Determination of the Effect of Sexual Assertiveness Training on Sexual Health in Married Women: A Randomized Clinical Trial
Abstract
Background: Sexual health is a state of physical, mental, and social well‑being in relation to sexuality. Sexual assertiveness is a person’s ability to meet sexual needs. Considering limited sexual information of women and the taboo nature of talking about sexual needs, the purpose of this study is to evaluate the effectiveness of the sexual assertiveness training on sexual health.
Materials and Methods: This randomized clinical trial assignment parallel study with a control group was performed in September and October 2016 on 60 married women referred to Imam Reza Health Center in Mashhad. The sample size was estimated to be 30 subjects per group. Instruments included demographic characteristics, sexual assertiveness, and sexual health questionnaire. The pretest was completed in two groups at the beginning of the study and post‑test was done for both groups 1 week after educating the experimental group. Descriptive statistic tests included Chi‑square, t‑test, and paired t‑test, and one‑way analysis of variance. A p value less than 0.05 was considered to be statistically significant.
Results: The two intervention and control groups showed no significant difference in terms of sexual health level before starting the study (t58 = 0.854, p > 0.05). After the study, based on the independent t‑test, the two groups showed significant differences (t58 = −4.077, p ˂ 0.001).
Conclusions: Sexual assertiveness training can improve women’s sexual health. Considering the lack of research in this area and due to the effect of mutual understanding of couples on emotional and sexual issues, further research is necessary for this field.
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World health organization. Sexual health‑a new focus for WHO. Prog Reprod Health Res 2004;67:214‑6.
De Francisco A, Dixon‑Mueller R, editors. Research Issues in Sexual and Reproductive Health for Low‑and Middle‑Income Countries 2007: Geneva Switzerland Global Forum for Health Research; 2007. pp. 25‑273.
Glasier A, Gülmezoglu AM, Schmid GP, Moreno CG, Van Look PF. Sexual and reproductive health: A matter of life and death. Lancet 2006;368:1595‑607.
Doornwaard SM, Ter Bogt TF, Reitz E, Van Den Eijnden RJ. Sex‑related online behaviors, perceived peer norms and adolescents’ experience with sexual behavior: Testing an integrative model. PLoS One 2015;10:e0127787.
Nekoolaltak M, Keshavarz Z, Simbar M, Nazari AM, Baghestani AR. Women’s orgasm obstacles: A qualitative study. Int J Reprod Biomed 2017;15:479‑90.
Shahhosseini Z, Gardeshi ZH, Pourasghar M, Salehi F. A review of affecting factors on sexual satisfaction in women. Materia Sociomed 2014;26:378‑81.
Golmakani N, Dormohammadi M, Mazloum SR. Survey of sexual satisfaction and marital satisfaction during postpartum at primiparous women referred to health care centers of Mashhad, Iran. Iran J Obstet Gynecol Infertility 2013;16:7‑13.
Ménard AD. Sexual Satisfaction, Self‑Esteem, and Assertiveness. Encyclopedia of Quality of Life and Well‑Being Research: Springer; 2014. pp. 5931‑5.
Santos‑Iglesias P, Sierra JC, Vallejo‑Medina P. Predictors of sexual assertiveness: The role of sexual desire, arousal, attitudes, and partner abuse. Arch Sex Behav 2013;42:1043‑52.
Leclerc B, Bergeron S, Brassard A, Bélanger C, Steben M, Lambert B. Attachment, sexual assertiveness, and sexual outcomes in women with provoked vestibulodynia and their partners: A mediation model. Arch Sexual Behav 2015;44:1561‑72.
Sayyadi F, Golmakani N, Ebrahimi M, Saki A. The relationship between sexual assertiveness and positive feelings towards spouse in married women. J Midwifery Reprod Health 2017:1‑6. [In Persion]
Ledari FM, Tabaghdehi MH, Hajipour L. Sexual health promotion programs in Iran and the world: A systematic review nt J Health Stud 2017;3:70‑1.
Rezakhaniha BS, Fahimi M, Nazari M. Assessment of sexual knowledge, attitude, and functioning among urology clinic patients in Imam Reza Hospital of Tehran. Ann Mil Health Sci Res 2016;14:e11723.
Boket EG, Bahrami M, Kolyaie L, Hosseini SA. The effect of assertiveness skills training on reduction of verbal victimization of high school students. Int J Hum Cultur Stud 2016;3:2356‑5926.
Vagos P, Pereira A. A cognitive perspective for understanding and training assertiveness. Eur Psychol 2016;9:721‑8.
Deiter PJ. Sexual assertiveness training for college women: An intervention study. 1994;8:50‑7.
Bakhtiari A, Basirat Z, Nasiri‑Amiri F. Sexual dysfunction in women undergoing fertility
treatment in Iran: Prevalence and associated risk factors. J Reprod infertil 2016;17:26‑33.
Rahmanian SA, Khadivzadeh T, Esmaily H. Comparison of the effect of group counseling and integrated counseling (group and individual) on sexual knowledge and attitude in women on the verge of marriage. Iran J Obstet Gynecol Infertil 2017;20:77‑88.
Hatami M, Kazemi A, Mehrabi T. Effect of peer education in school on sexual health knowledge and attitude in girl adolescents. J Educ Health Promot 2015;4:70‑6.
Barati M, Soltanian A, Emdadi S, Zahiri B, Barzeghar N. Analyzing sexual health‑related beliefs among couples in marriage based on the health belief model. J Educ Community Health 2014;1:36‑45.
Roudsari RL, Javadnoori M, Hasanpour M, Hazavehei SM, Taghipour A. Socio‑cultural challenges to sexual health education for female adolescents in Iran. Iran J Reprod Med 2013;11:101‑10.
Manavipour D, Pirkhaefi A, Rouhani A, Dibaji Z. Impact of sexual coolant training on promoting sexual health. Andisheh va Raftar (applied Psycology) 2009;3:77‑86.
Burns N, Grove SK. The Practice of Nursing Research. 8th ed: W.B. Saunders Company; 2017. pp. 115‑7.
Hurlbert DF. The role of assertiveness in female sexuality: A comparative study between sexually assertive and sexually nonassertive women. J Sex Marital Ther 1991;17:183‑90.
Chang SB, Yoo MS, Lee SK. Self‑assertiveness and sexual experiences of teenage girls in Korea. Korean J Women Health Nurs 2001;7:305‑16.
Bay F. The effects of group therapy feminist on desire and sexual assertiveness in women Married. University of Tehran 2008 [thesis].
Shafiee P. A study of sexcual assertiveness, sexual tendencies and gender identities of married students (between 20 and 30 years of age) residing in dormitories all over Tehran. University of Tehran (Iran): 2005 [thesis]
Kelley EL, Orchowski LM, Gidycz CA. Sexual victimization among college women: Role of sexual assertiveness and resistance variables. Psychol Violence 2016;6:243‑52.
Abraham S. Management of sexual harassment through assertiveness skills an intervention inquiry among Rural Adolescent Girls in Kalady Grama Panchayath. J Soc Work Educ Pract 2016;1:81‑97.
Blanc A, Jose Rojas A, Sayans‑Jimenez P. Erotophobia‑erotophilia, sexual assertiveness and sexual desire of immigrant female sex workers. Revista Int de Androl 2017;15:15‑22.
Brassard A, Dupuy E, Bergeron S, Shaver PR. Attachment insecurities and women’s sexual function and satisfaction: The mediating roles of sexual self‑esteem, sexual anxiety, and sexual assertiveness. J Sex Res 2015;52:110‑9
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