Document Type : Original Article


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


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.


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