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Misconceptions about sexual intercourse during pregnancy: cognitive-behavioral counseling in prenatal care

100%
Kheiri M., Vakilian K.
Family Medicine & Primary Care Review
|
2019
|
issue 2
112-116
EN
Background. The fears, concerns, and negative attitudes of pregnant women towards sex during pregnancy can have a negative impact on the sexual relationship and sexual performance of couples. Objectives. We aimed to determine the effects of cognitive-behavioral counseling on misconceptions about sexual intercourse during pregnancy in pregnant women. Material and methods. In this randomized educational study, five clinics were randomly selected in Arak, Iran. A total of 20 pregnant women who met the inclusion criteria were selected from each clinic. The Misconceptions about Sexual Intercourse during Pregnancy Questionnaire (MSIP-Q) was completed after written informed consent. Finally, twenty-two women with the lowest scores on the MSIP-Q were selected. Eleven subjects were allocated to the intervention group (cognitive-behavioral counseling), while eleven subjects were assigned to the control group. The questionnaire was also completed by the participants over a three-month interval. For statistical analysis, descriptive and inferential statistics (student’s t-test, paired t-test and Fisher exact test) were calculated using SPSS software. Results. The mean MSIP-Q score was 77.81 ± 10.03 in the intervention group and 71.27 ± 8.29 in the control group before the intervention; no significant difference was found between the groups. On the other hand, the mean MSIP-Q score was 113.3 ± 11.16 in the intervention group and 76.90 ± 19.07 in the control group following cognitive-behavioral counseling; a significant difference was found between the two groups (p < 0.001). Based on the findings, no significant difference was reported in the intervention group in the three-month follow-up; in fact, the effects of training remained stable. Conclusions. This study showed that there are misconceptions about vaginal intercourse during pregnancy in Iranian women. Therefore, providing sexual health services and training during pregnancy are necessary at health clinics
2
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Motivational interview on having Pap test among middle-aged women – a counseling service in primary care

81%
Majd Abadi M. M., Vakilian K., Safari V.
Family Medicine & Primary Care Review
|
2018
|
issue 2
101-105
3
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Child sexual abuse based on the crosswise model: a cross-sectional study on 18–24-year-old Iranian students

81%
Vakilian K., Abbas Mousavi S., Keramat A.
Family Medicine & Primary Care Review
|
2019
|
issue 3
249-252
XX
Background. Child sexual abuse refers to the compulsory sexual stimulation of a child or adolescent by an adult or older adolescent and includes a wide range of behavior, such as exhibitionism, fondling, sexual intercourse and using children for pornography. Objectives. The present study used the crosswise model to investigate childhood sexual abuse among Iranian university students. Material and methods. This cross-sectional study used a multi-stage method to examine 1,500 subjects in the universities of Shahroud, Iran. The questionnaire consisted of a pair of questions evaluating sexual abuse based on the crosswise approach, one sensitive and the other non-sensitive. To ensure the confidentiality of information, the questionnaire was distributed anonymously among the 1,500 students of 6 universities, and the students’ field of study was not mentioned. The collected data was analyzed with descriptive tests (mean and percent) and inferential tests, (independent t-test, chi-squared and crosswise) using SPSS 18 and STATA software. Results. A total of 11% of the girls and 27% of the boys were found to have suffered a form of sexual abuse. Conclusions. The results indicate a high prevalence of sexual abuse among Iranian children. Evaluating sexual abuse helps health policymakers to focus on parent training through health programs and educational programs in schools
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