Document Type : Original Article

Authors

Department of Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Abstract

BACKGROUND: The beginning of a marital relationship is very important as a part of a family
relationship, and it satisfies many mental and physical necessities in a safe environment and has
a great impact on people’s health. The aims of this study were to investigate the effectiveness of
sexual health counseling based on cognitive behavioral approach on satisfaction and excitability of
newly married women.
MATERIALS AND METHODS: A randomized clinical trial study was conducted in 50 newly married
women who referred to the health center of Jiroft City. They randomly divided into the intervention
and the control groups. All of the participants completed Linda Berg’s Sexual Satisfaction Scale
before intervention, 8 weeks after intervention and 4 weeks later (follow‑up). The interventional
group participated in CBT (8 sessions, 90 min), but the control group received routine counseling.
In all tests, a significance level of 0.05 was considered. Data were analyzed by SPSS version 20.
Descriptive test, t‑test, and repeated measure test used to analyze data.
RESULTS: In intervention group, sexual satisfaction was obtained 51.88 ± 12.27, 57.2 ± 12.88
and 62.76 ± 11.35 (P < 0.05) and in the control group was gotten 47.12 ± 9.6, 45.8 ± 8.07 and
43.48 ± 7.39 (P > 0.05) before intervention, 8 weeks after intervention and 4 weeks later (follow‑up),
respectively. In intervention group, sexual excitability was obtained 82.80 ± 17.24, 91.72 ± 13.07,
and 99.28 ± 11.2 (P < 0.05) and in the control group was gotten 87.04 ± 12.99, 87.48 ± 11.64, and
81.96 ± 12.83 (P > 0.05).
CONCLUSION: It can be concluded that cognitive‑behavioral counseling can help to improve the
sexual satisfaction and excitability of the newly married and can be used to improve and promote
women’s sexual health.

