The effectiveness of sexual well-being training on sexual satisfaction and sexual self-efficacy of couples with low sexual well-being in Isfahan
Subject Areas : Psychology
Narges Salak
1
,
Seyed Hamid Atashpour
2
1 - PhD Student in Psychology, Department of psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
2 - Associate Professor in Psychology, Department of Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
Keywords: sexual well-being, sexual well-being training, sexual satisfaction, sexual self-efficacy,
Abstract :
The aim of this study was to investigate the effectiveness of sexual well-being training on sexual satisfaction and sexual self-efficacy of couples with low sexual well-being in Isfahan. The current research is a quasi-experimental type of pre-test and post-test with experimental and control groups. In this way, one group was determined as the sexual well-being training group and one group as the control group, and the results were analyzed in three stages: pre-test, post-test and follow-up stage. The statistical population of the research included couples with low sexual well-being referring to counseling centers in Isfahan city. The statistical sample of the research included 30 couples who met the entry criteria. The sample size for each group was 15 couples, which was done by Judgmental sampling, and the statistical sample were randomly divided into two experimental and control groups. The research tools included sexual well-being, sexual satisfaction and sexual self-efficacy questionnaires. The method of analyzing the results was repeated measurement variance analysis. The results of the research showed that sexual well-being training had a significant effect on improving the dimensions of sexual satisfaction, including sexual compatibility, quality of sexual life, sexual attitude, desire to have sex, and sexual self-efficacy (p<0.01) and the effect Interventions in the follow-up phase have also been stable. sexual well-being training has been effective in improving the dimensions of sexual satisfaction and sexual self-efficacy.
Aliakbari Dehkordi., M. (2010). Relationship between woman sexual function and martial adjustment. Journal of Behavior Science, 4(3):199 -206.
Asgari, M., Torkashvand, F. (2018). The Effectiveness of Combined Positive Techniques Training on Marital Satisfaction of Women Referred to Medical Centers. Quarterly of Clinical Psychology Studies, 8(31), 91-112 [Persian].
Bahjat, A., Mohamad Abadi, F., Eezazi Bojnourdi., Chenarani, H., Esmaeili, M. (2020). The effect of positive couple therapy on marital happiness, marital intimacy and social anxiety of couples applying for divorce. Journal of Social Psychology, 13(55), 88-99 [Persian].
Bond, J. C., Morrison, D. M., Hawes, S. (2020). E. Sexual self-efficacy and entitlement to pleasure: The association of the Female Sexual Subjectivity Inventory with sexual risk taking and experience of orgasm. Archives of Sexual Behavior, 49, 1029-1038. OI: 10.1007/s10508-019-01563-3.
Butzer, B., Campbell, L. (2008). Adult attachment, sexual satisfaction, and relationship satisfaction: A study of married couples. Personal Relationships, 15, 141-154.
Byers, E. S. (2005). Relationship satisfaction and sexual satisfaction: A longitudinal study of individuals in long‐term relationships. Journal of Sex Research, 42(2), 113-118. doi:10.1080/00224490509552264
Chen, K. C. Yeh, T., Lee, H. (2009). Age, Gender, Depression, and sexual Dysfunction in Taiwan. Journal of sexual Medicine, 6(11), 3056-3062.
Closson, K., Dietrich, J. J., Lachowsky, N. J., Nkala, B., Palmer, A., Cui, Z., … Kaida, A. (2018). Sexual Self-Efficacy and Gender: A Review of Condom Use and Sexual Negotiation among Young Men and Women in Sub-Saharan Africa. The Journal of Sex Research, 55(4-5), 522–539. doi:10.1080/00224499.2017.1421607
Dargahi, Sh., Mohsen Zade, F., Zahrakar, K., Didehban, M. (2017). Effect of Positive Thinking Training on Psychological well - being and Marital Relationship Quality of Infertile Couple. Journal of Disability Studies, 7(97), 1-6 [Persian]. DOR: 20.1001.1.23222840.1396.7.0.40.8.
Davison, S. L., Bell, R. J., Lachina, M., Holden, S. L., Davis, S. R. (2009). The relationship between selfreported sexual Satisfaction and general Well-being in Woman. Journal of Sex Medicine, 6(10), 2690-2697.
Desrochers, G., Bergeron, S., Khalife, S. (2009). Fear avoidance and self-efficacy in relation to pain and sexual impairment in women with provoked vestibulodynia. Clinical pain, 25(6), 520-521.
Diamond, L. M., Huebner, D. M. (2012). Is good sex good for you? Rethinking sexuality and health. Social and Personality Psychology Compass, 6, 54-69. http://dx.doi.org/10.1111/j.1751-9004.2011.00408.x
Enjezab B, Rejaezadeh, Bokaei M, Salimi H. (2021). The effectiveness of acceptance and commitment therapy (ACT) on sexual self-efficacy and sexual quality of life in Reproductive-age women: A randomized controlled trial. Journal of Sex & Marital Therapy, 47(8), 764- 772.
