Epilepsy, Sexual Dysfunction
Conditions
Brief summary
Female sexual dysfunction (FSD) includes impairments in sexual desire, arousal, orgasm, and genital pain resulting in significant subjective distress. This study is aimed to assess a mindfulness-based intervention for improving sexual functioning among women with epilepsy
Interventions
Mindfulness-Based Sex Therapy in an integration of psychoeducation, sex therapy, and mindfulness-based skills.
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged 65 years or older * Female sexual dysfunctions are categorized by the DSM-5 as sexual interest/arousal disorder, genitopelvic pain/penetration disorder, and female orgasmic disorder. The diagnoses require symptoms to be present for six months or more, * Currently in a relationship that has lasted longer than 1 year * Both members of the couple are able to speak and read Persian * Both members of the couple provide signed and dated informed consent form
Exclusion criteria
* Cognitive impairment or mental illness that would impair ability to provide consent or participate in the program * Major psychiatric disorder (e.g., psychosis, personality disorder) * Current suicidal ideation or suicide attempt within past 3 months * Past participation in an MBCT program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sexual functioning | changes from baseline, 1 Months and 6 months | Sexual functioning is assessed using self-reported measure , female Sexual Function Index (FSFI) |
| Intimacy | changes from baseline, 1 Months and 6 months | Personal Assessment of Intimacy in Relationships (PAIR) will use to assess relationship satisfaction. The PAIR is a self-reported measure with 36 items which cover five subscales |
| sexuality-related distress | changes from baseline, 1 Months and 6 months | The Female Sexual Distress Scale revised version (FSDS-R) is extensively validated and among the most widely used tools to measure sexually related personal distress. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Erectile Function | changes from baseline, 1 Months and 6 months | International Index of Erectile Function Questionnaire (IIEF) is a self-reported and multidimensional measure of male's sexual function |
| Mindfulness for sexual functioning | changes from baseline, 1 Months and 6 months | Sexual Five-Facet Mindfulness Questionnaire (FFMQ-S) is used to assess mindfulness in the context of sexual encounters. |
| quality of life | changes of QOLIE-31-P from baseline, 1 Months and 6 months | QOLIE-31-P will be used to assess patient's quality of life |
| Marital satisfaction | changes from baseline, 1 Months and 6 months | The Maudsley Marital Questionnaire (MMQ) is a 20-item instrument measuring marital satisfaction. |
| Psychological distress | changes from baseline, 1 Months and 6 months | Hospital Anxiety and Depression Scale (HADS) is a brief self-administrated tool to assess psychological distress in patients as well as general populations |
Countries
Iran