Keywords

1. Yazdanpanah M, Eslami M, Nakhaee N. Effectiveness of the
premarital education programme in Iran. ISRN Public Health
2014; 2014:1‑5. https://doi.org/100.1155/2014/964087.
2. Parhizgar O, Esmaelzadeh‑Saeieh S, Akbari Kamrani M,
Rahimzadeh M, Tehranizadeh M. Effect of premarital counseling
on marital satisfaction. Shiraz E‑Medical Journal. 2017;18(5).
3. Rabiepoor S, Sadeghi E. The survey of sexual health and
pornography among divorce‑asking women in West
Azerbaijan‑Iran: A cross‑sectional study. World Academy of
Science, Engineering and Technology. International Journal of
Medical and Health Sciences, 2018;12(2):1‑1.
4. Ramesh S, Rostami R, Merghati‑Khoei E, Hemmat Boland E.
Effectiveness of combination of cognitive‑behavioral therapy
and biofeedback on vaginismus patients′ sexual function and
marital status scientific information data. Biannual J Appl Couns
2016;6(1):1‑22. [Persian].
5. Karimi A, Dadgar S, Rahimi N. The effect of sexual health
education on couples’ sexual satisfaction. Iran J Obstet Gynecol
Infertility 2013;15(42):23‑30. [Persian].
6. Mofid V, Ahmadi A, Etemadi O.The Comparison of the effect
of cognitive‑behavioral counseling and solving counseling on
women’s sexual satisfaction in Isfahan. Journal of Woman and
Society, 2014;5(19):67‑83. [Persian].
7. https://www.sabteahval.ir/avej/Page.aspx?mId=49826&ID=32
57&Page=Magazines/SquareshowMagazine Available 28 March
2021.
8. Bradley RPC, Friend DJ, Gottman JM. Supporting healthy
relationships in low‑income, violent couples: Reducing conflict
and strengthening relationship skills and satisfaction. Journal of
Couple & Relationship Therapy. 2011;10(2):97‑116.
9. Gheshlaghi F, Dorvashi G, Aran F, Shafiei F, Najafabadi GM.
The study of sexual satisfaction in Iranian women applying for
divorce. International journal of fertility & sterility. 2014;8(3):281.
10. Bostani Khalesi Z, Simbar M. Challenges of premarital education
program in Iran. Journal of Holistic Nursing and Midwifery.
2017;27(1):9‑18.
11. Moodi M, Miri M‑R, Sharifirad GR. The effect of instruction
on knowledge and attitude of couples attending pre‑marriage
counseling classes. Journal of education and health promotion.
2013;2.
12. Bokaie M, Bostani Khalesi Z. Couple Therapy and Vaginismus:
A single case approach. Journal of sex & marital therapy.
2019;45(8):667‑72.
13. Khaki Rostami Z, Mirghafourvand M, Malakouti J,
MohammadAlizadeh Charandabi S, Asghari Jafarabadi M,
Ghanbari S. Sexual dysfunction and help seeking behaviors in
newly married women in Sari, Iran: A cross‑sectional study. J Iran
Inst Health Sci Res 2015;6:677‑86. Persian].
14. Bokaie M, Alian FM, Farzinrad B, Dehghani A. The effectiveness
of group counseling based‑mindfulness on marital stress in
women of reproductive age: A clinical trial. Int J Pharm Res
2018;10(3):414‑22.
15. Cross L.Couples Therapy. Oxford, London: The Havorth Clinical
Practice Press; 2001.
16. Salehi FJ, The development and validation of marital satisfaction
questionnaire on a sample of students of Ferdowsi University.
Psychotherapical Novelties 2009; 13(4):84‑108.
17. Keramat A, Masoomi SZ, Mousavi SA, Poorolajal J, Shobeiri F,
Hazavhei SM. Quality of life and its related factors in infertile
couples. J Res Health Sci 2014;14(1):57‑63.
18. Skevington SM, Lotfy M, O’Connell KA. The World Health
Organization’s WHOQOL‑BREF quality of life assessment:
psychometric properties and results of the international field
trial. A report from the WHOQOL group. Quality of life Research.
2004;13(2):299‑310.
19. Lotfi Kashani F, Vaziri Sh. The effect of sexual skills training on
marital satisfaction. Procedia Soc Behav Sci 2011;30:2581‑2585.
20. Omidi A, Ahmadvand A, Najarzadegan M, Mehrzad F.
Comparing the effects of treatment with sildenafil and
cognitive‑behavioral therapy on treatment of sexual dysfunction
in women: A randomized controlled clinical trial. Electron
Physician 2016;8(5):2315‑24.
21. Engman M, Wijma K, Wijma B. Long‑term coital behaviour in
women treated with cognitive behaviour therapy for superficial
coital pain and vaginismus. Cognitive behaviour therapy.
2010;39(3):193‑202.
22. Vural BK, Temel AB. Effectiveness of premarital sexual
counselling program on sexual satisfaction of recently married
couples. Sexual health. 2009;6(3):222‑32.
23. Farajkhoda T, Ashrafi F, Bokaie M, Zareei Mahmoodabadi H.
Online Compared to Face‑to‑Face Sexual Intimacy Enhancement
Training Program Counseling with Cognitive‑Behavioral
Approach on Sexual Intimacy in Pregnant Women. Journal of
Sex & Marital Therapy. 2021:1‑14.
24. Trudel G, Marchand A, Ravart M, Aubin S, Turgeon L, Fortier P.
The effect of a cognitive‑behavioral group treatment program
on hypoactive sexual desire in women. Sexual and relationship
therapy. 2001;16(2):145‑64.
25. Tahan M, Saleem T, Moshtagh M, Fattahi P, Rahimi R.
Psychoeducational Group Therapy for sexual function and marital
satisfaction in Iranian couples with sexual dysfunction disorder.
Heliyon. 2020;6(7):e04586.
26. Bostani Khalesi Z, Simbar M, Azin SA. Explaining sexual
health education needs of pre‑marriage couples: A Qualitative
Study. Journal of Qualitative Research in Health Sciences.
2020;4(3):290‑303.
27. Pachano Pesantez GS, Clayton AH. Treatment of Hypoactive
Sexual Desire Disorder Among Women: General Considerations
and Pharmacological Options. Focus. 2021;19(1):39‑45.
28. Akbari Torkestani N, Ramezannejad P, Abedi M, Eshrati B,
Nekoobahr A, Ramezannejad P. Effect of Premarital Counseling
with Acceptance and Commitment Therapy‑Based Approach on
Sexual Function. Journal of Arak University of Medical Sciences.
2017;19(12):34‑42.
29. Brotto LA, Erskine Y, Carey M, Ehlen T, Finlayson S, Heywood M,
et al. A brief mindfulness‑based cognitive behavioral intervention
improves sexual functioning versus wait‑list control in
women treated for gynecologic cancer. Gynecologic oncology.
2012;125(2):320‑5.
30. McNulty JK, Wenner CA, Fisher TD. Longitudinal associations
among relationship satisfaction, sexual satisfaction, and
frequency of sex in early marriage. Archives of Sexual Behavior.
2016;45(1):85‑97.