma, Violence, & Abuse. 2023;24(4):2772-88.
5. 5. Weiss J, Steil R, Priebe K, Lindauer P, Kleindienst N, Fydrich T, Müller-Engelmann M. Sexual dysfunctions in women with posttraumatic stress disorder following childhood sexual abuse: Prevalence rates according to DSM-5 and clinical correlates. Archives of Sexual Behavior. 2023;52(8):3365-78.
6. 6. Ahmadi F, Tahmasebi R, Noroozi A, Akbarizade F. Prevalence of and Factors Affecting Sexual Dysfunction in Women of Reproductive Age. Iran South Med J 2022; 25(2):114-29. [Persian]
7. 7. Saadedine M, Faubion S, Kingsberg S, Enders F, Kuhle C, Kling JM, Mara K, Kapoor E. Adverse childhood experiences and sexual dysfunction in midlife women: Is there a link?. The Journal of Sexual Medicine. 2023;20(6):792-9.
8. 8. Roshanaei S. An approach to sexual dysfunction in women, Second National Conference on Applied Ideas in Educational Sciences, Psychology and Cultural Studies, Bushehr. 2022. https://civilica.com/doc/1552499/. [Persian]
9. 9. Erdős C, Kelemen O, Pócs D, Horváth E, Dudás N, Papp A, Paulik E. Female sexual dysfunction in association with sexual history, sexual abuse and satisfaction: A cross-sectional study in Hungary. Journal of Clinical Medicine. 2023;12(3):1112.
10. 10. Darabian P, Baraz Sh, Ramezani Z, Raisifar Z. Investigation of the relationship between childhood sexual abuse and sexual health in women: a systematic review, 7th International Seminar on Women's Health, Shiraz. 2018; https://civilica.com/doc/875028. [Persian]
11. 11. Steil R, Weiss J, Bornefeld-Ettmann P, Priebe K, Kleindienst N, Müller-Engelmann M. A preliminary study on the effect of trauma-focused therapies on sexual dysfunctions in women with PTSD after childhood abuse. Journal of psychiatric research. 2024;170:340-7.
12. 12. Messman-Moore TL, Bhuptani PH. A review of the long‐term impact of child maltreatment on posttraumatic stress disorder and its comorbidities: An emotion dysregulation perspective. Clinical psychology: science and practice. 2017;24(2):154.
14. 13. Dryman MT, Heimberg RG. Emotion regulation in social anxiety and depression: A systematic review of expressive suppression and cognitive reappraisal. Clinical psychology review. 2018 ;65:17-42.
15. 14. Yu T, Hu J, Zhang W, Zhang L, Zhao J. Psychological maltreatment and depression symptoms among Chinese adolescents: a multiple mediation model. Child Abuse & Neglect. 2022 ;134:105940.
16. 15. MacCann C, Jiang Y, Brown LE, Double KS, Bucich M, Minbashian A. Emotional intelligence predicts academic performance: A meta-analysis. Psychological bulletin. 2020;146(2):150.
17. 16. Hébert M, Langevin R, Oussaïd E. Cumulative childhood trauma, emotion regulation, dissociation, and behavior problems in school-aged sexual abuse victims. Journal of affective disorders. 2018;225:306-12.
18. 17. Malesza M. Stress and delay discounting: The mediating role of difficulties in emotion regulation. Pers Individ Dif. 2019;144:56–60.
19. 18. Kirwan M, Pickett SM, Jarrett NL. Emotion regulation as a moderator between anxiety symptoms and insomnia symptom severity. Psychiatry Res. 2017; 254:40–47.
20. 19. Motahari Nasab Z, Mirhoseini F A, Asli Azad M. Effectiveness of Cognitive Emotional Regulation Training on Emotional Knowledge and Emotional Control of Poorly Supervised Students. J Child Ment Health. 2020;6(4):97-107. [Persian]
21. 20. Wiebe SA, Johnson SM. A review of the research in emotionally focused therapy for couples. Fam Process. 2016;55(3):390-407.
22. 21. Greenberg L, Goldman R. Emotion-focused couple therapy. Translated by Ramezani MA, Ghaemmaghami A, Jannesari Z, Jamshidnejad N, Dayani N, Faghih S. Tehran: Virayesh Publishing.2018. [Persian]
23. 22. Valipour M, Mobayeni M. Comparison of the effectiveness of solution-based approach and compassion-focused therapy on emotional cognitive regulation and post-traumatic stress disorder in female-headed households. Journal of Counseling Research. 2023;22(85):162-91. [Persian]
24. 23. Farshchiyan Yazdi, M., Bagherzadeh Golmakani, Z., Mansouri, A. Comparison of the Effectiveness of Emotionally Focused Therapy and Self-Compassion Skills Training on Marital Conflicts and Differentiation of Self of Women Affected by Marital Infidelity. medical journal of mashhad university of medical sciences. 2021;64(4): 3517-31. [Persian]
25. 24. Garnefski N, Kraaij V. Relationships between cognitive emotion regulation strategies and depressive symptoms: A comparative study of five specific samples. Pers Individ Differ. 2006;(40):1659-1669.
