Improving body image and sexual life among postpartum women: a single-blind-randomized controlled trial to evaluate a social network-based cognitive-behavioral intervention
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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.
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.
참고문헌 (41)
- Cash, TF, "Body image in an interpersonal context : adult attachment, fear of intimacy, and social anxiety", J Soc Clin Psychol, 23, pp.89~103 (2004)
- Cash TF, "The impact of body image experiences : development of the body image quality of life inventory", Int J Eat Disord, 31, pp.455~460 (2002)
- Bordo S, "Unbearable weight: feminism, western culture, and the body" (2004), Univ of California Press
- Træen, B, "Sexual satisfaction and body image : a cross-sectional study among Norwegian young adults", Sex Relatsh Ther, 31, pp.123~137 (2016)
- Cash TF, "Body image: a handbook of science, practice, and prevention: 2011" (2012), Guilford Press
- Ginzburg DM, "Treatment specific competence predicts outcome in cognitive therapy for social anxiety disorder", Behav Res Ther, 50, pp.747~752 (2012)
- Bishop MJ, "Motherhood in American popular culture" (2009), Praeger
- Chae J, "Interest in celebrities’ post-baby bodies and Korean women’s body image disturbance after childbirth", Sex Roles, 71, pp.419~435 (2014)
- Soler PT, "Vigorexia e níveis de dependência de exercício em frequentadores de academias e fisiculturistas", Rev Bras Med Esporte, 19, pp.343~348 (2013)
- Grogan S, "Body image: understanding body dissatisfaction in men, women and children" (2016), Taylor & Francis
- Smolak L, "Sociocultural influences and muscle building in adolescent boys", Psychol Men Masc, 6, pp.227~239 (2005)
- Miller MN, "Culture and eating disorders : a historical and cross-cultural review", Psychiatry, 64, pp.93~110 (2001)
- Andaroon N, "Relationship between intensity of fear of childbirth with choosing mode of delivery in primiparous women", J Obstet Gynecol Infertil, 20, pp.68~75 (2017)
- Sun W, "Physical activity and body image dissatisfaction among pregnant women : a systematic review and meta-analysis of cohort studies", Eur J Obstet Gynecol, 229, pp.38~44 (2018)
- Bell BT, "Digital bodies : a controlled evaluation of a brief classroom-based intervention for reducing negative body image among adolescents in the digital age", Br J Educ Psychol, 92, pp.280~298 (2021)
- Cerea S, "Cognitive behavioral training using a mobile application reduces body image-related symptoms in high-risk female university students : a randomized controlled study", Behav Ther, 52, pp.170~182 (2021)
- Cash TF, "Body image in anorexia nervosa and bulimia nervosa : a review of the literature", Behav Modif, 11, pp.487~521 (1987)
- Posavac HD, "Reducing the impact of media images on women at risk for body image disturbance : three targeted interventions", J Soc Clin Psychol, 20, pp.324~340 (2001)
- Pruzinsk, T, "Enhancing quality of life in medical populations : a vision for body image assessment and rehabilitation as standards of care", Body Image, 1, pp.71~81 (2004)
- Schwartz MB, "Obesity and body image", Body Image, 1, pp.43~56 (2004)
- Cash TF, "The effects of psychoeducation and self-monitoring in a cognitive-behavioral program for body-image improvement", Eating Disorders, 11, pp.255~270 (2003)
- Strang VR, "Body image attitudes during pregnancy and the postpartum period", J Obstet Gynecol Neona, 14, pp.332~337 (1985)
- Hurt K, "mHealth interventions in low and middle-income countries : a systematic review", Glob J Health Sci, 8, pp.183~ (2016)
- "mHealth: new horizons for health through mobile technologies" (2011)[URL]
- Rodgers RF, "BodiMojo : efficacy of a mobilebased intervention in improving body image and selfcompassion among adolescents", J Youth Adolesc, 47, pp.1363~1372 (2018)
- Brown TA, "Attitudinal body-image assessment : factor analysis of the body-self relations questionnaire", J Pers Assess, 55, pp.135~144 (1990)
- Shemshadi H, "Psychometric properties of persian version of the multidimensional body-self relations questionnaire(MBSRQ)among Iranian elderly", Iran J Ageing, 15, pp.298~311 (2020)
- Sabbaghan M, "The effect of training package on genital self-image and sexual function : a randomized controlled clinical trial", Iran Red Crescent Med J, 19, pp.e14453~ (2017)
- Symonds T, "Development of a questionnaire on sexual quality of life in women", J Sex Marital Ther, 31, pp.385~397 (2005)
- Maasoumi R, "The sexual quality of life-female(SQOL-F)questionnaire : translation and psychometric properties of the Iranian version", Reprod Health, 10, pp.1~6 (2013)
- Meston C, "Outcomes assessment : development and validation of a five-factor sexual satisfaction and distress scale for women : the sexual satisfaction scale for women(SSS-W)", J Sex Med, 2, pp.66~81 (2005)
- Roshan CR, "Validity and reliability of multidimensional sexual satisfaction scale for women(SSSW)in one sample of Iranian women", Clin Psychol, 12, pp.129~140 (2014)
- Hodgkinson EL, "Women’s experiences of their pregnancy and postpartum body image : a systematic review and meta-synthesis", BMC Pregnancy Childbirth, 14, pp.1~11 (2014)
- Paxton, SJ, "Comparison of face-to-face and internet interventions for body image and eating problems in adult women : an RCT", Int J Eat Disord, 40, pp.692~704 (2007)
- Nicolino JC, "Evaluation of a cognitive-behavioral therapy intervention to improve body image and decrease dieting in college women", Eat Behav, 2, pp.353~362 (2001)
- Van Lankveld J, "Internet-based interventions for women’s sexual dysfunction", Curr Sex Health Rep, 8, pp.136~143 (2016)
- Hummel SB, "Efficacy of internet-based cognitive behavioral therapy in improving sexual functioning of breast cancer survivors : results of a randomized controlled trial", Am J Clin Oncol, 35, pp.1328~1340 (2017)
- Yazdani M, "The effect of counseling based on sexual self-concept via social networks on smartphone in infertile women : a randomized controlled trial", IJCBNM, 7, pp.231~240 (2019)
- Andersson G, "Using the internet to provide cognitive behaviour therapy", Behav Res Ther, 47, pp.175~180 (2009)
- Berman L, "The relationship between women’s genital self-image and female sexual function : a national survey", Curr Sex Health Rep, 5, pp.199~207 (2008)
- Ackard DM, "Effect of body image and self-image on women’s sexual behaviors", Int J Eat Disord, 28, pp.422~429 (2000)
