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PURPOSE: The purpose of this study was to investigate actor and partner effects of sexual attitude and marital intimacy on sexual satisfaction in pregnant couples. METHODS: Data were collected from 176 pairs of the pregnant couples visiting for prenatal care at hospitals from June 18 to September 24, 2016. The collected data were analyzed by paired...

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... In this method, skill training, including training in effective interpersonal skills, mindfulness, emotional regulation, increasing failure tolerance, reception, and validation of emotions is emphasized [24]. Dialectical behavior therapy is a set of techniques to make changes in how a person thinks and behaves, reduce negative thoughts, change the lifestyle, and also achieve behavioral and emotional stability [25]. ...
... The main core of dialectical behavior therapy is mindfulness and emotional regulation skills that teach patients to be aware of their emotions, thoughts, and behaviors, to face emotions, and to act against strong emotional desires (increasing cognitive flexibility). In addition, practicing non-fusion of thought and excitement is effective for regulating emotions and reducing instability and impulsivity [24]. Therefore, through dialectical behavior therapy and the techniques and skills a person becomes aware of the impact of the relationship between thoughts and emotions, and automatic maladaptive evaluation is identified, and this cognitive re-evaluation will increase flexibility in thinking. ...
Article
Aims Diabetes is a widespread chronic disease that, in addition to affecting the individual’s clinical condition, imposes high costs on societies worldwide. This study aims to investigate the effectiveness of dialectical behavior therapy on the resilience, psychological flexibility, and glycemic control of diabetic patients. Methods & Materials This research was practical in purpose and semi-experimental in method with a pre-test/post-test design with a control group. The statistical population comprised all people with diabetes who were referred to Sayad Hospital in Gorgan City, Iran, in 2022. From this statistical population, 30 patients were selected via the available sampling method and randomly divided into an experimental (n=15) and a control group (n=15). The experimental group was trained in dialectical behavior therapy, while the control group did not receive any psychological intervention during the implementation of the research. The research tool was the Connor and Davidson resilience questionnaire (2003) and the Dennis psychological flexibility questionnaire (2010). Research data were analyzed by multivariate covariance analysis using the SPSS software, version 24. Findings The Mean±SD of the post-test total score of resilience, psychological flexibility, and glycemic control in the experimental group were respectively 80.60±20.62, 91.00±25.64, and 198.10±26.52. These numbers were respectively 77.20±22.86, 75.60±22.29, and 204.30±30.18 for the control group. Dialectical behavior therapy had a significant effect on the resilience, flexibility, and glycemic control of diabetic patients (P<0.05). Conclusion By performing mindfulness exercises and emotional experience modulation, dialectical behavioral therapy training has led to the promotion of mental health, improvement of resilience skills, and flexibility of diabetic patients. Therefore, this method can be used as a new approach to increase the self-care skills of patients with diabetes in health-related centers.
... Examining only the woman's sexual satisfaction during pregnancy contrasts with family systems theory (Smith & Hamon, 2012), which suggests that partners are interconnected and are best understood together rather than as separate units. Assuming sexual satisfaction occurs within the context of a couple will likely lead to a more realistic understanding of SSIP (e.g., Kim & Yeo, 2017). Similarly, examining only one or two factors that may influence sexual satisfaction during pregnancy contrasts with the biopsychosocial model (Engel, 1977), which suggests the need to evaluate biological, psychological, and social factors that surround any change in life. ...
... Similarly, examining only one or two factors that may influence sexual satisfaction during pregnancy contrasts with the biopsychosocial model (Engel, 1977), which suggests the need to evaluate biological, psychological, and social factors that surround any change in life. Changes in sexual satisfaction and functioning are likely affected by all three of these domains (DeJudicibus & McCabe, 2002;Kim & Yeo, 2017;Seven et al., 2015;Yanikkerem et al., 2016) rather than one isolated factor. ...
... Sexuality is often emphasized in the context of the overall relationship and commitment toward a partner, particularly for women (see Impett et al., 2014), and thus sexual satisfaction is affected by the social factors and dynamics of couple relationships. For example, relational satisfaction has been positively associated with SSIP for pregnant women (DeJudicibus & McCabe, 2002; see also Kim & Yeo, 2017). A variety of other factors have been linked with sexual satisfaction such as attachment quality (Impett et al., 2014), relational power (Lau et al., 2006), and communication quality (Mark & Jozkowski, 2013) among non-pregnant couples. ...
Article
Although not all couples achieve high levels of sexual satisfaction during pregnancy, evidence of variability in couple sexual satisfaction during pregnancy indicates that sexual dissatisfaction in pregnancy does not apply to all. Subsequently, the current study examined whether a nationally representative U.S. sample of wives and husbands (N = 523 couples) fell into subgroups in terms of their sexual satisfaction during pregnancy and to what degree biopsychosocial factors distinguish potential subgroups. Latent profile analyses, adjusted for pregnancy-related biological factors, indicated that couples could be classified into two subsets – a larger subset of couples where wives and husbands were satisfied with sex overall (79%) and a smaller subset where wives and husbands were neutral about satisfaction with sex (21%). Lower depressive symptoms among wives was associated with a greater likelihood of being in the more satisfied subset over the less satisfied subset – the only significant group membership predictor among a variety of other factors. Implications include notions that couples and practitioners should consider women’s depressive symptoms throughout pregnancy in addition to the perinatal period, and that most U.S. newly married pregnant couples do well navigating sexual satisfaction challenges during pregnancy.
