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Developing and Testing a Cognitive- Behavioral-Social Program for Hypertensive Erectile Dysfunction Patients | ||
| Iranian Journal of Health Psychology | ||
| مقاله 2، دوره 8، شماره 4 - شماره پیاپی 26، اسفند 2025 اصل مقاله (853.13 K) | ||
| نوع مقاله: research | ||
| شناسه دیجیتال (DOI): 10.30473/ijohp.2026.74553.1402 | ||
| نویسندگان | ||
| Arash Nejatian1؛ Mahnaz Aliakbari Dehkordi* 2؛ Amin Rafiepour3؛ Ziba Barghi Irani3 | ||
| 1PhD Candidate, Department of Psychology, Payame Noor University, Tehran, Iran. | ||
| 2Professor, Department of Psychology, Payame Noor University, Tehran, Iran. | ||
| 3Associate Professor, Department of Psychology, Payame Noor University, Tehran, Iran. | ||
| چکیده | ||
| Abstract Objectives: This study aimed to develop and evaluate a cognitive-behavioral-emotional and social intervention tailored for hypertensive cardiovascular patients with erectile dysfunction (ED). The intervention focused on improving erectile function, sexual satisfaction, interpersonal communication, and psychological well-being through integrated psychological support, social connection strategies, lifestyle modifications, and sexual education. Methods: Thirty male patients aged 45 to 60, diagnosed with hypertension and ED, were randomly assigned to either an experimental group receiving the intervention or a control group receiving routine care. The 12-session intervention included relaxation techniques, motivational interviewing, cognitive restructuring (based on the Metz et al. model), psychosexual education, and communication and intimacy training. Lifestyle changes emphasized weight reduction and heart-healthy behaviors to reduce body mass index (BMI). Outcomes were assessed using the International Index of Erectile Function (IIEF) and the Sexual Communication Scale (SCS). Results: The experimental group showed significant, sustained improvements. Repeated measures ANOVA revealed a strong time × group effect for erectile function and sexual communication anxiety (p < 0.001). BMI dropped significantly (χ² = 22.842, p = 0.000), with a notable between-group difference at follow-up (U = 52.000, p = 0.012). At follow-up, the experimental group reported higher erectile (24.8 vs. 17.2), orgasmic (8.9 vs. 6.7), sexual desire (9.4 vs. 6.8), and intercourse satisfaction (11.7 vs. 7.9); greater relationship satisfaction (21.3 vs. 16.4); and lower sexual communication anxiety (12.6 vs. 21.9). Conclusions: A cognitive-behavioral-emotional-social intervention combined with lifestyle changes improved sexual function and relationship quality in hypertensive patients with ED. | ||
| کلیدواژهها | ||
| Erectile Dysfunction؛ Cognitive-Behavioral Therapy for Sexual Dysfunction؛ Hypertension؛ Healthy Lifestyle؛ Sexual Communication Scale | ||
| عنوان مقاله [English] | ||
| تدوین و ارزیابی یک برنامه شناختی–رفتاری–اجتماعی برای بیماران مبتلا به اختلال نعوظ ناشی از پرفشاری خون | ||
| نویسندگان [English] | ||
| آرش نجاتیان1؛ مهناز علی اکبری دهکردی2؛ امین رفیعی پور3؛ زیبا برقی ایرانی3 | ||
| 1PhD Candidate, Department of Psychology, Payame Noor University, Tehran, Iran. | ||
| 2Professor, Department of Psychology, Payame Noor University, Tehran, Iran. | ||
| 3Associate Professor, Department of Psychology, Payame Noor University, Tehran, Iran. | ||
| چکیده [English] | ||
| اهداف: هدف این پژوهش، طراحی و ارزیابی مداخلهای شناختی–رفتاری–هیجانی و اجتماعی برای بیماران قلبی دارای فشارخون بالا و اختلال نعوظ بود. این مداخله با تمرکز بر بهبود عملکرد نعوظ، رضایت جنسی، ارتباط بینفردی و سلامت روان از طریق آموزش جنسی، حمایت روانی، راهبردهای ارتباطی و اصلاح سبک زندگی اجرا شد. روشها: ۳۰ مرد ۴۵ تا ۶۰ ساله مبتلا به فشار خون بالا و اختلال نعوظ بهطور تصادفی به دو گروه تقسیم شدند: گروه آزمایشی که مداخله ۱۲ جلسهای را دریافت کرد و گروه کنترل که تحت مراقبت معمول باقی ماند. برنامه شامل آرامسازی، مصاحبه انگیزشی، بازسازی شناختی (بر اساس مدل متز و همکاران)، آموزش روانجنسی و مهارتهای صمیمیت بود. بر تغییر سبک زندگی و کاهش BMI نیز تأکید شد. ابزارهای سنجش شامل پرسشنامه IIEF و مقیاس ارتباط جنسی (SCS) بود. یافتهها: گروه آزمایشی بهبودهای معنادار و پایداری را نشان داد. نتایج آنووا با اتدازه گیری مکرر نشاندهنده اثر قوی زمان × گروه در عملکرد نعوظ و اضطراب ارتباط جنسی بود (p < 0.001). کاهش معناداری در BMI ثبت شد (χ² = 22.842، p = 0.000) و تفاوت بینگروهی در پیگیری نیز معنادار بود (U = 52.000، p = 0.012). در پیگیری، عملکرد نعوظ، میل و رضایت جنسی، رضایت از رابطه، و کاهش اضطراب ارتباط جنسی در گروه آزمایشی بهمراتب بهتر از گروه کنترل بود. نتیجهگیری: این مداخله یکپارچه با رویکرد روانشناختی و اجتماعی، همراه با اصلاح سبک زندگی، توانست عملکرد جنسی و کیفیت روابط را در مردان مبتلا به فشار خون بالا و اختلال نعوظ بهبود بخشد. | ||
| کلیدواژهها [English] | ||
| اختلال نعوظ, درمان شناختی-رفتاری برای اختلالات جنسی, پرفشاری خون, سبک زندگی سالم, مقیاس ارتباط جنسی | ||
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