Document Type : Research Article

Authors

Department of Counseling, Faculty of Educational Sciences and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran

Abstract

Background: In addition to physical problems, infertile couples face psychological issues during treatment. This study aimed to investigate the effect of healing codes training on the sexual self-esteem of infertile women.
Methods: The present study employed a quasi-experimental pre-test, post-test, follow-up design with a control group and an experimental group. Convenience sampling method was used to recruit forty infertile women satisfying the inclusion criteria from fertility treatment centers in Isfahan, Iran in 2023. Participants were randomly assigned into either the experimental group (n=20) or the control group (n=20). The experimental group received a standardized 14-week intervention consisting of weekly 90-minute training sessions focused on a specific therapeutic technique (healing codes). Data analysis was conducted using repeated-measures ANOVA.
Results: The results demonstrated a statistically significant increase in sexual self-esteem scores in the experimental group compared with the control group (P=0.001) at both the post-test and follow-up phases. No significant difference was observed between the groups at pre-test. Throughout the study, the mean scores for the experimental group (post-test: 110.13±6.71, follow-up: 110.32±6.93) were significantly higher than the control group (post-test: 91.93±11.40, follow-up: 94.74±17.12). These findings suggested that healing codes training led to a significant difference in sexual self-esteem between the experimental and control groups (P=0.001).
Conclusions: This study provided evidence that healing codes training leads to a significant improvement in sexual self-esteem among infertile women. These findings suggested that healing codes training may be a promising new approach to improve the psychological well-being of infertile women.

Highlights

Fahimeh Zarean: (PubMed)

Ali Sheykholeslami: (Google Scholar), (PubMed)

 

 

How to Cite: Zarean F, Sheykholeslami A, Sadri Damirchi E, Rezaei Sharif A. Effectiveness of Healing Codes Training on Sexual Self-Esteem of Infertile Women. Women. Health. Bull. 2024;11(2):135-143. doi: 10.30476/WHB.2024.102309.1286.

