Document Type : Research Article

Authors

Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran

Abstract

Background: Marital conflicts bring about issues in marital relationships and increase the divorce rate. Sexual skill training can prevent some of the marital conflicts and sexual problems in women. The present study aimed to investigate the effect of schema therapy on sexual self-esteem in the women involved in marital conflicts in Ahvaz.
Methods: The study design was quasi-experimental. The study population comprised all women with marital conflicts who referred to the psychological centers of Ahvaz in 2019; using convenience sampling, we selected 30 women willing to participate in the project and randomly divided them into experimental (n=15) and control (n=15) groups. The research instrument included Marital Conflict Questionnaire (MCQ) and Sexual Self-Esteem Index for Woman-Short Form (SSEI-W-SF). The experimental group underwent eight sessions (90-minute sessions per week) of schema therapy. The follow-up was performed after 30 days. Data analysis was done using SPSS version 24.
Results: In terms of sexual self-esteem, there was no significant difference between the experimental and control groups in the pre-test stage. Schema therapy effectively increased sexual self-esteem in women involved in marital conflicts in the experimental group (p <0.001). The mean pre-test and post-test scores of the experimental group were 106.26±8.05 and 128.76±6.77, respectively, which increased compared to the pre-test (107.13±6.71) and post-test (108.46±8.97) of the control group.
Conclusions: Schema therapy can be employed to improve self-esteem in women involved in marital conflicts. In this way, the conflicts among couples and other family members can be reduced.

