Document Type : Original Article

Authors

1 PhD Student in Counseling, Department of Educational and Counseling Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran

2 Department of Educational and Counseling Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran

Abstract

Introduction: Sexual satisfaction is considered one of the most important factors in marital happiness, and it plays a significant role in the health, well-being, and overall quality of life for individuals in a society. Therefore, the research aims to develop and assess the effectiveness of a counseling package based on the sexual communication model on the level of satisfaction and sexual intimacy in Iranian couples.
Methods: The research was conducted using a mixed exploratory research design. Initially, qualitative methods were employed to identify the factors influencing couples' sexual exchange. Subsequently, a counseling package was developed based on these factors. For the purpose of quantitative validation, the relative content validity ratio and content validity index were utilized. In the next research phase, an applied and semi-experimental method with a pre-test and post-test design was employed, including a one-month follow-up with a control group. Data analysis was carried out using repeated measures analysis of variance (ANOVA) and the SPSS software version 26.
Results: The results showed that the relative content validity coefficient and content validity index were higher than the required size (CVR≥49 and CVI≥79) and a valid counseling package was prepared. The results of the next stage also showed that the sexual communication pattern counseling package significantly increased sexual satisfaction (P<0.001) and sexual intimacy (P<0.001); the experimental group had a significant increase in sexual satisfaction and intimacy compared to the control group.
Conclusion: The counseling package based on the sexual communication pattern is valid and can lead to an increase in the sexual satisfaction and intimacy of Iranian couples.

