Negin Bahri, Hedyeh Riazi, Zohreh Keshavarz, Ali Montazeri
{"title":"绝经后妇女基于BETTER模型的性咨询：一项随机对照试验。","authors":"Negin Bahri, Hedyeh Riazi, Zohreh Keshavarz, Ali Montazeri","doi":"10.1080/13697137.2025.2486049","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Sexual dysfunction and sexual dysfunctional beliefs are common problems in postmenopausal women. The purpose of this study was to evaluate the effect of sexual counseling based on the BETTER (Bring up, Explain, Tell, Time, Educate, Record) model in these women.</p><p><strong>Methods: </strong>The randomized controlled trial study was conducted with 106 postmenopausal women in 2023. Eligible women were assigned randomly to the intervention and control groups. Accordingly, the intervention group received two individual counseling sessions based on the BETTER model. The Female Sexual Function Index (FSFI) and the Sexual Dysfunctional Beliefs Questionnaire (SDBQ) were used for collecting data at baseline and 4 weeks after the intervention.</p><p><strong>Results: </strong>The sexual function score in the intervention group increased from 15.97 to 18.51 (<i>p</i> = 0.001), and the score of sexual dysfunctional beliefs decreased from 33.80 to 24.86 (<i>p</i> = 0.001). In the control group, the sexual function score decreased from 19.09 to 18.59 (<i>p</i> = 0.032) and the sexual dysfunctional beliefs score increased from 31.83 to 32.18 (<i>p</i> = 0.111).</p><p><strong>Conclusion: </strong>Sexual counseling based on the BETTER model has demonstrated efficacy in promoting sexual function and diminishing sexual dysfunctional beliefs. Consequently, the use of this model in the sexual health counseling of postmenopausal women can be considered.</p><p><strong>Trial registration: </strong>IRCT20150128020854N12; October 12, 2023. Iranian Registry of Clinical Trials: https://irct.behdasht.gov.ir/user/trial/71128/view.</p>","PeriodicalId":10213,"journal":{"name":"Climacteric","volume":" ","pages":"1-8"},"PeriodicalIF":2.9000,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sexual counseling based on the BETTER model in postmenopausal women: a randomized controlled trial.\",\"authors\":\"Negin Bahri, Hedyeh Riazi, Zohreh Keshavarz, Ali Montazeri\",\"doi\":\"10.1080/13697137.2025.2486049\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Sexual dysfunction and sexual dysfunctional beliefs are common problems in postmenopausal women. The purpose of this study was to evaluate the effect of sexual counseling based on the BETTER (Bring up, Explain, Tell, Time, Educate, Record) model in these women.</p><p><strong>Methods: </strong>The randomized controlled trial study was conducted with 106 postmenopausal women in 2023. Eligible women were assigned randomly to the intervention and control groups. Accordingly, the intervention group received two individual counseling sessions based on the BETTER model. The Female Sexual Function Index (FSFI) and the Sexual Dysfunctional Beliefs Questionnaire (SDBQ) were used for collecting data at baseline and 4 weeks after the intervention.</p><p><strong>Results: </strong>The sexual function score in the intervention group increased from 15.97 to 18.51 (<i>p</i> = 0.001), and the score of sexual dysfunctional beliefs decreased from 33.80 to 24.86 (<i>p</i> = 0.001). In the control group, the sexual function score decreased from 19.09 to 18.59 (<i>p</i> = 0.032) and the sexual dysfunctional beliefs score increased from 31.83 to 32.18 (<i>p</i> = 0.111).</p><p><strong>Conclusion: </strong>Sexual counseling based on the BETTER model has demonstrated efficacy in promoting sexual function and diminishing sexual dysfunctional beliefs. Consequently, the use of this model in the sexual health counseling of postmenopausal women can be considered.</p><p><strong>Trial registration: </strong>IRCT20150128020854N12; October 12, 2023. 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Sexual counseling based on the BETTER model in postmenopausal women: a randomized controlled trial.
Objective: Sexual dysfunction and sexual dysfunctional beliefs are common problems in postmenopausal women. The purpose of this study was to evaluate the effect of sexual counseling based on the BETTER (Bring up, Explain, Tell, Time, Educate, Record) model in these women.
Methods: The randomized controlled trial study was conducted with 106 postmenopausal women in 2023. Eligible women were assigned randomly to the intervention and control groups. Accordingly, the intervention group received two individual counseling sessions based on the BETTER model. The Female Sexual Function Index (FSFI) and the Sexual Dysfunctional Beliefs Questionnaire (SDBQ) were used for collecting data at baseline and 4 weeks after the intervention.
Results: The sexual function score in the intervention group increased from 15.97 to 18.51 (p = 0.001), and the score of sexual dysfunctional beliefs decreased from 33.80 to 24.86 (p = 0.001). In the control group, the sexual function score decreased from 19.09 to 18.59 (p = 0.032) and the sexual dysfunctional beliefs score increased from 31.83 to 32.18 (p = 0.111).
Conclusion: Sexual counseling based on the BETTER model has demonstrated efficacy in promoting sexual function and diminishing sexual dysfunctional beliefs. Consequently, the use of this model in the sexual health counseling of postmenopausal women can be considered.
Trial registration: IRCT20150128020854N12; October 12, 2023. Iranian Registry of Clinical Trials: https://irct.behdasht.gov.ir/user/trial/71128/view.
期刊介绍：
Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women.
Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments.
The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.
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