A eficácia da terapia narrativa na função sexual e burnout do casal





Terapia narrativa, Função sexual, Burnout no casal, Cancro de pele


Objetivo: Este estudo pretendeu avaliar a eficácia da terapia narrativa sobre a função sexual e o esgotamento do casal em mulheres com cancro de pele. Métodos: O método de investigação foi quase-experimental com desenho pré-teste-pós-teste com um grupo de controlo. Entre mulheres casadas com cancro de pele em Mashhad (Irão), foram selecionados 30 indivíduos disponíveis e atribuídos aleatoriamente a grupos experimental e de controlo. A terapia narrativa foi realizada num grupo de 15 pessoas em nove sessões (grupo experimental). O Female Sexual Function Index e a Couple Burnout Measure foram utilizados para recolher dados em pré-teste e pós-teste. A análise da covariância foi utilizada para analisar os dados. Resultados: A terapia narrativa grupal melhorou significativamente a função sexual relatada (F = 40,90; p = 0,001) e diminuiu o esgotamento do casal (F = 59,03; p = 0,001) em mulheres com cancro de pele. Conclusões: A terapia narrativa parece ser eficaz na melhoria da função sexual e do esgotamento do casal em mulheres com cancro de pele.


Não há dados estatísticos.


Albert, A., Knoll, M. A., Conti, J. A., & Zbar, R. I. S. (2019). Non-melanoma skin cancers in the older patient. Current Oncology Reports, 21(9), Article 79. https://doi.org/10.1007/s11912-019-0828-9

Allen, M. S., & Walter, E. E. (2018). Linking big five personality traits to sexuality and sexual health: A meta-analytic review. Psychological Bulletin, 144(10), 1081–1110. https://doi.org/gdnbtj

Alsawalqa, R. O. (2019). Marriage burnout: When the emotions exhausted quietly quantitative research. Iranian Journal of Psychiatry and Behavioral Sciences, 13(2), Article 2. https://doi.org/10.5812/ijpbs.68833

Asadi, E., Mansour, L., Khodabakhshi, A., Fathabadi, J. (2016). The relationship between couple burnout, sexual assertiveness, and sexual dysfunctional beliefs in women with diabetic husbands and comparing them with women with non-diabetic husbands. Journal of Family Research, 9(3), 311–324. https://bit.ly/34N5vgx

Asadpour, E., & Veisi, S. (2017). The effectiveness of emotionally focused couple therapy on sexual self-esteem and sexual function in women with multiple sclerosis. Journal of Arak University of Medical Sciences, 20(7), 1–12. http://jams.arakmu.ac.ir/article-1-5174-en.html

Assali, R., Jalal Marvi, F., Ansari, F., & Lashkardost, H. (2015). Premenstrual syndrome and the marital relationship. Journal of North Khorasan University of Medical Sciences, 7(2), 465–473. https://doi.org/10.29252/jnkums.7.2.465

Brinker, T. J., Hekler, A., Utikal, J. S., Grabe, N., Schadendorf, D., Klode, J., Berking, C., Steeb, T., Enk, A. H., & Kalle, C. von. (2018). Skin Cancer Classification Using Convolutional Neural Networks: Systematic Review. Journal of Medical Internet Research, 20(10), Article e11936. https://doi.org/10.2196/11936

Coffelt, T. A., & Hess, J. A. (2014). Sexual disclosures: Connections to relational satisfaction and closeness. Journal of Sex & Marital Therapy, 40(6), 577–591. https://doi.org/g9h6

Collazzoni, A., Ciocca, G., Limoncin, E., Marucci, C., Mollaioli, D., Di Sante, S., Di Lorenzo, G., Niolu, C., Siracusano, A., Maggi, M., Castellini, G., Rossi, A., & Jannini, E. A. (2017). Mating strategies and sexual functioning in personality disorders: A comprehensive review of literature. Sexual Medicine Reviews, 5(4), 414–428. https://doi.org/gf99hs

Dorj, U.-O., Lee, K.-K., Choi, J.-Y., & Lee, M. (2018). The skin cancer classification using deep convolutional neural network. Multimedia Tools and Applications, 77(8), 9909–9924. https://doi.org/10.1007/s11042-018-5714-1

Fakhri, A., Pakpour, A. H., Burri, A., Morshedi, H., & Zeidi, I. M. (2012). The Female Sexual Function Index: Translation and validation of an Iranian version. The Journal of Sexual Medicine, 9(2), 514–523. https://doi.org/cgpds2

Fatemeh, N. (2005). Investigating and comparing the relationship between marital boredom and organizational climate factors in employees of education departments and nurses in Tehran hospitals [Unpublished master's thesis]. Shahid Beheshti University.

