Interventional study Uncategorized

PART 2: The effect of marital counselling on sexual satisfaction of couples

This study showed that % of 46/67 women in experimental group and 53/33% of them in control group were 20–24 years old, but t-test didn’t show any meaningful differences (t = 546, P > 0.05) other features are in [Table 1].
Table 1: Demographic characteristics in experimental and control group

[Table 2] shows Frequency distribution of absolute and relative women’s sexual satisfaction in both groups before intervention in which 50% of women in experimental group had average sexual satisfaction and 56.67% of them in control group had high sexual satisfaction. Chi-square test did not show any significant differences in women’s sexual satisfaction in two groups before intervention (P = 0.73). Also, 60% of men in experiment of group and 46.67% in control group had high sexual satisfaction and Chi-square test did not show any significant differences in men of two groups before intervention (P = 0.62).
Table 2: Sexual satisfaction comparison in experimental and control group before intervention

While you see in [Table 3], 100% of women in experimental groups and 66.67% in control groups had higher sexual satisfaction after the intervention. Also 100% of men in the experimental group and 70% in the control group had higher sexual satisfaction. Chi-square test showed a significant differences in men’s and women’s sexual satisfaction of experimental and control groups in post-test (P = 0/002).
Table 3: Sexual satisfaction comparison in experimental and control groups after intervention

While you see in [Table 3], 100%of women in experimental groups and 66.67% in control groups and 70% in the control groups had higher sexual satisfaction. Chi-square test showed a significant differences in men’s and women’s sexual satisfaction of experimental and control groups in the post-test (P = 0/002).

Discussion
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The statistical test results showed that there was not any significant difference between experimental and control groups in education, job and marriage time period.

In this research women’s and men’s sexual satisfaction was medium and high. This research agreed with Henderson-King and Veroff, who claimed that there is a relationship between couples’ sexual relationship in their 1st year of life and marital health and sexual satisfaction was equally important for both sexes.[15]

Rahimi and Shams (2007) in their research named important factors in couples’ sexual relationships improvement showed that there is a meaningful relationship between with sexual relationships suitable verbal and marital relationship and happy feeling and age increase, life time period, number of children, marital relationships were faded and women’s sexual satisfaction feeling is decreased which agree with our research.[16]

Khoei (1999) did a research on 525 employed women and showed that most of the women are satisfied with their sexual relationships, and only 36.3% were not satisfied which agrees with our research. It seems that sexual satisfaction depends on the various factors such as age, the lower the marriage time period, the higher sexual satisfaction.[17] Therefore, Christopher and Sprecher showed the relationship between age and sexual satisfaction. In their research 60% of men were satisfied with sexual satisfaction in experimental and control groups.[18] Dunn’s research in America showed that the prevalence of sexual dissatisfaction in men 21% and men’s instinct to a sexual relationship and their sexual satisfaction decreases with age increase which also agrees with our research.[19]

Based on education intervention in experimental group in post-test showed that marital counselling is important in sexual satisfaction increase and this result with Pakghohar et al. (2005) indicated that pre-marriage counselling in sex increases sexual satisfaction and marriage satisfaction as a whole.[20]

Cooper and Stoltenberg compared with sexual improvement program and relationship education on marital and sexual satisfaction. Couples in experimental group attended in weekly two sessions for 1-month. There was a control group. All groups were assessed after education and 3 months after the last session. Covariance analysis showed couples who attended in the sexual relationship program had sexual pleasure in their relationship. Also, they feel more affect and kindness, and they had more improved marital satisfaction.[21] Pinkerton and Abrahamson claimed that sex education is effective on healthy behaviour. It can increase people’s understanding of sex.[22]

In his researches, Santrock discussed that if we offer sex education at a suitable time, we can control unsuitable sexual motives, create healthy sexual behaviour, decrease sexual problems and prevent sexual transmitted disease.[23]

Baron and Byrne came to the point that sex education and marital counselling play an important role in family health, sexual violence decrease, venereal disease prevention, positive attitude to sexual relationship, sexual pleasure, family maladjustment decrease and finally couple’s sexual satisfaction.[24]

Sex education and marital counselling are a long process through which people can get necessary information about sex and form their attitudes, values and beliefs. Marital counselling is a process that helps healthy sexual development, marital health, interpersonal relationship, affect, closeness, body image and sex roles. Marital counselling plays attention to biological, cultural, social, psychological and religious dimensions too. It is related to cognitive (information and knowledge), affective (feelings, values and a attitudes) and behavioural (relationship and decision skills) areas. Therefore, in this research, it seems that couple’s sexual information and their attitudes to sex have been increased or improved by marital counselling. Since in our society today we have sexual problems, it is suggested to offer sex education and marital counselling before and during marriage which tends to sexual satisfaction and marital life quality increase.