Erfanifar, E., behroozi, N., Latifi, M., Abbaspoor, Z. (2022). The effectiveness of cognitive-behavioural consultation on sexual function and sexual self-efficacy of women after childbirth. European Journal of Obstetrics & Gynecology and Reproductive Biology, X. 15(100157), 1-5. https://doi.org/10.1016/j.eurox.2022.100157
Fani Sobhani, F., Khalatbari, J., Rahmati S. (2018). Effectiveness of Cognitive Behavioral Therapy based on body image on sexual satisfaction and marital adjustment of married infertile women. Journal of Applied Psychology, 1(45), 25-46 [Persian]. ISSN: 2008-4331.
Farhadi Cheshmeh Morvari, F., Mousavi, P., Shahbazian, H., Marashi, A., Haghighizadeh, M. H. (2020). The efficacy of cognitive behavioral therapy on sexual satisfaction of women with breast cancer after mastectomy. Journal of Advanced Pharmacy Education & Research, 10(1), 139-144. E-ISSN: 2249-3379.
Fava, G. A. (2016). Well-Being Therapy. Treatment manual and clinical applications. Translated by Hamid Nejat. Mashhad: Fara Angizesh Publications [Persian].
Fava, G. A., Cosci, F., Sonino, N. (2016). Current Psychosomatic Practice. Psychother Psychosom, 86(1), 13–30. https://doi.org/10.1159/000448856
Fava, G. A., Rafanelli, C., Cazzaro, M., Conti, S., Grandi, S. (1998). Well-Being Therapy: a novel psychotherapeutic approach for residual symptoms of affective disorders. Psychological Medicine, 28, 475–480.
Fisher, W. A., Donahue, K. L., Long, J. S., Heiman, J. R., Rosen, R. C., Sand, M. S. (2015). Individual and partner correlates of sexual satisfaction and relationship happiness in midlife couples: Dyadic analysis of the International Survey of Relationships. Archives of Sexual Behavior, 44(6), 1609-1620. doi: 10.1007/s10508-014-0426-8
Foster, L.R., & Byers, S.E. (2014). Predictors of the sexual well-being of individuals diagnosed with herpes and human papillomavirus. Archive of Sexual Behavior, 45(2), 403-414. DOI: 10.1007/s10508-014-0388-x.
Gholamrezaei, S., Hosseini, H., Kariminejad, K. (2017). The Impact of cognitive-behavioral training program on Marital Satisfaction of Women with Hypoactive Sexual Desire. Family Pathology, Counseling & Enrichment Journal, 2(4), 15-30 [persian]. DOR: 20.1001.1.24234869.1395.2.2.7.5.
Gibson, R. L., Mitchell, M. H. (1999). Introduction to Counseling and Guidance. Prentice Hall International Inc, 170-171.
Haroon Rashidi, H., Kiyaniyan Mehr, Z. (2019). The effect of the positive couple therapy on t the marital intimacy and sexual satisfaction of female students. Family Pathology, Counseling & Enrichment, 5(1), 125-138 [Persian]. DOR: 20.1001.1.24234869.1398.5.1.5.2.
Hasler, G. (2016). Well-Being: An Important Concept for Psychotherapy and Psychiatric Neuroscience. Psychother Psychosom, 85 (5), 255–261. https://doi.org/10.1159/000447268
Heydari, N., Saedi, S. (2020). The Effectiveness of Positive Psychotherapy on Marital Satisfaction, Love-Making Styles and Happiness among Couples. Salamat Ijtimai (Community Health), 7(2), 191-200 [Persian].
Hosseinpour, M., Shahrouei, Sh., Ebadi, N. (2016). Effectiveness of cognitive-behavioral family therapy training on marital satisfaction. New findings in psychology (social psychology), 4(11), 95-106.
Hummel, S. B., Van-Lankveld, J. J. D. M., Oldenburg, H. S. A., Hahn, D. E. E., Kieffer, J. M., & et al. (2017). Efficacy of Internet-Based Cognitive Behavioral Therapy in Improving Sexual Functioning of Breast Cancer Survivors: Results of a Randomized Controlled Trial. Journal of Clinical Oncology, 35(12), 1328-1340.
Ismaeilzadeh, N., Akbari, B. (2020). Effectiveness of Mindfulness-Based Cognitive Therapy in Sexual Self-Efficacy and Marital Satisfaction among Couples with Marital Conflicts. Avicenna J Neuro Psycho Physiology, 7(1), 29-36. Doi: 10.32592/ajnpp.2020.7.1.104.