Keywords

  1. Bilal, A., Rasool, S. Marital satisfaction and satisfaction with life: Mediating role of sexual satisfaction in married women. Journal of Psychosexual Health; 2020; 2(1):77-86.
  2. Mashoufi M, Sarafraz N,Shadman A,Abedi S, Relationship between Health Literacy and Marital and Sexual Satisfaction and some Demographic Factors in Women Referring to Health Centers in Ardbil in 2019.j,health 2022:13(1):49-59.
  3. Khabiri Pooya, A., Mohammadi, M., Karami, A., Rahimian, Booger., I.Investigating the Relationship Between Differentiation and Moral Justice in Sexual Satisfaction. PCP 2022; 10 (4):319-32.
  4. Santos-Iglesias, P., & Byers E. Development and initial validation of the verbal and nonverbal sexual communication questionnaire in Canada and Spain. Sexual and Relationship Therapy.2018; 35(1):1-17. DOI:10.1080/14681994.2018;1442569.
  5. Rancourt, K., Rosen N., Bergeron S., & Nealis L. Talkig About Sex When Sex Is Painful: Dyadic Sexual Communication Is Associated with Women’s Pain, and Couples’ Sexual and Psychological Outcomes in Provoked Vestibulodynia. Sex Behav.2016;45(8):1933-1944. doi: 10.1007/s10508-015-0670-6.
  6. Yurkiw, j. Links Between Depressive Symptoms, Sexual Communication, and Sexual Satisfaction Across Three Years. A thesis submitted in partial Fulfillment of the requirements for the degree of master of science in family Ecology and partic,2021. https://doi.org/10.7939/r3-7cpb-6b79
  7. Alan, M. The Influence of Family Communication Patterns on Sexual Communication in Romantic Relationships: A Dyadic Analysis, A Dissertation Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy, Arizona State University.2016.
  8. Hess, A., Coffelt, T. Verbal communication about sex in marriage: Patterns of language use and its connection with relational outcomes. J. Sex Res, 2012; 49(6): 603–612.
  9. MacNeil, S, Byers, S. Dyadic assessment of sexual self-disclosure and sexual satisfaction in heterosexual dating relationships. J. Soc. Pers. Relat.2005; 22(2):169–181.
  10. Jones A, Robinson D, Ryan B, Seedal R. The Role of Sexual Communication in Couples Sexual outcomes: A Dyadic Path Analysis.JMFT.2017; 4(4):606-623.
  11. Elliott, S., & Umberson, D. The performance of desire: Gender and sexual negotiation in long-term marriage. Journal of Marriage and Family.2008;70(2): 391–406.
  12. Babin, E. An examination of predictors of nonverbal and verbal communication of pleasure during sex and sexual satisfaction. J Soc. Pers.Relat.2013; 30(3):270-292.
  13. Stanley M, Markman J, Whitton S. Communication, conflict, and commitment: insights on the foundations of relationship success from a national survey, J. Fam. Pro.2004;41(4):659-75.
  14. Rakhshani, T., Asadollahi, A., Afzali, P., Khoramdel, H., Shiraly, R., khani jeihooni, A.Effect of Sexual Knowledge, Attitude and Quality of Life on Marital Satisfaction of Aged Couples in South Iran:APIM- Analysis, Journal of sex & Marital Therapy. .doi.org/10.1080/0092623x2022.2133758
  15. Shahsiah M. Effect of attachment-based couple therapy on sexual satisfaction and intimacy. Journal if fundamentals of mental health.2010; 12(46):496-505.
  16. Ahmadian A, Hatami M, tajikesmaeili A, zahrakar K, hasani J.The effectiveness of problem-solving oriented sex therapy based on the Islamic approach for couple’s sexual problems (Feasibility study, compilation of conceptual model and initial therapeutic outcomes).J Wom stud.2018;9(1):37-71.
  17. Clifton, J., Seehuus, M. and Rellini, A. H. Testing cognitive predictors of individual differences in the sexual psychophysiological responses of sexually functional women. Psychophysiology.2015; 52(7): 957–968.
  18. Metz, M. E., & McCarthy, B. W. The “Good-Enough Sex” model for couple sexual satisfaction. Sexual and Relationship Therapy.2007; 22(3)351–362
  19. Rehman, S., Rellini, A. H., & Fallis, E. The importance of sexual self-disclosure to sexual satisfaction and functioning in committed relationships.The Journal of Sexual Medicine.2011. 8(11)3108–3115.
  20. Fatehizade M, mofidi V, Ahmadi A, etemadi o. The Comparison of Cognitive-Behavioral Counselin and Solution-oriented Counseling on women’s sexual satisfaction in Issahan.2014; 19(5)67-83.
  21. Hajizadeh, E., Asghari, M.Statistical methods and analyzes in Health and Biosciences A research methological Approach.Tehran, Jihadists of the university Publishing Organization, 2012.
  22. Nainian M, Nik-Azin A. The relationship between intimacy and sexual satisfaction with general health and personal well-being: investigation of sex and age difference. J. Res. Behav. Sci.2012; 10(7):735-745.