Keywords

  1. Hamzehgardeshi Z, Khalilian A, Peyvandi S, Elyasi F, Kalantari F, Gelehkolaee KS. Complex factors related to marital and sexual satisfaction among couples undergoing infertility treatment: A cross-sectional study. Heliyon. 2023;9(4):e15049. doi: 10.1016/j.heliyon.2023.e15049. PubMed PMID: 37101648; PubMed Central PMCID: PMC10123143. ##
  2. Wiweko B, Anggraheni U, Elvira SD, Lubis HP. Distribution of stress level among infertility patients. Middle East Fertility Society Journal. 2017;22(2):145-148. doi: 10.1016/j.mefs.2017.01.005. ##
  3. Sharma A, Shrivastava D. Psychological Problems Related to Infertility. Cureus. 2022;14(10):e30320. doi: 10.7759/cureus.30320. PubMed PMID: 36407201; PubMed Central PMCID: PMC9661871. ##
  4. Saremi A, Moradzadeh R. The Relationship Between Physical Activity and Primary Infertility in Iranian Women. Women Health Bull. 2024;11(1):20-28. doi: 10.30476/whb.2024.97668.1216. ##
  5. Mikaeili N, Eyni S, Mousavi SE, Ebadi M. Mediating role of relational aggression in the association between infertility stigma and marital relationship distress in infertile women. Women & Health. 2023;63(9):756-765. doi: 10.1080/03630242.2023.2265497. ##
  6. Hasanpoor-Azghdy SB, Simbar M, Vedadhir A. The emotional-psychological consequences of infertility among infertile women seeking treatment: Results of a qualitative study. Iran J Reprod Med. 2014;12(2):131-8. PubMed PMID: 24799871; PubMed Central PMCID: PMC4009564. ##
  7. Wu T, Zheng Y. Effect of Sexual Esteem and Sexual Communication on the Relationship Between Body Image and Sexual Function in Chinese Heterosexual Women. J Sex Med. 2021;18(3):474-486. doi: 10.1016/j.jsxm.2020.12.006. PubMed PMID: 33487573. ##
  8. Mohammadi S, Hafezi F, Ehteshamzadeh P, Eftekhar Saadi Z, Bakhtiarpour S. The Effect of Schema Therapy on Sexual Self-Esteem in the Women Involved in Marital Conflicts. Women Health Bull. 2020;7(2):49-55. doi: 10.30476/whb.2020.86498.1058. ##
  9. Wang JY, Lv XQ, Wu JM, Tang WQ, Luo GY, Liang CM, et al. Sexual Function, Self-Esteem, and Quality of Life in Infertile Couples Undergoing in vitro Fertilization: A Dyadic Approach. Psychol Res Behav Manag. 2022;15:2449-2459. doi: 10.2147/prbm.S378496. PubMed PMID: 36097599; PubMed Central PMCID: PMC9464024. ##
  10. Firoozi M, Azmoude E, Asgharipoor N. The relationship between personality traits and sexual self-esteem and its components. Iran J Nurs Midwifery Res. 2016;21(3):225-31. doi: 10.4103/1735-9066.180375. PubMed PMID: 27186198; PubMed Central PMCID: PMC4857655. ##
  11. Grinde B. Sexual Behavior in Modern Societies: An Interdisciplinary Analysis. Sexuality & Culture: An Interdisciplinary Quarterly. 2021;25(6):2075-2091. doi: 10.1007/s12119-021-09865-2. ##
  12. Safshekan S, Khalesi ZB. Factors affecting sexual-self-esteem among Iranian women. Eur J Obstet Gynecol Reprod Biol X. 2024;21:100284. doi: 10.1016/j.eurox.2024.100284. PubMed PMID: 38323102; PubMed Central PMCID: PMC10845242. ##
  13. Kong LV, Ting RSK, Chung KR, Hidayat W, Ooi WL, Goh PH. Bidimensional self-esteem and sexual functioning among young adults: A systematic review. Current Psychology: A Journal for Diverse Perspectives on Diverse Psychological Issues. 2024;43(6):4930–4944. doi: 10.1007/s12144-023-04699-7. ##
  14. Nemati M, Behmanesh F, Kheirkhah F, Geraili Z, Pasha H. Marital Commitment and Mental Health in Different Patterns of Mate Selection: A Comparison of Modern, Mixed, and Traditional Patterns. Iran J Psychiatry. 2022;17(4):418-427. doi: 10.18502/ijps.v17i4.10691. PubMed PMID: 36817815; PubMed Central PMCID: PMC9922360. ##
  15. Alimohammadi L, Zarei F, Mirghafourvand M. The effect of counseling based on Bandura’s self-efficacy theory on sexual self-efficacy and quality of sexual life. Women Health. 2020;60(4):473-486. doi: 10.1080/03630242.2019.1662871. PubMed PMID: 31506029. ##
  16. Amraei S, Abedi P, Nikbakht R, Tadayon M, Maraghi E. Does Infertility Stress Impair Sexual Function in Infertile Women and Men? A Cross-Sectional Study in Iran. Front Med (Lausanne). 2022;9:896538. doi: 10.3389/fmed.2022.896538. PubMed PMID: 35814743; PubMed Central PMCID: PMC9258717. ##
  17. Amiri SE, Brassard A, Rosen NO, Rossi MA, Beaulieu N, Bergeron S, et al. Sexual Function and Satisfaction in Couples with Infertility: A Closer Look at the Role of Personal and Relational Characteristics. J Sex Med. 2021;18(12):1984-1997. doi: 10.1016/j.jsxm.2021.09.009. PubMed PMID: 34702685. ##
