Trial reportBMC psychology2025
Investigating the effect of online narrative therapy on the genital self-image and sexual satisfaction of infertile women: a randomized controlled trial.
Trial report in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
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Abstract
backgroundOne of the problems of infertility is damage to the genital self-image, which is one of the essential components of sexual health and is associated with sexual satisfaction and all dimensions of sexual function. Recently, narrative therapy has been used to treat a wide range of sexual disorders and marital incompatibility. The present study aimed to determine the effect of online narrative therapy on the genital self-image and sexual satisfaction of infertile women.
methodsThis randomized controlled trial was conducted with 64 women with infertility, who were selected through the convenience sampling method from gynaecologists with infertility fellowship and family physician clinics. Genital self-image score and sexual satisfaction of the participants were evaluated using the Female Genital Self-Image Scale (FGSIS) and the Hudson sexual satisfaction questionnaire, respectively. The participants were randomly assigned to two narrative therapy and control groups of 32 women using the RANDBETWEEN software. The intervention group received five sessions of weekly 90-minute online narrative therapy sessions using the WhatsApp platform, and the control group received routine care. The data of the two groups, before the intervention, immediately after, and 45 days after the completion of the intervention, were collected and assessed. SPSS version 22 software and statistical tests such as Mann-Whitney U, Friedman, Bonferroni test, and repeated measures ANOVA were used for data analysis.
resultsThe Mann-Whitney U test showed that the mean score of the genital self-image in infertile women in the intervention and control groups showed no significant differences before the intervention (p = 0.312). The study results immediately and 45 days after the intervention demonstrated significant differences regarding the mean score of genital self-image compared to the control group (p < 0.001). In addition, according to the Bonferroni test, the mean sexual satisfaction score immediately and 45 days after the intervention had a significant difference from before the intervention (p < 0.001).
conclusionsOnline narrative therapy can be a suitable approach to improving genital self-image score and sexual satisfaction in infertile women.
trial registrationThe protocol of this research was registered in the Iranian Registry of Clinical Trials (IRCT20161126031117N11) on 15/11/2021.
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