Comparing the effectiveness of cognitive-behavioral therapy and bupropion drugtherapy in sexual relationship anxiety and marital conflicts of couples

Authors
Sara Rajabpour 1
Hamid Nejat 2
1 Department of Psychology, Neyshabur Branch, Islamic Azad University, Neyshabur, Iran
2 Department of Psychology, Guchan Branch, Islamic Azad University, Guchan, Iran
Abstract
Introduction: The present study aimed to compare the effectiveness of cognitive-behavioral therapy and bupropion drugtherapy in sexual relationship anxiety and marital conflicts of couples.

Method: This study was a three-group pretest-posttest semi-experimental research design. The research statistical population consisted of all individuals with sexual anxiety complaints who referred to midwifery clinics and psychiatric centers in Neyshabour in the spring of 2017. Of this population, 39 subjects were chosen through convenience sampling method and were randomly assigned into three research groups (cognitive-behavioral therapy, drugtherapy and control group) while considering the research inclusion and exclusion criteria. Then, the first group underwent 8 sessions of cognitive-behavioral therapy and the second group received drugtherapy. During this period, the control group did not receive any psychological or pharmacological intervention. At the beginning and end of the study, all three groups were evaluated by the research questionnaires including Marital Conflict Scale and Sexual Anxiety Scale. In order to compare the results of the experimental and control groups, multivariate analysis of variance (covariance) and Bonferroni post-hoc test were employed in SPSS software.

Findings: The results demonstrated that cognitive-behavioral therapy was significantly more effective than pharmacotherapy in improving sexual relationship anxiety and marital conflicts.