  18. JamaliGandomani S, Taebi M, Mirghiasi AR, Nilforoushan P. Association between infertility factors and perceived relationship quality in infertile couples. J Educ Health Promot. 2022;11:360. doi: 10.4103/jehp.jehp_428_21. PubMed PMID: 36618478; PubMed Central PMCID: PMC9818625. ##
  19. Shayesteh-Parto F, Hasanpoor-Azghady SB, Arefi S, Amiri-Farahani L. Infertility-related stress and its relationship with emotional divorce among Iranian infertile people. BMC Psychiatry. 2023;23(1):666. doi: 10.1186/s12888-023-05159-z. PubMed PMID: 37700231; PubMed Central PMCID: PMC10496378. ##
  20. Lotfollahi H, Riazi H, Omani-Samani R, Maroufizadeh S, Montazeri A. Sexual Self-Concept in Fertile and Infertile Women: A Comparative Study. Int J Fertil Steril. 2021;15(1):60-64. doi: 10.22074/ijfs.2021.6205. PubMed PMID: 33497049; PubMed Central PMCID: PMC7838756. ##
  21. Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues Clin Neurosci. 2018;20(1):41-47. doi: 10.31887/DCNS.2018.20.1/klrooney. PubMed PMID: 29946210; PubMed Central PMCID: PMC6016043. ##
  22. Zarean F, Latifi Z. Effects of self-healing intervention on quality of life and mother-child interaction among female breadwinners. Complement Ther Clin Pract. 2021;43:101334. doi: 10.1016/j.ctcp.2021.101334. PubMed PMID: 33636650. ##
  23. Zarean F, Sadri Damirchi E, Sheykholeslami A. Effect of Self-Healing Intervention Program on Psychological Well-Being and Marital Satisfaction of Women Victimized by Domestic Violence. The American Journal of Family Therapy. 2024;52(1):22-40. doi: 10.1080/01926187.2022.2042865. ##
  24. Irani Z, Latifi Z, Soltanizadeh M. The Effectiveness of Self-healing Training (Healing Codes) on Psychological Capital and a Sense of Cohesion in Drug Addicts. Journal of Research & Health. 2021;11(5):351-362. doi: 10.32598/JRH.11.5.1598.4. ##
  25. Vahhab M, Latifi Z, Marvi M, Soltanizadeh M, Loyd A. Effects of self-healing training on perfectionism and frustration tolerance in mothers of single-parent students. J Gen Psychol. 2023;1-16. doi: 10.1080/00221309.2023.2275305. PubMed PMID: 37902233. ##
  26. Latifi Z, Soltani M, Mousavi S. Evaluation of the effectiveness of self-healing training on self-compassion, body image concern, and recovery process in patients with skin cancer. Complement Ther Clin Pract. 2020;40:101180. doi: 10.1016/j.ctcp.2020.101180. PubMed PMID: 32347209. ##
  27. Zarean F, Latifi Z. The effectiveness of self-healing (the healing codes) training on psychological capital and distress tolerance in women with addicted husbands. Current Psychology. 2022;41(6):3472-3480. doi: 10.1007/s12144-020-00860-8. ##
  28. Sakpal TV. Sample size estimation in clinical trial. Perspect Clin Res. 2010;1(2):67-9. PubMed PMID: 21829786; PubMed Central PMCID: PMC3148614. ##
  29. Doyle Zeanah P, Schwarz JC. Reliability and Validity of the Sexual Self-Esteem Inventory for Women. Assessment. 1996;3(1):1-15. doi: 10.1177/107319119600300101. ##
  30. Farokhi S, Shareh H. Psychometric Properties of the Persian Version of the Sexual Self-Esteem Index for Woman-Short Form. Iranian Journal of Psychiatry & Clinical Psychology. 2014;20(3):252-263. Persian. ##
  31. Tol WA, Leku MR, Lakin DP, Carswell K, Augustinavicius J, Adaku A, et al. Guided self-help to reduce psychological distress in South Sudanese female refugees in Uganda: a cluster randomised trial. Lancet Glob Health. 2020;8(2):e254-e263. doi: 10.1016/s2214-109x(19)30504-2. PubMed PMID: 31981556; PubMed Central PMCID: PMC9899129. ##
  32. Heydari F, Latifi z, Moradi A. The Effect of Self-Healing Training on Anxiety, Self-Esteem, and Forgiveness in Betrayed Women. Journal of Community Health. 2022;16(2):59-70. doi: 10.22123/chj.2022.294523.1744. Persian. ##
  33. Nasresfahani M, Hayati M, Latifi Z. The Effectiveness of Self-Healing Approach on Cognitive Distortions and Interpersonal Forgiveness among Women with Psychological Distress. Journal of Applied Family Therapy. 2022;3(2):285-305. doi: 10.22034/aftj.2022.317551.1290. ##
  34. Chu KH, Tung HH, Clinciu DL, Hsu HI, Wu YC, Hsu CI, et al. A Preliminary Study on Self-Healing and Self-Health Management in Older Adults: Perspectives From Healthcare Professionals and Older Adults in Taiwan. Gerontol Geriatr Med. 2022;8:23337214221077788. doi: 10.1177/23337214221077788. PubMed PMID: 35356303; PubMed Central PMCID: PMC8958667. ##