Fernández-Navarro, P., Rosa, C., Sousa, I., Moutinho, V., Antunes, A., Magalhães, C., Ribeiro, A. P., & Gonçalves, M. M. (2018). Reconceptualization innovative moments as a predictor of symptomatology improvement in treatment for depression. Clinical Psychology & Psychotherapy, 25(6), 765–773. https://doi.org/10.1002/cpp.2306

Fotohi, S., Mikaeili, N., Atadokht, A., & Hajlo, N. (2018). Comparing the effectiveness of meta- emotion based couple therapy with narrative couple therapy on adjustment and couple burnout in conflicting couples. Counseling Culture and Psychotherapy, 9(34), 77–101. https://doi.org/10.22054/qccpc.2018.27362.1672

Ghasemzadeh, F., Etminani, K., Arab-Kheradmand, A., & Hosseini Moini, S. B. (2017). A retrospective study on non melanoma skin cancer in Cancer Institute, Imam Khomeini Medical Center, Tehran, Iran. Journal of Dermatology and Cosmetic, 8(1), 9–21. http://jdc.tums.ac.ir/article-1-5231-en.html

Ghodsi, M., Barabadi, H. A. B., & Heydarnia, A. H. (2018). Effectiveness of narrative therapy on reducing divorce tendency and its components in women with early marriage. Counseling Culture and Psychotherapy, 9(33), 73–98. https://doi.org/10.22054/qccpc.2018.28555.1712

Guy, W. (1976). ECDEU assessment manual for psychopharmacology (Rev. 1976.). U.S. Dept. of Health, Education, and Welfare, Public Health Service, Alcohol, Drug Abuse, and Mental Health Administration, National Institute of Mental Health, Psychopharmacology Research Branch, Division of Extramural Research Programs.

Hatfield, E., & Sprecher, S. (1995). Men's and women's preferences in marital partners in the United States, Russia, and Japan. Journal of Cross-Cultural Psychology, 26(6), 728–750. https://doi.org/cm3jm9

Heidari, M., Shahbazi, S., Ghafourifard, M., & Ali Sheikhi, R. (2017). Prediction of marital satisfaction based on emotional intelligence in postmenopausal women. Journal of Menopausal Medicine, 23(3), 196–201. https://doi.org/10.6118/jmm.2017.23.3.196

Hutto, D. D., & Gallagher, S. (2017). Re-Authoring narrative therapy: Improving our self-management tools. Philosophy, Psychiatry, & Psychology, 24(2), 157–167. https://doi.org/10.1353/ppp.2017.0020

Iasenza, S. (2020). Transforming sexual narratives: A relational approach to sex therapy. Routledge.

Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2(3), 197–207. https://doi.org/10.1016/0149-7189(79)90094-6

LeBoeuf, N. R., & Larocca, C. (2018). Cutaneous malignancy, an issue of hematology/oncology clinics (Vol. 33, No. 1). Elsevier Health Sciences.‏

Leiter, U., Keim, U., & Garbe, C. (2019). Epidemiology of skin cancer: Update 2019. Advances in Experimental Medicine and Biology, 1268, 123–139. https://doi.org/10.1007/978-3-030-46227-7_6

Liu-Smith, F., Jia, J., & Zheng, Y. (2017). UV-induced molecular signaling differences in melanoma and non-melanoma skin cancer. In S. Ahmad (Ed.), Ultraviolet light in human health, diseases and environment (Vol. 996, pp. 27–40). Springer, Cham. https://doi.org/ghpsvt

Martínez-Martínez, A., Arnau, J., Salmerón, J. A., Velandrino, A. P., & Martínez, M. E. (2017). The sexual function of women during puerperium: A qualitative study. Sexual and Relationship Therapy, 32(2), 181–194. https://doi.org/10.1080/14681994.2016.1263389

Mikolajczak, M., Brianda, M. E., Avalosse, H., & Roskam, I. (2018). Consequences of parental burnout: Its specific effect on child neglect and violence. Child Abuse & Neglect, 80, 134–145. https://doi.org/10.1016/j.chiabu.2018.03.025

Nipp, R. D., El-Jawahri, A., Moran, S. M., D’Arpino, S. M., Johnson, P. C., Lage, D. E., Wong, R. L., Pirl, W. F., Traeger, L., Lennes, I. T., Cashavelly, B. J., Jackson, V. A., Greer, J. A., Ryan, D. P., Hochberg, E. P., & Temel, J. S. (2017). The relationship between physical and psychological symptoms and health care utilization in hospitalized patients with advanced cancer. Cancer, 123(23), 4720–4727. https://doi.org/gcmvdv

Payne, M. (2007). Narrative therapy: Making meaning, making lives. Sage Publications.

