RESEARCH PAPER
The effect of practical intimate relationship skills training (PAIRS) on marital satisfaction, adjustment, and sexual function in women living with HIV and AIDS: a randomized controlled trial
1
Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
2
Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical
Sciences, Tehran, Iran
3
Department of Community Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
4
Research Center for Health, Safety and Environment, Alborz University of Medical Sciences, Karaj, Iran
5
Department of Health Education and Promotion, School of Health, Alborz University of Medical Sciences, Karaj, Iran
6
Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
Submission date: 2020-04-24
Final revision date: 2020-05-29
Acceptance date: 2020-08-17
Publication date: 2020-12-12
HIV & AIDS Review 2020;19(4):252-259
KEYWORDS
PAIRS can improve marital satisfaction and adjustment and sexual function in WLHAand influence quality of family functioning
TOPICS
ABSTRACT
Introduction:
Considering the role of marital satisfaction and adjustment in family functioning, which can be influenced by specific disease, such as acquired immune deficiency syndrome (AIDS), this study was conducted to determine the effect of practical intimate relationship skills training (PAIRS) on marital satisfaction, adjustment, and sexual function in women living with human immunodeficiency virus (HIV) and AIDS (WLHA).
Material and methods:
In a randomized controlled trial, 44 WLHA referred to the Behavioral Disease Counseling Clinic of Imam Khomeini Hospital, Tehran, Iran in 2019, were randomly divided into intervention and control groups based on four randomized blocks. Eight sessions of educational counseling were provided once a week for both group. At the beginning, at the end, and at four weeks following the training, Enrich marital satisfaction questionnaire, Spinner marital adjustment, and Rosen sexual function questionnaires were completed by patients and analyzed with a SPSS-21 software.
Results:
This study showed no significant difference between total score of marital satisfaction, marital adjustment, and sexual function before the intervention. Rate of marital satisfaction (p = 0.003), marital adjustment (p = 0.03), and female sexual function (p < 0.001) were significantly increased in the intervention group immediately and one month after the intervention. The results also indicated that 77.9% of the changes in post-test scores of marital satisfaction, 76% of marital adjustment, and 94.9% of sexual function were related to the intervention effect, demonstrating a sustainable impact of educational intervention (p < 0.001).
Conclusions:
PAIRS can improve marital satisfaction and adjustment and sexual function in WLHA, and influence quality of family functioning.
Considering the role of marital satisfaction and adjustment in family functioning, which can be influenced by specific disease, such as acquired immune deficiency syndrome (AIDS), this study was conducted to determine the effect of practical intimate relationship skills training (PAIRS) on marital satisfaction, adjustment, and sexual function in women living with human immunodeficiency virus (HIV) and AIDS (WLHA).
Material and methods:
In a randomized controlled trial, 44 WLHA referred to the Behavioral Disease Counseling Clinic of Imam Khomeini Hospital, Tehran, Iran in 2019, were randomly divided into intervention and control groups based on four randomized blocks. Eight sessions of educational counseling were provided once a week for both group. At the beginning, at the end, and at four weeks following the training, Enrich marital satisfaction questionnaire, Spinner marital adjustment, and Rosen sexual function questionnaires were completed by patients and analyzed with a SPSS-21 software.
Results:
This study showed no significant difference between total score of marital satisfaction, marital adjustment, and sexual function before the intervention. Rate of marital satisfaction (p = 0.003), marital adjustment (p = 0.03), and female sexual function (p < 0.001) were significantly increased in the intervention group immediately and one month after the intervention. The results also indicated that 77.9% of the changes in post-test scores of marital satisfaction, 76% of marital adjustment, and 94.9% of sexual function were related to the intervention effect, demonstrating a sustainable impact of educational intervention (p < 0.001).
Conclusions:
PAIRS can improve marital satisfaction and adjustment and sexual function in WLHA, and influence quality of family functioning.
REFERENCES (44)
4.
Report on the global AIDS epidemic 2017; 21, 54: UNAIDS. Available from: http://www.unaids.org/en/resou....
8.
A framework for incorporating dyads in models of HIV-prevention. AIDS Behav 2010; 14 (Suppl 2): 189-203.
9.
Birditt KS, Newton NJ, Cranford JA, Ryan LH. Stress and negative relationship quality among older couples: implications for blood pressure. J Gerontol B Psychol Sci Soc Sci 2016; 71: 775-785.
10.
Papp LM, Kouros CD, Cummings EM. Emotions in marital conflict interactions: empathic accuracy, assumed similarity, and the moderating context of depressive symptoms. J Soc Pers Relat 2010; 27: 367-387.
11.
Gheisari S, Karimian N. A causal model based on relationship satisfaction, sexual satisfaction, marital quality, anxiety of sexual relationship, sexual assertiveness, and the frequency of intercourse in female maried students of Bandarabbas. Quarterly of Counseling Culture and Psychotherapy 2014; 4: 85-106.
