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JUNE 24 - 26, 2021 / WORLDWIDE




5.00 - 5.30


The Efficacy of Schema Therapy on Quality of Life, Marital Satisfaction and General Wellbeing of Patients with Female Orgasmic Disorder (FOD) with Golafrooz Gholamy

Introduction: The present study explored whether the effect of Schema Therapy for Female Orgasmic Disorder(FOD) is mediated by changes in schemas, coping styles and modes which schema therapy explicitly aims to alter. FOD refers to difficulty reaching orgasm or not reaching orgasm at all. FOD is the second most common sexual dysfunction for women. In places like Iran, where seeking treatment for sexual problems for women is taboo and stigmatized, schema therapy can act as an alternative and accessible treatment that leads to therapy for other sexual disorders.

Method: The study population included 183 patients referred to the Sexology Ward at Center for Advanced Studies in Mental Health (CASMH), Tehran – Iran. Twenty two heterosexual patients with severe FOD were selected and received schema therapy for 24 to 30 sessions during nine months. The data collected from fifteen patients were analyzed using paired t-test. Patients also completed the Young Schema Questionnaire (YSQ-S3), Schema Modes Inventory (SMI), WHO Quality of life (WHOQOL-BREF); ENRICH Marital Satisfaction Scale and General Well-being Scale.

Results: In total, 41% of patients with FOD were completely treated (Note: 29% of these patients with FOD longer to have an orgasm and 12% of patients have never reached orgasm at all). Also, 35% of Patients have reached orgasm on average once every four times since treatment. The common schemas which were found among patients include: Defectiveness/shame (81%), Mistrust/Abuse(78%), EmotionalDeprivation (73%), Unrelenting Standards (65%), Abandonment (59%), and Dependence/Instability (53%). FOD is persistent and causes the women significant distress and it can also cause conflict in their relationships.

Discussion: Treating FOD with schema therapy could be a therapeutic pathway for addressing quality of life, marital satisfaction and general well-being.

KeyWords: Schema Therapy, Female Orgasmic Disorder(FOD),Quality of Life, Marital Satisfaction and General Well-being

About the Presenter

Golafrooz Gholamy

  1. Manager of Training & Research in Iranian Institute of SchemaTherapy( IIST) 
  2. ISSTAdvancedCertified,Supervisor/Trainer
  3. Founder and Director of Iranian Institute of Schema Therapy (IIST)

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Schema therapy has been extensively researched to effectively treat a wide variety of typically treatment resistant conditions, including Borderline Personality Disorder and Narcissistic Personality Disorder. Read our summary of the latest research comparing the dramatic results of schema therapy compared to other standard models of psychotherapy.

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