The efficacy of four-factor psychotherapy on increasing sexual assertiveness in breast cancer survivors

Introduction: Sexual assertiveness is an important factor in sexual and marital satisfaction. Breast cancer survivors often have a pattern of sexual activity that is unsatisfactory for both or one of the couple. This study was conducted to determine the efficacy of four-factor psychotherapy (therapeutic relationship, expectancy to therapy, increasing awareness and behavior regulation) on increasing breast cancer survivor’s sexual assertiveness Methods: This study was performed using semi-experimental study with pre-test/post-test control group design and 2/5 months follow-up. The statistical population of this research included all married breast cancer survivors who were referred to Shohada-e Tajrish hospital in 2015. The samples of this study were 30 survivors who selected available and randomly divided into two groups of 15, a control group and anexperimental group. Hurlbert index of sexual assertiveness (HISA) was completed as pre-test, post-test and follow up by participants. The experimental group attended in ten-weekly, 90 minutes sessions of group psychotherapy. Descriptive statistic and factorial analysis of variance were applied to analyze the data. Results: Statistical analysis showed no significant difference between levels of sexual assertiveness in experimental and control group after treatment. On the other hand this psychotherapy could increase sexual assertiveness in survivors with high sexual assertiveness in pre-test Tough this Significance was unstable in 2/5 months follow up Conclusion: Group four-factor psychotherapy (therapeutic relationship, expectancy to therapy, increasing awareness and behavior regulation) is not effective way to increasing sexual assertiveness in breast cancer survivors.

کلیدواژه ها:

Four-factor psychotherapy ، sexual assertiveness ، Breast cancer