Kafaei Atrian, M., Mohebbi Dehnavi, Z., Kamali, Z. (2019). The Relationship between Sexual Self-Efficacy and Sexual Function in Married Women. Journal of Midwifery and Reproductive Health,7(2), 1683-1690.
Karimi, A., Dadgar, S., Afiat, M., Rahimi, N. (2013). The Effect of Sexual Health Education on Couples’ Sexual Satisfaction. The Iranian Journal of Obstetrics, Gynecology and Infertility, 15(42), 23-31 [Persian].
Karimpoor, S., Tourani, F., Khalatbari, J. (2023). The Effectiveness of Sex Therapy on Sexual Self-Efficacy and Marital Intimacy in Couples with Sexual Dysfunction. Journal of Consulting Excellence and Psychotherapy, 44(11), 33-45 [Persian].
Killingsworth, M. A., Gilbert, D. T. (2010). A wandering mind is an unhappy mind. Science, 330(6006), 932-942. DOI: 10.1126/science.1192439
Kobau, R., Seligman, M. E. P., Peterson, C., Diener, E., Zack, M. M., Chapman, D., Thompson, W. (2011). Mental health promotion in public health: Perspectives and strategies from positive psychology. American Journal of Public Health, 101, 1–9.
Kyalem, I. L., Sundet, J. M., Rivo, K. L., Elevtsen, D. E., Bakketeig, L. V. (1996). The effect of eduucation on adolescent s use of condoms: applying the soloman four – design. Health Education Quarterly, 23(1), 34-47.
Laurent, S. M., Simons, A. D. (2009). Sexual dysfunction in depression and anxiety conceptualizing sexual dysfunction as part of an internalizing dimension. Clinical Psychology Review, 29(7), 573-585.
Litzinger, S., Gordon, K. C. (2005). Exploring relationships among communication, sexual satisfaction, and marital satisfaction. Journal of Sex & Marital Therapy, 31, 409-424.
Lorimer, K., DeAmicis, L., Dalrymple, J., Frankis, J., Jackson, L., Lorgelly, P., McMillan, L., & Ross, J. (2019). A Rapid review of sexual wellbeing definitions and measures: Should we now include sexual wellbeing freedom?. The Journal of Sex Research, 56(7), 843-853. DOI: https://doi.org/10.1080/00224499.2019.1635565.
Mastro, S., Zimmer-Gembeck, M. J. (2015). Let’s talk openly about sex: Sexual communication, self-esteem and efficacy as correlates of sexual well-being. European Journal of Developmental Psychology, 12(5), 579–598. Available from: UR: http://dx.doi.org/10.1080/17405629.2015.1054373.
McEwen, B. S. (2016). Epigenetic Interactions and the Brain-Body Communication. Psychother Psychosom, 86 (1), 1–4. https://doi.org/10.1159/000449150.
Najarpourian, S., Hasani, F., Samavi, S., Samani, S. (2020). Comparing the effectiveness of positive couple therapy and short-term solution-oriented therapy on psychological well-being and improving marital adjustment in families living in Shiraz. Journal of psychological methods and models, 11(42), 59-72 [Persian].
Nezamnia, M., Iravani, M., Sayah Bargard, M., Latify, M. (2020). Effectiveness of cognitive-behavioral therapy on sexual function and sexual self-efficacy in pregnant women: An RCT. Int J Reprod Biomed, 18(8), 625–636. doi: 10.18502/ijrm.v13i8.7504
Pascoal, P. M., Narciso, I. de S. B., & Pereira, N. M. (2013). What is Sexual Satisfaction? Thematic Analysis of Lay People’s Definitions. The Journal of Sex Research, 51(1), 22–30. doi:10.1080/00224499.2013.815149
Pinheiro, A. P., Raney, T. J., Thornton, L. M., Fichter, M. M., Berrettini, W. H., & et al. (2010). Sexual functioning in women with eating disorders. The International Journals of Eating Disorders, 43(2), 123-9.
Pinkerton, S. D., Abramson, P. R. (1992). Is risky sex rational?. Journal of sex Research, 29, 561-568.
Refaee, M., Fereydooni, S. (2022). The effectiveness of sexual skills training on improving self-control, empathy and marital satisfaction of married women in Shiraz. Psychology of Woman Journal, 3(3), 1-15.
Roscoe, B., krugger, T. I. (1990). AIDS late adolescent's knowledge and its influence on sexual behavior. Adolescence, 25, 39-48.
Rosen, R. C., Bachmann, G. A. (2008). Sexual well-being, happiness, and satisfaction, in women: The case for a new conceptual paradigm. Journal of Sex & Marital Therapy, 34, 291–297.
