Open Access Peer-reviewed Research Article

Evaluation of the effectiveness of sexual skills training on increasing marital satisfaction

Main Article Content

Somayeh Naderi corresponding author
Ali Delavar
Fariborz Dortaj


Background and Aims: Dissatisfaction with sexual relationships can influence the marital life of people and have negative psychological effects on them. Hence, the current research was conducted to evaluate the effectiveness of sexual skills training on marital satisfaction. Methods: The study design was quasiexperimental with pre-test and post-test type along with a control group. The research samples included 14 couples (28 people) who were randomly divided into experimental and control groups to evaluate the effect of sexual medicine intervention. Interventions were provided to the experimental group during 9 sessions. Control group did not receive any interventions during this time. Enrich Marital Satisfaction Questionnaire (short form) was used to collect the data. Data were analyzed using SPSS, version 19, software. Results and Conclusion: The results revealed that sexual skills training increased marital satisfaction (p<0.01). Thus, based on the results obtained and the importance of sexual skills training in increasing marital satisfaction, psychotherapists and counselors are recommended to use this intervention to reduce marital problems and increase satisfaction in couples.

sexual skills training, sexual knowledge and attitude, sexual satisfaction, marital satisfaction

Article Details

How to Cite
Naderi, S., Delavar, A., & Dortaj, F. (2019). Evaluation of the effectiveness of sexual skills training on increasing marital satisfaction. Advances in Health and Behavior, 2(1), 34-40.


