Document Type : Original Article
Authors
1 Department of Midwifery, Faculty of Nursing and Midwifery, Jiroft University of Medical Sciences, Jiroft, Iran
2 Department of Midwifery, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran
3 Department of Nusing, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
Abstract
BACKGROUND: Sexual assertiveness plays a crucial role in the quality of sex, as well as in
investigating and treating sexual problems. The purpose of this study was to determine the impact of
assertiveness‑based sexual training on the quality of marital relationships of married female students.
METHODS: This quasi‑experimental study was done in southeastern Iran in the academic year
of 2017. A total of 80 married women were chosen from university students through convenience
sampling, and they were assigned to the intervention (n = 40) and control (n = 40) groups. Data were
collected using the Perceived Relationship Quality Components Inventory. For the intervention group,
assertiveness‑based sexual counseling was provided in four sessions (90–120 min each session).
The posttest was performed 12 weeks after the last counseling session. Independent t‑test and
covariance analysis were employed to analyze data using SPSS version 21 software.
RESULTS: After the intervention, the two groups revealed a significant difference in their respective
mean total score of the quality of various dimensions of marital relationships (P = 0.0001). This
indicates that assertiveness‑based sexual counseling has improved this mean total score in the
intervention group compared to the control group.
CONCLUSION: Given the positive impact of assertiveness‑based sexual training on the quality of
students’ marital relationships, the integration of sexual training with focus on assertiveness in usual sexual
counseling will help therapists to improve the quality of marital relationship from the perspective of women.
Keywords
life skills on marital satisfaction and adjustment of married
women. J Fam Couns Psychother 2012;2:373‑87.
2. Sadeghy S. Exploring Personality Influencing Marital Satisfaction.
Unpublished MA. Thesis, Iran University of Medical Sciences,
Iran; 2000.
3. Saadat M, Ansari‑Lari M, Farhud DD. Consanguineous marriage
in Iran. Ann Hum Biol 2004;31:263‑9.
4. Ahmadi K, Nabipoor S, Kimiaee S, Afzali M. Effect family problem
solving on marital satisfaction. J Appl Sci 2010;10:682‑7.
5. Askari M, Noah S, Hassan S, Baba M. Comparison the effect of
communication and conflict resolution skill training on marital
satisfaction. Int J Psychol Stud 2012;4:182‑95.
6. Yucel D, Margaret G. Exploring actor and partner correlates
of sexual satisfaction among married couples. J Soc Sci Res
2010;39:725‑38.
7. Sayadpur Z. Impact recognition before marriage on marital
satisfaction. J Psychol 2004;1:390‑408.
8. Refaie‑Shirpak KH, Efekhar H, Chinichian M. Need assessment:
Sexual health education in family planning centers of Tehran.
J Payesh 2010;9:251‑60.
9. Lee JY. Predictors of female college students’ relationship
satisfaction: Attachment and sexual assertiveness. Psychol Stud
2017;62:70‑4.
10. Safarzadeh A, Navidian A, Dastyar N. The effect of
assertiveness‑based sexual counselling on sexual function
among married female students. Int J Womens Health Reprod
Sci 2018;6:342‑9.
11. Dastyar N, Safarzadeh A, Sanagoyemoharer GH, Navidian A.
Effect of group assertiveness‑based sexual counseling on marital
satisfaction among female university students. J Clin Diagn Res
2018;12:QC01‑5.
12. Santos‑Iglesias P, Sierra JC, Vallejo‑Medina P. Predictors of sexual
assertiveness: The role of sexual desire, arousal, attitudes, and
partner abuse. Arch Sex Behav 2013;42:1043‑52.
13. Santos‑Iglesias P, Vallejo‑Medina P, Sierra JC. Equivalence and
standard scores of the Hurlbert index of sexual assertiveness
across Spanish men and women. An Psicol 2014;30:232‑7.
14. Bay F, Bahrami F, Fathizadeh M, Ahmadi SA, Etemadi O. The
role of sexual assertiveness and sexual self‑consciousness in
prediction of female sexual function. Thought Behav Clin Psychol
2013;7:7‑16.
15. Fletcher G, Simpson J, Thomas G. The measurement of perceived
relationship quality components: A confirmatory factor analytic
approach. J Pers Psychol Bull 2009;26:339‑54.
16. Nilforoshan P, Ahmadi SA, Fatehizade M, Ghasemi V. The impact
of GFP and attachment dimensions of relationship quality. J Fam
Couns Psychother 2014;3:473‑506.
17. Sayyadi F, Golmakani N, Ebrahimi M, Saki A. The relationship
between sexual assertiveness and positive feelings towards
spouse in married women. J Midwifery Reprod Health 2017;5:1‑6.
18. Assadi E, FathabadiJ, Sharifi FM. The relationship between couple
burnout, sexual assertiveness and sexual dysfunctional beliefs in
married women. Fam Couns Psychother 2013;3:661‑92.
19. Hurlbert DF. The role of assertiveness in female sexuality:
A comparative study between sexually assertive and sexually
nonassertive women. J Sex Marital Ther 1991;17:183‑90.
20. Haseley J. Marital Satisfaction among Newly Married Couples:
Association with Religiosity and Romantic Attachment Style.
Doctoral Thesis. University of North Texas; 2006.
21. Navidian A, Navabi Rigi SH, Imani M, Soltani P. The effect of sex
education on the marital relationship quality of pregnant women.
Hayat. J Sch Nurs Midwifery Tehran Univ Med Sci 2017;22:115‑27.
22. Karimi A, Dadgar S, Afiat M, Rahimi N. The effect of sexual health
education on sexual satisfaction in couples. Iran J Obestet Gynecol
Infertil 2013;15:23‑30.
23. Khanjani Veshki S, Botlani S, Shahsiah M, Sharifi E. The effect of
sex education on marital quality improvement in couples of Qom.
Interdiscip J Contemp Res Bus 2012;4:134‑47.
24. Shakarami M, Davarnia R, Zahrakar K, Gohari S. The effect of sex
education on sexual intimacy of married women. Iran J Psychiatric
Nurs 2014;2:34‑42.
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