... Accordingly, the question do different subsets of couples exist in terms of their sexual satisfaction during pregnancy is explored in the current manuscript. Additionally, to understand what factors might distinguish these subsets of couples-including correlates of SSIP such as biological factors like physical health symptoms (Yanikkerem et al., 2016), psychological factors like mental health (DeJudicibus & McCabe, 2002;Seven et al., 2015), and social factors like relational satisfaction (DeJudicibus & McCabe, 2002; see also Kim & Yeo, 2017)-the question what factors distinguish different subsets of couples in terms of their sexual satisfaction during pregnancy is also explored. Family systems theory (Smith & Hamon, 2012) with a sensitivity towards the biopsychosocial model (Engel, 1977) is used to guide the investigation. ...
... Subsequently, studying SSIP through family systems theory-by first, studying pregnant women and their partners together and second, viewing both partners as part of a larger whole-will likely lead to a more realistic understanding of SSIP. For instance, the finding by Kim and Yeo (2017) that husband sexual attitudes affects pregnant women's sexual satisfaction illustrates how partners can affect one another's SSIP and that examining partners together as a couple can provide valuable insights over studying partners alone. ...
... 135) and alternatively promoted understanding the biological, psychological, and social factors that surround illness in order to better treat it. Although not an illness, pregnancy related changes-including changes in sexual satisfaction and functioning-are affected by biological (Yanikkerem et al., 2016), psychological (DeJudicibus & McCabe, 2002Seven et al., 2015), and social factors (DeJudicibus & McCabe, 2002; see also Kim & Yeo, 2017). Thus, exploring SSIP in terms of all three of these factors is more encompassing than studying any pregnancy in terms of one or two of these factors alone. ...
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Research indicates that having high sexual satisfaction during pregnancy is difficult for couples. This negative trend is important considering that low sexual satisfaction can negatively affect relationship satisfaction, psychological health, and child outcomes. However, there is evidence this trend does not apply to all and different groups of couples exist in terms of their sexual satisfaction in pregnancy. The current study explored if different subsets of couples, composed of pregnant wives and husbands, exist in terms of their sexual satisfaction during pregnancy and what factors distinguish potential subsets. Using U.S. nationally representative data from 523 pregnant married couples and latent profile analysis adjusting for pregnancy related biological factors, two subsets of pregnant couples were identified—a larger subset of couples where wives and husbands were satisfied with sex overall (79%) and a smaller subset where wives and husbands were neutral about satisfaction with sex (21%). Having lower depressive symptoms among wives was associated with a greater likelihood of being in the more satisfied subset over the less satisfied subset—the only significant group membership predictor among a variety of biological, psychological, and relational factors, including sexual frequency. Implications include the notion that most U.S. couples do well navigating the sexual challenges in their control during pregnancy and the importance for medical professionals, practitioners, and educators to help women maintain good mental health during pregnancy to better sexual, relational, and psychological outcomes for expectant couples and improve child outcomes.
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Purpose: This study was conducted to identify the influences of the attitudes of pregnant women and their husbands towards sex during pregnancy on sexual function. Additional purpose was to compare the frequency of sexual dysfunction according to gender and gestational trimester and to describe the changes in sexual behavior according to the gestational trimester. Methods: In this study, 231 pregnant couples completed self-report questionnaires during their visits to women's hospitals or community health centers. The questionnaires assessed general characteristics, maternal/paternal sexual attitudes towards sex during pregnancy (Maternal Sex during Pregnancy Scale, MSP/Paternal Sex during Pregnancy Scale, PSP), and sexual function (using the Female Sexual Function Index and International Index of Erectile Function, respectively). Multiple regression analysis was done to test the research model using SPSS version 23.0. Results: In this study, 74.9% of pregnant women and 38.5% of their husbands reported sexual dysfunction. Sexual dysfunction was prevalent in pregnant women in the first trimester and prevalent in husbands in the third trimester. MSP (β=.44, p<.001) in pregnant women and PSP (β=.39, p<.001) and being in the first trimester (β=.17, p=.012) in husbands influenced sexual function during pregnancy. In the first trimester, the scores for attitudes towards sex during pregnancy were the lowest in pregnant women, while they were the highest in their husbands. Conclusion: Positive attitudes about sex during pregnancy are important for sexual function in pregnant couples. Because the difference in attitudes towards sex during pregnancy between pregnant women and their husbands was greatest in the first trimester, sexual health interventions need to be provided in early pregnancy.
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PURPOSE: To determine whether maternal attitude toward sex during pregnancy and health-related quality of life could influence sexual function of pregnant women. METHODS: In this study, 138 second and third trimester pregnant women completed self-report questionnaires during their visits to women's hospitals or community health centers to assess their general characteristics, attitude toward sex during pregnancy (PIES-M), health-related quality of life (EQ-5D), and sexual function (FSFI-6K). Multiple regression analysis was performed to test the research model with SPSS version 23. RESULTS: Pregnant women who had discontinued their sexual life after recognizing their pregnancy accounted for 27.5% of women questioned. The average sexual function score of pregnant women was higher in the second trimester than the third trimester. Attitude toward sex during pregnancy (β=−.38, p< .001), maintaining sexual life (β=.20, p=.028), health-related quality of life (β=.18, p=.030), and adverse symptoms during sex (β=.18, p=.042) were determinants of sexual function during pregnancy. CONCLUSION: Nurses in antenatal care units need to help pregnant women maintain a positive attitude toward sexual activity during pregnancy and manage their health-related quality of life to maintain their sexual life during pregnancy.