  23. Batlani S, Ahmadi A, Bahrami F. shahsih s, Mohebi s. The effect of couple therapy based on attachment theory on sexual satisfaction and intimacy of couples. Prince.Ment.health. 2010; 12(2)496-505.
  24. Shakera M, Davamiva R, Zahrakar K, Gohari Sh. The Effect of Sex Education on Sexual Intimacy of Married Women. Iran. J.psychiat. Nurse.2014; 2 (1):34-42.
  25. Nurgitz, Rebecca; Pacheco, Rebecca Ms; Senn, Charlene Y.; Hobden, Karen L.The impact of sexual education and socialization on sexual satisfaction, attitudes, and self-efficacy.The impact of sexual education and socialization on sexual satisfaction, attitudes, and self-efficacy.2021; 30 (2), 265-277. https://scholar.uwindsor.ca/psychologypub/104.
  26. Everaerd and Dekker.A comparison of sex therapy and communication therapy: couples complining of orgasmic dysfunction. Journal Article published. Journal of Sex & Marital Therapy.1981; 7(4):278 - 289.
  27. Salehi Moghaddam F, TorkZahrani Sh,Moslemi A ,Azin S , Ozgoli gh , Joulaee N.Effectiveness of Sexual Skills Training Program on Promoting Sexual Intimacy and Satisfaction in Women in Tehran (Iran): A randomized Clinical Trial.2020;17(3):281-288.
  28. Nazari A. on overview of the impact of relationship enhancement program aggression and sexual satisfacitin of working women.2007; 2(1):9-28.
  29. Sasannejad R. The effectiveness of couples’ communication skills training on marital satisfaction,sexual and couple’ intimacy. A Dissertation for degree of M.A In Family phsychology, university of science and culture-Humminities.2013.
  30. Rancourt K, Rosen N, Bergeron S. Nealis L. Talking About Sex When Sex Is Painful: Dyadic Sexual Communication Is Associated with Women’s Pain, and Couples’ Sexual and Psychological Outcomes in Provoked Vestibulodynia. Sex Behav.2016; 45(8):1933-1944.doi: 10.1007/s10508-015-0670-6.
  31. Butler, S.”Teaching communication in sex education: Facilitating communication skills knowledge and ease of use”.College of Liberal Arts & Social Sciences Theses and Dissertations.90.http/: via.library. depa pl.edu/etd/90;2011.
  32. MacNeil, S., Byers, S.Dyadic assessment of sexual self-disclosure and sexual satisfaction in heterosexual dating relationships. J. Soc. Pers. Relat.2005; 22(2):169–181.
  33. Mallory A, Stanton A. Handy A. Couples’ Sexual Communication and Dimensions of Sexual Function: A Meta-Analysis. J Sex Res.2019; 56(7):882-898.
  34. Vinti, H, Jozkowski K., & Hunt M. Show or Tell? Does Verbal and/or Nonverbal Sexual Communication Matter for Sexual Satisfaction? . Journal sex Marital. Ther.2019; 45(3):1-30.
  35. Foubert, J, Garner D, Thaxter J. An exploration of fraternity culture: Implications for programs to address alcohol-related sexual assault. Coll. Stud. J. 2006; 40(2):361–373.
  36. Novakava L. perception in predicting actor and partner sexual andrelational satisfaction in couple relationships. (phd dissertation). University of Kentucky.2016.
  37. Attaky A, Kok G. Attachment Insecurity and Sexual and Relational Experiences in Saudi Arabian Women: The Role of Perceived Partner Responsiveness and Sexual Assertiveness. J. Sex. Med. 2020; 17(7):1383-1393.
  38. Rataj E, Wendolwska A, Kalus A. Czyzowska D. openness and communication Effects on relationship satisfaction in women Experienceing Infertility or Miscarriage: A Dyadic approach.J.Enviom. Res. public Health.2020; 17(16):21-57.
  39. Farhadian F. The Effectiveness of Training of Sexual Skills on Marital Satisfaction and Sexual Inlimasy of Women.A Dissertation for degree of M.A In Family Counceling, Ferdowsi University of Mashhad.2016.
  40. Kardan-souraki M, Hamzehgardeshi Z, Asadpour I, Mohammadpour R, Khani S.A Review of Marital Intimacy-Enhancing Interventions among Married Individuals, Glob J Health Sci.2016; 8(8): 74–93.
  41. Abbasi M, Bagiyan M, Dargahi S, Ghamari Givi H. Effectiveness of Behavioral-Communication Couple Therapy on Marital Adjustment and sexual Intimacy. Iiran. J. Nurse.2015; 28(95); 22-33.
  42. Birnbaum G, Mizrahi M, Maymon Y. Intimately connected: The Importance of partner Responsiveness for Experincing sexual desire. J. pers. Soc. psycholo.2016; 111(4):530-546.
  43. Merwin E., & Rosen N. Perceived partner responsiveness moderate the associations between sexual talk and sexual and relationship well-being in Individuals in long term relationships. j sex Res.2020; 57(3):351-364.
  44. Jacques, J., Lankveld V., Dewitte M., Verboon P., Susan, & Hooren H. Associations of Intimacy, Partner Responsiveness, and attachment- Related Emotional Needs with Sexual Desire. front. Psychol.2012; 12:665967.
  45. Dhir R, Vasudha R .Relationship between Sexual Fantasy, Sexual Communication, Personality Traits and Sexual Satisfaction in Married Individuals. J.  Res.2021; 3(30);44-50.