The Efficacy of Compassion-Focused Therapy on Imposter Phenomenon, Obsessive-Compulsive Disorder, and Alexithymia in Women with Sexual Dysfunction

Document Type : Research Article

Authors

1 Department of Psychology, Faculty of Humanities, Payame Noor University, Nowshahr Branch, Nowshahr, Iran

2 Department of Psychology, Faculty of Humanities, Islamic Azad University, Tabriz Branch, Tabriz, Iran

3 Department of Clinical Psychology, Department of Clinical Psychology, Faculty of Humanities, Islamic Azad University, Ardabil Branch, Ardabil, Iran

4 Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran

10.30476/whb.2025.106186.1342

Abstract

Background: Sexual functioning refers to an individual’s capacity to experience healthy and satisfying sexual responses across physical, psychological, and social domains. The present study focused on identifying the effectiveness of Compassion-Focused Therapy (CFT) on the reduction of the impersonator actions, Obsessive-Compulsive Disorder (OCD), and alexithymia in female adults with sexual dysfunction.
Methods: This was a quasi-experimental study with a pre-test/ post-test design involving a control group. The study sample included women with sexual dysfunction who were referred to healthcare centers in Ardabil Province, Iran, in 2024. Out of the list of patients, 36 women were chosen based on their medical history and the homogeneity of their medical condition. Then, the study participants were divided into the experimental group (n=18) and the control group (n=18). The balance between groups was provided based on the main clinical features. The experimental group attended eight 90-minute CFT sessions, and the control group did not receive intervention. The study participants were assessed using the Female Sexual Function Index (FSFI), Imposter Syndrome Scale (ISS), Obsessive-Compulsive Disorder Questionnaire (OCDQ), and Toronto Alexithymia Scale (TAS). The T-tests and ANCOVA analyses were performed in SPSS version 27.
Results: The results demonstrated that CFT significantly decreases the imposter phenomenon (CFT group: M=57.89, SD=4.05; control group: M=61.66, SD=2.84, P<0.001), OCD (CFT group: M=105.12, SD=5.45; control group: M=110.56, SD=4.86, P<0.001), difficulty of identifying feelings (CFT group: M=22.72, SD=2.69; control group: M=26.55, SD=1.88, P<0.001), difficulty of describing feelings (CFT group: M=24.06, SD=2.53; control group: M=27.76, SD=1.69, P<0.001), and externally oriented thinking (CFT group: M=19.66, SD=2.37; control group: M=22.43, SD=2.09, P<0.001) in women with sexual dysfunction.
Conclusion: The comparison of the two groups showed that the experimental group experienced greater improvements in these areas than the control group. By enhancing self-compassion and emotional regulation, CFT improves sexual and psychological well-being, with the potential for broader applications in future research.

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