Pines, A. (2013). Couple burnout: Causes and cures. Routledge.

Pines, A. M., & Nunes, R. (2003). The relationship between career and couple burnout: Implications for career and couple counseling. Journal of Employment Counseling, 40(2), 50–64. https://doi.org/fx3gvc

Pines, A. M., Neal, M. B., Hammer, L. B., & Icekson, T. (2011). Job Burnout and couple burnout in dual-earner couples in the sandwiched generation. Social Psychology Quarterly, 74(4), 361–386. https://doi.org/dhpbkd

Ribeiro, A. P., Braga, C., Stiles, W. B., Teixeira, P., Gonçalves, M. M., & Ribeiro, E. (2016). Therapist interventions and client ambivalence in two cases of narrative therapy for depression. Psychotherapy Research: Journal of the Society for Psychotherapy Research, 26(6), 681–693. https://doi.org/g9kt

Ricks, L., Kitchens, S., Goodrich, T., & Hancock, E. (2014). My story: The use of narrative therapy in individual and group counseling. Journal of Creativity in Mental Health, 9(1), 99–110. https://doi.org/ghfzgc

Ryan, F., O'Dwyer, M., & Leahy, M. M. (2015). Separating the problem and the person: Insights from narrative therapy with people who stutter. Topics in Language Disorders, 35(3), 267–274. https://doi.org/f785hz

Savickas, M. L. (2011). Constructing careers: Actor, agent, and author. Journal of Employment Counseling, 48(4), 179–181. https://doi.org/fzwbw8

Shareh H. (2019). Validation and investigating the psychometric properties of the client satisfaction questionnaire and client clinical global index in a sample of patients with obsessive-compulsive disorder [Unpublished doctoral dissertation]. Mashhad Ferdowsi University

Shareh, H., Ghodsi, M., & Keramati, S. (2021). Emotion-focused group therapy among women with premenstrual dysphoric disorder: A randomized clinical trial. Psychotherapy Research: Journal of the Society for Psychotherapy Research, 1–16. Advance online publication. https://doi.org/g9jn

Tagliaferri, L., Di Stefani, A., Schinzari, G., Fionda, B., Rossi, E., Del Regno, L., Gentileschi, S., Federico, F., Valentini, V., Tortora, G., Peris, K., & Gemelli Skin-Cancer Multidisciplinary Tumour Board (S-MDTB). (2020). Skin cancer triage and management during COVID-19 pandemic. Journal of the European Academy of Dermatology and Venereology: JEADV, 34(6), 1136–1139. https://doi.org/10.1111/jdv.16529

Vázquez, F. L., Torres, Á., Otero, P., Blanco, V., & Clifford Attkisson, C. (2019). Psychometric properties of the Castilian Spanish version of the Client Satisfaction Questionnaire (CSQ-8). Current Psychology, 38(3), 829–835. https://doi.org/g9kv

Vedovo, F., Di Blas, L., Perin, C., Pavan, N., Zatta, M., Bucci, S., Morelli, G., Cocci, A., Delle Rose, A., Caroassai Grisanti, S., Gentile, G., Colombo, F., Rolle, L., Timpano, M., Verze, P., Spirito, L., Schiralli, F., Bettocchi, C., Garaffa, G., … Trombetta, C. (2020). Operated Male-to-Female Sexual Function Index: Validity of the first questionnaire developed to assess sexual function after male-to-female gender affirming surgery. The Journal of Urology, 204(1), 115–120. https://doi.org/g9kw



Como Citar

Fallah, K. ., & Ghodsi, M. (2022). A eficácia da terapia narrativa na função sexual e burnout do casal. Revista Portuguesa De Investigação Comportamental E Social, 8(1), 1–13. https://doi.org/10.31211/rpics.2022.8.1.219



Artigo Original