Plain English Summary
Background and study aims
Having sex plays a very important role in the success and sustainability of the family center. Understanding sexual function can lead to sexual satisfaction and ultimately to marital satisfaction that plays an important role in the reconciliation of spouses.
The aim of this study was to evaluate the effectiveness of group sex therapy training on sexual function and marital satisfaction of couples.
Who can participate?
All couples visiting Mashhad-based consultation clinics in 2019 and diagnosed with marital dissatisfaction and sexual function disorders by psychologists and psychiatrists at the clinics
What does the study involve?
The experimental group receives 10 group sex-skills education sessions and the control group receives no education.
What are the possible benefits and risks of participating?
The benefits are that participants will receive therapy for sexual problems.
There is no risk to the participants.
Where is the study run from?
Bahar Consulting Center, Masshad, Iran
When is the study starting and how long is it expected to run for?
March 2019 to May 2019
Who is funding the study?
Investigator initiated and funded
Who is the main contact?
The efficiency of group sex-therapy skills education on sexual function and marital satisfaction in couples
Are sex-therapy skills educations effective in sexual function and marital satisfaction?
Approved 15/04/2019, Institute Mobtakran Regional Research Ethics Committee (Abadan, Iran; +989159616152; firstname.lastname@example.org), ref: IMP2354
Semi-experimental study pretest-posttest method with a control group
Primary study design
Secondary study design
Randomised controlled trial
Quality of life
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Marital dissatisfaction and sexual function disorder
After securing a permission from the director of Mashhad-based consultation clinics and creating an effective relationship with the couples, 40 couples (men and women) were selected among all the couples diagnosed with marital dissatisfaction and sexual function disorder (diagnosed by the resident psychologist or psychiatrist). Participation was voluntarily and the participants filled an informed letter of consent. Afterwards, the participants were grouped randomly into control and experiment groups and all filled out the questionnaires (EMSQ and SFQ) (pretest). Then, the experiment group received 10 group sex-skills education sessions and the control group received no education. Afterwards, the participants filled out the questionnaires once more (posttest). A summary of the content of educational sessions is listed below:
1. Introduction and briefing
2. Discussing common beliefs about sexual matters and cultural/religious attitudes
3. Anatomy and physiology of sexual behavior based on Dord Pattern in man and woman
4. Introducing interests, preferences, and sexual differences in men and woman and accepting the evident and semi-evident differences
5. Relaxation, fantasizing and regular desensitization
6. Emotional concentration 1
7. Emotional concentration 2 and giving feedback to each other
8. Kegel practices
9. Masturbation practices, introduction to the benefits of sexual relationship for physical and mental health
10. Introduction to sexual function disorders and the causes
Primary outcome measure
Marital satisfaction measured using the ENRICH Marital Satisfaction Questionnaire (EMSQ) at baseline and end of therapy.
Secondary outcome measures
Sexual function measured using the Sexual Function Questionnaire (SFQ) at baseline and end of therapy.
Overall trial start date
Overall trial end date
Reason abandoned (if study stopped)
Participant inclusion criteria
1. Desire to participate
2. Reading/writing literacy
3. No psychological disorder
4. No physical disease
5. Diagnosed with marital dissatisfaction and sexual function disorder according to psychologists or psychiatrists at the clinics
Target number of participants
Total final enrolment
Participant exclusion criteria
Does not meet inclusion criteria
Recruitment start date
Recruitment end date
Countries of recruitment
Trial participating centre
Bahar Consulting Center
City of Mashhad Khorasan Province
Investigator initiated and funded
Funding Body Type
Funding Body Subtype
Results and Publications
Publication and dissemination plan
Planned publication in a high-impact peer-reviewed journal
IPD sharing statement:
The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request
Intention to publish date
Participant level data
Not expected to be available
Basic results (scientific)
2020 results in https://pubmed.ncbi.nlm.nih.gov/32775734/ (added 11/09/2020)