  1. Guner N, Kulikova Y and Llull J. Marriage and health: Selection, protection, and assortative mating. European Economic Review, 2018, 109: 162-190.
  2. Waite RBLJ. On the Economics of Marriage: A Theory of Marriage, Labor, and Divorceby Shoshana Grossbard-Shechtmann. Population Research and Policy Review, 1994, 13(3): 341-342.
  3. Weiss Y. Family Theory: Economics of Marriage and Divorce. International Encyclopedia of the Social & Behavioral Sciences, 2001, 21(2): 5387-5392.
  4. Lyngstad TH and Skardhamar T. Family formation and crime: What role for the family network?. Advances in Life Course Research, 2016, 28: 41-51.
  5. Holekian F, Madani Y and Lavasani MG. Lateralization and Marital Satisfaction. Procedia - Social and Behavioral Sciences, 2015, 165: 40-44.
  6. Mohammadzadeh Asl M. Consolidation of the Family Institution in the Constitution of the Islamic Republic of Iran with the Approach to the Realization of Citizenship Rights, in Second National Conference on Citizen Rights, 2017: 1-12.
  7. Khanmohammadi F and Partovi L. The examination of the comparison of marital satisfaction among couples with traditional and modern styles and social factors related to it in Miandouab. The Journal of sociological studies, 2017, 10(34): 109-126.
  8. Hasson-Ohayon I, Ben-Pazi A, Silberg T, et al. The mediating role of parental satisfaction between marital satisfaction and perceived family burden among parents of children with psychiatric disorders. Psychiatry Research, 2019, 271: 105-110.
  9. George D, Lou S, Webb J, et al. Couple similarity on stimulus characteristics and marital satisfaction. Personality and Individual Differences, 2015, 86: 126-131.
  10. Hosseinkhanzadeh AA and Yeganeh T. The Effects of Life Skills Training on Marital Satisfaction. Procedia - Social and Behavioral Sciences, 2013, 84(2): 769-772.
  11. Bulanda JR, Brown JS and Yamashita T. Marital quality, marital dissolution, and mortality risk during the later life course. Social Science & Medicine, 2016, 165: 119-127.
  12. Slatcher and Richard B. Protective Processes Underlying the Links between Marital Quality and Physical Health. Current Opinion in Psychology, 2016: S2352250X16301166.
  13. Javanmard GH and Garegozlo RM. The Study of Relationship Between Marital Satisfaction and Personality Characteristics In Iranian Families. Procedia - Social and Behavioral Sciences, 2013, 84(3): 396-399.
  14. Onsy E and Amer MM. Attitudes Toward Seeking Couples Counseling among Egyptian Couples: Towards a Deeper Understanding of Common Marital Conflicts and Marital Satisfaction. Procedia - Social and Behavioral Sciences, 2014, 140: 470-475.
  15. Shakerian A, Nazari AM, Masoomi M, et al. Inspecting the relationship between sexual satisfaction and marital problems of divorce-asking women in Sanandaj City Family Courts. Procedia - Social and Behavioral Sciences, 2014, 114: 327-333.
  16. DeLongis A and Zwicker A. Marital satisfaction and divorce in couples in stepfamilies. Current opinion in psychology, 2017, 13: 158-161.
  17. Sbarra DA and Coan JA. Divorce and health: Good data in need of better theory. Current Opinion in Psychology, 2017, 13: 91-95.
  18. Malekan Mehr P, Zavar M and Babazadeh H. Models of divorce prevention and marital satisfaction increase (qualitative study). in First National Conference on New Research in Psychology, Counseling and Educational Sciences, 2017: 1-10.
  19. Mehrkhane. Statistical analysis of the registered divorces during 2012-2017. Family and women’s analytical database, 2017.
  20. ALi Mandegari M and BibiRazeghi NasrAbad H. Economic Platforms Affecting Divorce Decisions; Case Study of Tehran City. Women’s Res. Reports, 2017, 7(3): 145-117.
  21. Bahrami N, Sattarzadeh N, Ranjbar Kuchaksorayi F, et al. The relationship between sexual satisfaction and depression among fertile and infertile couples. Fertil Infertil Quarter, 2007, 30: 52-59.
  22. Bahrami N, Sattarzadeh N, Ghojazadeh M, et al. Relation between infertility and sexual satisfaction in couples. Journal of Qazvin University of Medical Sciences (JQUMS), 2010, 14(2): 5-11.
  23. Farah LK and Shahram V. The effect of sexual skills training on marital satisfaction. Procedia-Social and Behavioral Sciences, 2011, 30: 2581-2585.
  24. Rastgo N, Golzari M and Barati SF. The effectiveness of sexual knowledge on marital satisfaction in married women sex. Clinical Psychology, 2015, 5(17): 35-48.
  25. Rahmanian SA, Khadivzadeh T and 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. The Iranian Journal of Obstetrics, Gynecology and Infertility, 2017, 20(3): 77-88.
  26. Noohi S, Azar M, Shafiee Kandjani AR, et al. Knowledge and Beliefs of Couples attending Marriage Counseling Centers toward correct sexual relationships. Journal of HAYAT, 2007, 13(3): 77-83.
  27. Sadri DE, Poorzor P and Esmaili GF. Effectiveness of sexual skills education on sexual attitude and knowledge in married women. Journal of Family Psychotherapy, 2017, 6(1): 1-15.