Ryff, C. D. (2013). Psychological Well-Being Revisited: Advances in the Science and Practice of Eudaimonia. Psychother Psychosom, 83 (1), 10–28. https://doi.org/10.1159/000353263
Sadock, B. J., Kaplan, H, I., Sadock, V. A. (2009). Kaplan and Sadock comprehensive textbook of psychiatry. Philadelphia: Lippincott Williams and Wilkins, p. 287–94.
Safar Mohammadlou, N., Mollazadeh, A. R., Meschi, F. (2021). Comparison of the Effectiveness of Emotion-Focused Therapy and Cognitive Behavioral Therapy on Sexual Self-Efficacy in Women with Breast Cancer. Razavi Int Med, 9(4), e1143. doi: 10.30483/RIJM.2021.254313.1143.
Sanchez, D. T., Moss-Racusin, C. A., Phelan, J. E., Crocker, J. (2011). Relationship contingency and sexual motivation in women: Implications for sexual satisfaction. Archives of Sexual Behavior, 40(1), 99–110. doi:10.1007/s10508-009-9593-4
Sánchez-Fuentes, M. M., Santos-Iglesias, P., Sierra, J. C. (2014). A systematic review of sexual satisfaction. International Journal of Clinical and Health Psychology, 14, 67-75. http://dx.doi.org/10.1016/S1697-2600(14)70038-9.
Seifen, T., Shaw, C. M., Smith, L. R., Johnson, L. (2022). The more you know: Sexual knowledge as a predictor of sexual well-Being. Journal of Sex & Marital Therapy, 48(8), 779-788. Available from: UR: https://doi.org/10.1080/0092623X.2022.2053017.
Seligman, M. E. P. (2000). Positive psychology. In J. E. Gillham (Ed.), The science of optimism and hope: Research essays in honor of Martin E. P. Seligman (pp. 415–429). West Conshohocken, PA: Templeton Foundation Press.
Shahhosseini, Z., Gardeshi, Z. H., Pourasghar, M., Salehi, F. (2014). A review of affecting factors on sexual satisfaction in women. Mater Sociomed, 26(6), 378–81. https:// doi. org/ 10. 5455/ msm. 2014. 26. 378-381. 14.
Shahvary, Z., Gholizade, L., Mohamad Hoseiny, S. (2010). Determination of some related factors on women sexual satisfaction. Journal of Gorgan University of Medical Sciences, 11(4), 51-56 [Persian].
Stephenson, K. R., Meston, C. M. (2015). The Conditional Importance of Sex: Exploring the Association between Sexual Well-Being and Life Satisfaction. Journal of Sex & Marital Therapy, 41, 25-38. http://dx.doi.org/10.1080/0092623X. 2013.811450.
Taravati, M., Shayan, A., Babakhani, N., Garousian, M., Faradmal, J., Masoumi, Z. (2018). The Effect of Group Sexual Counseling Based on Cognitive Behavioural Approach on Sexual Satisfaction of Women. Journal of Clinical and Diagnostic Research, 12(12), 15-18.
Tavakolizadeh, J., Hajivosogh, N. S. (2013). The effect of cognitive behavioral teaching on marital satisfaction of women with hypoactive sexual desire disorder. Scientific Journal of Ilam University of Medical Sciences, 21(5), 44-50 [Persian].
Trompeter, E.S., Bettencourt, R., Barrett-Connor, E. (2012). Sexual Activity and Satisfaction in Healthy Community-dwelling Older Women. The American Journal of Medicine, 125(1), 37-43.
Vaziri, sh., Lotfi Kashani, F. (2013). Study of factor structure, reliability and validity of the sexual self-efficacy questionnaire. Journal of Thought & Behavior in Clinical Psychology, 8 (29), 47-56 [Persian].
WHO. (2010). Measuring sexual health: conceptual and practical considerations and related indicators. Available from: UR: https://www.who.int/publications/i/item/WHO-RHR-10.12.
WHO. (2020). Defining sexual health. Available from: UR: https://www.who.int/ reproductivehealth/topics/sexual_health/sh_definitions/en/ (accessed Aug 15, 2020).
Wylie, k. (2010). Sex education and the influence on sexual wellbeing. Social and Behavioral Sciences, 5, 440–444.
Young, M., Denny, G., Young, T., Luqui, R. (2000). Sexual satisfaction among married women. American Journal of Health Studies, 16, 73-84.
Zegeye, B., Woldeamanuel, G. G., Negash, W, Shibre, G. (2020). Sexual Satisfaction and Its Associated Factors among Married Women in Northern Ethiopia. Ethiop J Health Sci, 30(2),169. https://doi.org/10.4314/ejhs.v30i2.4.