12.
Sterle MF, Fontaine JRJ, De Mol J, Verhofstadt LL. Expatriate family adjustment: an overview of empirical evidence on challenges and resources. Front Psychol 2018; 9: 1207.
13.
Eisenberg S, Falciglia A. PAIRS relationship skills training helps men Succeed as husbands and fathers. J Mari Fam Therapy 2010; 20: 140-170.
14.
Lavner JA, Karney BR, Bradbury TN. Does couples’ communication predict marital satisfaction, or does marital satisfaction predict communication? J Marriage Fam 2016; 78: 680-694.
15.
Seeley J, Russell S, Khana K, Ezati E, King R, Bunnell R. Sex after ART: sexual partnerships established by HIV-infected persons taking anti-.
17.
Rahmanifar R MEA, Soleimanian A. The effect of intimate communication skills on marital adjustment. Armaghane Danesh 2018; 23: 175-187.
18.
Olson DH, Fournier DG, Druckman JM. ENRICH: Enriching and nurturing the relationship issues, communication and happiness.
20.
Eisenberg SD, Peluso PR, Schindler RA. Impact of brief marriage and relationship education classes on dyadic adjustment. Pairs.
22.
Rosen R, Brown C, Heiman J, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000; 26: 191-208.
23.
Mohammadi KH, Heydari M, Faghihzadeh S. The Female Sexual Function Index (FSFI): validation of the Iranian version. Payesh 2008; 7: 269-278.
24.
Moeini B, Karimi-Shahanjarini A, Soltanian AR, Valipour Matlabi Z. The effect of communication skills training on females referred to health centers in Bahar; applying the social support theory for increasing marital satisfaction among couples. J Educ Community Health 2016; 3: 9-16.
26.
The effectiveness of an intimate relationship skills training (pairs) on increasing marital adjustment and satisfaction in women with cancer. J Urmia Nurs Midwifery Fac 2017; 15: 301-312.
27.
Bahari F, Fatehizadeh M, Ahmadi SA, Molavi H, Bahrami F. Effectiveness of couple communication skills training (ccst) on marital conflicts amongst conflicted divorcing couples. Res Clin Psychol Couns 2011; 1: 59-70.
28.
Mehravar MJ, Mehrangiz S. The study of couple psychotherapy on recovery quality of life in traumatic couple of infidelity in Tehran.
30.
Sanagooei M, Janbozorgi M, Mahdavian A. Relationship between “marital satisfaction” and “communication patterns of couples. Biquarterly J Stud Islam Psycol 2011; 5: 57-77.
31.
Abbasi M, Madani Y, Lavasani GM. Teaching “Practical Application of Intimacy Relationship Skills” in a Group Format and its Effectiveness on Couples’ Communication patterns in Marriage Threshold couples. Family Counseling and Psychotherapy 2014; 4: 227-247.
32.
Cobb RJ, Sullivan KT. Relationship education and marital satisfaction in newlywed couples: a propensity score analysis. J Fam Psychol 2015; 29: 667-678.
33.
Mahmoudi M, Amyryan A, Davarniy R, Babai Garmekhani M. The impact of the practical application of skills intimate relationship Education Program (PAIRS) in improving satisfaction, consistent, positive emotions and intimacy of married couples. J Nurs Mid 2015; 10: 869-881.
35.
Investigating the relation between shared stressors and marital satisfaction: the moderating effects of dyadic coping and communication. J Fam Sci 2015; 6: 143-149.
36.
Williamson HC, Altman N, Hsueh J, Bradbury TN. Effects of relationship education on couple communication and satisfaction: a randomized controlled trial with low-income couples. J Consult Clin Psychol 2016; 84: 156-166.
37.
Halford WK, Snyder DK. Universal processes and common factors in couple therapy and relationship education. Behav Ther 2012; 43: 1-12.
38.
Khamse F, Zahrakar K, Mohsenzade F. The effect of practical application of intimate relationship skills (PAIRS) on enhancing sexual satisfaction and marital happiness in married wives. Positive Psychology Research 2015; 1: 41-52.
39.
Moradi M, Geranmayeh M, Mirmohammadali M, Mehran A. The effect of sexual counseling on sexual function in women with type 2 diabetes mellitus. Hayat 2016; 22: 148-158.
40.
Korporaal M, Broese van Groenou MI, van Tilburg TG. Health problems and marital satisfaction among older couples. J Aging Health 2013; 25: 1279-1298.
41.
Fincham FD, Bradbury TN. Cognitive processes and conflict in close relationships: an attribution-efficacy model. J Pers Soc Psychol 1987; 53: 1106-1118.
44.
Yucel D, Gassanov MA. Exploring actor and partner correlates of sexual satisfaction among married couples. Social Science Research 2010; 39: 725-738.
| eISSN: | 1732-2707 |
| ISSN: | 1730-1270 |
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