Shiraz E-Medical Journal

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The Effectiveness of Sexual Enrichment Counseling on Sexual Assertiveness in Married Women: A Randomized Controlled Trial

Mahdokht Parva 1 , Razieh Lotfi 1 , * , Mohammad Ali Nazari 2 and Kourosh Kabir 3
Authors Information
1 Midwifery and Reproductive Health Department, School of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran
2 School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
3 Community Medicine Department, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
Article information
  • Shiraz E-Medical Journal: January 2018, 19 (1); e14552
  • Published Online: November 16, 2017
  • Article Type: Research Article
  • Received: June 6, 2017
  • Revised: July 24, 2017
  • Accepted: September 11, 2017
  • DOI: 10.5812/semj.14552

To Cite: Parva M, Lotfi R, Nazari M A, Kabir K. The Effectiveness of Sexual Enrichment Counseling on Sexual Assertiveness in Married Women: A Randomized Controlled Trial, Shiraz E-Med J. 2018 ; 19(1):e14552. doi: 10.5812/semj.14552.

Copyright © 2017, Shiraz E-Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Brezsnyak M, Whisman MA. Sexual desire and relationship functioning: the effects of marital satisfaction and power. J Sex Marital Ther. 2004; 30(3): 199-217[DOI][PubMed]
  • 2. Azmoude E, Firoozi M, Sadeghi Sahebzad E, Asgharipour N. Relationship between Gender Roles and Sexual Assertiveness in Married Women. Int J Community Based Nurs Midwifery. 2016; 4(4): 363-73[PubMed]
  • 3. TenHouten WD. A general theory of emotions and social life. 2007;
  • 4. Bagarozzi DA. Enhancing intimacy in marriage: A Clinician's guide. 2001;
  • 5. 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 sex Behav. 2014; 44(6): 1561-72[DOI]
  • 6. Abbassi A, Singh RN. Assertiveness in Marital Relationships Among Asian Indians in the United States. Fam J. 2016; 14(4): 392-9[DOI]
  • 7. Auslander BA, Perfect MM, Succop PA, Rosenthal SL. Perceptions of sexual assertiveness among adolescent girls: initiation, refusal, and use of protective behaviors. J Pediatr Adolesc Gynecol. 2007; 20(3): 157-62[DOI][PubMed]
  • 8. Angus B, Cooper D, Spotnitz J, Tompkins P, Wasson E. Assertive sexual communication research group. Davis Honors challenge. 2009;
  • 9. Mahdoodizaman M, Razaghi S, Amirsardari L, Hobbi O, Ghaderi D. The Relationship Between Interpersonal Cognitive Distortions and Attribution Styles Among Divorce Applicant Couples and its Impact on Sexual Satisfaction. Iran J Psychiatry Behav Sci. 2016; 10(3)[DOI][PubMed]
  • 10. Hojat Panah M, Ranjbar Kohan Z. A study of relationship between sexual satisfaction, marital satisfaction and life satisfaction in couples. Cheshmandaz Amin Appl Psychol. 2014; 1(1): 62
  • 11. Farbod E, Ghamari M, Amiri Majd M. Investigating the effect of communication skills training for married women on couples’ intimacy and quality of life. Sage J. 2014; 4(2)[DOI]
  • 12. Lotfi Kashani F, Vaziri S. The effect of sexual skills training on marital satisfaction. Procedia Soc Behav Sci. 2011; 30: 2581-5[DOI]
  • 13. Nathan EP, Joanning HH. Enhancing marital sexuality: an evaluation of a program for the sexual enrichment of normal couples. J Sex Marital Ther. 1985; 11(3): 157-64[DOI][PubMed]
  • 14. Barry W, McCarthy E. Discovering your couple sexual style: Sharing desire, pleasure, and satisfaction. 2009;
  • 15. Khodabakhshi Koolaee A, Rastak H, Nemati E, Rahmatizadeh M. The comparison between perceived body image and sexual assertiveness in athletic and non-athletic married women. Middle East J Anaesthesiol Psychiatry Alzheimers. 2014; 5(1): 24-9[DOI]
  • 16. Sanaie Zaker B, Alaghnabd S. Measures of family and marriage. 2005;
  • 17. Khodabakhshi Koolaee A, Assadi E, Mansoor L. A holistic approach to psychological sexual problem in women with diabetic husbands. Iran J Reprod Med. 2014; 12(3): 175-82
  • 18. Bay F, Bahrami F, Fatehizadeh M, Ahmadi A, Etemadi O. The role of assertiveness and self -consciousness in predicting woman sexual function. J TBCP. 2013; 7(25): 7-16
  • 19. Santos-Iglesias P, Sierra JC. Sexual victimization among Spanish college women and risk factors for sexual revictimization. J Interpers Violence. 2012; 27(17): 3468-85[DOI][PubMed]
  • 20. Nichols WC, Pace-Nichols MA, Becvar DS, Napier AY. Handbook of family development and intervention. 2000;
  • 21. DeLamater J, Koepsel E. Relationships and sexual expression in later life: a biopsychosocial perspective. Sex Relation Ther. 2014; 30(1): 37-59[DOI]
  • 22. Gellman C. [Behavioral approach to sexual dysfunction]. Soins Psychiatr. 1984; (43): 3-6[PubMed]
  • 23. Cobb RJ, Sullivan KT. Relationship education and marital satisfaction in newlywed couples: A propensity score analysis. J Fam Psychol. 2015; 29(5): 667-78[DOI][PubMed]
  • 24. Mercer Kollar LM, Davis TL, Monahan JL, Samp JA, Coles VB, Bradley EL, et al. Do As I Say: Using Communication Role-Plays to Assess Sexual Assertiveness Following an Intervention. Health Educ Behav. 2016; 43(6): 691-8[DOI][PubMed]
  • 25. Rickert VI, Sanghvi R, Wiemann CM. Is lack of sexual assertiveness among adolescent and young adult women a cause for concern? Perspect Sex Reprod Health. 2002; 34(4): 178-83[DOI][PubMed]
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