Keywords

1. Karami J, Shalani B, Hoveyzi N. Relationship between sexual self-esteem and sexual dysfunction with marital satisfaction in nurses’ hospitals Kermanshah city (Iran). Qom University of Medical Sciences Journal. 2017;11(9):86-93. ## 2. Heshmati H, Behnampour N, Arabameri S, Khajavi S, Kohan N. Marital satisfaction in refereed women to Gorgan health centers. Iran J Psychiatry. 2016;11(3):198-200. [PubMed: 27928253]; [PubMed Central: PMC5139956]. ## 3. Costa CB, Falcke D, Mosmann CP. Conflitos conjugais em casamentos de longa duração: Motivos e sentimentos [Marital conflicts in long-term marriages: Motives and feelings]. Psicologia em Estudo. 2015;20(3):411-423.doi.:10.4025/psicolestud.v20i3.27817. ## 4. Lawuo EA, Machumu HJ, Kimaro AR. Uncovered coping strategies adopted by children living in homes with marital conflicts for their own survival. J Edu Pract. 2015;6(18):114-128. ## 5. Park TY, Park Y. Contributors influencing marital conflicts between a Korean husband and a Japanese wife. Cont Fam Ther. 2019;41(2):157-167. doi:10.1007/s10591-018-9475-9. ## 6. Papp LM. Topics of marital conflict in the everyday lives of empty nest couples and their implications for conflict resolution. J Couple Relation Ther. 2018;17(1):7-24. doi: 10.1080/15332691.2017.1302377. ## 7. Gottman JM, Tabares A. The effects of briefly interrupting marital conflict. J Marit Fam Ther.2018;44(1):61-72. doi:10.1111/jmft.12243. [PubMed: 28656613]. ## 8. Repetti RL. Searching for the Roots of Marital Conflict in Uxoricides and Uxorious Husbands. In: Couples in Conflict. New York: Routledge. 2016. p. 77-86. ## 9. Wang Q, Wang D, Li C, Miller RB. Marital satisfaction and depressive symptoms among Chinese older couples. Aging Ment Health. 2014;18(1):33-39. doi:10.1080/13607863.2013.805730. [PubMed: 23767811]. ## 10. Morowati Sharifabad M, Baghernezhad Hesary F, Miri M, Dastjerdi R, Sharifzadeh G. Self-Esteem in adolescent girls: a qualitative study. Women’s Health Bulletin. 2020; 7(2):24-30. doi:10.30476/whb.2020.84215.1028. ## 11. Mastro S, Zimmer-Gembeck MJ. Let’s talk openly about sex: Sexual communication, self-esteem and efficacy as correlates of sexual well-being. Eur J Dev Psychol. 2015;12(5):579-598. doi:10.1080/17405629.2015.1054373. ## 12. Hannier S, Baltus A, De Sutter P. The role of physical satisfaction in women’s sexual self-esteem. Sexologies. 2018;27(4):85-95. doi:10.1016/j.sexol.2017.09.010. ## 13. Merghati Khoei E, Maasoumi R, Talebi S, Hajimirzaie S, Bayat A, Rimaz S, et al. Factors affecting sexual satisfaction in Iranian women. Women’s Health Bulletin. 2015;2(4):1-4. doi:10.17795/whb26604. ## 14. Norton MK, Smith MV, Magriples U, Kershaw TS. Masculine ideology, sexual communication, and sexual self‐efficacy among parenting adolescent couples. Am J Community Psychol. 2016;58(1-2):27-35. doi:10.1002/ajcp.12078 [PubMed: 27539234]. ## 15. Toussi HN, Shareh H. Changes in the indices of body image concern, sexual self-esteem and sexual body image in females undergoing cosmetic rhinoplasty: a single-group trial. Aesthetic Plast Surg. 2019;43(3):771-779. doi:10.1007/s00266-019-01336-2. [PubMed:30805690]. ## 16. Kim HE, Yeo JH. Impact of sexual attitude and marital intimacy on sexual satisfaction in pregnant couples: an application of the actor-partner interdependence model. Korean J Women Health Nurs. 2017;23(3). doi:10.4069/kjwhn.2017.23.3.201. ## 17. Young JE, Brown G. Young schema questionnaire–long version. New York, NY: New York Cognitive Therapy Centre of New York. 1990. ## 18. Young JE. Practitioner’s resource series. Cognitive therapy for personality disorders: A schema-focused approach (3rd ed.). Professional Resource Press/Professional Resource Exchange.; 1999. ## 19. Young J, Klosko J, Weishaar M. Schema therapy: A practitioner’s guide. New York: Guilford Press. 2006. ## 20. Amani A, Sanaie Zaker B, Nazari A, Namdari Pajeman M. Comparison of the effectiveness of schema therapy and attachment therapy on attachment styles in contractually engaged students. Fam Counsel Psychother. 2011;1(2):171-91. ## 21. Asgari A, Goodarzi K. Effectiveness of emotional schema therapy on marital intimacy among couples on the brink of divorce. SALAMAT IJTIMAI (Community Health). 2019;6(2):174-185. doi:10.22037/ch.v6i2.23281. ## 22. Afzaligrouh A, Nosrat Abadi M, Ghasemzadeh M, Choobdarry A. The effectiveness of schema therapy on married women with hypo-active sexual desire disorder in Sirjan city. Commun Health J. 2017;11(3,4):38-46. doi: 10.22123/chj.2018.93693.1024. ## 23. Darini M, Shafiabadi A, Navabinejad SH, Delavar A. The effectiveness of schema therapy on increase of women’s sexual satisfaction. Edu Admin Res. 2013;4(15):33-42. ## 24. Naghinasab Ardehaee F, Jajarmi M, Mohammadipour M. Effectiveness of emotion focused couple therapy on marriage function and psychological well-being of women with marrital conflicts. J Gorgan Univ Med Sci. 2018;20(3):1-10. ## 25. Amani A, Sanaie Zaker B, Nazari A, Namdari Pajeman M. Comparison of the effectiveness of schema therapy and attachment therapy on attachment styles in contractually engaged students. Fam Couns Psychother. 2011;1(2):171-191. ## 26. Nikamal M, Salehi M, Bermas H. Effectiveness of schema therapy based on emotional on marital satisfaction, of couple. J Psych Stud. 2018;13(4):157-174. doi:10.22051/psy.2017.17242.1489. ## 27. Shahabi SH, Sanagouye-Moharer GH. The effect of group schema therapy on marital adjustment and marital intimacy in couples in Kerman. Commun Health (Salāmat-I ijtimāī). 2019;6(3):236-243. doi.:10.22037/ch.v6i3.22565. ## 28. Afroundeh, R., Saidzanozi, R. Comparison of the effect of pilates and traditional corrective exercises on lumbar lordosis in female students. Sci J Rehab Med. 2017;6(3):84-94. doi:10.22037/jrm.2017.1100348. ## 29. Boostanipoor A, Zaker BS. The questionnaire of marital conflicts: a confirmatory factor analysis (CFA). Int J Psychol Stud. 2016:8:125. doi.:10.5539/ijps.v8n1p125. ## 30. Bahari F, Fatehizadeh M, Ahmed A, Molavi H, Bahrami F. Effectiveness of couple communication skills training (CCST)on marital conflicts amongst conflicted divorcing couples. Res Clinic Psychol Couns. 2011;1(1):59-70. https://www.magiran.com/paper/919457/?lang=en. ## 31. Zeanah PD, Schwarz JC. Reliability and validity of the sexual self- esteem inventory women. Assessment. 1996;3:1-15. doi.:10.1177/107319119600300101. ## 32. Farokhi S, Shareh H. Psychometric properties of the persian version of the sexual self-esteem index for woman-short form. Ir J Psychiat Clinic Psychol. 2014;20(3):252-63. doi.:10.1037/t54661-000. ## 33. Taylor CDJ, Arntz A. Schema Therapy. In the Wiley Handbook of Positive Clinical Psychology (eds A.M. Wood and J. Johnson). 2016;461-476. doi:10.1002/9781118468197.ch30. ##