26. 25. Rosen C, Brown J, Heiman S, Leiblum C, Meston R, Shabsigh D, Ferguson R, D'Agostino R. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of sex & marital therapy. 2000;26(2):191-208.
27. 26. Mohammadi Kh, Heydari M, Faghihzadeh S. The Female Sexual Function Index (FSFI): Validation of the Iranian version. Payesh. 2008;7(3):269-78. [Persian]
28. 27. Greenberg LS, & Safran JD. Emotion in psychotherapy. American psychologist. 1989;44(1):19.
29. 28. Gilbert W. Class in Compassion-Focused Therapy, translated by Mehrnoush Aqbati, Tehran: Ibn Sina Publications. 2016.
30. 29. Teymori Z, Mojtabaei M, Rezazadeh S M R. Comparison of the Effectiveness of Emotionally Focused Couple Therapy and Self-compassion-based Therapy On Emotion Regulation In Women Affected by Infidelity. JGUMS. 2021; 30(2):130-143. [Persian]
31. 30. Ghaderi H, Arjmandnia AA, Dehestani M, Afrooz GA. The Effectiveness of Emotion-Focused Therapy for Trauma on Executive Functions in individuals with Sexual Trauma (Case Report). Journal of Applied Psychological Research. 2024;15(2): 235-251. [Persian]
32. 31. Behvandi N, Khayatan F, Golparvar M. Comparing the Effectiveness of emotion focused therapy with compassion Focused therapy on sleep quality and irrational beliefs in patients with early headache symptoms. Yafte. 2021;23(4):31-44. [Persian]
35. 32. Hashemi M, Ghahremani M. The effectiveness of emotion-focused couple therapy on improving sexual dysfunction and anxiety during intercourse in women with vaginismus. Disability Studies (Internet). 2021;11(1(serial 19)):0-0. [Persian]
36. 33. Amirshahi M, Saremi A, Nouri R, Karbalaei M, Hosseini-Sadat R. Comparing the Effectiveness of Emotionally Focused Therapy and Cognitive-Behavioral Therapy on Sexual Function and Health-Promoting Behaviors in Women with PCOS. International Journal of Behavioral Sciences. 2024;18(1):29-36. [Persian]
37. 34. Sanati Y, Hosseini S, & Abbasi F. Investigating the Effectiveness of Cognitive-Behavioral Therapy on Self-Compassion and Experiential Avoidance in Women Who Have Experienced Marital Infidelity. Applied Family Therapy Journal (AFTJ). 2024; 5(2): 112-120. [Persian]
38. 35. Naismith I, Ripoll K, Pardo VM. Group compassion-based therapy for female survivors of intimate-partner violence and gender-based violence: A pilot study. Journal of Family Violence. 2021;36:175-82.
39. 36. Barlow DHV, Durand M, & Hofmann SG. Abnormal Psychology: An integrative approach. Cengage Learning.2018.
40. 37. Saunders F, Vosper J, Gibson S, Jamieson R, Zelin J, & Barter J. Compassion Focused Psychosexual Therapy for Women Who Experience Pain during Sex. OBM Integrative and Complementary Medicine. 2021;7(2):2-14.
41. 38. Mirzaei A, & Sharifi T. Comparison of the Effectiveness of Emotion-Focused Therapy and Intensive Short-Term Psychodynamic Therapy on Sexual Dysfunction and Quality of Sexual Life in Women. Applied Family Therapy Journal (AFTJ). 2024;5(2): 171-181. [Persian]
42. 39. Johnson SM. Attachment theory and emotionally focused therapy for individuals and couples. In: Obegi JH, Berant E, editors. Attachment theory and research in clinical work with adults. New York: Guilford Press; 2009; 410-433.
43. 40. Ghasemi N, Goodarzi M, Ghazanfari F. The effectiveness of compassion-based therapy on cognitive emotion regulation, mindfulness skills, and readiness to experience shame and guilt in individuals with mixed anxiety-depressive disorder. Clinical Psychology Studies. 2019;10(34):145-166. [Persian]
44. 41. Orang S, Saberi H, Taheri A. Development and effectiveness of emotion-based therapy on cognitive regulation of emotion and death anxiety in elderly women with cancer. Quarterly Cultural-Educational Journal of Women and Family. 2023;18(63): 133-152. [Persian]
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