The effectiveness of spontaneous education on sexual satisfaction and sexual function in women with a history of mastectomy

Document Type : Research Paper


1 PhD student of Health Psychology, Department of Psychology, Payame Noor University, 19395-4697 P.B., Tehran, Iran.

2 Associate Professor of Health Psychology, Department of Psychology, Payame Noor University, 19395-4697 P.B., Tehran, Iran.

3 Assistant Professor, Department of Psychology, Payame Noor University, 19395-4697 P.B., Tehran, Iran.

4 Professor, Department of Psychology, Payame Noor University, 19395-4697 P.B., Tehran, Iran.

5 Associate Professor, Department of General Surgery, Babol University of Medical Sciences, Shahid Beheshti Hospital, Babol, Cancer Research Center.


Background and Aim: Breast cancer threatens the lives of many women around the world. Therefore, the aim of this study was to determine the effectiveness of spontaneous education on performance and sexual concern of women with a history of mastectomy.

Methods and Materials: The present study was a pre-test-post-test and follow-up design with experimental group. The statistical population of this study includes all women with breast cancer who have a history of mastocomia from which 54 people were selected as a sample using purposive sampling method and using simple randomization method in three groups: spontaneous education (n = 18) and group. Controls (n = 18) were assigned. Data using distress tolerance questionnaire (Simmons and Gahr); Women's Sexual Function Questionnaire (Rosen et al.); Women's Life Satisfaction Questionnaire (Mastoon and Triple) was obtained. Data were analyzed using Mankova method and analysis of variance with repeated measures and the above statistical analyzes were performed using SPSS.22 software.

Results: The results showed that spontaneous education was effective on sexual function and anxiety and tolerance of anxiety. Also the most effective between progressive de-stress training; Then spontaneous training had an effect on sexual performance and anxiety and tolerance of anxiety (p <0.01).

Conclusion: Therefore, it can be concluded that for performance variables and sexual concern of women with a history of mastectomy, progressive stress relief training was more effective.


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