  28. Oprisan E and Cristea D. A few variables of influence in the concept of marital satisfaction. Procedia - Social and Behavioral Sciences, 2012, 33: 468-472.
  29. Burri A, Buchmeier J and Porst H. The Importance of Male Ejaculation for Female Sexual Satisfaction and Function. The journal of sexual medicine, 2018, 15(11): 1600-1608.
  30. Khazaei M, Rostami R and Zaryabi A. The relationship between sexual dysfunctions and marital satisfaction in Iranian married students. Procedia-Social and Behavioral Sciences, 2011, 30: 783-785.
  31. Sasanpour M. The effect of sexual cognitive reconstruction therapy on sexual problems of couples. Procedia - Social and Behavioral Sciences, 2013, 84: 1448-1454.
  32. Ghahari S, Davoodi R, Yekehfallah M, et al. Marital Conflict, Cognitive Emotion Regulation, Maladaptive Schema and Sexual Satisfaction in spouse abused and non-abused women in Iran: A comparative study. Asian journal of psychiatry, 2018, 35: 1.
  33. Alimohammadi L, Mirghafourvand M, Zarei F, et al. The effectiveness of group counseling based on Bandura’s self-efficacy theory on sexual function and sexual satisfaction in Iranian newlywed women: A randomized controlled trial. Applied Nursing Research, 2018, 42: 62-69.
  34. Rostami M, Taheri A, Abdi M, et al. The effectiveness of instructing emotion-focused approach in improving the marital satisfaction in couples. Procedia-Social and Behavioral Sciences, 2014, 114: 693-698.
  35. Babakhani V and Bazazian S. The Effectiveness of Sexual Education Training on Sexual Satisfaction and Marital Intimacy of Couples. in The first National Congress of Family Psychology is a step in designing a family-friendly model, 2015: 47.
  36. Pourmarzi D and Rimaz S. Sexual and reproductive health educational needs in engaged couples in Tehran in 2010. Sexuality Research and Social Policy, 2014, 11(3): 225-232.
  37. Laalbakhsh P, Sodani M and ShafieAbadi A. The Effect of Post-Marriage Skills Training on Marital Satisfaction in Couples. Behavior Science (Basel), 2011, 3(10): 105-130, 2011.
  38. Nazarpour S, Simbar M, Tehrani F R, et al. Effects of sex education and Kegel exercises on the sexual function of postmenopausal women: a randomized clinical trial. The journal of sexual medicine, 2017, 14(7): 959-967.
  39. Mahmodi Y and Valiee S. A clinical trial of the effect of sexual health education on the quality of life of married Muslim women in Iran. Women and Birth, 2016, 29(1): e18-e22.
  40. Baazeem A. Challenges to practicing sexual medicine in the Middle East. Sexual medicine reviews, 2016, 4(3): 221-228.
  41. Reisman Y, Eardley I, Porst H, et al. New Developments in Education and Training in S exual M edicine. The journal of sexual medicine, 2013, 10(4): 918-923.
  42. Masters WH, Johnson VE and Masters. Human sexual response. 1966: 278.
  43. Banner L. Virginia Johnson—human sexuality pioneer. Translational andrology and urology, 2013, 2(4): 321.
  44. Masters WH and Johnson VE. Counseling with sexually incompatible marriage partners. Counseling in Marital and Sex Problems: A Physician’s Handbook, Williams and Wilkins, Baltimore, 1965: 126-137.
  45. Naderi S. Preparation of Female Sexual Dysfunctional Detection Inventory (FSDDI) and its psychometric properties. Master’s Thesis, Allameh Tabataba’i University, Tehran, 2012.
  46. Fowers BJ and Olson DH. ENRICH Marital Satisfaction Scale: A brief research and clinical tool. Journal of Family psychology, 1993, 7(2): 176.
  47. Morteza H, Ghorbani R, Alibeigi M, et al. Relationship between marital and occupational satisfaction in the Iranian health center employees. Koomesh, 2018: 300-309.
  48. Azartash F. The Effectiveness of Sexual Education Training on Reducing Marital Conflict in Women Referring to District Health Home. Tehran University of Science and Research, 2011.
  49. Mohammadi S, Ozvkhooban M and Goodarzi F. Effectiveness of Sexual Skills in Increasing the Women’s Marital Satisfaction. J Couns Res, 2014, 13(50): 139-164.
  50. Pourheydari S, Bagherian F, Doustkam M, et al. The effects of life skills training on marital and sexual satisfaction of young couples. Knowledge & Research in Applied Psychology, 2013, 14(51): 14-22.
  51. Rahman S. Female sexual dysfunction among Muslim women: increasing awareness to improve overall evaluation and treatment. Sexual medicine reviews, 2018, 6(4): 535-547.
  52. Farah LK, Shahram V, Zeinab H, et al. Effectiveness of Sexual and Communicative Skills on Sexual Function in Breast Cancer. Procedia - Social and Behavioral Sciences, 2014, 159: 278-282.
  53. Lamont J, Bajzak K, Bouchard C, et al. Female sexual health consensus clinical guidelines. Journal of obstetrics and gynaecology Canada, 2012, 34(8): 769-775.
  54. Everaerd W. Sex Therapy, Clinical Psychology of. International Encyclopedia of the Social & Behavioral Sciences, 2015: 689-692.
  55. Khamse F, Zahrakar K and Mohsenzade F. The effect of practical application of intimate relationship skills (PAIRS) on enhancing sexual satisfaction and marital happiness in married wives. Journal of Positive Psychology, 2015, 1(2): 41-52.