Conclusion: It is suggested that cognitive-behavioral therapy be used as an evidence-based therapy to reduce the problems of people with sexual relationship anxiety.
Keywords
Sexual relationship anxiety
bupropion
marital conflicts
drugtherapy
cognitive behavioral therapy
1. Bulanda JR, Brown JS, Yamashita T. Marital quality, marital dissolution, and mortality risk during the later life course. Social Science & Medicine. 2016; 165:119-27.
2. Student RAP, Student ALP. Relationship between sexual pleasure and marital satisfaction. Iran Journal of Nursing. 2011;24(70):82-90.
Channa A. Does depression conciliate in marital adjustment? European Psychiatry. 2016;33: S492.3
4. Vahed SZ, Samadi N, Mostafidi E, Ardalan M, Omidi Y. Genetics and epigenetics of chronic allograft dysfunction in kidney transplants. Iranian journal of kidney diseases. 2016;10(1):1.
5. Van Mol C, de Valk HA. Relationship satisfaction of European binational couples in the Netherlands. International Journal of Intercultural Relations. 2016; 50:50-9.
6. Hald GM, Stulhofer A, Lange T. Sexual arousal and sexually explicit media (SEM): Comparing patterns of sexual arousal to SEM and sexual self-evaluations and satisfaction across gender and sexual orientation. Sexual medicine. 2018;6(1):30-8.
7. Barton GJ, Carlos EC, Lentz AC. Sexual quality of life and satisfaction with penile prostheses. Sexual medicine reviews. 2019;7(1):178-88.
8. Vannier SA, Rosen NO. Sexual distress and sexual problems during pregnancy: associations with sexual and relationship satisfaction. The journal of sexual medicine. 2017;14(3):387-95.
9. Björkenstam C, Björkenstam E, Andersson G, Cochran S, Kosidou K. Anxiety and depression among sexual minority women and men in Sweden: Is the risk equally spread within the sexual minority population? The journal of sexual medicine. 2017;14(3):396-403.
10. Nascimento E, Maia A, Nardi A, Silva A. Sexual dysfunction in arterial hypertension women: the role of depression and anxiety. Journal of affective disorders. 2015; 181:96-100.
11. Burri A, Spector T, Rahman Q. The etiological relationship between anxiety sensitivity, sexual distress, and female sexual dysfunction is partly genetically moderated. The journal of sexual medicine. 2012;9(7):1887-96.
12. Beaber TE, Werner PD. The relationship between anxiety and sexual functioning in lesbians and heterosexual women. Journal of Homosexuality. 2009;56(5):639-54.
13. Jalal B, Kruger Q, Hinton DE. Adaptation of CBT for traumatized South African indigenous groups: examples from multiplex CBT for PTSD. Cognitive and Behavioral Practice. 2018;25(2):335-49.
14. Toplak ME, Connors L, Shuster J, Knezevic B, Parks S. Review of cognitive, cognitive-behavioral, and neural-based interventions for Attention-Deficit/Hyperactivity Disorder (ADHD). Clinical psychology review. 2008;28(5):801-23.
15. Davidson K. Cognitive–behavioural therapy: origins and developments. Cognitive-Behavioural Interventions in Physiotherapy and Occupational Therapy. 2008; 1:3-17.
16. Mendlowitz S. Cognitive-behavior therapy and the treatment of childhood obsessive-compulsive disorder. Handbook of Exposure Therapies: Elsevier; 2007. p. 209-20.
17. Yee A, Loh HS, Ong TA, Ng CG, Sulaiman AH. Randomized, double-blind, parallel-group, placebo-controlled trial of bupropion as treatment for methadone-emergent sexual dysfunction in men. American journal of men's health. 2018;12(5):1705-18.
18. Safarinejad MR. The effects of the adjunctive bupropion on male sexual dysfunction induced by a selective serotonin reuptake inhibitor: a double‐blind placebo‐controlled and randomized study. BJU international. 2010;106(6):840-7.
Sanai B, Alaghband S, Hooman A. Family and marriage scales. Tehran: Besat. 200919.
20. Davis D, Shaver PR, Widaman KF, Vernon ML, Follette WC, Beitz K. “I can’t get no satisfaction”: Insecure attachment, inhibited sexual communication, and sexual dissatisfaction. Personal Relationships. 2006;13(4):465-83.
21. Anders A. Sexual Communication Anxiety, Attachment, Relationship Satisfaction, and Sexual Satisfaction in Auburn 2008.
22. Bélanger C, Laporte L, Sabourin S, Wright J. The effect of cognitive-behavioral group marital therapy on marital happiness and problem solving self-appraisal. The American Journal of Family Therapy. 2015;43(2):103-18.
23. Mohaddesi H, Merghati Khoee E, Khalkhali HR, Hamedani M, Saei Gharenaz M. The effect of counseling based on cognitivebehavioral approach on the marital satisfaction of couples who reffered to the selected healthy centers of urmia, 2015. The J Urmia Nurs Midwifery Fac. 2016;14(8):738-47.
24. Şafaköztürk C, Arkar H. Effect of Cognitive Behavioral Therapy on Sexual Satisfaction, Marital Adjustment, and Levels of Depression and Anxiety Symptoms in Couples with Vaginismus. Turk Psikiyatri Dergisi. 2017;28(3).
25. Vakili M, Kimiaee A, Fathizade M, Mashhadi A. Comparing the Effectiveness of Emotion-Oriented Couple Therapy and Cognitive-Behavioral Couple Therapy on Marital Conflict among Couples. Int J Review in Life Sci. 2015;5(11):155-63.
26. Hummel SB, Hahn DE, van Lankveld JJ, Oldenburg HS, Broomans E, Aaronson NK. Factors associated with specific diagnostic and statistical manual of mental disorders, sexual dysfunctions in breast cancer survivors: a study of patients and their partners. The journal of sexual medicine. 2017;14(10):1248-59.
27. Khayyam-Nekouei Z, Yousefy A. Application of cognitive-behavioral therapy for reducing anxiety in cardiac patients. ARYA Atherosclerosis. 2010;3(2).
28. Feili A, Borjali A, Sohrabi F, Farrokhi N. The Comparitive efficacy of Cognitive–Behavior Therapy and Teasdale Mindfulness-Based Cognitive Therapy of Infertile Depressed Women’s Rumination. Armaghane danesh. 2012;17(1):14-21.
29. Silverstein C. The initial psychotherapy interview. The Initial Psychotherapy Interview: Elsevier; 2011. p. 37-69.