Ethical consideration

All ethical issues (such as informed consent, conflict of interest, plagiarism, misconduct, co-authorship, double submission, etc.) have been considered carefully.

Acknowledgment

Researchers wish to thanks for all the couples in the present study as well as respected partners in health centres in Shiraz Nader Kazemi through providing facilities and training space and plan for supporting this project must appreciate.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References
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  1. Byers ES, Demmons S. Sexual satisfaction and sexual self-disclosure within dating relationships. J Sex Res 1999;36:180-9. Back to cited text no. 1
  2. Hyde JS, Delamater JD. Understanding Human Sexuality. Boston: McGraw-Hill; 2000. p. 24. Back to cited text no. 2
  3. Byers ES, Demmons S. Sexual satisfaction and sexual self-disclosure dating relationship. J Res 1999;36:180-9. Back to cited text no. 3
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  7. Hyde JS, Delamater JD. Understanding Human Sexuality. Boston: McGraw-Hill; 2000. Back to cited text no. 7
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  11. Ohadi B. Humans Behaviour Sexuality. 2nd ed.. Isfahan: Sadegh Hedayat; 2006. p. 4-5. Back to cited text no. 11
  12. Tabrizi M. Beck and the Effectiveness of Couples Therapy, Cognitive Therapy and Family Therapy Book Compilation on Increasing Marital Satisfaction. Ph.D. Thesis. Allameh Tabatabai University; 2003. [Un pub]. Back to cited text no. 12
  13. Jahanfar SH, Nezhad MM. Drsnamh Sexual Disorders. Tehran: Byzhh Publication; 2005. Back to cited text no. 13
  14. Hasanzadeh R, Mahmoudi GH, Khalilian AR. The Effect of Education on Sexual Health Family. The Second Congress of Family Pathology. Shahid Beheshti University; 2004. Back to cited text no. 14
  15. Henderson-King DH, Veroff J. Sexual satisfaction and marital well-being in the first years of marriage. J Soc Pers Relat 1994;11:509-34. Back to cited text no. 15
  16. Rahimi M, Shams AH. Reviews Important Factors in Improving Sexual Partners. The Third Congress of Family and Sexual Health. Shahed University; 2007. Back to cited text no. 16
  17. Khoei A. Comparison of Personal and Family Characteristics of Working Women Sexually Satisfied and Dissatisfied. MSc Thesis University of Medical Sciences; 1999. [UnPub]. Back to cited text no. 17
  18. Christopher FS, Sprecher S. Sexuality in marriage, dating, and other relationship: Ade and review. J Marriage Fam 2000;62:999-1017. Back to cited text no. 18
  19. Dunn K. Satisfaction in sex life of a general population sample. J Sex Marital Ther 2000;18:244-81. Back to cited text no. 19
  20. Pakghohar M, Farnam F, Mirmohammadali M. Effect on premarital counseling and marital satisfaction in couples referred to the selected health centers of Tehran Medical Sciences University in 1385. [UnPub]. Back to cited text no. 20
  21. Cooper A, Stoltenberg CD. Comparison of sexual enhancement and a communication training program on sexual and marital satisfaction. J Couns Psychol 1987;34:309-14. Back to cited text no. 21
  22. Pinkerton SD, Abrahamson PR. Is risky sex rational? J Sex Res 1992;29:561-8. Back to cited text no. 22
  23. Santrock JW. Life-Span Development. Boston: McGraw-Hill; 1997. p. 61-536. Back to cited text no. 23
  24. Baron RA, Byrne D. Social Psychology. New York: Allyn and Bacon; 2004. p. 546-56

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