Improving body image and sexual life among postpartum women: a single-blind-randomized controlled trial to evaluate a social network-based cognitive-behavioral intervention
Talebi Erfaneh, Heidari Mohammad, Elyasi Forouzan, Jahanfar Shayesteh, Shahhosseini Zohreh,
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( Talebi Erfaneh )
Mazandaran University of Medical Sciences Sexual and Reproductive Health Research Center
( Heidari Mohammad )
Urmia University of Medical Sciences School of Medicine Department of Epidemiology and Biostatistics
( Elyasi Forouzan )
Mazandaran University of Medical Sciences School of Medicine Addiction Institute Psychiatry and Behavioral Sciences Research Center
( Jahanfar Shayesteh )
Tufts School of Medicine Department of Public Health and Community Medicine
( Shahhosseini Zohreh )
Mazandaran University of Medical Sciences Sexual and Reproductive Health Research Center Department of Midwifery and Reproductive Health
Abstract
Objective: To determine the effect of a social network-based cognitive-behavioral intervention on postpartum body image and sexual life of primiparous women.
Methods: In this single-blind randomized controlled trial, 82 postpartum women were allocated into two intervention and control groups (allocation ratio, 1:1) using permuted block randomization. Primary outcome was change in body image scores between the groups over time. Secondary outcomes were genital self-image, sexual quality of life, and sexual satisfaction. The intervention group participated in eight (2 weeks) 60-minute sessions through WhatsApp (WhatsApp Inc., Mountain View, CA, USA). Data were collected at recruitment, post-intervention, and 1-month of follow-up.
Results: Cognitive-behavioral intervention had a medium effect on improving body image in postpartum women (partial eta squared, 0.33; P<0.001). The results showed significant differences between the two groups regarding sexual quality of life and sexual satisfaction at 1-month follow-up.
Conclusion: The results of this study can be used to develop psychological interventions targeting body image in postpartum women.
키워드
Postpartum; Body image; Sexual health; Quality of life; Social media
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