The effect of a self-management training based on the 5As model on the sexual satisfaction of Iranian women: A randomized clinical trial.

The comparison between the effectiveness of plissit and sexual health model on the sexual function and sexual quality of life in menopause: A randomized clinical trial

Objective (s): One of the problems of menopausal women is their sexual life and sexual health. The present study was aimed to compare the effectiveness of the PLISSIT model with the sexual health model on menopausal women’s sexual function and quality of their sexual life. Methods: The randomized controlled clinical trial study with the code: IRCT20230808059085N1 was conducted in 2023 on 102 postmenopausal women visiting comprehensive health service centers in Hamedan who met the criteria for entering the study. The samples were randomly divided into three groups: PLISSIT counseling model (33 participants), sexual health counseling model (34 participants) and control (35 participants). The data collection tools included a demographic and obstetric questionnaire, the Female Sexual Function Index (FSFI), and the Sexual Quality of Life-Female (SQOL-F). Questionnaires were completed in the intervention and control groups before the intervention, and also 4 and 6 weeks after that. After collecting information, data analysis was done using SPSS statistical software (version 24) and statistical tests. P<0.05 was considered statistically significant. Results

The effects of sexual counseling based on the EX-PLISSIT and BETTER models on female sexual function after assisted reproductive treatment failure: a randomized clinical trial.

BACKGROUN AND OBJECTIVE Women who experience assisted reproductive treatment failure may be at risk of developing sexual dysfunction. This study compared the effects of two different sexual counselling models, EX-PLISSIT and BETTER, on the sexual function of women after an unsuccessful assisted reproductive treatment. METHODS This randomized clinical trial included 66 infertile women, out of the 72 initially recruited following assisted reproductive treatment failure, who referred to the Infertility Clinic, Mashhad, Iran. The EX-PLISSIT and BETTER groups received sexual counselling individually in two online and two in-person sessions. Data were collected using a Female Sexual Function Index (FSFI). Data analysis was performed using SPSS 25 with a significance level of P = 0.05. RESULTS There was no statistically significant difference in the total score of sexual function and the scores of subscales of desire, arousal, lubrication, orgasm, sexual satisfaction and pain between the two groups before the intervention (P > 0.05). Both groups showed significant improvement post-intervention. Their total mean scores for sexual function, desire, sexual satisfaction, arousal and lubrication were all higher than pre-intervention. Additionally, their scores for pain were significantly lower after the intervention (P < 0.001). CONCLUSION Sexual counseling, using either the EX-PLISSIT or BETTER model, improved the sexual function of women who experienced a failed assisted reproductive treatment.

Sexual Myths and Self-Consciousness in Women: A Randomized Controlled Trial on the Power of Education

The effectiveness of metacognitive therapy on women's sexual self-expression and sexual satisfaction.

Sexual satisfaction, as one of the key indicators of marital satisfaction and mental health, plays a fundamental role in the stability of family relationships. Sexual self-expression also facilitates the ability of an individual to express sexual needs and desires and directly affects the quality of sexual experience. The present study was designed to investigate the effectiveness of metacognitive therapy on sexual self-expression and sexual satisfaction in women. This quasi-experimental study was conducted with a pre-test-post-test design with a control group and a follow-up period. The statistical population included all women referring to counseling centers in Sabzevar in 1401, and the sample included 45 people who were randomly assigned to two experimental groups (15 people in each group) and a control group (15 people). Data collection tools included the Hudson et al. (1981) Sexual Satisfaction Scale and the Snell, Bell, and Clark Spouses Sexual Self-expression Scale (1997). The results of multivariate analysis of variance and repeated measures analysis of variance showed that metacognitive therapy had a significant effect on increasing sexual self-expression and improving sexual satisfaction in women. The Bonferroni test also showed that the effects of treatment at the post-test and follow-up stages were significant compared to the pre-test and that the effectiveness of the interventions was maintained up to two months after the end of the intervention, although the difference between the post-test and follow-up was not significant.

A Comparison of the Effectiveness of Cognitive-Behavioral Sexual Skills Training (Masters & Johnson) and Sexual Mindfulness Training on Sexual Satisfaction and Sexual Intimacy in Married Women

The present study aimed to compare the effectiveness of cognitive-behavioral sexual skills training (Masters & Johnson) and sexual mindfulness training on sexual satisfaction and sexual intimacy among married women attending healthcare centers in Tehran. The study employed an applied, quasi-experimental research design featuring a pretest-posttest format with a control group and random assignment. The research sample consisted of 45 married women who attended healthcare centers across various regions of Tehran. These participants were selected utilizing a convenience sampling method and were subsequently randomly assigned into three equal groups of 15 participants each: two experimental groups and one control group. At the baseline, all three groups underwent a pretest assessment using the Sexual Satisfaction Questionnaire (Hudson, Harrison, & Crosscup, 1998) and the Sexual Intimacy Questionnaire (Bagarozzi, 2001). Following this, the first experimental group received cognitive-behavioral sexual skills training based on the Masters and Johnson (1996) method, and the second experimental group received sexual mindfulness training (Kocsis et al., 2016). The control group received no intervention during this period. The collected data were processed and analyzed using SPSS version 26. The data analysis indicated that both the cognitive-behavioral sexual skills training (Masters & Johnson) and the sexual mindfulness training exerted a statistically significant positive effect on improving the levels of sexual satisfaction and sexual intimacy among the participating married women ( ). Furthermore, when comparing the comparative efficacy of the two distinct intervention methods, the results demonstrated no significant difference between them concerning their impact on enhancing sexual satisfaction and sexual intimacy. Empowering women through cognitive-behavioral sexual skills and sexual mindfulness training leads to positive and lasting changes in their sexual satisfaction and intimacy, which ultimately enhances overall relationship quality and marital satisfaction.

The effect of cognitive behavioral intervention on women’s sexual self-efficacy and marital satisfaction